Cost analysis for CPT 99310 — Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
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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The most expensive state pays 1.6x more than the cheapest for this procedure. AK averages $148.99 vs IA at $94.26.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $148.99 | $201.0K | 1.3K | 15 |
| HI | $121.74 | $990.9K | 8.1K | 33 |
| CA | $120.56 | $26.1M | 216.8K | 838 |
| NY | $116.80 | $7.3M | 62.9K | 582 |
| NJ | $116.69 | $10.1M | 86.3K | 567 |
| DC | $114.24 | $625.4K | 5.5K | 31 |
| MD | $114.19 | $7.4M | 64.5K | 383 |
| IL | $109.65 | $9.3M | 85.1K | 624 |
| MA | $109.24 | $7.9M | 71.9K | 511 |
| FL | $109.08 | $18.4M | 168.4K | 955 |
| AZ | $108.45 | $5.4M | 50.1K | 240 |
| CT | $108.15 | $3.6M | 33.3K | 283 |
| VA | $107.50 | $5.5M | 51.2K | 389 |
| CO | $107.32 | $5.5M | 51.2K | 255 |
| WA | $107.25 | $4.8M | 44.5K | 259 |
| MI | $107.09 | $4.3M | 40.2K | 348 |
| DE | $106.49 | $830.2K | 7.8K | 62 |
| PA | $106.03 | $10.8M | 101.6K | 781 |
| RI | $105.92 | $772.7K | 7.3K | 65 |
| XX | $105.74 | $34.4K | 325 | 2 |
| NV | $105.58 | $2.4M | 23.0K | 94 |
| WV | $104.99 | $575.6K | 5.5K | 45 |
| TX | $104.77 | $16.2M | 154.9K | 855 |
| NH | $103.26 | $682.8K | 6.6K | 70 |
| UT | $103.02 | $1.8M | 17.4K | 74 |
| MO | $102.93 | $2.8M | 27.5K | 202 |
| MS | $102.46 | $1.4M | 13.8K | 74 |
| OK | $102.42 | $2.3M | 22.6K | 89 |
| GA | $101.68 | $4.1M | 40.5K | 268 |
| ND | $101.62 | $225.2K | 2.2K | 23 |
| MT | $101.59 | $544.6K | 5.4K | 42 |
| LA | $101.56 | $2.1M | 20.7K | 153 |
| NM | $101.24 | $1.4M | 14.1K | 90 |
| OH | $101.00 | $2.8M | 28.1K | 373 |
| NC | $100.55 | $5.0M | 49.5K | 474 |
| OR | $100.53 | $1.1M | 10.8K | 89 |
| MN | $100.19 | $4.2M | 41.8K | 342 |
| VT | $100.11 | $226.2K | 2.3K | 29 |
| ME | $99.53 | $895.5K | 9.0K | 83 |
| SC | $99.04 | $4.7M | 47.5K | 274 |
| AP | $98.90 | $13.1K | 132 | 1 |
| AL | $98.48 | $1.2M | 12.2K | 136 |
| WY | $98.36 | $264.1K | 2.7K | 16 |
| WI | $98.23 | $3.3M | 33.1K | 212 |
| TN | $97.86 | $3.1M | 32.1K | 271 |
| KS | $97.55 | $1.6M | 16.2K | 114 |
| ID | $97.49 | $714.2K | 7.3K | 58 |
| IN | $97.34 | $3.7M | 37.7K | 287 |
| KY | $96.65 | $1.4M | 14.5K | 150 |
| SD | $96.14 | $133.1K | 1.4K | 18 |
| NE | $95.50 | $1.2M | 12.9K | 74 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Oleksandr Pishchalenko | Internal Medicine | HI | $770.8K | 6.2K | $124.30 |
| Yan Ping Zhang | Internal Medicine | CA | $744.8K | 5.7K | $129.80 |
| Ray Silao | Internal Medicine | AZ | $714.3K | 6.1K | $116.49 |
| Andro Sharobiem | Internal Medicine | CA | $668.9K | 5.4K | $123.67 |
| Jamie Goodman | Family Practice | FL | $484.8K | 3.8K | $127.34 |
| Timothy Onyiuke | General Surgery | MD | $479.2K | 3.5K | $136.02 |
| Andrew Thompson | Nurse Practitioner | OK | $444.3K | 4.4K | $100.02 |
| Joselyn Deculing | Nurse Practitioner | CA | $431.2K | 4.1K | $104.00 |
| Sandeep Chandra | Internal Medicine | IL | $420.5K | 3.3K | $126.47 |
| Sasan Salmi | Internal Medicine | CA | $389.7K | 3.2K | $123.62 |
| Alberto Del Pilar | Family Practice | CA | $387.7K | 3.2K | $121.77 |
| Shaun Laurie | Internal Medicine | FL | $371.2K | 3.1K | $118.03 |
| Joyce Ndichu | Nurse Practitioner | GA | $367.6K | 3.7K | $98.16 |
| Matthew Brennan | General Practice | MS | $332.5K | 2.9K | $115.13 |
| Imran Mirza | Internal Medicine | NJ | $326.9K | 2.5K | $130.22 |
| David Dargis | Family Practice | MI | $326.1K | 2.9K | $111.48 |
| Matilda Koyilla | Nurse Practitioner | AZ | $318.7K | 3.2K | $100.38 |
| Jennifer Lievanos | Physician Assistant | CA | $314.1K | 3.0K | $105.75 |
| Akinwumi Aladesawe | Pain Management | FL | $313.5K | 2.6K | $120.66 |
| Jagraj Nijjar | Infectious Disease | CA | $309.6K | 2.5K | $122.51 |
Based on the data, CPT 99310 shows a 1.6x variation in pricing across states — moderate variation 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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.