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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. 99310
  4. Cost Analysis

How Much Does Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes Cost on Medicare?

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

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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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🗺️ State-by-State Cost Variation

The most expensive state pays 1.6x more than the cheapest for this procedure. AK averages $148.99 vs IA at $94.26.

StateAvg PaymentTotal PaymentsServicesProviders
AK$148.99$201.0K1.3K15
HI$121.74$990.9K8.1K33
CA$120.56$26.1M216.8K838
NY$116.80$7.3M62.9K582
NJ$116.69$10.1M86.3K567
DC$114.24$625.4K5.5K31
MD$114.19$7.4M64.5K383
IL$109.65$9.3M85.1K624
MA$109.24$7.9M71.9K511
FL$109.08$18.4M168.4K955
AZ$108.45$5.4M50.1K240
CT$108.15$3.6M33.3K283
VA$107.50$5.5M51.2K389
CO$107.32$5.5M51.2K255
WA$107.25$4.8M44.5K259
MI$107.09$4.3M40.2K348
DE$106.49$830.2K7.8K62
PA$106.03$10.8M101.6K781
RI$105.92$772.7K7.3K65
XX$105.74$34.4K3252
NV$105.58$2.4M23.0K94
WV$104.99$575.6K5.5K45
TX$104.77$16.2M154.9K855
NH$103.26$682.8K6.6K70
UT$103.02$1.8M17.4K74
MO$102.93$2.8M27.5K202
MS$102.46$1.4M13.8K74
OK$102.42$2.3M22.6K89
GA$101.68$4.1M40.5K268
ND$101.62$225.2K2.2K23
MT$101.59$544.6K5.4K42
LA$101.56$2.1M20.7K153
NM$101.24$1.4M14.1K90
OH$101.00$2.8M28.1K373
NC$100.55$5.0M49.5K474
OR$100.53$1.1M10.8K89
MN$100.19$4.2M41.8K342
VT$100.11$226.2K2.3K29
ME$99.53$895.5K9.0K83
SC$99.04$4.7M47.5K274
AP$98.90$13.1K1321
AL$98.48$1.2M12.2K136
WY$98.36$264.1K2.7K16
WI$98.23$3.3M33.1K212
TN$97.86$3.1M32.1K271
KS$97.55$1.6M16.2K114
ID$97.49$714.2K7.3K58
IN$97.34$3.7M37.7K287
KY$96.65$1.4M14.5K150
SD$96.14$133.1K1.4K18
NE$95.50$1.2M12.9K74

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Oleksandr PishchalenkoInternal MedicineHI$770.8K6.2K$124.30
Yan Ping ZhangInternal MedicineCA$744.8K5.7K$129.80
Ray SilaoInternal MedicineAZ$714.3K6.1K$116.49
Andro SharobiemInternal MedicineCA$668.9K5.4K$123.67
Jamie GoodmanFamily PracticeFL$484.8K3.8K$127.34
Timothy OnyiukeGeneral SurgeryMD$479.2K3.5K$136.02
Andrew ThompsonNurse PractitionerOK$444.3K4.4K$100.02
Joselyn DeculingNurse PractitionerCA$431.2K4.1K$104.00
Sandeep ChandraInternal MedicineIL$420.5K3.3K$126.47
Sasan SalmiInternal MedicineCA$389.7K3.2K$123.62
Alberto Del PilarFamily PracticeCA$387.7K3.2K$121.77
Shaun LaurieInternal MedicineFL$371.2K3.1K$118.03
Joyce NdichuNurse PractitionerGA$367.6K3.7K$98.16
Matthew BrennanGeneral PracticeMS$332.5K2.9K$115.13
Imran MirzaInternal MedicineNJ$326.9K2.5K$130.22
David DargisFamily PracticeMI$326.1K2.9K$111.48
Matilda KoyillaNurse PractitionerAZ$318.7K3.2K$100.38
Jennifer LievanosPhysician AssistantCA$314.1K3.0K$105.75
Akinwumi AladesawePain ManagementFL$313.5K2.6K$120.66
Jagraj NijjarInfectious DiseaseCA$309.6K2.5K$122.51

🤔 Is Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes Overpriced?

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.

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.