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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. 99316
  4. Cost Analysis

How Much Does Nursing facility discharge management, more than 30 minutes Cost on Medicare?

Cost analysis for CPT 99316 — Nursing facility discharge management, more than 30 minutes

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Average Medicare Payment

$92.37

2023 data

Total Payments (2023)

$30.5M

Services (2023)

326.3K

Price Change (2014–2023)

+19.8%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$77.09$23.0M299.7K—
2015$76.90$25.6M333.4K-0.2%
2016$76.55$27.4M358.2K-0.5%
2017$76.31$28.4M373.3K-0.3%
2018$76.60$29.5M385.7K+0.4%
2019$76.95$30.6M398.5K+0.5%
2020$77.28$22.8M295.2K+0.4%
2021$76.52$24.1M312.5K-1.0%
2022$73.97$23.8M319.6K-3.3%
2023$92.37$30.5M326.3K+24.9%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.6x more than the cheapest for this procedure. AK averages $133.82 vs NE at $81.37.

StateAvg PaymentTotal PaymentsServicesProviders
AK$133.82$22.9K17110
CA$105.81$2.6M24.8K384
NY$105.32$3.8M36.2K624
ND$104.56$91.2K87214
NJ$102.51$1.6M15.3K312
DC$101.57$35.8K3528
HI$99.39$79.3K79825
MD$95.56$1.3M13.9K227
NV$94.42$467.0K4.9K71
WV$94.39$146.7K1.6K31
IL$94.08$1.1M11.7K248
FL$93.81$2.0M21.1K370
AZ$93.69$555.6K5.9K101
MA$92.99$1.6M17.0K276
PA$92.05$1.4M15.6K392
TX$91.90$798.8K8.7K235
VT$91.13$80.6K88529
CT$91.03$679.3K7.5K168
RI$90.83$52.6K57916
VA$90.19$1.4M15.2K272
WA$90.10$625.1K6.9K129
CO$89.88$414.4K4.6K96
GA$89.78$442.7K4.9K122
MO$89.72$284.9K3.2K77
MT$89.38$92.2K1.0K29
SD$89.19$35.9K40318
MI$88.95$989.8K11.1K243
ME$88.65$137.5K1.6K48
DE$88.53$206.3K2.3K35
NH$88.27$178.4K2.0K60
OK$87.75$196.2K2.2K47
OH$87.69$833.4K9.5K246
UT$87.44$171.9K2.0K30
NM$87.43$81.4K93125
AL$87.41$157.5K1.8K45
WY$87.28$16.2K1865
LA$87.19$182.5K2.1K68
NC$87.12$1.0M12.0K266
MN$85.98$586.3K6.8K170
OR$85.95$213.0K2.5K57
KY$85.23$292.9K3.4K90
SC$85.09$605.0K7.1K155
WI$84.59$457.4K5.4K141
MS$84.29$187.5K2.2K57
KS$84.25$347.4K4.1K84
AR$84.17$52.6K62524
ID$83.88$228.9K2.7K48
IN$82.81$577.5K7.0K148
IA$82.35$153.4K1.9K49
TN$82.25$661.9K8.0K164
NE$81.37$198.5K2.4K40

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Samy SakerInternal MedicineNY$68.3K592$115.31
Mark GobrialInternal MedicineCA$66.2K599$110.50
Andrew ChiInternal MedicineCA$58.7K490$119.82
Keino RutherfordInternal MedicineCA$55.9K502$111.35
Sri Vardhan Reddy KooturuInternal MedicineND$54.4K468$116.18
Neil JaglallInternal MedicineNY$54.1K452$119.69
John HurwitzInternal MedicineCA$46.7K435$107.40
Neriy YakubovHospitalistNY$44.1K376$117.21
Alireza ShirvaniInternal MedicineNY$42.5K357$118.92
David JulianInternal MedicineNV$39.4K383$103.00
Dzung TrinhInternal MedicineCA$36.9K351$105.07
Zev LatiInternal MedicineNY$35.6K300$118.78
Cynthia PinsonFamily PracticeWV$35.1K368$95.43
Ali TabatabaiInternal MedicineCA$34.7K314$110.36
Mark PassGeriatric MedicineNJ$34.4K316$108.85
Jay StamblerInternal MedicineNY$34.3K286$119.81
Kaushal NanavatiInternal MedicineNJ$34.2K304$112.56
Katie KwaschynInternal MedicineNC$34.1K285$119.81
Qingzhi WuNurse PractitionerCA$34.1K337$101.13
William BichaiNephrologyCA$33.3K320$104.10

🤔 Is Nursing facility discharge management, more than 30 minutes Overpriced?

Based on the data, CPT 99316 shows a 1.6x variation in pricing across states — moderate variation by Medicare standards.

Costs have increased 19.8% 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.