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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. 99307
  4. Cost Analysis

How Much Does Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes Cost on Medicare?

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

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Average Medicare Payment

$27.88

2023 data

Total Payments (2023)

$44.9M

Services (2023)

1.5M

Price Change (2014–2023)

-11.4%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$31.48$103.0M3.2M—
2015$31.42$93.5M2.9M-0.2%
2016$31.15$88.6M2.8M-0.9%
2017$30.84$80.9M2.5M-1.0%
2018$31.10$76.3M2.4M+0.8%
2019$31.25$74.2M2.3M+0.5%
2020$31.52$64.7M2.0M+0.9%
2021$31.67$60.4M1.8M+0.5%
2022$30.85$54.3M1.7M-2.6%
2023$27.88$44.9M1.5M-9.6%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $35.37 vs ND at $23.37.

StateAvg PaymentTotal PaymentsServicesProviders
AK$35.37$26.6K75210
NY$33.06$8.0M240.6K997
DC$31.38$74.0K2.4K20
PR$31.15$4.2K1361
CA$30.99$5.4M173.4K557
NJ$30.55$3.1M100.3K478
MD$30.29$738.0K24.4K171
MP$30.09$6.8K2271
NV$29.90$575.1K19.2K41
MA$29.38$919.9K31.3K239
FL$29.21$4.9M168.6K705
IL$29.15$2.7M93.1K401
HI$29.09$218.0K7.5K12
TX$28.88$3.3M115.6K451
CT$28.73$753.1K26.2K177
AZ$28.68$188.2K6.6K45
PA$28.27$1.8M64.0K486
NM$28.14$41.6K1.5K22
OR$28.12$26.2K93016
RI$27.95$90.7K3.2K38
CO$27.71$183.0K6.6K71
VA$27.68$622.8K22.5K170
DE$27.56$63.7K2.3K28
ID$27.28$50.9K1.9K25
WA$27.24$156.3K5.7K67
ME$27.13$98.2K3.6K25
MI$27.10$1.2M45.7K309
UT$27.08$136.9K5.1K39
VT$27.05$69.1K2.6K25
GA$26.76$947.3K35.4K169
SC$26.60$321.8K12.1K94
MO$26.57$555.8K20.9K141
OH$26.54$1.2M47.0K402
NC$26.53$576.4K21.7K223
NH$26.51$136.8K5.2K39
WV$26.40$148.1K5.6K46
WI$26.38$192.5K7.3K88
IN$26.38$884.4K33.5K253
MN$26.36$79.9K3.0K56
OK$26.15$495.2K18.9K101
LA$26.13$540.4K20.7K132
KY$26.08$762.9K29.3K164
AR$25.97$334.3K12.9K76
KS$25.40$131.6K5.2K66
MT$25.35$31.7K1.3K21
TN$25.33$604.1K23.8K191
NE$25.33$62.4K2.5K36
AL$25.01$566.0K22.6K149
IA$24.93$196.5K7.9K101
MS$24.88$558.6K22.5K132
WY$24.82$28.9K1.2K24

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Syed JamalInternal MedicineTX$631.8K20.9K$30.21
Kamel KamelPsychiatryCA$306.3K9.5K$32.19
Iheonu OriakuPhysical Medicine and RehabilitationFL$275.0K8.7K$31.48
David HeiseFamily PracticeFL$213.3K7.2K$29.80
Zidrieck ValdesInternal MedicineNV$205.4K6.7K$30.54
David PohlPulmonary DiseaseTX$202.5K6.6K$30.58
Robert GriesGeriatric MedicineHI$182.7K6.2K$29.24
Arash MilaniInternal MedicineCA$178.5K5.7K$31.37
Lloyd LagrangeInternal MedicineFL$178.3K5.8K$30.99
Mehmet DemirozuInternal MedicineCA$177.7K5.4K$32.81
Kelvin OgellePodiatryNY$171.4K5.2K$32.86
Joseph SidaouiGeneral SurgeryNY$165.4K4.7K$34.94
Irina LelchukInternal MedicineNY$161.3K4.5K$35.66
Jorge Soler IglesiasNurse PractitionerCA$158.1K6.0K$26.25
Mehdi DerambakhshDermatologyCA$150.2K4.5K$33.35
Christianah AdekoyaNurse PractitionerGA$146.6K5.6K$26.39
Sharmila ShahInternal MedicineNY$136.9K3.8K$35.91
Lewis AnrederFamily PracticeNY$134.3K3.8K$35.14
Lydia WilsonNurse PractitionerCA$130.1K4.7K$27.91
Clifford GreenbergInternal MedicineFL$127.1K4.2K$29.90

🤔 Is Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes Overpriced?

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.

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.