Cost analysis for CPT 99457 — Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
Average Medicare Payment
$36.72
2023 data
Total Payments (2023)
$72.0M
Services (2023)
1.9M
Price Change (2019–2023)
-6.7%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2019 | $39.36 | $2.1M | 51.0K | — |
| 2020 | $40.36 | $14.1M | 345.4K | +2.5% |
| 2021 | $39.58 | $35.5M | 874.1K | -1.9% |
| 2022 | $38.34 | $56.2M | 1.4M | -3.1% |
| 2023 | $36.72 | $72.0M | 1.9M | -4.2% |
The most expensive state pays 2.2x more than the cheapest for this procedure. GU averages $44.89 vs ND at $20.81.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| GU | $44.89 | $4.8K | 107 | 1 |
| AK | $43.53 | $91.9K | 2.1K | 8 |
| DC | $41.96 | $212.5K | 5.1K | 19 |
| NY | $41.70 | $6.0M | 143.4K | 477 |
| NJ | $41.24 | $3.9M | 95.2K | 331 |
| CT | $41.15 | $2.1M | 49.9K | 38 |
| MD | $40.05 | $2.7M | 67.9K | 206 |
| CA | $39.94 | $15.3M | 383.3K | 763 |
| HI | $38.84 | $168.8K | 4.3K | 17 |
| PA | $38.55 | $1.5M | 38.5K | 148 |
| IL | $38.02 | $1.8M | 46.1K | 160 |
| MA | $37.80 | $705.8K | 18.7K | 85 |
| CO | $37.68 | $392.4K | 10.4K | 41 |
| DE | $37.41 | $435.2K | 11.6K | 24 |
| VA | $37.39 | $2.3M | 60.7K | 220 |
| MT | $37.38 | $119.0K | 3.2K | 1 |
| MI | $36.77 | $1.2M | 31.7K | 142 |
| FL | $36.73 | $6.9M | 187.5K | 459 |
| WA | $36.56 | $723.0K | 19.8K | 52 |
| OR | $36.28 | $253.7K | 7.0K | 25 |
| NH | $36.23 | $65.4K | 1.8K | 3 |
| NV | $36.18 | $1.0M | 27.7K | 90 |
| WY | $36.04 | $100.4K | 2.8K | 10 |
| VI | $35.98 | $23.3K | 648 | 4 |
| TX | $35.86 | $7.2M | 201.1K | 715 |
| AZ | $35.57 | $2.6M | 72.8K | 237 |
| NC | $35.13 | $1.2M | 33.2K | 147 |
| SC | $35.07 | $678.6K | 19.3K | 146 |
| RI | $34.92 | $14.2K | 407 | 4 |
| OH | $34.86 | $605.9K | 17.4K | 87 |
| KS | $34.82 | $387.6K | 11.1K | 36 |
| UT | $34.77 | $397.8K | 11.4K | 34 |
| SD | $34.60 | $48.6K | 1.4K | 5 |
| TN | $34.59 | $1.5M | 44.8K | 148 |
| GA | $34.57 | $3.6M | 104.8K | 292 |
| LA | $34.56 | $777.7K | 22.5K | 88 |
| IA | $34.47 | $228.4K | 6.6K | 128 |
| NE | $34.40 | $339.2K | 9.9K | 24 |
| AL | $34.23 | $746.2K | 21.8K | 124 |
| MN | $34.16 | $85.3K | 2.5K | 26 |
| NM | $34.03 | $240.3K | 7.1K | 33 |
| WV | $33.98 | $63.1K | 1.9K | 9 |
| MO | $33.64 | $611.5K | 18.2K | 53 |
| OK | $33.64 | $367.0K | 10.9K | 54 |
| KY | $33.58 | $347.3K | 10.3K | 33 |
| IN | $33.50 | $526.1K | 15.7K | 67 |
| AR | $33.29 | $496.2K | 14.9K | 76 |
| MS | $32.85 | $874.0K | 26.6K | 108 |
| WI | $31.39 | $78.4K | 2.5K | 17 |
| ID | $29.14 | $133.5K | 4.6K | 25 |
| ND | $20.81 | $6.1K | 294 | 2 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| David Chess | Geriatric Medicine | CT | $1.1M | 25.6K | $43.02 |
| Pareena Bilkoo | Cardiology | FL | $929.6K | 25.4K | $36.60 |
| Avinash Ravilla | General Practice | PA | $366.7K | 8.7K | $41.93 |
| Jasmit Minhas | Internal Medicine | WA | $315.8K | 8.5K | $37.04 |
| Sachin Parekh | Family Practice | CT | $295.6K | 8.0K | $37.14 |
| Mohsen El Ramah | Internal Medicine | CA | $287.6K | 7.8K | $37.08 |
| David Portier | Internal Medicine | CA | $282.1K | 6.1K | $46.35 |
| Sridhar Chatrathi | Cardiology | MD | $280.6K | 6.6K | $42.72 |
| Chaim Gitelis | Cardiology | NY | $277.2K | 6.7K | $41.29 |
| Sheela Mehra | Internal Medicine | NY | $269.4K | 6.8K | $39.48 |
| Sam Kalioundji | Cardiology | CA | $260.2K | 6.2K | $42.19 |
| Jeremy Mcconnell | Family Practice | FL | $222.4K | 6.1K | $36.46 |
| Aharon Feldman | Radiation Oncology | MI | $194.2K | 5.0K | $38.78 |
| Imran Haque | Internal Medicine | NC | $181.8K | 5.0K | $36.34 |
| Atif Rasheed | Family Practice | TN | $181.3K | 4.6K | $39.48 |
| Daniel Beirne | Interventional Pain Management | FL | $178.3K | 4.9K | $36.12 |
| Paul Truong | Cardiology | CA | $173.6K | 4.4K | $39.57 |
| Anuradha Chirala | Cardiology | CA | $171.2K | 3.5K | $48.84 |
| Vachaspathi Palakodeti | Cardiology | CA | $171.1K | 4.3K | $39.56 |
| Deepesh Patel | Internal Medicine | NY | $168.1K | 4.2K | $40.14 |
The data suggests significant pricing inconsistencies for CPT 99457. With a 2.2x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
While costs have decreased 6.7% since 2019, the wide state-by-state variation suggests the pricing formula may not adequately account for regional 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.