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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. 99495
99495

Transitional care management services for problem of at least moderate complexity

$464.6M in total Medicare payments across 10 years

🔎 Data Analysis

Procedure 99495 (Transitional care management services for problem of at least moderate complexity) received $464.6M in total Medicare payments.

Across 3.6M services, the average Medicare payment was $129.15 per service.

AI-generated analysis based on Medicare payment data.

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesYoY Change
2014$23.7M196.1K—
2015$30.6M253.1K+29.2%
2016$39.4M331.2K+28.9%
2017$46.8M391.5K+18.7%
2018$54.5M454.0K+16.6%
2019$62.0M513.5K+13.7%
2020$47.2M345.6K-24.0%
2021$55.6M367.0K+17.8%
2022$50.7M356.2K-8.9%
2023$54.2M389.6K+7.1%

Top Providers for 99495

#ProviderSpecialtyStatePaymentsServicesAvg/Service
1Nancy CrainPhysician AssistantFL$113.8K871$130.63
2Carisa HernandezNurse PractitionerCA$54.3K357$152.04
3Pedro GarciaInternal MedicineFL$54.2K346$156.61
4Chang (Kenny) ChenNurse PractitionerNY$51.9K482$107.70
5Jean-Pierre AntakiInfectious DiseaseCA$50.4K281$179.35
6Maureen ConnollyNurse PractitionerNY$49.7K308$161.45
7Amy FerraraNurse PractitionerNY$45.8K286$160.14
8Tracy MarmerPhysician AssistantNY$40.9K255$160.35
9Hong LiuInternal MedicineLA$39.1K256$152.63
10Olga FreemanInternal MedicineFL$37.0K229$161.77
11Hovik AbediNurse PractitionerCA$36.9K243$151.98
12Suzanne LeeNurse PractitionerNY$36.5K231$158.16
13Russell HinesInternal MedicineCA$35.0K199$175.98
14Talal SamaanHospitalistCA$32.6K198$164.48
15Salman AhmadFamily PracticeTX$30.7K200$153.45
16John CapplemanInternal MedicineFL$29.9K191$156.57
17Atul BhasinInternal MedicineNJ$29.0K166$174.81
18Janelle BerridgeNurse PractitionerNY$28.8K188$153.21
19Nibha MedirattaInternal MedicineFL$27.8K182$152.82
20Dori HuntNurse PractitionerIL$27.6K214$129.17
21Gabriella BonomoInternal MedicineFL$27.4K171$160.47
22Nalini YelamanchiInternal MedicineFL$26.7K169$157.75
23Farhan BangashNephrologyIL$26.6K184$144.34
24Mohammed HasanInternal MedicineNY$26.2K141$186.13
25Leslie FooteFamily PracticeCA$26.1K154$169.53

Spending by State

StatePaymentsServicesProvidersAvg/Provider
FL$6.4M44.4K1.6K$3.9K
PA$4.8M35.3K1.6K$3.1K
CA$3.5M22.0K898$3.9K
NY$3.0M19.0K774$3.9K
IL$2.9M18.9K806$3.6K
TX$2.3M16.5K748$3.1K
VA$2.1M14.9K599$3.6K
NJ$1.9M13.1K587$3.3K
MD$1.8M11.4K530$3.4K
NC$1.7M12.2K573$3.0K
MA$1.7M11.3K550$3.1K
OH$1.3M12.3K620$2.2K
GA$1.3M9.0K415$3.2K
SC$1.2M8.6K400$3.1K
IN$1.2M8.5K396$3.0K
KY$1.1M8.4K375$2.9K
TN$1.1M7.7K359$3.0K
MI$1.0M8.6K432$2.4K
AZ$1.0M6.9K289$3.5K
AL$866.0K6.0K272$3.2K
WA$803.4K5.5K286$2.8K
KS$801.6K6.5K271$3.0K
LA$788.0K5.6K227$3.5K
MS$773.9K5.9K231$3.4K
WI$762.3K5.6K283$2.7K
IA$749.7K5.6K252$3.0K
AR$694.8K6.1K236$2.9K
MO$662.8K5.7K270$2.5K
DE$635.2K4.8K180$3.5K
CT$603.0K3.7K203$3.0K

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Data Sources

  • • Centers for Medicare & Medicaid Services (CMS)
  • • Medicare Provider Utilization and Payment Data (2014-2023)
  • • CMS National Health Expenditure Data

Last Updated: February 2026 (data through 2023, the latest CMS release)

Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.