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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
Disclaimer: This site is an independent journalism project. Data analysis and editorial content are not affiliated with or endorsed by CMS or any government agency. All spending figures are based on publicly available Medicare payment records.
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 99306
  4. Cost Analysis

How Much Does Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes Cost on Medicare?

Cost analysis for CPT 99306 — Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes

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Average Medicare Payment

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Total Payments (Latest)

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Services (Latest)

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Price Change (–)

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🗺️ State-by-State Cost Variation

The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $162.32 vs AR at $120.22.

StateAvg PaymentTotal PaymentsServicesProviders
AK$162.32$81.8K50410
NY$154.68$17.5M113.3K1.1K
PR$149.92$59.5K3972
CA$147.93$20.5M138.6K1.3K
NJ$147.26$11.3M76.8K850
ND$144.77$243.8K1.7K16
DC$144.22$387.5K2.7K40
CT$144.00$3.1M21.7K245
MD$143.82$6.3M43.6K391
MA$143.60$6.6M46.2K371
HI$143.02$182.8K1.3K24
WA$139.96$2.4M17.3K150
CO$139.85$2.3M16.5K127
VA$139.62$4.8M34.6K294
IL$139.45$8.6M61.7K686
DE$139.34$659.9K4.7K33
PA$139.33$8.6M61.7K755
MI$138.97$4.2M30.4K346
NH$138.50$725.0K5.2K57
OR$136.50$493.0K3.6K56
FL$136.14$18.1M133.0K1.2K
RI$136.03$669.0K4.9K58
SD$135.21$89.8K66414
ME$134.28$427.1K3.2K48
GA$134.08$2.9M21.7K256
OH$134.04$4.5M33.9K482
VT$133.84$168.5K1.3K30
MT$133.23$179.7K1.3K24
SC$132.92$2.4M18.4K163
WI$132.86$1.3M9.5K117
NV$132.36$2.1M15.7K143
WV$132.21$586.9K4.4K57
WY$132.06$72.8K55111
AZ$131.99$3.8M28.9K299
MN$131.93$1.5M11.3K176
LA$131.93$859.1K6.5K133
NC$131.87$4.9M36.8K381
TX$131.75$8.3M63.2K841
MO$131.69$2.4M17.9K204
NM$130.92$656.3K5.0K51
ID$129.95$712.4K5.5K56
KS$129.88$924.1K7.1K95
KY$129.32$1.4M10.9K151
TN$128.80$1.9M14.7K178
UT$128.22$867.3K6.8K56
AL$127.03$925.5K7.3K115
OK$125.54$1.6M12.6K129
NE$125.10$218.7K1.7K36
IN$124.28$3.7M30.0K339
MS$123.59$466.4K3.8K68
IA$122.92$465.9K3.8K48

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Thurston McmillenPhysical Medicine and RehabilitationFL$687.1K4.8K$142.06
Ritu RastogiInternal MedicineDE$316.9K2.3K$140.80
Mahmood KazmiNeurologyNY$217.1K1.3K$162.62
Brocha KaganPhysician AssistantNY$212.6K1.5K$140.14
Kunwarjit DuggalPhysical Medicine and RehabilitationIN$209.2K1.4K$146.47
Mustafa RikabiInternal MedicineFL$189.5K1.3K$147.23
Asif MerchantInternal MedicineMA$186.1K1.2K$153.89
Keino RutherfordInternal MedicineCA$176.7K1.1K$155.53
Lal Yilmaz-GonzalezGeneral SurgeryCA$171.7K1.1K$155.81
Neeru KumarNephrologyNY$169.3K1.0K$163.11
Mikael LangnerGeneral PracticeCA$161.8K1.0K$161.30
Charles WellyGeneral PracticeVA$160.4K1.2K$139.14
Ilze HicksGeneral PracticeFL$155.4K1.1K$137.36
Eric KimPhysical Medicine and RehabilitationSC$153.9K1.1K$136.44
Grigoriy KrichmarInternal MedicineNY$153.3K908$168.81
Tamara ChittendenInternal MedicineNC$146.7K1.1K$136.96
Kevin NeeseInternal MedicineIN$145.7K1.1K$135.77
Jessica RondonNurse PractitionerFL$144.8K1.2K$123.16
Neil JaglallInternal MedicineNY$137.5K834$164.90
Edward BurnettaPhysical Medicine and RehabilitationPA$133.9K902$148.49

🤔 Is Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes Overpriced?

Based on the data, CPT 99306 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.

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.

Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • Medicare Physician Fee Schedule

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.