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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. 99443
  4. Cost Analysis

How Much Does Telephone medical discussion with physician, 21-30 minutes Cost on Medicare?

Cost analysis for CPT 99443 — Telephone medical discussion with physician, 21-30 minutes

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Average Medicare Payment

$80.71

2023 data

Total Payments (2023)

$59.1M

Services (2023)

703.5K

Price Change (2020–2023)

+10.8%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2020$72.84$207.2M2.8M—
2021$78.80$138.1M1.7M+8.2%
2022$79.28$88.1M1.1M+0.6%
2023$80.71$59.1M703.5K+1.8%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.7x more than the cheapest for this procedure. AK averages $105.90 vs GU at $61.60.

StateAvg PaymentTotal PaymentsServicesProviders
AK$105.90$63.2K59726
DC$97.49$294.8K3.0K64
NY$93.46$6.8M73.0K1.2K
NJ$92.14$2.1M22.9K387
CT$91.40$827.5K9.1K185
CA$88.85$15.7M176.6K2.7K
IL$85.93$3.1M36.0K939
FL$85.08$3.0M35.5K620
RI$84.07$389.5K4.6K110
MD$83.18$1.4M16.7K319
MA$82.51$7.4M89.1K2.0K
DE$82.19$149.7K1.8K48
SC$82.11$196.7K2.4K66
LA$81.28$291.2K3.6K51
VA$80.72$842.5K10.4K251
TX$80.55$3.1M39.1K742
MN$80.25$623.1K7.8K315
GA$80.21$520.7K6.5K142
HI$80.07$78.5K98028
WA$80.01$877.7K11.0K314
CO$79.15$319.0K4.0K124
NC$78.16$645.7K8.3K248
PA$78.16$1.2M14.8K383
MO$78.11$268.6K3.4K80
SD$77.09$8.9K1155
NM$77.03$369.4K4.8K78
PR$76.42$32.2K42212
OK$76.07$481.7K6.3K75
AZ$75.32$1.3M17.6K382
NV$75.13$378.8K5.0K78
TN$75.02$437.6K5.8K115
WI$74.78$467.3K6.2K181
WY$74.67$34.5K46212
KS$74.41$148.8K2.0K52
IN$74.36$667.5K9.0K147
MI$73.48$1.2M16.9K464
MS$72.35$102.6K1.4K28
WV$72.15$134.4K1.9K33
OH$71.49$836.0K11.7K379
UT$71.32$53.7K75328
NH$70.82$410.9K5.8K193
OR$70.00$448.9K6.4K213
MT$69.98$139.1K2.0K59
KY$69.90$259.5K3.7K61
AR$69.50$219.9K3.2K70
AL$68.06$302.3K4.4K103
NE$67.25$93.7K1.4K29
IA$66.58$12.9K19410
VT$64.70$132.4K2.0K54
ID$63.24$33.5K52924
ND$62.86$9.7K1558

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Archis DesaiInternal MedicineCA$480.5K4.7K$102.50
George SchererInternal MedicineFL$237.4K2.7K$88.90
Martin PerlinInternal MedicineNY$195.3K1.8K$108.70
Ajay PatelPhysical Medicine and RehabilitationCA$190.2K1.9K$98.92
Timothy MarkInternal MedicineFL$184.6K2.2K$85.52
Glenn GandelmanCardiologyCT$183.9K1.7K$107.68
Manjula ThopcherlaInternal MedicineNJ$168.2K1.6K$105.05
Ahra ChoInternal MedicineCA$158.7K1.4K$109.90
Marc KnudsenEmergency MedicineOK$155.0K2.3K$68.42
Kyle WashingtonNurse PractitionerNY$152.2K1.9K$79.35
Clifford BakerInterventional Pain ManagementAZ$149.1K1.9K$79.22
Afshine EmraniCardiologyCA$141.3K1.3K$106.93
Norman ChienGeriatric MedicineCA$132.5K1.7K$79.19
Aniwelyn TanNurse PractitionerTX$128.3K1.6K$78.00
Pa HeuFamily PracticeCA$121.7K1.3K$93.34
Tigalat ShalitaFamily PracticeCA$117.5K1.1K$102.74
Donna CaseyInternal MedicineTX$117.1K1.1K$107.96
Bernard RimlerInternal MedicineNY$115.4K1.0K$114.64
Sarabjeet SinghCardiologyCA$113.7K1.2K$91.08
Matthew LeffermanInternal MedicineCA$110.2K1.2K$95.37

🤔 Is Telephone medical discussion with physician, 21-30 minutes Overpriced?

Based on the data, CPT 99443 shows a 1.7x variation in pricing across states — moderate variation by Medicare standards.

Costs have increased 10.8% 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.