Top billers · Codes · 99306

Who bills 99306?

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.

$193.06
2026 PFS national rate (office)
13,288
Providers billing it (2024)
1,280,390
Services billed
$174.7M
Est. Medicare paid
The fee

What does Medicare pay for 99306?

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.

Office (non-facility) rate$193.06
Facility rate$163.33
Fee schedule2026 Medicare Physician Fee Schedule

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 list

Who bills 99306 the most.

The top 5 billers nationally, ranked by 2024 Medicare service volume.

#ProviderSpecialtyLocationServicesEst. Medicare paid
1Thurston Mcmillen, M.D.Physical Medicine and RehabilitationClearwater, FL5,555$781K
2Mahmood KazmiNeurologyBronx, NY3,351$523K
3Thelma Cox-Shelton, FNP-BCNurse PractitionerAberdeen, MS2,830$321K
4Tiffany Warren, FNPNurse PractitionerColumbus, MS2,667$301K
5Ritu Rastogi, MDInternal MedicineWilmington, DE2,028$282K

13,283 more providers billed 99306 in 2024. The full ranked list — filtered to your exact territory, with phone numbers and year-over-year history — is one search in Prospect 811.

See the full list
The breakdown

Where 99306 gets billed.

Top states by volume

California151,212 services
Florida148,713 services
New York119,734 services
New Jersey84,402 services
Pennsylvania68,574 services
Texas66,222 services
Illinois65,376 services
Massachusetts48,367 services

About this code

CMS descriptionInitial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more
Code typeCPT (Level I HCPCS)
Providers billing it (2024)13,288
Services billed (2024)1,280,390
Avg. Medicare payment per service (2024)$136.42
Where these numbers come from. Rates are CMS's own public fee-schedule files — the Physician Fee Schedule, Clinical Laboratory Fee Schedule, ASP drug pricing, DMEPOS, and the OPPS/ASC addenda — each labeled with its file year on this page; national amounts are shown before geographic adjustment. Codes with no separate rate render the fee schedule's own status in words, never a fake $0. Utilization comes from CMS's public Medicare Provider Utilization & Payment data for 2024, the most recent year released. It covers traditional Medicare fee-for-service only (no commercial insurance, no Medicare Advantage), and CMS suppresses any provider-and-code line with fewer than 11 beneficiaries before publishing, so low-volume billers don't appear at all. "Est. Medicare paid" is each billing line's average Medicare payment times its service count, summed — actual per-claim payment varies by setting and modifiers. For drug and supply codes, a "service" is a billed unit (a milligram, a milliliter, a square centimeter), not a patient visit. Code descriptions are CMS's own, from the utilization files. Prospect 811 organizes public data; it doesn't add to or alter it. Not affiliated with or endorsed by CMS. Full detail on the data page.

One code, one year, top 5. The app has all of it.

Prospect 811 answers "what is this code, what does it pay, and who bills it?" for every billable code — then filters the answer to your exact territory, with phone numbers. $79/month, no contract, 14-day refund.

Start prospecting
Sign in with Google or a magic link · or grab the free DIY guide first.