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
Average Medicare Payment
$50.04
2023 data
Total Payments (2023)
$88.3M
Services (2023)
1.7M
Price Change (2014–2023)
-17.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $60.52 | $33.9M | 535.7K | — |
| 2015 | $59.38 | $29.3M | 472.3K | -1.9% |
| 2016 | $58.28 | $30.8M | 504.3K | -1.9% |
| 2017 | $57.54 | $28.4M | 469.5K | -1.3% |
| 2018 | $57.44 | $27.3M | 449.2K | -0.2% |
| 2019 | $58.43 | $28.0M | 454.8K | +1.7% |
| 2020 | $58.92 | $29.1M | 469.2K | +0.8% |
| 2021 | $57.76 | $29.9M | 487.6K | -2.0% |
| 2022 | $55.87 | $29.3M | 487.4K | -3.3% |
| 2023 | $50.04 | $88.3M | 1.7M | -10.4% |
The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $65.98 vs ID at $43.70.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $65.98 | $68.2K | 1.0K | 15 |
| NY | $62.15 | $9.3M | 150.0K | 672 |
| GU | $62.10 | $34.2K | 550 | 2 |
| WV | $58.96 | $238.1K | 4.0K | 26 |
| PR | $57.85 | $141.7K | 2.5K | 15 |
| CA | $56.80 | $11.1M | 195.7K | 849 |
| NJ | $55.81 | $4.4M | 78.9K | 506 |
| IL | $54.39 | $5.0M | 92.7K | 562 |
| CT | $53.88 | $659.7K | 12.2K | 129 |
| MD | $53.30 | $2.6M | 49.7K | 306 |
| DC | $52.52 | $146.0K | 2.8K | 29 |
| FL | $52.51 | $15.9M | 303.3K | 1.3K |
| PA | $51.93 | $2.9M | 56.8K | 562 |
| MI | $51.69 | $3.1M | 59.4K | 469 |
| NV | $51.34 | $892.4K | 17.4K | 97 |
| MA | $51.20 | $1.2M | 22.5K | 233 |
| HI | $51.13 | $45.5K | 889 | 10 |
| AZ | $50.53 | $1.7M | 33.2K | 258 |
| RI | $50.16 | $97.2K | 1.9K | 26 |
| TX | $49.70 | $4.7M | 94.9K | 783 |
| NH | $49.55 | $353.8K | 7.1K | 62 |
| VA | $49.53 | $2.8M | 56.9K | 376 |
| NM | $49.35 | $109.8K | 2.2K | 29 |
| DE | $49.00 | $291.2K | 5.9K | 40 |
| AE | $48.53 | $8.2K | 169 | 1 |
| WA | $48.36 | $841.8K | 17.4K | 175 |
| CO | $48.08 | $1.3M | 27.5K | 240 |
| GA | $47.96 | $674.7K | 14.1K | 164 |
| OH | $47.96 | $3.6M | 75.0K | 609 |
| SC | $47.86 | $1.3M | 27.6K | 322 |
| UT | $47.64 | $438.6K | 9.2K | 88 |
| TN | $47.29 | $1.4M | 30.1K | 237 |
| MT | $47.20 | $62.4K | 1.3K | 21 |
| WY | $47.15 | $81.4K | 1.7K | 17 |
| MO | $47.10 | $781.4K | 16.6K | 172 |
| LA | $47.09 | $267.3K | 5.7K | 61 |
| IN | $46.92 | $1.7M | 35.2K | 351 |
| KY | $46.82 | $518.6K | 11.1K | 125 |
| MS | $46.80 | $387.0K | 8.3K | 82 |
| ME | $46.61 | $251.5K | 5.4K | 55 |
| NC | $46.49 | $2.4M | 52.2K | 434 |
| AL | $46.23 | $351.8K | 7.6K | 92 |
| ND | $46.02 | $113.1K | 2.5K | 20 |
| OR | $45.70 | $150.2K | 3.3K | 61 |
| VT | $45.53 | $9.1K | 200 | 5 |
| WI | $45.13 | $616.8K | 13.7K | 156 |
| AR | $45.11 | $259.9K | 5.8K | 53 |
| IA | $45.00 | $204.0K | 4.5K | 54 |
| KS | $44.91 | $752.1K | 16.7K | 118 |
| OK | $44.68 | $697.5K | 15.6K | 113 |
| MN | $44.59 | $656.0K | 14.7K | 214 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Richard Park | Internal Medicine | CA | $668.8K | 10.6K | $63.35 |
| Fareha Kazi | Nephrology | TX | $330.1K | 6.0K | $54.75 |
| Rufat Agayev | Podiatry | NY | $324.1K | 4.7K | $68.52 |
| Michael Norris | Podiatry | FL | $264.8K | 4.4K | $60.80 |
| David Heise | Family Practice | FL | $239.8K | 4.1K | $57.94 |
| Ferdinand Kussel | Podiatry | FL | $206.0K | 3.7K | $56.16 |
| Irene Campbell | Podiatry | TN | $192.6K | 3.5K | $54.78 |
| Carole Capparelli | Nurse Practitioner | NY | $189.9K | 3.3K | $57.25 |
| Sung Kwon | Podiatry | IL | $179.9K | 2.9K | $61.74 |
| Brian Strauss | Podiatry | NY | $175.9K | 2.7K | $64.85 |
| Joseph Palumbo | General Practice | WV | $173.4K | 2.7K | $64.86 |
| Richard Egerman | Podiatry | FL | $156.7K | 2.6K | $60.78 |
| Thomas Campbell | Podiatry | IL | $156.2K | 2.5K | $61.27 |
| Laura De Bien | Psychiatry | FL | $155.2K | 2.4K | $63.49 |
| Vincent Sciulla | Podiatry | NY | $153.8K | 2.4K | $63.79 |
| Nosheen Khan | Podiatry | NY | $145.1K | 2.4K | $59.72 |
| Jeffrey Bourne | Internal Medicine | CA | $142.3K | 2.4K | $59.46 |
| Mark Lembersky | Podiatry | CA | $138.7K | 2.2K | $63.48 |
| Maria Noya | Internal Medicine | NY | $138.1K | 2.1K | $65.57 |
| Seth Craft | Podiatry | MI | $135.7K | 2.6K | $53.16 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.