OpenMedicare
Start Here
Explore
Fraud
Investigations
Data
Tools
About

Footer

OpenMedicare

Independent Medicare data journalism

Sister Sites

  • OpenMedicaid
  • OpenFeds
  • OpenSpending

Explore

  • Providers
  • Procedures
  • States
  • Specialties
  • Search

Fraud Analysis

  • Still Out There (AI)
  • Fraud Overview
  • Fraud Watchlist
  • Deep Dive Profiles
  • Impossible Numbers
  • Report Fraud

Investigations

  • The Algorithm Knows
  • How We Built the Model
  • Internal Medicine Crisis
  • Florida & California Fraud
  • Million Dollar Flagged
  • All Investigations

Tools

  • Provider Lookup
  • Compare
  • Cost Calculator
  • Your Medicare Dollar
  • Downloads

About

  • About OpenMedicare
  • Methodology
  • Glossary
  • Data Sources
  • API Docs
  • Updates
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.
Sister Sites: OpenMedicaid · OpenFeds · OpenSpending

© 2026 OpenMedicare. Independent data journalism. Built by TheDataProject.ai

Methodology•Download Data
  1. Home
  2. Procedures
  3. 99489
  4. Cost Analysis

How Much Does Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month Cost on Medicare?

Cost analysis for CPT 99489 — Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month

Share:

Average Medicare Payment

$50.17

2023 data

Total Payments (2023)

$43.8M

Services (2023)

858.3K

Price Change (2017–2023)

+42.1%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2017$35.31$1.2M33.2K—
2018$34.62$4.7M131.1K-2.0%
2019$34.53$7.0M194.4K-0.3%
2020$33.83$5.5M162.0K-2.0%
2021$33.09$7.0M205.9K-2.2%
2022$50.52$21.9M414.7K+52.7%
2023$50.17$43.8M858.3K-0.7%

🗺️ State-by-State Cost Variation

The most expensive state pays 2.2x more than the cheapest for this procedure. AK averages $63.23 vs WV at $29.07.

StateAvg PaymentTotal PaymentsServicesProviders
AK$63.23$24.8K3923
UT$59.24$2.6M43.7K9
NJ$57.92$2.6M44.8K55
CA$57.36$3.9M67.7K122
OR$57.02$43.5K7632
DC$56.88$156.0K2.7K5
NY$56.07$984.6K17.6K72
DE$55.65$81.9K1.5K10
WY$55.04$23.3K4232
MA$54.00$122.3K2.3K35
VA$53.93$239.7K4.4K62
PA$53.12$1.3M24.2K86
CO$52.96$186.2K3.5K51
WA$52.76$111.4K2.1K10
TX$52.60$6.3M118.8K117
KS$52.48$22.3K4244
IL$52.18$1.1M21.1K41
NH$51.99$34.7K6673
CT$51.94$152.2K2.9K22
KY$51.86$152.0K2.9K10
AZ$51.82$97.4K1.9K17
NV$51.68$486.7K9.4K57
OK$51.64$19.8K3842
NE$51.60$43.8K8498
LA$51.48$175.4K3.4K24
MD$51.39$400.0K7.8K45
MO$51.39$79.8K1.6K7
FL$51.16$3.6M71.3K174
IN$51.14$506.4K9.9K24
GA$50.41$1.3M25.3K79
AL$50.37$55.0K1.1K13
MI$49.85$946.8K19.0K72
TN$49.74$225.2K4.5K39
NM$49.56$27.4K55214
OH$49.53$115.7K2.3K31
NC$49.41$973.7K19.7K84
AR$48.85$22.2K4546
HI$48.76$16.1K3302
MN$46.85$119.7K2.6K15
SC$46.41$13.9M300.5K337
WI$45.60$212.3K4.7K11
MS$45.59$60.5K1.3K28
ID$42.83$250.1K5.8K16
WV$29.07$14.0K4837

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Amer HomsiInternal MedicineUT$2.5M42.8K$59.58
Tao HoInternal MedicineTX$2.4M45.7K$53.38
Joel WaldropEmergency MedicineSC$1.5M29.8K$51.48
Danny BartelNeurologyTX$1.5M28.8K$53.11
Zachary LipmanAnesthesiologyCA$1.1M19.5K$57.06
Andrew DonatoEmergency MedicineSC$980.2K18.4K$53.29
Kenneth BeckerHospitalistSC$807.4K15.5K$52.18
Nhue HoInternal MedicineTX$795.2K14.9K$53.25
Yael MillerGeriatric MedicineNJ$739.8K12.5K$59.37
Aaron AldapeFamily PracticeFL$591.7K10.8K$54.71
Jonathan MaconInternal MedicineSC$555.0K11.3K$49.21
Adediji OsinloyeInternal MedicineNC$452.1K9.5K$47.68
Casey McmillanInternal MedicineSC$421.6K8.1K$52.11
Otis SpeightEmergency MedicineSC$404.6K7.8K$52.07
Hugh ThomasFamily PracticeFL$402.0K7.4K$54.46
Larry WilkesNurse PractitionerIL$397.9K8.1K$49.39
Humberto Fernandez-MiroGeneral PracticeFL$391.8K6.8K$57.82
Steven KatzmanInternal MedicineMI$387.0K7.3K$52.83
Shawna MurphyFamily PracticePA$373.5K6.7K$55.77
Karen JacksonNurse PractitionerFL$356.5K7.7K$46.16

🤔 Is Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month Overpriced?

The data suggests significant pricing inconsistencies for CPT 99489. 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.

Costs have risen 42.1% since 2017, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.

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.