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
Average Medicare Payment
$50.17
2023 data
Total Payments (2023)
$43.8M
Services (2023)
858.3K
Price Change (2017–2023)
+42.1%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2017 | $35.31 | $1.2M | 33.2K | — |
| 2018 | $34.62 | $4.7M | 131.1K | -2.0% |
| 2019 | $34.53 | $7.0M | 194.4K | -0.3% |
| 2020 | $33.83 | $5.5M | 162.0K | -2.0% |
| 2021 | $33.09 | $7.0M | 205.9K | -2.2% |
| 2022 | $50.52 | $21.9M | 414.7K | +52.7% |
| 2023 | $50.17 | $43.8M | 858.3K | -0.7% |
The most expensive state pays 2.2x more than the cheapest for this procedure. AK averages $63.23 vs WV at $29.07.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| AK | $63.23 | $24.8K | 392 | 3 |
| UT | $59.24 | $2.6M | 43.7K | 9 |
| NJ | $57.92 | $2.6M | 44.8K | 55 |
| CA | $57.36 | $3.9M | 67.7K | 122 |
| OR | $57.02 | $43.5K | 763 | 2 |
| DC | $56.88 | $156.0K | 2.7K | 5 |
| NY | $56.07 | $984.6K | 17.6K | 72 |
| DE | $55.65 | $81.9K | 1.5K | 10 |
| WY | $55.04 | $23.3K | 423 | 2 |
| MA | $54.00 | $122.3K | 2.3K | 35 |
| VA | $53.93 | $239.7K | 4.4K | 62 |
| PA | $53.12 | $1.3M | 24.2K | 86 |
| CO | $52.96 | $186.2K | 3.5K | 51 |
| WA | $52.76 | $111.4K | 2.1K | 10 |
| TX | $52.60 | $6.3M | 118.8K | 117 |
| KS | $52.48 | $22.3K | 424 | 4 |
| IL | $52.18 | $1.1M | 21.1K | 41 |
| NH | $51.99 | $34.7K | 667 | 3 |
| CT | $51.94 | $152.2K | 2.9K | 22 |
| KY | $51.86 | $152.0K | 2.9K | 10 |
| AZ | $51.82 | $97.4K | 1.9K | 17 |
| NV | $51.68 | $486.7K | 9.4K | 57 |
| OK | $51.64 | $19.8K | 384 | 2 |
| NE | $51.60 | $43.8K | 849 | 8 |
| LA | $51.48 | $175.4K | 3.4K | 24 |
| MD | $51.39 | $400.0K | 7.8K | 45 |
| MO | $51.39 | $79.8K | 1.6K | 7 |
| FL | $51.16 | $3.6M | 71.3K | 174 |
| IN | $51.14 | $506.4K | 9.9K | 24 |
| GA | $50.41 | $1.3M | 25.3K | 79 |
| AL | $50.37 | $55.0K | 1.1K | 13 |
| MI | $49.85 | $946.8K | 19.0K | 72 |
| TN | $49.74 | $225.2K | 4.5K | 39 |
| NM | $49.56 | $27.4K | 552 | 14 |
| OH | $49.53 | $115.7K | 2.3K | 31 |
| NC | $49.41 | $973.7K | 19.7K | 84 |
| AR | $48.85 | $22.2K | 454 | 6 |
| HI | $48.76 | $16.1K | 330 | 2 |
| MN | $46.85 | $119.7K | 2.6K | 15 |
| SC | $46.41 | $13.9M | 300.5K | 337 |
| WI | $45.60 | $212.3K | 4.7K | 11 |
| MS | $45.59 | $60.5K | 1.3K | 28 |
| ID | $42.83 | $250.1K | 5.8K | 16 |
| WV | $29.07 | $14.0K | 483 | 7 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Amer Homsi | Internal Medicine | UT | $2.5M | 42.8K | $59.58 |
| Tao Ho | Internal Medicine | TX | $2.4M | 45.7K | $53.38 |
| Joel Waldrop | Emergency Medicine | SC | $1.5M | 29.8K | $51.48 |
| Danny Bartel | Neurology | TX | $1.5M | 28.8K | $53.11 |
| Zachary Lipman | Anesthesiology | CA | $1.1M | 19.5K | $57.06 |
| Andrew Donato | Emergency Medicine | SC | $980.2K | 18.4K | $53.29 |
| Kenneth Becker | Hospitalist | SC | $807.4K | 15.5K | $52.18 |
| Nhue Ho | Internal Medicine | TX | $795.2K | 14.9K | $53.25 |
| Yael Miller | Geriatric Medicine | NJ | $739.8K | 12.5K | $59.37 |
| Aaron Aldape | Family Practice | FL | $591.7K | 10.8K | $54.71 |
| Jonathan Macon | Internal Medicine | SC | $555.0K | 11.3K | $49.21 |
| Adediji Osinloye | Internal Medicine | NC | $452.1K | 9.5K | $47.68 |
| Casey Mcmillan | Internal Medicine | SC | $421.6K | 8.1K | $52.11 |
| Otis Speight | Emergency Medicine | SC | $404.6K | 7.8K | $52.07 |
| Hugh Thomas | Family Practice | FL | $402.0K | 7.4K | $54.46 |
| Larry Wilkes | Nurse Practitioner | IL | $397.9K | 8.1K | $49.39 |
| Humberto Fernandez-Miro | General Practice | FL | $391.8K | 6.8K | $57.82 |
| Steven Katzman | Internal Medicine | MI | $387.0K | 7.3K | $52.83 |
| Shawna Murphy | Family Practice | PA | $373.5K | 6.7K | $55.77 |
| Karen Jackson | Nurse Practitioner | FL | $356.5K | 7.7K | $46.16 |
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.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.