Cost analysis for CPT 99349 — Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
Average Medicare Payment
N/A
Total Payments (Latest)
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Services (Latest)
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Price Change (–)
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The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $109.57 vs MT at $71.33.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $109.57 | $480.0K | 4.4K | 16 |
| NY | $100.93 | $21.7M | 215.2K | 794 |
| CA | $93.74 | $27.5M | 293.5K | 868 |
| DC | $93.27 | $736.8K | 7.9K | 40 |
| IL | $90.88 | $15.1M | 165.8K | 728 |
| NJ | $90.10 | $11.9M | 132.1K | 575 |
| GU | $89.90 | $68.7K | 764 | 3 |
| MD | $88.74 | $6.7M | 75.2K | 345 |
| PA | $87.23 | $9.6M | 110.3K | 696 |
| FL | $86.74 | $42.9M | 494.3K | 1.6K |
| RI | $86.27 | $177.3K | 2.1K | 28 |
| CT | $85.59 | $2.1M | 24.8K | 146 |
| HI | $85.47 | $249.7K | 2.9K | 21 |
| NV | $84.22 | $3.6M | 42.4K | 153 |
| VA | $84.07 | $9.2M | 109.9K | 457 |
| MA | $84.05 | $3.5M | 41.6K | 291 |
| MI | $83.05 | $9.7M | 117.1K | 542 |
| VT | $82.91 | $11.8K | 142 | 6 |
| CO | $82.28 | $4.2M | 51.5K | 260 |
| TX | $82.27 | $20.5M | 249.1K | 1.1K |
| NH | $82.14 | $517.7K | 6.3K | 69 |
| WV | $81.83 | $525.7K | 6.4K | 45 |
| GA | $81.69 | $4.1M | 50.0K | 261 |
| AZ | $81.63 | $6.7M | 82.2K | 374 |
| PR | $81.30 | $121.7K | 1.5K | 9 |
| MO | $81.03 | $2.4M | 29.4K | 198 |
| ME | $80.80 | $341.9K | 4.2K | 60 |
| AR | $80.55 | $1.0M | 12.5K | 62 |
| WY | $79.80 | $194.7K | 2.4K | 15 |
| SC | $79.77 | $16.2M | 202.9K | 533 |
| NM | $79.52 | $320.0K | 4.0K | 35 |
| MN | $79.35 | $5.5M | 68.8K | 337 |
| OR | $79.34 | $639.7K | 8.1K | 67 |
| NC | $79.32 | $14.5M | 182.7K | 601 |
| UT | $79.08 | $1.6M | 20.1K | 106 |
| WA | $78.91 | $3.2M | 41.0K | 195 |
| SD | $78.11 | $202.1K | 2.6K | 12 |
| LA | $78.11 | $843.5K | 10.8K | 95 |
| WI | $77.94 | $2.9M | 36.6K | 188 |
| MS | $77.62 | $1.1M | 14.6K | 105 |
| TN | $77.31 | $5.5M | 70.9K | 338 |
| IN | $77.30 | $5.7M | 74.0K | 420 |
| IA | $77.29 | $604.0K | 7.8K | 76 |
| AL | $76.77 | $1.3M | 17.5K | 108 |
| KS | $76.65 | $2.1M | 27.1K | 131 |
| ND | $76.41 | $424.7K | 5.6K | 32 |
| ID | $76.19 | $1.1M | 14.6K | 78 |
| OH | $75.92 | $7.9M | 103.8K | 696 |
| NE | $74.96 | $831.0K | 11.1K | 51 |
| KY | $74.90 | $2.6M | 34.1K | 185 |
| OK | $74.71 | $2.6M | 34.9K | 132 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Dominador Mansat | Nurse Practitioner | CA | $986.7K | 10.1K | $97.93 |
| Asha Pritpal Sidhu | Internal Medicine | CA | $732.3K | 7.3K | $100.96 |
| Jean-Marc Geneve | Nurse Practitioner | FL | $529.8K | 6.0K | $87.95 |
| Brijesh Goyal | Internal Medicine | NY | $476.9K | 4.1K | $117.42 |
| Alfred De Rosa | Internal Medicine | NY | $469.1K | 4.1K | $114.35 |
| Shylee Tiamson | Nurse Practitioner | CA | $452.5K | 5.3K | $86.17 |
| Jack Azad | General Practice | CA | $451.7K | 4.3K | $104.25 |
| Julia Brown | Nurse Practitioner | SC | $416.8K | 5.1K | $81.24 |
| Garrett Roy | Nurse Practitioner | TX | $408.9K | 5.5K | $74.10 |
| Mark Azbel | Internal Medicine | NY | $400.7K | 3.5K | $113.81 |
| Johnson Lee | Plastic and Reconstructive Surgery | CA | $378.5K | 3.6K | $105.21 |
| Seleina Kirorei | Nurse Practitioner | TX | $349.4K | 4.5K | $77.63 |
| Dawnele Taylor | Nurse Practitioner | KS | $345.2K | 4.6K | $75.02 |
| Jamison Feramisco | Dermatology | CA | $343.0K | 3.3K | $103.32 |
| James Michail | Geriatric Medicine | CA | $337.9K | 3.3K | $102.29 |
| Elliott Gorbaty | Internal Medicine | MD | $335.5K | 3.3K | $102.17 |
| Richard Rodriguez | Family Practice | CA | $334.2K | 3.2K | $104.93 |
| George Valdez | Family Practice | TX | $331.9K | 3.4K | $96.29 |
| Nidhi Dugar | Internal Medicine | NY | $330.1K | 2.9K | $115.21 |
| Dinh Pham | Internal Medicine | FL | $329.9K | 3.4K | $97.33 |
Based on the data, CPT 99349 shows a 1.5x 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.