Cost analysis for CPT 99307 — Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
Average Medicare Payment
$27.88
2023 data
Total Payments (2023)
$44.9M
Services (2023)
1.5M
Price Change (2014–2023)
-11.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $31.48 | $103.0M | 3.2M | — |
| 2015 | $31.42 | $93.5M | 2.9M | -0.2% |
| 2016 | $31.15 | $88.6M | 2.8M | -0.9% |
| 2017 | $30.84 | $80.9M | 2.5M | -1.0% |
| 2018 | $31.10 | $76.3M | 2.4M | +0.8% |
| 2019 | $31.25 | $74.2M | 2.3M | +0.5% |
| 2020 | $31.52 | $64.7M | 2.0M | +0.9% |
| 2021 | $31.67 | $60.4M | 1.8M | +0.5% |
| 2022 | $30.85 | $54.3M | 1.7M | -2.6% |
| 2023 | $27.88 | $44.9M | 1.5M | -9.6% |
The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $35.37 vs ND at $23.37.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $35.37 | $26.6K | 752 | 10 |
| NY | $33.06 | $8.0M | 240.6K | 997 |
| DC | $31.38 | $74.0K | 2.4K | 20 |
| PR | $31.15 | $4.2K | 136 | 1 |
| CA | $30.99 | $5.4M | 173.4K | 557 |
| NJ | $30.55 | $3.1M | 100.3K | 478 |
| MD | $30.29 | $738.0K | 24.4K | 171 |
| MP | $30.09 | $6.8K | 227 | 1 |
| NV | $29.90 | $575.1K | 19.2K | 41 |
| MA | $29.38 | $919.9K | 31.3K | 239 |
| FL | $29.21 | $4.9M | 168.6K | 705 |
| IL | $29.15 | $2.7M | 93.1K | 401 |
| HI | $29.09 | $218.0K | 7.5K | 12 |
| TX | $28.88 | $3.3M | 115.6K | 451 |
| CT | $28.73 | $753.1K | 26.2K | 177 |
| AZ | $28.68 | $188.2K | 6.6K | 45 |
| PA | $28.27 | $1.8M | 64.0K | 486 |
| NM | $28.14 | $41.6K | 1.5K | 22 |
| OR | $28.12 | $26.2K | 930 | 16 |
| RI | $27.95 | $90.7K | 3.2K | 38 |
| CO | $27.71 | $183.0K | 6.6K | 71 |
| VA | $27.68 | $622.8K | 22.5K | 170 |
| DE | $27.56 | $63.7K | 2.3K | 28 |
| ID | $27.28 | $50.9K | 1.9K | 25 |
| WA | $27.24 | $156.3K | 5.7K | 67 |
| ME | $27.13 | $98.2K | 3.6K | 25 |
| MI | $27.10 | $1.2M | 45.7K | 309 |
| UT | $27.08 | $136.9K | 5.1K | 39 |
| VT | $27.05 | $69.1K | 2.6K | 25 |
| GA | $26.76 | $947.3K | 35.4K | 169 |
| SC | $26.60 | $321.8K | 12.1K | 94 |
| MO | $26.57 | $555.8K | 20.9K | 141 |
| OH | $26.54 | $1.2M | 47.0K | 402 |
| NC | $26.53 | $576.4K | 21.7K | 223 |
| NH | $26.51 | $136.8K | 5.2K | 39 |
| WV | $26.40 | $148.1K | 5.6K | 46 |
| WI | $26.38 | $192.5K | 7.3K | 88 |
| IN | $26.38 | $884.4K | 33.5K | 253 |
| MN | $26.36 | $79.9K | 3.0K | 56 |
| OK | $26.15 | $495.2K | 18.9K | 101 |
| LA | $26.13 | $540.4K | 20.7K | 132 |
| KY | $26.08 | $762.9K | 29.3K | 164 |
| AR | $25.97 | $334.3K | 12.9K | 76 |
| KS | $25.40 | $131.6K | 5.2K | 66 |
| MT | $25.35 | $31.7K | 1.3K | 21 |
| TN | $25.33 | $604.1K | 23.8K | 191 |
| NE | $25.33 | $62.4K | 2.5K | 36 |
| AL | $25.01 | $566.0K | 22.6K | 149 |
| IA | $24.93 | $196.5K | 7.9K | 101 |
| MS | $24.88 | $558.6K | 22.5K | 132 |
| WY | $24.82 | $28.9K | 1.2K | 24 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Syed Jamal | Internal Medicine | TX | $631.8K | 20.9K | $30.21 |
| Kamel Kamel | Psychiatry | CA | $306.3K | 9.5K | $32.19 |
| Iheonu Oriaku | Physical Medicine and Rehabilitation | FL | $275.0K | 8.7K | $31.48 |
| David Heise | Family Practice | FL | $213.3K | 7.2K | $29.80 |
| Zidrieck Valdes | Internal Medicine | NV | $205.4K | 6.7K | $30.54 |
| David Pohl | Pulmonary Disease | TX | $202.5K | 6.6K | $30.58 |
| Robert Gries | Geriatric Medicine | HI | $182.7K | 6.2K | $29.24 |
| Arash Milani | Internal Medicine | CA | $178.5K | 5.7K | $31.37 |
| Lloyd Lagrange | Internal Medicine | FL | $178.3K | 5.8K | $30.99 |
| Mehmet Demirozu | Internal Medicine | CA | $177.7K | 5.4K | $32.81 |
| Kelvin Ogelle | Podiatry | NY | $171.4K | 5.2K | $32.86 |
| Joseph Sidaoui | General Surgery | NY | $165.4K | 4.7K | $34.94 |
| Irina Lelchuk | Internal Medicine | NY | $161.3K | 4.5K | $35.66 |
| Jorge Soler Iglesias | Nurse Practitioner | CA | $158.1K | 6.0K | $26.25 |
| Mehdi Derambakhsh | Dermatology | CA | $150.2K | 4.5K | $33.35 |
| Christianah Adekoya | Nurse Practitioner | GA | $146.6K | 5.6K | $26.39 |
| Sharmila Shah | Internal Medicine | NY | $136.9K | 3.8K | $35.91 |
| Lewis Anreder | Family Practice | NY | $134.3K | 3.8K | $35.14 |
| Lydia Wilson | Nurse Practitioner | CA | $130.1K | 4.7K | $27.91 |
| Clifford Greenberg | Internal Medicine | FL | $127.1K | 4.2K | $29.90 |
Based on the data, CPT 99307 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 11.4% 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.