Cost analysis for CPT 99350 — Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes
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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The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $146.62 vs MT at $102.26.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $146.62 | $53.7K | 366 | 5 |
| NY | $144.93 | $6.4M | 44.2K | 291 |
| CA | $140.47 | $21.1M | 150.4K | 545 |
| VI | $138.84 | $175.6K | 1.3K | 1 |
| IL | $134.82 | $6.2M | 46.3K | 342 |
| RI | $133.89 | $93.9K | 701 | 17 |
| CT | $131.27 | $952.9K | 7.3K | 83 |
| MD | $129.46 | $4.8M | 37.2K | 197 |
| PR | $129.46 | $48.5K | 375 | 4 |
| NE | $127.09 | $648.9K | 5.1K | 30 |
| NH | $125.31 | $493.2K | 3.9K | 32 |
| PA | $125.26 | $3.8M | 30.2K | 303 |
| NJ | $124.56 | $5.3M | 42.9K | 287 |
| FL | $124.29 | $24.7M | 198.4K | 747 |
| VA | $124.11 | $2.5M | 20.3K | 204 |
| NV | $123.26 | $3.3M | 26.6K | 97 |
| MA | $122.94 | $2.7M | 21.8K | 190 |
| VT | $122.77 | $13.1K | 107 | 4 |
| CO | $122.68 | $2.2M | 18.2K | 164 |
| TX | $122.39 | $16.6M | 135.5K | 680 |
| NM | $122.34 | $288.5K | 2.4K | 25 |
| GA | $121.52 | $2.4M | 19.8K | 157 |
| MI | $119.71 | $3.9M | 32.2K | 270 |
| WA | $119.33 | $1.1M | 9.1K | 88 |
| AZ | $119.33 | $4.2M | 35.6K | 241 |
| OR | $119.11 | $461.8K | 3.9K | 47 |
| WV | $118.01 | $162.6K | 1.4K | 27 |
| WY | $117.56 | $57.3K | 487 | 6 |
| AR | $117.44 | $972.6K | 8.3K | 31 |
| WI | $117.39 | $1.7M | 14.4K | 127 |
| SC | $116.58 | $2.1M | 17.7K | 209 |
| UT | $116.56 | $1.7M | 14.5K | 85 |
| NC | $116.48 | $4.6M | 39.1K | 333 |
| DC | $116.07 | $249.7K | 2.2K | 22 |
| MN | $115.99 | $2.0M | 17.1K | 198 |
| LA | $115.90 | $770.5K | 6.6K | 52 |
| KS | $115.16 | $309.0K | 2.7K | 43 |
| TN | $114.72 | $3.0M | 26.1K | 159 |
| IN | $114.51 | $2.0M | 17.2K | 176 |
| ME | $114.45 | $297.0K | 2.6K | 37 |
| OK | $114.22 | $811.9K | 7.1K | 53 |
| DE | $114.15 | $164.4K | 1.4K | 22 |
| OH | $113.83 | $1.7M | 15.1K | 263 |
| ID | $113.74 | $847.0K | 7.4K | 34 |
| MO | $113.66 | $841.5K | 7.4K | 73 |
| ND | $113.25 | $214.3K | 1.9K | 20 |
| SD | $112.79 | $56.6K | 502 | 9 |
| KY | $112.24 | $726.6K | 6.5K | 79 |
| MS | $111.76 | $600.7K | 5.4K | 58 |
| HI | $111.45 | $267.6K | 2.4K | 24 |
| IA | $108.94 | $321.2K | 2.9K | 37 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Nelson Dalla Tor | Family Practice | CA | $1.1M | 8.1K | $140.86 |
| Maria Ortiz | Family Practice | CA | $815.3K | 5.5K | $149.54 |
| Andro Sharobiem | Internal Medicine | CA | $811.7K | 5.4K | $150.77 |
| Armelle Osias | Nurse Practitioner | FL | $693.7K | 5.6K | $123.54 |
| Nicholas Jauregui | Family Practice | CA | $597.6K | 4.0K | $149.74 |
| Mark Samonte | General Practice | CA | $516.6K | 3.3K | $155.27 |
| Laura Levinsky | Nurse Practitioner | NY | $506.5K | 3.5K | $143.90 |
| Papanna Ravichandra | Internal Medicine | NY | $494.2K | 3.1K | $160.77 |
| Asha Pritpal Sidhu | Internal Medicine | CA | $492.7K | 3.4K | $144.32 |
| Matthew Lefferman | Internal Medicine | CA | $492.4K | 3.3K | $149.20 |
| Vincent Bennett | Emergency Medicine | CA | $478.9K | 3.1K | $152.71 |
| Harry Lazarte | Internal Medicine | NE | $439.0K | 3.3K | $134.73 |
| Jean Louis Dupiton | Internal Medicine | NY | $431.2K | 2.6K | $166.55 |
| Jessica Rondon | Nurse Practitioner | FL | $401.8K | 3.2K | $125.95 |
| Shahzad Khan | Internal Medicine | FL | $381.5K | 2.6K | $145.29 |
| Hermilito Villar | General Practice | CA | $379.0K | 2.5K | $149.88 |
| Scott Dlugos | Internal Medicine | CA | $372.9K | 2.6K | $145.51 |
| Daniel Pop | Nurse Practitioner | FL | $363.7K | 2.9K | $123.87 |
| Mariama Sahor | Nurse Practitioner | TX | $363.0K | 3.0K | $121.53 |
| Mayelin Alonso | Nurse Practitioner | FL | $358.3K | 2.7K | $133.30 |
Based on the data, CPT 99350 shows a 1.4x variation in pricing across states — relatively consistent 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.