OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
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.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. Procedures
  3. 99348
  4. Cost Analysis

How Much Does Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes Cost on Medicare?

Cost analysis for CPT 99348 — Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes

Share:

Average Medicare Payment

$50.04

2023 data

Total Payments (2023)

$88.3M

Services (2023)

1.7M

Price Change (2014–2023)

-17.3%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$60.52$33.9M535.7K—
2015$59.38$29.3M472.3K-1.9%
2016$58.28$30.8M504.3K-1.9%
2017$57.54$28.4M469.5K-1.3%
2018$57.44$27.3M449.2K-0.2%
2019$58.43$28.0M454.8K+1.7%
2020$58.92$29.1M469.2K+0.8%
2021$57.76$29.9M487.6K-2.0%
2022$55.87$29.3M487.4K-3.3%
2023$50.04$88.3M1.7M-10.4%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $65.98 vs ID at $43.70.

StateAvg PaymentTotal PaymentsServicesProviders
AK$65.98$68.2K1.0K15
NY$62.15$9.3M150.0K672
GU$62.10$34.2K5502
WV$58.96$238.1K4.0K26
PR$57.85$141.7K2.5K15
CA$56.80$11.1M195.7K849
NJ$55.81$4.4M78.9K506
IL$54.39$5.0M92.7K562
CT$53.88$659.7K12.2K129
MD$53.30$2.6M49.7K306
DC$52.52$146.0K2.8K29
FL$52.51$15.9M303.3K1.3K
PA$51.93$2.9M56.8K562
MI$51.69$3.1M59.4K469
NV$51.34$892.4K17.4K97
MA$51.20$1.2M22.5K233
HI$51.13$45.5K88910
AZ$50.53$1.7M33.2K258
RI$50.16$97.2K1.9K26
TX$49.70$4.7M94.9K783
NH$49.55$353.8K7.1K62
VA$49.53$2.8M56.9K376
NM$49.35$109.8K2.2K29
DE$49.00$291.2K5.9K40
AE$48.53$8.2K1691
WA$48.36$841.8K17.4K175
CO$48.08$1.3M27.5K240
GA$47.96$674.7K14.1K164
OH$47.96$3.6M75.0K609
SC$47.86$1.3M27.6K322
UT$47.64$438.6K9.2K88
TN$47.29$1.4M30.1K237
MT$47.20$62.4K1.3K21
WY$47.15$81.4K1.7K17
MO$47.10$781.4K16.6K172
LA$47.09$267.3K5.7K61
IN$46.92$1.7M35.2K351
KY$46.82$518.6K11.1K125
MS$46.80$387.0K8.3K82
ME$46.61$251.5K5.4K55
NC$46.49$2.4M52.2K434
AL$46.23$351.8K7.6K92
ND$46.02$113.1K2.5K20
OR$45.70$150.2K3.3K61
VT$45.53$9.1K2005
WI$45.13$616.8K13.7K156
AR$45.11$259.9K5.8K53
IA$45.00$204.0K4.5K54
KS$44.91$752.1K16.7K118
OK$44.68$697.5K15.6K113
MN$44.59$656.0K14.7K214

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Richard ParkInternal MedicineCA$668.8K10.6K$63.35
Fareha KaziNephrologyTX$330.1K6.0K$54.75
Rufat AgayevPodiatryNY$324.1K4.7K$68.52
Michael NorrisPodiatryFL$264.8K4.4K$60.80
David HeiseFamily PracticeFL$239.8K4.1K$57.94
Ferdinand KusselPodiatryFL$206.0K3.7K$56.16
Irene CampbellPodiatryTN$192.6K3.5K$54.78
Carole CapparelliNurse PractitionerNY$189.9K3.3K$57.25
Sung KwonPodiatryIL$179.9K2.9K$61.74
Brian StraussPodiatryNY$175.9K2.7K$64.85
Joseph PalumboGeneral PracticeWV$173.4K2.7K$64.86
Richard EgermanPodiatryFL$156.7K2.6K$60.78
Thomas CampbellPodiatryIL$156.2K2.5K$61.27
Laura De BienPsychiatryFL$155.2K2.4K$63.49
Vincent SciullaPodiatryNY$153.8K2.4K$63.79
Nosheen KhanPodiatryNY$145.1K2.4K$59.72
Jeffrey BourneInternal MedicineCA$142.3K2.4K$59.46
Mark LemberskyPodiatryCA$138.7K2.2K$63.48
Maria NoyaInternal MedicineNY$138.1K2.1K$65.57
Seth CraftPodiatryMI$135.7K2.6K$53.16

🤔 Is Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes Overpriced?

Based on the data, CPT 99348 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.

Costs have decreased 17.3% 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.