Cost analysis for CPT 99454 — Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
Average Medicare Payment
$37.91
2023 data
Total Payments (2023)
$64.0M
Services (2023)
1.6M
Price Change (2019–2023)
-25.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2019 | $50.73 | $2.8M | 54.2K | — |
| 2020 | $49.83 | $20.4M | 408.1K | -1.8% |
| 2021 | $49.77 | $45.5M | 903.3K | -0.1% |
| 2022 | $42.77 | $55.9M | 1.3M | -14.1% |
| 2023 | $37.91 | $64.0M | 1.6M | -11.4% |
The most expensive state pays 1.5x more than the cheapest for this procedure. DC averages $45.40 vs ND at $31.17.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| DC | $45.40 | $184.8K | 4.1K | 19 |
| CA | $44.70 | $14.5M | 325.0K | 720 |
| NJ | $44.23 | $3.4M | 77.6K | 303 |
| NY | $43.82 | $5.2M | 118.9K | 418 |
| CT | $42.56 | $1.2M | 27.9K | 35 |
| HI | $42.48 | $145.6K | 3.4K | 15 |
| MD | $40.79 | $2.7M | 65.8K | 230 |
| PA | $39.90 | $1.2M | 31.3K | 146 |
| CO | $39.59 | $356.4K | 9.0K | 38 |
| AK | $39.38 | $72.1K | 1.8K | 7 |
| MA | $39.25 | $569.0K | 14.5K | 70 |
| IL | $39.11 | $1.6M | 41.2K | 149 |
| MT | $39.05 | $37.2K | 953 | 1 |
| DE | $38.38 | $303.8K | 7.9K | 24 |
| VA | $38.03 | $2.8M | 73.8K | 207 |
| WA | $38.00 | $469.8K | 12.4K | 45 |
| NV | $37.95 | $877.5K | 23.1K | 85 |
| NH | $37.72 | $62.0K | 1.6K | 3 |
| WY | $37.42 | $53.1K | 1.4K | 5 |
| OR | $37.25 | $197.2K | 5.3K | 24 |
| VI | $37.04 | $21.0K | 567 | 3 |
| MN | $36.83 | $96.4K | 2.6K | 23 |
| SD | $36.82 | $39.2K | 1.1K | 5 |
| MI | $36.79 | $800.4K | 21.8K | 115 |
| FL | $36.76 | $5.7M | 154.0K | 416 |
| TX | $36.40 | $6.1M | 167.2K | 676 |
| AZ | $36.10 | $2.6M | 73.1K | 208 |
| NC | $35.04 | $978.4K | 27.9K | 131 |
| KS | $34.61 | $349.8K | 10.1K | 32 |
| SC | $34.60 | $780.2K | 22.6K | 141 |
| GA | $34.53 | $3.0M | 86.5K | 268 |
| IA | $34.51 | $519.6K | 15.1K | 147 |
| WI | $34.50 | $83.4K | 2.4K | 19 |
| OH | $34.35 | $531.6K | 15.5K | 71 |
| UT | $34.32 | $303.2K | 8.8K | 38 |
| TN | $34.13 | $1.3M | 37.6K | 143 |
| NE | $34.12 | $308.3K | 9.0K | 25 |
| NM | $33.73 | $186.4K | 5.5K | 30 |
| MO | $33.54 | $626.2K | 18.7K | 53 |
| IN | $33.39 | $404.9K | 12.1K | 60 |
| AL | $33.35 | $752.0K | 22.5K | 126 |
| LA | $32.84 | $556.3K | 16.9K | 86 |
| RI | $32.62 | $5.3K | 162 | 1 |
| WV | $32.61 | $58.4K | 1.8K | 9 |
| OK | $32.56 | $353.0K | 10.8K | 60 |
| ID | $32.52 | $116.1K | 3.6K | 24 |
| AR | $32.10 | $437.1K | 13.6K | 75 |
| KY | $31.83 | $155.0K | 4.9K | 24 |
| MS | $31.72 | $857.8K | 27.0K | 107 |
| ND | $31.17 | $6.9K | 222 | 2 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Mehrdad Razavi | Sleep Medicine | CA | $599.3K | 14.9K | $40.13 |
| David Chess | Geriatric Medicine | CT | $507.8K | 11.1K | $45.74 |
| Pareena Bilkoo | Cardiology | FL | $495.9K | 13.6K | $36.49 |
| Avinash Ravilla | General Practice | PA | $360.4K | 8.1K | $44.49 |
| Rodrigo Chan | Clinical Cardiac Electrophysiology | AZ | $349.9K | 10.1K | $34.68 |
| Charles Agunobi | Internal Medicine | GA | $298.8K | 7.7K | $38.78 |
| David Portier | Internal Medicine | CA | $277.6K | 5.2K | $53.13 |
| Chaim Gitelis | Cardiology | NY | $271.1K | 6.4K | $42.59 |
| Marie-Paule Heylen | Nurse Practitioner | NY | $259.1K | 7.1K | $36.37 |
| Jeremy Mcconnell | Family Practice | FL | $254.8K | 7.0K | $36.17 |
| Sridhar Chatrathi | Cardiology | MD | $254.0K | 5.6K | $45.20 |
| Laura Purdy | Family Practice | CA | $227.8K | 5.0K | $45.34 |
| Munaf Shamji | Cardiology | CA | $225.9K | 4.9K | $46.49 |
| Anuradha Chirala | Cardiology | CA | $214.5K | 3.8K | $56.35 |
| Shane Stone | Family Practice | TX | $208.1K | 5.8K | $35.71 |
| Daniel Beirne | Interventional Pain Management | FL | $186.7K | 5.1K | $36.65 |
| Paul Truong | Cardiology | CA | $183.5K | 4.4K | $41.87 |
| Ramin Manshadi | Cardiology | CA | $177.1K | 4.2K | $42.39 |
| Kazi Khan | Nephrology | MD | $169.1K | 4.3K | $39.23 |
| Imran Haque | Internal Medicine | NC | $166.0K | 4.6K | $36.29 |
Based on the data, CPT 99454 shows a 1.5x variation in pricing across states — moderate variation by Medicare standards.
Costs have decreased 25.3% since 2019. 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.