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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. 99454
  4. Cost Analysis

How Much Does Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days Cost on Medicare?

Cost analysis for CPT 99454 — Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days

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Average Medicare Payment

$37.91

2023 data

Total Payments (2023)

$64.0M

Services (2023)

1.6M

Price Change (2019–2023)

-25.3%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2019$50.73$2.8M54.2K—
2020$49.83$20.4M408.1K-1.8%
2021$49.77$45.5M903.3K-0.1%
2022$42.77$55.9M1.3M-14.1%
2023$37.91$64.0M1.6M-11.4%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.5x more than the cheapest for this procedure. DC averages $45.40 vs ND at $31.17.

StateAvg PaymentTotal PaymentsServicesProviders
DC$45.40$184.8K4.1K19
CA$44.70$14.5M325.0K720
NJ$44.23$3.4M77.6K303
NY$43.82$5.2M118.9K418
CT$42.56$1.2M27.9K35
HI$42.48$145.6K3.4K15
MD$40.79$2.7M65.8K230
PA$39.90$1.2M31.3K146
CO$39.59$356.4K9.0K38
AK$39.38$72.1K1.8K7
MA$39.25$569.0K14.5K70
IL$39.11$1.6M41.2K149
MT$39.05$37.2K9531
DE$38.38$303.8K7.9K24
VA$38.03$2.8M73.8K207
WA$38.00$469.8K12.4K45
NV$37.95$877.5K23.1K85
NH$37.72$62.0K1.6K3
WY$37.42$53.1K1.4K5
OR$37.25$197.2K5.3K24
VI$37.04$21.0K5673
MN$36.83$96.4K2.6K23
SD$36.82$39.2K1.1K5
MI$36.79$800.4K21.8K115
FL$36.76$5.7M154.0K416
TX$36.40$6.1M167.2K676
AZ$36.10$2.6M73.1K208
NC$35.04$978.4K27.9K131
KS$34.61$349.8K10.1K32
SC$34.60$780.2K22.6K141
GA$34.53$3.0M86.5K268
IA$34.51$519.6K15.1K147
WI$34.50$83.4K2.4K19
OH$34.35$531.6K15.5K71
UT$34.32$303.2K8.8K38
TN$34.13$1.3M37.6K143
NE$34.12$308.3K9.0K25
NM$33.73$186.4K5.5K30
MO$33.54$626.2K18.7K53
IN$33.39$404.9K12.1K60
AL$33.35$752.0K22.5K126
LA$32.84$556.3K16.9K86
RI$32.62$5.3K1621
WV$32.61$58.4K1.8K9
OK$32.56$353.0K10.8K60
ID$32.52$116.1K3.6K24
AR$32.10$437.1K13.6K75
KY$31.83$155.0K4.9K24
MS$31.72$857.8K27.0K107
ND$31.17$6.9K2222

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Mehrdad RazaviSleep MedicineCA$599.3K14.9K$40.13
David ChessGeriatric MedicineCT$507.8K11.1K$45.74
Pareena BilkooCardiologyFL$495.9K13.6K$36.49
Avinash RavillaGeneral PracticePA$360.4K8.1K$44.49
Rodrigo ChanClinical Cardiac ElectrophysiologyAZ$349.9K10.1K$34.68
Charles AgunobiInternal MedicineGA$298.8K7.7K$38.78
David PortierInternal MedicineCA$277.6K5.2K$53.13
Chaim GitelisCardiologyNY$271.1K6.4K$42.59
Marie-Paule HeylenNurse PractitionerNY$259.1K7.1K$36.37
Jeremy McconnellFamily PracticeFL$254.8K7.0K$36.17
Sridhar ChatrathiCardiologyMD$254.0K5.6K$45.20
Laura PurdyFamily PracticeCA$227.8K5.0K$45.34
Munaf ShamjiCardiologyCA$225.9K4.9K$46.49
Anuradha ChiralaCardiologyCA$214.5K3.8K$56.35
Shane StoneFamily PracticeTX$208.1K5.8K$35.71
Daniel BeirneInterventional Pain ManagementFL$186.7K5.1K$36.65
Paul TruongCardiologyCA$183.5K4.4K$41.87
Ramin ManshadiCardiologyCA$177.1K4.2K$42.39
Kazi KhanNephrologyMD$169.1K4.3K$39.23
Imran HaqueInternal MedicineNC$166.0K4.6K$36.29

🤔 Is Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days Overpriced?

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.

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.