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. 99496
99496

Transitional care management services for problem of high complexity

$674.0M in total Medicare payments across 10 years

🔎 Data Analysis

Procedure 99496 (Transitional care management services for problem of high complexity) received $674.0M in total Medicare payments.

Across 3.7M services, the average Medicare payment was $183.74 per service.

AI-generated analysis based on Medicare payment data.

Spending Trends (2014-2023)

Year-over-Year Breakdown

YearPaymentsServicesYoY Change
2014$30.1M173.1K—
2015$40.3M232.9K+33.8%
2016$56.0M325.6K+39.0%
2017$67.2M389.0K+20.1%
2018$75.6M433.7K+12.5%
2019$84.6M483.1K+11.9%
2020$71.8M388.3K-15.2%
2021$84.3M404.8K+17.5%
2022$79.2M401.5K-6.1%
2023$84.9M436.5K+7.1%

Top Providers for 99496

#ProviderSpecialtyStatePaymentsServicesAvg/Service
1Joanna StupplerNurse PractitionerCA$273.3K1.3K$204.10
2Irisbelsy LomelliNurse PractitionerFL$197.6K1.1K$181.74
3Brittany HortonNurse PractitionerFL$139.2K766$181.76
4Cindy PerdueNurse PractitionerFL$138.5K764$181.25
5Kenneth AresNurse PractitionerNV$135.5K730$185.60
6Jason AbneyHospice and Palliative CareCA$119.6K521$229.58
7Arash MilaniInternal MedicineCA$91.9K473$194.31
8Amer HomsiInternal MedicineUT$90.5K384$235.73
9Megan HowellNurse PractitionerMS$88.7K542$163.61
10Gregg SoiferPhysical Medicine and RehabilitationGA$87.7K588$149.14
11Hannah ChristianNurse PractitionerMS$86.9K534$162.64
12Andrea KesslerNurse PractitionerAZ$86.0K528$162.86
13Sangeeta KhetpalInternal MedicineOK$84.7K408$207.60
14Jessica GriffinNurse PractitionerMS$83.6K509$164.34
15Sylvia SevillaNurse PractitionerCA$83.6K408$204.88
16Andrea KichlineNurse PractitionerFL$81.5K455$179.08
17Regina YoungNurse PractitionerMS$80.4K485$165.77
18Leo PolosajianCardiologyCA$77.1K312$246.96
19Fidelia OsinubiInternal MedicineGA$76.7K504$152.13
20Amanda KennedyNurse PractitionerMS$76.6K457$167.62
21Matthew LeffermanInternal MedicineCA$74.5K310$240.43
22Ilana SolomonFamily PracticeCA$73.0K330$221.06
23Kimberly MeadorNurse PractitionerMS$72.8K443$164.33
24James LeeNurse PractitionerTX$70.9K391$181.42
25Michael FieldsFamily PracticeTX$70.7K491$144.02

Spending by State

StatePaymentsServicesProvidersAvg/Provider
FL$14.0M71.8K2.1K$6.8K
CA$9.7M45.2K1.3K$7.6K
TX$5.7M30.1K945$6.1K
NY$4.5M20.2K735$6.2K
PA$4.3M23.3K987$4.3K
NJ$3.7M18.2K648$5.8K
MD$3.5M16.0K570$6.1K
IL$3.0M14.4K555$5.5K
VA$2.8M14.9K560$5.1K
MA$2.8M13.4K524$5.3K
NC$2.5M12.8K499$5.0K
MI$2.4M13.3K557$4.2K
AZ$1.9M9.7K327$5.7K
MS$1.8M10.4K174$10.2K
TN$1.7M9.4K347$5.0K
GA$1.7M9.0K309$5.6K
OH$1.6M9.6K436$3.7K
SC$1.5M7.8K299$5.0K
AL$1.4M7.5K296$4.9K
IN$1.4M7.1K317$4.3K
LA$1.1M5.8K228$4.7K
AR$1.0M6.1K226$4.5K
CT$982.2K4.4K212$4.6K
NV$979.7K5.0K142$6.9K
WA$791.1K4.1K191$4.1K
KY$767.9K4.5K195$3.9K
WI$755.6K4.2K192$3.9K
OK$696.0K4.6K152$4.6K
DE$625.3K3.2K108$5.8K
MO$543.4K3.1K144$3.8K

Related

Browse
← All Procedures
Cost Analysis
Cost breakdown for 99496 →
Tool
Cost Calculator →
Investigation
Most expensive procedures →
Investigation
The Markup Machine →
Search
Search providers →
Share:

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.