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Data Sources: Centers for Medicare & Medicaid Services (CMS), Medicare Provider Utilization and Payment Data
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Methodology•Download Data
  1. Home
  2. Procedures
  3. 99350
  4. Cost Analysis

How Much Does Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes Cost on Medicare?

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

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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 1.4x more than the cheapest for this procedure. AK averages $146.62 vs MT at $102.26.

StateAvg PaymentTotal PaymentsServicesProviders
AK$146.62$53.7K3665
NY$144.93$6.4M44.2K291
CA$140.47$21.1M150.4K545
VI$138.84$175.6K1.3K1
IL$134.82$6.2M46.3K342
RI$133.89$93.9K70117
CT$131.27$952.9K7.3K83
MD$129.46$4.8M37.2K197
PR$129.46$48.5K3754
NE$127.09$648.9K5.1K30
NH$125.31$493.2K3.9K32
PA$125.26$3.8M30.2K303
NJ$124.56$5.3M42.9K287
FL$124.29$24.7M198.4K747
VA$124.11$2.5M20.3K204
NV$123.26$3.3M26.6K97
MA$122.94$2.7M21.8K190
VT$122.77$13.1K1074
CO$122.68$2.2M18.2K164
TX$122.39$16.6M135.5K680
NM$122.34$288.5K2.4K25
GA$121.52$2.4M19.8K157
MI$119.71$3.9M32.2K270
WA$119.33$1.1M9.1K88
AZ$119.33$4.2M35.6K241
OR$119.11$461.8K3.9K47
WV$118.01$162.6K1.4K27
WY$117.56$57.3K4876
AR$117.44$972.6K8.3K31
WI$117.39$1.7M14.4K127
SC$116.58$2.1M17.7K209
UT$116.56$1.7M14.5K85
NC$116.48$4.6M39.1K333
DC$116.07$249.7K2.2K22
MN$115.99$2.0M17.1K198
LA$115.90$770.5K6.6K52
KS$115.16$309.0K2.7K43
TN$114.72$3.0M26.1K159
IN$114.51$2.0M17.2K176
ME$114.45$297.0K2.6K37
OK$114.22$811.9K7.1K53
DE$114.15$164.4K1.4K22
OH$113.83$1.7M15.1K263
ID$113.74$847.0K7.4K34
MO$113.66$841.5K7.4K73
ND$113.25$214.3K1.9K20
SD$112.79$56.6K5029
KY$112.24$726.6K6.5K79
MS$111.76$600.7K5.4K58
HI$111.45$267.6K2.4K24
IA$108.94$321.2K2.9K37

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Nelson Dalla TorFamily PracticeCA$1.1M8.1K$140.86
Maria OrtizFamily PracticeCA$815.3K5.5K$149.54
Andro SharobiemInternal MedicineCA$811.7K5.4K$150.77
Armelle OsiasNurse PractitionerFL$693.7K5.6K$123.54
Nicholas JaureguiFamily PracticeCA$597.6K4.0K$149.74
Mark SamonteGeneral PracticeCA$516.6K3.3K$155.27
Laura LevinskyNurse PractitionerNY$506.5K3.5K$143.90
Papanna RavichandraInternal MedicineNY$494.2K3.1K$160.77
Asha Pritpal SidhuInternal MedicineCA$492.7K3.4K$144.32
Matthew LeffermanInternal MedicineCA$492.4K3.3K$149.20
Vincent BennettEmergency MedicineCA$478.9K3.1K$152.71
Harry LazarteInternal MedicineNE$439.0K3.3K$134.73
Jean Louis DupitonInternal MedicineNY$431.2K2.6K$166.55
Jessica RondonNurse PractitionerFL$401.8K3.2K$125.95
Shahzad KhanInternal MedicineFL$381.5K2.6K$145.29
Hermilito VillarGeneral PracticeCA$379.0K2.5K$149.88
Scott DlugosInternal MedicineCA$372.9K2.6K$145.51
Daniel PopNurse PractitionerFL$363.7K2.9K$123.87
Mariama SahorNurse PractitionerTX$363.0K3.0K$121.53
Mayelin AlonsoNurse PractitionerFL$358.3K2.7K$133.30

🤔 Is Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes Overpriced?

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.

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.