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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. 99458
  4. Cost Analysis

How Much Does Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes Cost on Medicare?

Cost analysis for CPT 99458 — Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes

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Average Medicare Payment

$30.48

2023 data

Total Payments (2023)

$43.1M

Services (2023)

1.4M

Price Change (2020–2023)

-9.3%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2020$33.60$3.5M103.6K—
2021$32.62$12.6M382.9K-2.9%
2022$31.69$27.2M855.2K-2.9%
2023$30.48$43.1M1.4M-3.8%

🗺️ State-by-State Cost Variation

The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $37.29 vs ID at $25.76.

StateAvg PaymentTotal PaymentsServicesProviders
AK$37.29$74.9K2.0K6
DC$34.49$93.8K2.7K14
NY$33.72$2.6M77.4K259
CA$33.42$8.8M261.9K512
NJ$33.33$1.3M39.8K210
PA$33.32$936.9K28.1K71
MD$33.27$1.5M45.4K147
CO$31.53$236.1K7.5K26
CT$31.41$679.6K21.6K19
MA$31.19$485.8K15.6K61
HI$31.19$136.9K4.4K8
IL$30.94$1.3M40.4K102
DE$30.90$329.0K10.6K17
MT$30.67$124.8K4.1K1
WY$30.56$26.8K8783
VA$30.53$693.4K22.7K151
FL$30.45$5.0M165.8K322
VI$30.42$25.2K8283
MI$30.38$903.8K29.8K90
WA$30.20$567.4K18.8K38
OR$30.09$160.3K5.3K20
MN$29.68$50.4K1.7K5
TX$29.57$5.2M174.6K478
NV$29.36$314.8K10.7K45
AZ$29.27$1.2M41.5K153
KS$29.24$407.6K13.9K27
NC$29.23$924.4K31.6K92
OH$29.19$657.8K22.5K65
SC$29.09$493.0K16.9K52
UT$28.92$448.9K15.5K18
LA$28.89$524.5K18.2K62
GA$28.79$2.6M89.3K187
IA$28.78$12.5K43611
KY$28.77$345.3K12.0K16
NH$28.73$43.1K1.5K3
AL$28.71$369.1K12.9K57
NE$28.68$252.1K8.8K16
TN$28.54$1.0M35.8K90
SD$28.41$40.0K1.4K5
OK$28.37$262.1K9.2K26
AR$28.29$274.0K9.7K44
WV$28.10$59.5K2.1K6
NM$27.67$116.1K4.2K17
MO$27.44$531.5K19.4K37
WI$27.11$43.5K1.6K10
IN$27.10$299.6K11.1K42
MS$26.92$626.4K23.3K51
RI$26.68$10.6K3972
ID$25.76$65.1K2.5K17

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Pareena BilkooCardiologyFL$1.2M39.9K$30.12
David PortierInternal MedicineCA$603.6K16.4K$36.82
Avinash RavillaGeneral PracticePA$520.8K14.9K$35.05
Jasmit MinhasInternal MedicineWA$351.9K11.6K$30.38
Sachin ParekhFamily PracticeCT$321.5K10.5K$30.52
Sridhar ChatrathiCardiologyMD$317.8K9.3K$34.30
Zachary LipmanAnesthesiologyCA$314.7K9.8K$32.04
Sheela MehraInternal MedicineNY$309.6K9.6K$32.25
Imran HaqueInternal MedicineNC$293.9K10.0K$29.38
Aalap MajmudarInternal MedicineKY$266.9K9.1K$29.22
Mohsen El RamahInternal MedicineCA$260.0K8.6K$30.22
Deepesh PatelInternal MedicineNY$242.8K7.3K$33.06
Sanjeev MittalNephrologyTN$225.2K8.0K$28.31
Mary Bell VaughnInternal MedicineGA$206.3K7.1K$28.89
Marie Claudette GragedaFamily PracticeCA$186.9K5.1K$36.59
Rodolfo SotolongoCardiologyTX$183.1K6.1K$29.96
Stephen MillerCardiologyUT$181.5K6.2K$29.07
Christopher LichtenwalterCardiologyAZ$181.2K6.1K$29.77
Tiffani LemenFamily PracticeDE$163.5K5.2K$31.35
Andrew RossInternal MedicineCA$161.6K4.4K$37.01

🤔 Is Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes Overpriced?

Based on the data, CPT 99458 shows a 1.4x variation in pricing across states — relatively consistent by Medicare standards.

Costs have decreased 9.3% 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.