Cost analysis for CPT 99308 — Subsequent nursing facility visit, typically 15 minutes per day
Average Medicare Payment
$51.63
2023 data
Total Payments (2023)
$584.4M
Services (2023)
10.8M
Price Change (2014–2023)
+5.2%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $49.10 | $540.6M | 10.8M | — |
| 2015 | $48.84 | $536.9M | 10.8M | -0.5% |
| 2016 | $48.60 | $527.3M | 10.6M | -0.5% |
| 2017 | $48.19 | $521.9M | 10.6M | -0.8% |
| 2018 | $48.68 | $539.0M | 10.8M | +1.0% |
| 2019 | $48.98 | $557.2M | 11.1M | +0.6% |
| 2020 | $49.40 | $538.2M | 10.5M | +0.9% |
| 2021 | $49.19 | $514.2M | 10.0M | -0.4% |
| 2022 | $48.03 | $526.6M | 10.4M | -2.4% |
| 2023 | $51.63 | $584.4M | 10.8M | +7.5% |
The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $62.27 vs IA at $46.04.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $62.27 | $96.2K | 1.5K | 23 |
| NY | $62.05 | $105.9M | 1.7M | 2.4K |
| PR | $58.79 | $27.6K | 469 | 4 |
| NJ | $58.37 | $42.3M | 725.5K | 1.4K |
| DC | $58.37 | $1.3M | 22.4K | 57 |
| CA | $58.34 | $58.2M | 998.3K | 1.6K |
| MD | $56.11 | $21.1M | 376.1K | 691 |
| MP | $55.70 | $67.1K | 1.2K | 2 |
| IL | $54.32 | $33.7M | 619.5K | 1.3K |
| CT | $54.13 | $10.1M | 186.6K | 505 |
| HI | $53.94 | $468.2K | 8.7K | 35 |
| XX | $53.74 | $83.9K | 1.6K | 2 |
| AE | $53.73 | $8.8K | 164 | 1 |
| PA | $53.66 | $21.1M | 393.5K | 1.5K |
| FL | $53.60 | $64.9M | 1.2M | 2.1K |
| MA | $53.24 | $15.4M | 288.3K | 749 |
| NV | $52.82 | $8.2M | 154.5K | 210 |
| ND | $52.47 | $743.0K | 14.2K | 85 |
| AZ | $52.39 | $4.9M | 93.0K | 304 |
| RI | $52.00 | $1.2M | 22.3K | 108 |
| WA | $51.78 | $2.5M | 47.8K | 259 |
| DE | $51.70 | $1.6M | 31.4K | 91 |
| CO | $51.15 | $2.1M | 41.0K | 251 |
| VA | $51.13 | $12.3M | 240.6K | 651 |
| TX | $50.88 | $38.0M | 746.4K | 1.6K |
| MI | $50.74 | $14.7M | 289.0K | 846 |
| MT | $50.48 | $275.5K | 5.5K | 46 |
| OH | $50.00 | $20.4M | 408.6K | 1.3K |
| NM | $49.85 | $671.2K | 13.5K | 83 |
| WV | $49.79 | $1.6M | 32.3K | 151 |
| NH | $49.56 | $1.7M | 34.4K | 153 |
| OK | $49.53 | $7.0M | 141.8K | 265 |
| AR | $49.39 | $2.5M | 51.3K | 195 |
| SC | $49.32 | $5.0M | 101.7K | 388 |
| GA | $49.13 | $8.7M | 178.1K | 504 |
| WI | $49.13 | $2.2M | 45.3K | 291 |
| NC | $49.10 | $10.0M | 203.5K | 741 |
| MN | $49.06 | $1.2M | 25.0K | 312 |
| VT | $49.06 | $323.2K | 6.6K | 47 |
| UT | $48.97 | $1.2M | 23.7K | 104 |
| LA | $48.55 | $7.6M | 156.5K | 409 |
| KY | $48.29 | $6.3M | 130.6K | 451 |
| MO | $48.23 | $9.4M | 194.0K | 485 |
| KS | $48.15 | $3.1M | 64.5K | 262 |
| AL | $48.06 | $5.3M | 110.8K | 347 |
| OR | $47.87 | $508.7K | 10.6K | 98 |
| IN | $47.74 | $11.8M | 247.0K | 685 |
| ME | $47.68 | $648.0K | 13.6K | 100 |
| WY | $47.61 | $366.4K | 7.7K | 41 |
| NE | $47.34 | $877.9K | 18.5K | 149 |
| TN | $46.98 | $8.5M | 180.8K | 620 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Mohammud Alam | Internal Medicine | NY | $1.5M | 22.8K | $67.41 |
| Saman Sabounchi | Internal Medicine | CA | $1.2M | 17.3K | $68.05 |
| Ryan Whitney | Anesthesiology | NY | $1.1M | 15.9K | $68.47 |
| Steve Loh | Physical Medicine and Rehabilitation | CA | $1.1M | 17.2K | $63.10 |
| John Dellosso | Internal Medicine | NY | $886.2K | 13.4K | $66.10 |
| Shane Manalang | Physician Assistant | CA | $804.5K | 15.4K | $52.36 |
| Andrew Isopo | Internal Medicine | NY | $776.2K | 11.8K | $65.61 |
| Adeel Iqbal | Internal Medicine | NY | $750.4K | 11.0K | $68.29 |
| Jayant Hirpara | Internal Medicine | MD | $706.9K | 11.5K | $61.25 |
| Zev Lati | Internal Medicine | NY | $654.9K | 9.8K | $66.77 |
| John Kapoor | Cardiology | CA | $634.7K | 10.2K | $62.35 |
| Joseph Sidaoui | General Surgery | NY | $616.4K | 9.1K | $67.41 |
| Fan Xi | Physical Medicine and Rehabilitation | NC | $598.8K | 9.7K | $61.87 |
| Rana Hassan | Internal Medicine | NY | $593.1K | 9.3K | $64.08 |
| Ahmed Elgamal | Physical Medicine and Rehabilitation | IL | $560.1K | 9.0K | $62.42 |
| Kiin Kim | Physical Medicine and Rehabilitation | CA | $559.7K | 9.0K | $62.32 |
| Keino Rutherford | Internal Medicine | CA | $555.8K | 8.8K | $62.95 |
| Vikram Shah | Internal Medicine | NY | $554.5K | 8.1K | $68.36 |
| Robert Samaniego | Family Practice | NY | $550.9K | 8.2K | $67.01 |
| John Pack | Internal Medicine | CA | $545.2K | 8.5K | $63.99 |
Based on the data, CPT 99308 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 5.2% 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.