Cost analysis for CPT 99458 — Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes
Average Medicare Payment
$30.48
2023 data
Total Payments (2023)
$43.1M
Services (2023)
1.4M
Price Change (2020–2023)
-9.3%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2020 | $33.60 | $3.5M | 103.6K | — |
| 2021 | $32.62 | $12.6M | 382.9K | -2.9% |
| 2022 | $31.69 | $27.2M | 855.2K | -2.9% |
| 2023 | $30.48 | $43.1M | 1.4M | -3.8% |
The most expensive state pays 1.4x more than the cheapest for this procedure. AK averages $37.29 vs ID at $25.76.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $37.29 | $74.9K | 2.0K | 6 |
| DC | $34.49 | $93.8K | 2.7K | 14 |
| NY | $33.72 | $2.6M | 77.4K | 259 |
| CA | $33.42 | $8.8M | 261.9K | 512 |
| NJ | $33.33 | $1.3M | 39.8K | 210 |
| PA | $33.32 | $936.9K | 28.1K | 71 |
| MD | $33.27 | $1.5M | 45.4K | 147 |
| CO | $31.53 | $236.1K | 7.5K | 26 |
| CT | $31.41 | $679.6K | 21.6K | 19 |
| MA | $31.19 | $485.8K | 15.6K | 61 |
| HI | $31.19 | $136.9K | 4.4K | 8 |
| IL | $30.94 | $1.3M | 40.4K | 102 |
| DE | $30.90 | $329.0K | 10.6K | 17 |
| MT | $30.67 | $124.8K | 4.1K | 1 |
| WY | $30.56 | $26.8K | 878 | 3 |
| VA | $30.53 | $693.4K | 22.7K | 151 |
| FL | $30.45 | $5.0M | 165.8K | 322 |
| VI | $30.42 | $25.2K | 828 | 3 |
| MI | $30.38 | $903.8K | 29.8K | 90 |
| WA | $30.20 | $567.4K | 18.8K | 38 |
| OR | $30.09 | $160.3K | 5.3K | 20 |
| MN | $29.68 | $50.4K | 1.7K | 5 |
| TX | $29.57 | $5.2M | 174.6K | 478 |
| NV | $29.36 | $314.8K | 10.7K | 45 |
| AZ | $29.27 | $1.2M | 41.5K | 153 |
| KS | $29.24 | $407.6K | 13.9K | 27 |
| NC | $29.23 | $924.4K | 31.6K | 92 |
| OH | $29.19 | $657.8K | 22.5K | 65 |
| SC | $29.09 | $493.0K | 16.9K | 52 |
| UT | $28.92 | $448.9K | 15.5K | 18 |
| LA | $28.89 | $524.5K | 18.2K | 62 |
| GA | $28.79 | $2.6M | 89.3K | 187 |
| IA | $28.78 | $12.5K | 436 | 11 |
| KY | $28.77 | $345.3K | 12.0K | 16 |
| NH | $28.73 | $43.1K | 1.5K | 3 |
| AL | $28.71 | $369.1K | 12.9K | 57 |
| NE | $28.68 | $252.1K | 8.8K | 16 |
| TN | $28.54 | $1.0M | 35.8K | 90 |
| SD | $28.41 | $40.0K | 1.4K | 5 |
| OK | $28.37 | $262.1K | 9.2K | 26 |
| AR | $28.29 | $274.0K | 9.7K | 44 |
| WV | $28.10 | $59.5K | 2.1K | 6 |
| NM | $27.67 | $116.1K | 4.2K | 17 |
| MO | $27.44 | $531.5K | 19.4K | 37 |
| WI | $27.11 | $43.5K | 1.6K | 10 |
| IN | $27.10 | $299.6K | 11.1K | 42 |
| MS | $26.92 | $626.4K | 23.3K | 51 |
| RI | $26.68 | $10.6K | 397 | 2 |
| ID | $25.76 | $65.1K | 2.5K | 17 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Pareena Bilkoo | Cardiology | FL | $1.2M | 39.9K | $30.12 |
| David Portier | Internal Medicine | CA | $603.6K | 16.4K | $36.82 |
| Avinash Ravilla | General Practice | PA | $520.8K | 14.9K | $35.05 |
| Jasmit Minhas | Internal Medicine | WA | $351.9K | 11.6K | $30.38 |
| Sachin Parekh | Family Practice | CT | $321.5K | 10.5K | $30.52 |
| Sridhar Chatrathi | Cardiology | MD | $317.8K | 9.3K | $34.30 |
| Zachary Lipman | Anesthesiology | CA | $314.7K | 9.8K | $32.04 |
| Sheela Mehra | Internal Medicine | NY | $309.6K | 9.6K | $32.25 |
| Imran Haque | Internal Medicine | NC | $293.9K | 10.0K | $29.38 |
| Aalap Majmudar | Internal Medicine | KY | $266.9K | 9.1K | $29.22 |
| Mohsen El Ramah | Internal Medicine | CA | $260.0K | 8.6K | $30.22 |
| Deepesh Patel | Internal Medicine | NY | $242.8K | 7.3K | $33.06 |
| Sanjeev Mittal | Nephrology | TN | $225.2K | 8.0K | $28.31 |
| Mary Bell Vaughn | Internal Medicine | GA | $206.3K | 7.1K | $28.89 |
| Marie Claudette Grageda | Family Practice | CA | $186.9K | 5.1K | $36.59 |
| Rodolfo Sotolongo | Cardiology | TX | $183.1K | 6.1K | $29.96 |
| Stephen Miller | Cardiology | UT | $181.5K | 6.2K | $29.07 |
| Christopher Lichtenwalter | Cardiology | AZ | $181.2K | 6.1K | $29.77 |
| Tiffani Lemen | Family Practice | DE | $163.5K | 5.2K | $31.35 |
| Andrew Ross | Internal Medicine | CA | $161.6K | 4.4K | $37.01 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.