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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. 99349
  4. Cost Analysis

How Much Does Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes Cost on Medicare?

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

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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 1.5x more than the cheapest for this procedure. AK averages $109.57 vs MT at $71.33.

StateAvg PaymentTotal PaymentsServicesProviders
AK$109.57$480.0K4.4K16
NY$100.93$21.7M215.2K794
CA$93.74$27.5M293.5K868
DC$93.27$736.8K7.9K40
IL$90.88$15.1M165.8K728
NJ$90.10$11.9M132.1K575
GU$89.90$68.7K7643
MD$88.74$6.7M75.2K345
PA$87.23$9.6M110.3K696
FL$86.74$42.9M494.3K1.6K
RI$86.27$177.3K2.1K28
CT$85.59$2.1M24.8K146
HI$85.47$249.7K2.9K21
NV$84.22$3.6M42.4K153
VA$84.07$9.2M109.9K457
MA$84.05$3.5M41.6K291
MI$83.05$9.7M117.1K542
VT$82.91$11.8K1426
CO$82.28$4.2M51.5K260
TX$82.27$20.5M249.1K1.1K
NH$82.14$517.7K6.3K69
WV$81.83$525.7K6.4K45
GA$81.69$4.1M50.0K261
AZ$81.63$6.7M82.2K374
PR$81.30$121.7K1.5K9
MO$81.03$2.4M29.4K198
ME$80.80$341.9K4.2K60
AR$80.55$1.0M12.5K62
WY$79.80$194.7K2.4K15
SC$79.77$16.2M202.9K533
NM$79.52$320.0K4.0K35
MN$79.35$5.5M68.8K337
OR$79.34$639.7K8.1K67
NC$79.32$14.5M182.7K601
UT$79.08$1.6M20.1K106
WA$78.91$3.2M41.0K195
SD$78.11$202.1K2.6K12
LA$78.11$843.5K10.8K95
WI$77.94$2.9M36.6K188
MS$77.62$1.1M14.6K105
TN$77.31$5.5M70.9K338
IN$77.30$5.7M74.0K420
IA$77.29$604.0K7.8K76
AL$76.77$1.3M17.5K108
KS$76.65$2.1M27.1K131
ND$76.41$424.7K5.6K32
ID$76.19$1.1M14.6K78
OH$75.92$7.9M103.8K696
NE$74.96$831.0K11.1K51
KY$74.90$2.6M34.1K185
OK$74.71$2.6M34.9K132

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Dominador MansatNurse PractitionerCA$986.7K10.1K$97.93
Asha Pritpal SidhuInternal MedicineCA$732.3K7.3K$100.96
Jean-Marc GeneveNurse PractitionerFL$529.8K6.0K$87.95
Brijesh GoyalInternal MedicineNY$476.9K4.1K$117.42
Alfred De RosaInternal MedicineNY$469.1K4.1K$114.35
Shylee TiamsonNurse PractitionerCA$452.5K5.3K$86.17
Jack AzadGeneral PracticeCA$451.7K4.3K$104.25
Julia BrownNurse PractitionerSC$416.8K5.1K$81.24
Garrett RoyNurse PractitionerTX$408.9K5.5K$74.10
Mark AzbelInternal MedicineNY$400.7K3.5K$113.81
Johnson LeePlastic and Reconstructive SurgeryCA$378.5K3.6K$105.21
Seleina KiroreiNurse PractitionerTX$349.4K4.5K$77.63
Dawnele TaylorNurse PractitionerKS$345.2K4.6K$75.02
Jamison FeramiscoDermatologyCA$343.0K3.3K$103.32
James MichailGeriatric MedicineCA$337.9K3.3K$102.29
Elliott GorbatyInternal MedicineMD$335.5K3.3K$102.17
Richard RodriguezFamily PracticeCA$334.2K3.2K$104.93
George ValdezFamily PracticeTX$331.9K3.4K$96.29
Nidhi DugarInternal MedicineNY$330.1K2.9K$115.21
Dinh PhamInternal MedicineFL$329.9K3.4K$97.33

🤔 Is Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes Overpriced?

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.

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.