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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. G0439
  4. Cost Analysis

How Much Does Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Cost on Medicare?

Cost analysis for CPT G0439 — Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

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Average Medicare Payment

$115.54

2023 data

Total Payments (2023)

$1.1B

Services (2023)

9.7M

Price Change (2014–2023)

+4.8%

📈 Year-over-Year Cost Trend

YearAvg PaymentTotal PaymentsServicesYoY Change
2014$110.29$372.5M3.4M—
2015$113.11$485.5M4.3M+2.6%
2016$111.72$597.0M5.3M-1.2%
2017$111.80$718.0M6.3M+0.1%
2018$112.77$825.6M7.2M+0.9%
2019$113.12$932.5M8.1M+0.3%
2020$113.79$917.6M8.0M+0.6%
2021$127.54$1.1B8.8M+12.1%
2022$118.49$1.1B9.2M-7.1%
2023$115.54$1.1B9.7M-2.5%

🗺️ State-by-State Cost Variation

The most expensive state pays 2.2x more than the cheapest for this procedure. AK averages $152.04 vs ME at $68.25.

StateAvg PaymentTotal PaymentsServicesProviders
AK$152.04$1.5M9.5K141
DC$142.80$3.0M21.0K247
NY$134.52$70.2M522.2K6.3K
AE$133.63$56.0K4194
GU$133.51$121.0K90615
CT$133.39$15.1M113.3K1.5K
MD$132.96$37.2M279.5K2.3K
CA$131.06$92.8M707.8K7.8K
WA$130.30$23.1M177.2K2.4K
IL$130.18$54.8M421.1K4.0K
PR$127.81$80.9K63319
XX$126.95$41.0K3232
NV$123.52$6.9M55.7K719
VI$123.23$137.8K1.1K17
MN$123.06$15.9M128.9K2.3K
VA$123.03$43.5M353.5K3.0K
TX$122.40$75.5M616.8K7.1K
SD$122.01$2.6M21.6K241
MA$121.83$39.9M327.1K3.3K
WY$121.64$2.3M18.7K174
VT$121.57$2.0M16.4K239
GA$121.43$36.0M296.3K2.9K
AZ$120.54$29.0M240.3K2.4K
UT$119.89$10.7M88.9K991
WI$119.67$21.5M179.6K2.4K
NC$118.90$43.6M366.6K4.2K
SC$118.72$27.1M228.0K1.9K
FL$118.59$96.3M812.2K7.2K
DE$117.45$8.4M71.1K485
IN$117.18$24.5M209.2K2.4K
NJ$117.15$38.7M330.6K3.4K
NM$117.03$4.7M40.2K487
WV$116.71$5.2M44.7K559
AP$116.49$47.6K4093
AL$116.39$16.8M144.2K1.5K
LA$116.32$12.4M106.6K1.1K
IA$115.99$13.8M119.1K1.1K
MS$114.15$11.6M101.6K808
ID$113.69$4.7M41.5K530
TN$112.32$29.7M264.7K2.7K
NH$112.05$5.5M49.3K621
PA$108.56$50.1M461.4K5.2K
HI$107.35$2.1M19.7K261
KY$106.37$14.6M137.0K1.6K
MO$105.26$18.1M172.3K1.8K
MI$100.08$26.9M268.6K4.1K
RI$98.79$3.5M35.2K450
ND$97.99$1.9M18.9K269
OH$94.87$34.9M367.4K4.7K
OR$94.04$6.6M69.8K1.1K
OK$93.41$11.7M125.7K1.2K

💰 Who Bills the Most for This Procedure?

ProviderSpecialtyStatePaymentsServicesAvg/Service
Pete CouryFamily PracticeAZ$209.8K1.7K$124.51
Alex DickertFamily PracticeFL$179.0K1.4K$125.73
Tollin SullivanFamily PracticeCA$178.9K1.3K$134.89
Jennifer HurdInternal MedicineDE$178.6K1.4K$130.10
Renato AlfonsoInternal MedicineFL$177.7K1.4K$126.28
Matthew MesnikGeneral PracticeMN$173.6K1.4K$125.02
Amardeep MajhailInternal MedicineAZ$160.4K1.3K$124.54
Babita PatelInternal MedicineVA$155.9K1.2K$125.82
Douglas LakinInternal MedicineAZ$152.8K1.2K$124.73
Rakesh MalikInternal MedicineMD$148.6K1.0K$143.73
Than AungInternal MedicineCA$145.7K1.1K$134.89
Ajith PurushGeneral PracticeAZ$144.1K1.1K$125.67
Frank ScafuriInternal MedicineNY$142.9K943$151.51
Richard MaplesFamily PracticeCA$141.9K1.1K$134.86
Vel NatesanInternal MedicineMD$141.4K1.1K$129.81
Stephen LutherInternal MedicineSC$140.7K1.1K$123.42
Gautham ReddyFamily PracticeNV$140.5K1.1K$128.00
Armine NazaryanGeneral PracticeCA$139.8K973$143.64
Diana GorokhovskyFamily PracticeFL$138.2K1.1K$130.59
Philip DevaneInternal MedicineFL$136.7K1.1K$125.50

🤔 Is Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit Overpriced?

The data suggests significant pricing inconsistencies for CPT G0439. 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 remained relatively stable over time, but the geographic variation suggests Medicare's geographic adjustment factors may not fully capture the true cost differences across states.

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.