Cost analysis for CPT 99309 — Subsequent nursing facility visit, typically 25 minutes per day
Average Medicare Payment
$73.79
2023 data
Total Payments (2023)
$924.4M
Services (2023)
12.3M
Price Change (2014–2023)
+13.4%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $65.09 | $533.6M | 8.2M | — |
| 2015 | $65.23 | $556.4M | 8.5M | +0.2% |
| 2016 | $64.50 | $560.6M | 8.7M | -1.1% |
| 2017 | $64.23 | $580.7M | 9.0M | -0.4% |
| 2018 | $64.67 | $607.3M | 9.3M | +0.7% |
| 2019 | $65.22 | $641.6M | 9.7M | +0.9% |
| 2020 | $65.46 | $646.3M | 9.7M | +0.4% |
| 2021 | $64.80 | $640.9M | 9.7M | -1.0% |
| 2022 | $63.14 | $684.8M | 10.6M | -2.6% |
| 2023 | $73.79 | $924.4M | 12.3M | +16.9% |
The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $91.03 vs GU at $64.54.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $91.03 | $592.1K | 6.5K | 35 |
| PR | $89.31 | $182.1K | 2.0K | 3 |
| NY | $84.99 | $89.6M | 1.1M | 2.1K |
| CA | $83.91 | $86.0M | 1.0M | 1.8K |
| NJ | $82.72 | $52.5M | 634.2K | 1.4K |
| DC | $79.92 | $2.8M | 34.7K | 61 |
| MP | $79.79 | $34.9K | 437 | 2 |
| MD | $78.54 | $36.6M | 466.6K | 755 |
| HI | $78.46 | $927.8K | 11.8K | 63 |
| AE | $77.70 | $16.9K | 218 | 2 |
| IL | $77.08 | $41.3M | 536.0K | 1.4K |
| NV | $75.97 | $9.5M | 125.3K | 212 |
| MA | $75.96 | $31.7M | 417.0K | 837 |
| FL | $75.86 | $96.9M | 1.3M | 2.2K |
| PA | $75.55 | $45.4M | 601.1K | 1.7K |
| CT | $75.50 | $17.2M | 228.1K | 550 |
| XX | $74.91 | $121.6K | 1.6K | 2 |
| AZ | $74.34 | $14.2M | 190.7K | 438 |
| RI | $74.27 | $2.6M | 35.5K | 122 |
| WA | $74.20 | $9.4M | 126.5K | 371 |
| CO | $74.06 | $11.1M | 149.3K | 373 |
| DE | $73.16 | $5.2M | 71.6K | 120 |
| TX | $72.99 | $64.4M | 882.6K | 1.8K |
| VA | $72.75 | $29.4M | 404.1K | 794 |
| MI | $72.40 | $18.0M | 248.2K | 825 |
| UT | $72.31 | $4.0M | 55.3K | 126 |
| WV | $71.66 | $4.1M | 57.9K | 158 |
| NH | $71.61 | $3.6M | 50.7K | 167 |
| MN | $71.40 | $5.7M | 79.6K | 540 |
| ND | $71.06 | $1.4M | 19.7K | 95 |
| GA | $71.02 | $21.4M | 301.5K | 557 |
| MT | $71.02 | $597.4K | 8.4K | 64 |
| WY | $70.89 | $488.5K | 6.9K | 42 |
| VT | $70.73 | $695.2K | 9.8K | 55 |
| MO | $70.40 | $14.7M | 208.8K | 519 |
| NM | $70.34 | $3.2M | 45.3K | 129 |
| ME | $70.26 | $2.1M | 30.4K | 135 |
| OH | $69.94 | $31.6M | 451.2K | 1.4K |
| OK | $69.82 | $11.6M | 165.9K | 271 |
| MS | $69.65 | $4.4M | 62.9K | 210 |
| OR | $69.58 | $1.8M | 25.7K | 134 |
| NC | $69.45 | $28.1M | 404.0K | 899 |
| WI | $69.06 | $6.3M | 91.4K | 400 |
| LA | $68.90 | $13.9M | 202.0K | 398 |
| SC | $68.73 | $13.9M | 202.4K | 465 |
| KY | $68.17 | $11.3M | 165.8K | 465 |
| AL | $67.95 | $8.0M | 117.7K | 353 |
| ID | $67.78 | $2.1M | 30.4K | 107 |
| KS | $67.68 | $6.7M | 99.4K | 287 |
| AP | $67.43 | $37.8K | 561 | 1 |
| IN | $67.42 | $25.6M | 380.1K | 733 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Henry Odukomaiya | Family Practice | FL | $1.5M | 18.4K | $82.38 |
| Harvey Paley | Otolaryngology | CA | $1.4M | 16.1K | $90.22 |
| Rafael Rondon | Internal Medicine | FL | $1.1M | 12.4K | $85.12 |
| Karambir Dalal | Internal Medicine | NJ | $1.0M | 11.5K | $88.80 |
| Stanley Mathew | Physical Medicine and Rehabilitation | IA | $984.6K | 12.5K | $78.81 |
| Jon Patrick David | Nurse Practitioner | CA | $827.3K | 10.8K | $76.73 |
| Josif Borovic | Interventional Pain Management | CA | $787.2K | 9.2K | $85.48 |
| Ammala Cantrell | Family Practice | FL | $751.2K | 9.0K | $83.27 |
| Ryan Whitney | Anesthesiology | NY | $747.6K | 7.7K | $96.70 |
| David Kraft | Geriatric Medicine | OK | $740.5K | 9.3K | $79.36 |
| Joseph Sidaoui | General Surgery | NY | $732.9K | 7.6K | $96.31 |
| Lezzlie Anne Chiu | Nurse Practitioner | CA | $728.2K | 9.5K | $76.98 |
| Shashishekhar Palekar | Family Practice | NY | $725.9K | 7.5K | $97.01 |
| Christopher Smith | Family Practice | FL | $725.6K | 8.8K | $82.86 |
| Alfredo Melgar | Internal Medicine | FL | $704.1K | 8.0K | $87.80 |
| Landry Deuboue | Nurse Practitioner | MD | $683.0K | 9.2K | $74.61 |
| Basil Hamblin | Family Practice | CA | $680.3K | 7.2K | $94.31 |
| Eric Chuang | Internal Medicine | IL | $660.3K | 7.7K | $85.72 |
| Eun Byun | Physical Medicine and Rehabilitation | CA | $648.4K | 7.1K | $91.54 |
| Shane Manalang | Physician Assistant | CA | $646.1K | 8.4K | $76.63 |
Based on the data, CPT 99309 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.
Costs have increased 13.4% 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.