Cost analysis for CPT 99442 — Telephone medical discussion with physician, 11-20 minutes
Average Medicare Payment
$55.90
2023 data
Total Payments (2023)
$63.7M
Services (2023)
1.1M
Price Change (2020–2023)
+15.9%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2020 | $48.24 | $226.0M | 4.5M | — |
| 2021 | $52.76 | $136.8M | 2.4M | +9.4% |
| 2022 | $54.88 | $94.1M | 1.6M | +4.0% |
| 2023 | $55.90 | $63.7M | 1.1M | +1.9% |
The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $68.68 vs VT at $44.74.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $68.68 | $120.2K | 1.8K | 67 |
| NY | $67.50 | $13.1M | 193.7K | 2.5K |
| DC | $66.34 | $142.8K | 2.2K | 58 |
| NJ | $64.01 | $2.9M | 45.2K | 826 |
| CT | $62.81 | $830.2K | 13.2K | 341 |
| CA | $61.99 | $14.3M | 231.1K | 3.5K |
| FL | $60.73 | $3.4M | 55.3K | 969 |
| IL | $60.51 | $2.8M | 45.9K | 1.2K |
| RI | $60.00 | $585.0K | 9.8K | 222 |
| VA | $57.89 | $1.1M | 19.7K | 470 |
| MN | $57.73 | $582.4K | 10.1K | 417 |
| MA | $57.69 | $3.1M | 54.4K | 1.2K |
| MD | $56.73 | $1.5M | 27.1K | 500 |
| HI | $55.77 | $254.7K | 4.6K | 94 |
| MO | $55.64 | $453.4K | 8.2K | 178 |
| PA | $55.28 | $1.8M | 32.7K | 803 |
| TX | $55.24 | $2.5M | 44.7K | 1.1K |
| CO | $54.83 | $407.4K | 7.4K | 228 |
| WA | $54.74 | $1.1M | 20.1K | 466 |
| GA | $54.62 | $837.0K | 15.3K | 344 |
| IA | $54.49 | $43.7K | 802 | 27 |
| SC | $54.41 | $378.6K | 7.0K | 168 |
| MI | $54.37 | $1.9M | 35.3K | 731 |
| VI | $54.00 | $5.6K | 103 | 2 |
| NM | $53.86 | $351.9K | 6.5K | 145 |
| UT | $53.59 | $43.2K | 806 | 24 |
| AZ | $53.55 | $1.1M | 20.5K | 512 |
| KS | $53.36 | $254.4K | 4.8K | 91 |
| NC | $53.30 | $816.9K | 15.3K | 430 |
| MT | $53.26 | $472.7K | 8.9K | 90 |
| WY | $52.55 | $42.4K | 806 | 28 |
| NV | $52.26 | $244.1K | 4.7K | 117 |
| LA | $52.20 | $163.9K | 3.1K | 73 |
| PR | $51.45 | $67.5K | 1.3K | 33 |
| DE | $51.22 | $474.7K | 9.3K | 121 |
| OK | $51.17 | $444.6K | 8.7K | 133 |
| AL | $50.71 | $485.4K | 9.6K | 219 |
| IN | $50.62 | $413.0K | 8.2K | 240 |
| OR | $50.00 | $372.2K | 7.4K | 274 |
| OH | $49.95 | $985.9K | 19.7K | 682 |
| TN | $49.56 | $485.3K | 9.8K | 257 |
| MS | $49.20 | $321.9K | 6.5K | 82 |
| WI | $48.27 | $357.6K | 7.4K | 283 |
| ID | $48.17 | $80.5K | 1.7K | 63 |
| ND | $47.59 | $14.2K | 299 | 10 |
| NH | $46.93 | $261.2K | 5.6K | 186 |
| NE | $46.56 | $108.2K | 2.3K | 59 |
| WV | $46.53 | $240.6K | 5.2K | 122 |
| KY | $46.35 | $342.1K | 7.4K | 131 |
| GU | $45.87 | $7.2K | 157 | 2 |
| AR | $45.66 | $287.0K | 6.3K | 194 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Ronald Dean | Emergency Medicine | MT | $344.2K | 6.3K | $54.85 |
| Tai Wu | Internal Medicine | CA | $332.5K | 4.8K | $69.13 |
| Thomas Webster | Diagnostic Radiology | WA | $305.5K | 5.6K | $54.76 |
| Arkady Levitan | Psychiatry | NY | $271.6K | 3.8K | $72.00 |
| Isak Isakov | Psychiatry | NY | $219.5K | 2.8K | $78.27 |
| Navdeep Loomba | Interventional Pain Management | CA | $201.8K | 3.0K | $66.23 |
| Jessica Sacks | Physician Assistant | NY | $193.5K | 3.2K | $60.36 |
| Murtaza Bhatti | Internal Medicine | DE | $183.3K | 3.6K | $50.64 |
| Amanda Baldauf | Physician Assistant | NY | $179.9K | 3.1K | $58.37 |
| Christopher Cummins | General Practice | MS | $178.5K | 3.5K | $51.37 |
| Anna Potash | Psychiatry | NY | $170.0K | 2.1K | $82.42 |
| Polina Liss | Internal Medicine | NY | $165.4K | 2.0K | $80.97 |
| Inessa Svidler | General Practice | CA | $154.3K | 1.9K | $80.80 |
| Hovanes Ter-Zakarian | Family Practice | CA | $152.4K | 2.3K | $65.18 |
| Vigen Khojayan | Family Practice | CA | $137.3K | 1.8K | $77.02 |
| Nicolas Chronos | Cardiology | GA | $125.1K | 2.5K | $50.15 |
| Manjula Thopcherla | Internal Medicine | NJ | $121.4K | 1.6K | $76.46 |
| Robert Chan | Internal Medicine | CA | $115.9K | 1.5K | $76.64 |
| Jahanara Reza | Hospitalist | NY | $113.4K | 1.6K | $72.66 |
| Perry Stevens | Internal Medicine | NY | $113.0K | 1.4K | $82.93 |
Based on the data, CPT 99442 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have increased 15.9% since 2020. 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.