Cost analysis for CPT 99292 — Critical care, each additional 30 minutes
Average Medicare Payment
$84.42
2023 data
Total Payments (2023)
$22.3M
Services (2023)
266.8K
Price Change (2014–2023)
-4.0%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $87.91 | $28.1M | 322.5K | — |
| 2015 | $88.21 | $28.8M | 328.5K | +0.3% |
| 2016 | $88.19 | $31.3M | 357.8K | -0.0% |
| 2017 | $89.19 | $33.5M | 380.6K | +1.1% |
| 2018 | $88.36 | $33.4M | 380.7K | -0.9% |
| 2019 | $88.93 | $36.0M | 407.9K | +0.6% |
| 2020 | $92.40 | $38.8M | 426.1K | +3.9% |
| 2021 | $91.44 | $33.3M | 370.5K | -1.0% |
| 2022 | $89.13 | $32.5M | 369.9K | -2.5% |
| 2023 | $84.42 | $22.3M | 266.8K | -5.3% |
The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $111.21 vs AL at $72.46.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $111.21 | $42.0K | 378 | 14 |
| NY | $93.95 | $1.7M | 17.9K | 426 |
| DC | $90.32 | $118.1K | 1.3K | 37 |
| NJ | $90.07 | $627.4K | 7.0K | 131 |
| CA | $89.04 | $3.6M | 40.6K | 704 |
| FL | $88.66 | $2.2M | 25.2K | 387 |
| RI | $87.01 | $61.1K | 702 | 17 |
| DE | $86.87 | $37.2K | 428 | 12 |
| IL | $86.41 | $662.5K | 7.7K | 198 |
| WV | $86.31 | $70.9K | 821 | 26 |
| MD | $86.05 | $788.0K | 9.2K | 218 |
| VA | $85.68 | $454.8K | 5.3K | 145 |
| PA | $85.68 | $590.7K | 6.9K | 166 |
| WA | $85.58 | $338.0K | 3.9K | 100 |
| SD | $84.72 | $26.4K | 312 | 7 |
| TX | $84.52 | $1.1M | 12.7K | 228 |
| NV | $84.52 | $147.6K | 1.7K | 40 |
| CO | $84.19 | $267.5K | 3.2K | 78 |
| NM | $84.18 | $42.1K | 500 | 19 |
| MI | $84.03 | $398.7K | 4.7K | 107 |
| CT | $83.71 | $423.3K | 5.1K | 110 |
| LA | $83.34 | $109.7K | 1.3K | 35 |
| OH | $82.65 | $285.3K | 3.5K | 91 |
| HI | $82.45 | $198.8K | 2.4K | 39 |
| MA | $82.11 | $1.3M | 15.5K | 316 |
| MT | $82.01 | $65.3K | 796 | 27 |
| AZ | $81.81 | $472.7K | 5.8K | 73 |
| MN | $81.74 | $169.4K | 2.1K | 54 |
| ND | $81.26 | $46.6K | 574 | 16 |
| VT | $80.70 | $33.7K | 417 | 11 |
| MS | $80.53 | $89.5K | 1.1K | 34 |
| AR | $80.48 | $65.2K | 810 | 28 |
| IN | $80.11 | $183.0K | 2.3K | 63 |
| OR | $80.05 | $272.4K | 3.4K | 80 |
| OK | $79.87 | $136.7K | 1.7K | 48 |
| ME | $79.70 | $23.8K | 298 | 11 |
| SC | $79.48 | $128.9K | 1.6K | 54 |
| NH | $79.34 | $58.4K | 736 | 25 |
| KY | $79.20 | $210.5K | 2.7K | 45 |
| WI | $78.17 | $250.8K | 3.2K | 80 |
| ID | $77.94 | $31.6K | 405 | 17 |
| NE | $77.73 | $33.7K | 434 | 18 |
| UT | $76.85 | $164.1K | 2.1K | 47 |
| IA | $76.28 | $93.3K | 1.2K | 26 |
| NC | $75.72 | $488.6K | 6.5K | 151 |
| TN | $75.44 | $305.4K | 4.0K | 103 |
| KS | $74.70 | $279.8K | 3.7K | 77 |
| MO | $74.21 | $1.2M | 15.6K | 163 |
| GA | $73.05 | $1.5M | 21.0K | 286 |
| AL | $72.46 | $430.8K | 5.9K | 86 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Simon Chi | Emergency Medicine | CA | $90.4K | 1.0K | $87.46 |
| Sunil Ramaswamy | Critical Care (Intensivists) | CA | $70.7K | 819 | $86.28 |
| Abid Iqbal | Internal Medicine | TX | $67.1K | 777 | $86.40 |
| Jeannie Kim | Pulmonary Disease | CA | $64.2K | 697 | $92.05 |
| Ahmer Faruki | Internal Medicine | TX | $63.2K | 734 | $86.17 |
| Muhammad Raza | Critical Care (Intensivists) | AZ | $62.3K | 754 | $82.67 |
| Douglas Portillo | Critical Care (Intensivists) | FL | $61.7K | 658 | $93.83 |
| Jaafer Imam | Internal Medicine | TX | $60.2K | 697 | $86.34 |
| Fahad Omar | Pulmonary Disease | TX | $59.7K | 738 | $80.83 |
| Andrew Calzadilla | Internal Medicine | FL | $57.4K | 612 | $93.83 |
| Khizer Shaikh | Pulmonary Disease | AZ | $54.8K | 670 | $81.75 |
| Murtuza Ahmed | Pulmonary Disease | TX | $53.9K | 633 | $85.23 |
| Sahar Osman | Neurology | CA | $50.4K | 575 | $87.69 |
| Joseph Averbach | Emergency Medicine | FL | $49.4K | 541 | $91.25 |
| Mohamed Abou El Fadl | Critical Care (Intensivists) | FL | $49.1K | 523 | $93.83 |
| Sylvia Soo | Neurology | CA | $46.9K | 532 | $88.23 |
| Shahab Attarchi | Critical Care (Intensivists) | CA | $46.7K | 525 | $88.90 |
| Mir Alikhan | Pulmonary Disease | TX | $46.5K | 536 | $86.79 |
| Ramin Akhavan | Critical Care (Intensivists) | CA | $46.5K | 538 | $86.46 |
| Mindy Bui | Critical Care (Intensivists) | CA | $46.4K | 526 | $88.23 |
Based on the data, CPT 99292 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 4% since 2014. Medicare's fee schedule attempts to standardize pricing, though some variation is expected due to geographic cost-of-living adjustments and practice expense differences.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.