99306 is the CPT code for: Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more. In 2024, 13,288 providers billed 99306 1,280,390 times, with an estimated $174.7M paid by Medicare.
Medicare's 2026 Physician Fee Schedule national rate for 99306 is $193.06 in the office setting and $163.33 in a facility. National amounts before geographic adjustment — your locality's rate differs slightly.
What Medicare actually paid per service in 2024, on average: $136.42 (observed payment across all settings and modifiers — not a fee-schedule rate).
The top 5 billers nationally, ranked by 2024 Medicare service volume.
| # | Provider | Specialty | Location | Services | Est. Medicare paid |
|---|---|---|---|---|---|
| 1 | Thurston Mcmillen, M.D. | Physical Medicine and Rehabilitation | Clearwater, FL | 5,555 | $781K |
| 2 | Mahmood Kazmi | Neurology | Bronx, NY | 3,351 | $523K |
| 3 | Thelma Cox-Shelton, FNP-BC | Nurse Practitioner | Aberdeen, MS | 2,830 | $321K |
| 4 | Tiffany Warren, FNP | Nurse Practitioner | Columbus, MS | 2,667 | $301K |
| 5 | Ritu Rastogi, MD | Internal Medicine | Wilmington, DE | 2,028 | $282K |
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