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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. 99439
  4. Cost Analysis

How Much Does Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month Cost on Medicare?

Cost analysis for CPT 99439 — Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month

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Average Medicare Payment

$34.25

2023 data

Total Payments (2023)

$76.2M

Services (2023)

2.1M

Price Change (2021–2023)

+22.4%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2021$27.98$22.5M780.3K—
2022$35.21$44.2M1.2M+25.8%
2023$34.25$76.2M2.1M-2.7%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.5x more than the cheapest for this procedure. CT averages $42.31 vs ND at $28.33.

StateAvg PaymentTotal PaymentsServicesProviders
CT$42.31$16.2M381.8K67
DC$40.82$114.3K2.8K13
GU$39.77$22.2K5585
NJ$39.72$2.1M53.7K268
CA$39.43$6.3M158.7K508
HI$37.28$58.0K1.6K6
NY$37.19$6.3M169.7K457
AK$37.07$28.0K7564
RI$36.95$25.1K6788
DE$36.79$256.1K7.0K35
VT$36.57$36.8K1.0K1
IL$36.50$1.9M51.6K315
MD$36.48$1.0M27.7K137
MA$36.47$1.1M31.5K166
OR$36.25$223.3K6.2K20
NH$36.24$137.5K3.8K8
MI$36.08$1.5M42.1K182
TX$35.37$5.6M157.8K758
CO$35.33$915.7K25.9K205
NV$35.24$1.3M38.0K120
VA$35.21$1.2M33.5K245
WA$34.80$545.3K15.7K70
AL$34.80$983.4K28.3K143
AZ$34.52$1.8M53.3K254
MO$34.44$1.1M31.4K118
FL$34.36$4.7M137.3K540
PA$34.24$2.1M62.1K296
GA$33.74$2.1M63.4K331
AR$33.58$726.4K21.6K78
KY$33.53$689.8K20.6K125
MT$33.53$24.1K72016
IA$33.53$244.7K7.3K173
WI$33.46$209.8K6.3K60
OK$33.39$341.0K10.2K80
TN$33.36$1.9M55.5K237
KS$33.35$168.6K5.1K64
OH$33.19$874.3K26.3K199
LA$33.16$1.8M54.5K271
NC$33.04$3.0M90.5K496
WY$32.93$44.2K1.3K16
MS$32.82$2.0M59.6K212
IN$32.74$1.3M41.0K289
UT$32.61$196.2K6.0K44
SD$32.60$16.6K5098
NE$32.50$560.6K17.2K98
SC$31.94$1.4M43.1K410
XX$31.54$8.4K2651
MN$31.52$143.2K4.5K47
NM$31.23$222.8K7.1K75
ME$30.32$22.5K7424
ID$29.76$218.9K7.4K49

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
David ChessGeriatric MedicineCT$15.9M373.8K$42.43
Simon FensterszaubFamily PracticeNY$1.3M35.8K$37.16
Mohammed YazbekInternal MedicineMI$731.0K19.4K$37.68
Alla ShabtaiPhysician AssistantNY$386.1K11.6K$33.21
Yosef SeewaldPhysician AssistantNY$375.3K11.8K$31.77
Deepesh PatelInternal MedicineNY$330.5K8.2K$40.17
Edwin ChoiFamily PracticeCA$326.5K8.6K$37.75
Racquel VolkowitzPhysician AssistantNY$254.2K7.8K$32.50
Rekha BhandariInternal MedicineNY$250.9K6.1K$41.11
Mary Bell VaughnInternal MedicineGA$227.8K6.6K$34.33
Brandon RoscoeFamily PracticePA$223.2K6.7K$33.50
Christopher LichtenwalterCardiologyAZ$208.5K5.8K$36.14
Marie Claudette GragedaFamily PracticeCA$180.8K4.0K$45.35
Andrew WeissmanPhysician AssistantNY$175.0K5.0K$35.31
Himanshu ShuklaCardiologyFL$163.2K4.5K$35.99
Amitabh GoswamiAnesthesiologyCA$157.9K4.0K$39.12
Michael BagheriCardiologyCA$148.8K3.8K$38.75
Muhammad IjazInternal MedicineNJ$147.5K3.6K$40.48
Ashish SachdevaInternal MedicineAZ$141.2K3.9K$36.32
Sudhir RaoInterventional Pain ManagementMD$135.1K3.6K$37.49

🤔 Is Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month Overpriced?

Based on the data, CPT 99439 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.

Costs have increased 22.4% since 2021. 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.