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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. 99442
  4. Cost Analysis

How Much Does Telephone medical discussion with physician, 11-20 minutes Cost on Medicare?

Cost analysis for CPT 99442 — Telephone medical discussion with physician, 11-20 minutes

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Average Medicare Payment

$55.90

2023 data

Total Payments (2023)

$63.7M

Services (2023)

1.1M

Price Change (2020–2023)

+15.9%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2020$48.24$226.0M4.5M—
2021$52.76$136.8M2.4M+9.4%
2022$54.88$94.1M1.6M+4.0%
2023$55.90$63.7M1.1M+1.9%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.5x more than the cheapest for this procedure. AK averages $68.68 vs VT at $44.74.

StateAvg PaymentTotal PaymentsServicesProviders
AK$68.68$120.2K1.8K67
NY$67.50$13.1M193.7K2.5K
DC$66.34$142.8K2.2K58
NJ$64.01$2.9M45.2K826
CT$62.81$830.2K13.2K341
CA$61.99$14.3M231.1K3.5K
FL$60.73$3.4M55.3K969
IL$60.51$2.8M45.9K1.2K
RI$60.00$585.0K9.8K222
VA$57.89$1.1M19.7K470
MN$57.73$582.4K10.1K417
MA$57.69$3.1M54.4K1.2K
MD$56.73$1.5M27.1K500
HI$55.77$254.7K4.6K94
MO$55.64$453.4K8.2K178
PA$55.28$1.8M32.7K803
TX$55.24$2.5M44.7K1.1K
CO$54.83$407.4K7.4K228
WA$54.74$1.1M20.1K466
GA$54.62$837.0K15.3K344
IA$54.49$43.7K80227
SC$54.41$378.6K7.0K168
MI$54.37$1.9M35.3K731
VI$54.00$5.6K1032
NM$53.86$351.9K6.5K145
UT$53.59$43.2K80624
AZ$53.55$1.1M20.5K512
KS$53.36$254.4K4.8K91
NC$53.30$816.9K15.3K430
MT$53.26$472.7K8.9K90
WY$52.55$42.4K80628
NV$52.26$244.1K4.7K117
LA$52.20$163.9K3.1K73
PR$51.45$67.5K1.3K33
DE$51.22$474.7K9.3K121
OK$51.17$444.6K8.7K133
AL$50.71$485.4K9.6K219
IN$50.62$413.0K8.2K240
OR$50.00$372.2K7.4K274
OH$49.95$985.9K19.7K682
TN$49.56$485.3K9.8K257
MS$49.20$321.9K6.5K82
WI$48.27$357.6K7.4K283
ID$48.17$80.5K1.7K63
ND$47.59$14.2K29910
NH$46.93$261.2K5.6K186
NE$46.56$108.2K2.3K59
WV$46.53$240.6K5.2K122
KY$46.35$342.1K7.4K131
GU$45.87$7.2K1572
AR$45.66$287.0K6.3K194

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Ronald DeanEmergency MedicineMT$344.2K6.3K$54.85
Tai WuInternal MedicineCA$332.5K4.8K$69.13
Thomas WebsterDiagnostic RadiologyWA$305.5K5.6K$54.76
Arkady LevitanPsychiatryNY$271.6K3.8K$72.00
Isak IsakovPsychiatryNY$219.5K2.8K$78.27
Navdeep LoombaInterventional Pain ManagementCA$201.8K3.0K$66.23
Jessica SacksPhysician AssistantNY$193.5K3.2K$60.36
Murtaza BhattiInternal MedicineDE$183.3K3.6K$50.64
Amanda BaldaufPhysician AssistantNY$179.9K3.1K$58.37
Christopher CumminsGeneral PracticeMS$178.5K3.5K$51.37
Anna PotashPsychiatryNY$170.0K2.1K$82.42
Polina LissInternal MedicineNY$165.4K2.0K$80.97
Inessa SvidlerGeneral PracticeCA$154.3K1.9K$80.80
Hovanes Ter-ZakarianFamily PracticeCA$152.4K2.3K$65.18
Vigen KhojayanFamily PracticeCA$137.3K1.8K$77.02
Nicolas ChronosCardiologyGA$125.1K2.5K$50.15
Manjula ThopcherlaInternal MedicineNJ$121.4K1.6K$76.46
Robert ChanInternal MedicineCA$115.9K1.5K$76.64
Jahanara RezaHospitalistNY$113.4K1.6K$72.66
Perry StevensInternal MedicineNY$113.0K1.4K$82.93

🤔 Is Telephone medical discussion with physician, 11-20 minutes Overpriced?

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.

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.