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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. 99497
99497

Advance care planning, first 30 minutes

Top Providers for 99497

#ProviderSpecialtyStatePaymentsServicesAvg/Service
1Nicholas JaureguiFamily PracticeCA$388.9K5.7K$67.99
2Maria OrtizFamily PracticeCA$227.2K3.0K$76.55
3Shylee TiamsonNurse PractitionerCA$224.4K4.3K$52.06
4Kenneth AresNurse PractitionerNV$211.1K3.8K$55.00
5David KayFamily PracticeCA$195.6K3.1K$62.36
6Kerwin YapNurse PractitionerNV$178.2K3.3K$54.00
7Ani ShirinyanNurse PractitionerCA$141.0K2.6K$53.65
8Rafael PenunuriGeneral PracticeCA$126.8K1.8K$70.39
9Tigalat ShalitaFamily PracticeCA$124.8K1.9K$65.90
10Renato AlfonsoInternal MedicineFL$119.3K1.5K$79.60
11Letasha LewisNurse PractitionerIL$118.1K2.2K$52.69
12Alex DickertFamily PracticeFL$115.6K1.4K$80.75
13Tollin SullivanFamily PracticeCA$114.9K1.4K$83.59
14Rakesh MalikInternal MedicineMD$113.5K1.3K$87.08
15Angela McguireGeneral PracticeOK$103.9K1.8K$59.02
16Jayson BautistaNurse PractitionerNV$103.5K1.9K$54.77
17Hermilito VillarGeneral PracticeCA$101.9K1.4K$75.35
18John MeierNurse PractitionerCA$101.7K1.8K$56.29
19Marc MakhaniInternal MedicineCA$98.0K1.5K$66.96
20Ajith PurushGeneral PracticeAZ$96.9K1.2K$79.20
21Miguel TiradoInternal MedicineNY$95.7K1.4K$70.13
22Fadi AldaasCritical Care (Intensivists)IL$91.3K1.4K$65.08
23Richard MaplesFamily PracticeCA$90.5K1.1K$83.21
24Abdul KhanNephrologyCA$89.7K1.2K$76.47
25Rodney SwensonFamily PracticeCA$89.3K1.1K$80.40

Spending by State

StatePaymentsServicesProvidersAvg/Provider
CA$20.5M307.0K2.6K$8.0K
FL$15.9M241.9K2.4K$6.7K
NY$12.7M185.0K2.1K$6.2K
TX$11.5M184.1K2.4K$4.8K
IL$5.3M82.7K968$5.5K
NJ$5.3M84.9K1.1K$5.0K
MD$5.2M77.9K851$6.1K
GA$4.9M75.7K862$5.7K
NC$4.2M68.7K1.1K$3.6K
AZ$4.0M64.6K723$5.6K
VA$3.7M58.3K736$5.1K
PA$3.7M61.3K924$4.0K
SC$3.6M61.4K710$5.0K
MI$3.3M59.6K966$3.4K
NV$3.0M51.0K398$7.6K
TN$3.0M53.5K772$3.9K
MA$2.9M43.5K691$4.1K
OH$2.8M50.8K746$3.8K
WA$2.4M37.6K572$4.2K
IN$2.1M36.1K473$4.5K
AL$1.9M29.6K423$4.6K
MS$1.8M27.0K291$6.2K
KY$1.6M27.3K334$4.9K
CO$1.6M29.9K414$3.8K
LA$1.6M25.7K329$4.7K
OK$1.5M24.6K305$4.8K
CT$1.3M20.8K351$3.7K
UT$1.1M19.1K200$5.7K
MO$1.1M20.0K275$4.1K
AR$1.0M19.6K240$4.3K

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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.