Top billers · Codes · 99307

Who bills 99307?

99307 is the CPT code for: Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes. In 2024, 8,117 providers billed 99307 1,476,728 times, with an estimated $42.9M paid by Medicare.

$42.09
2026 PFS national rate (office)
8,117
Providers billing it (2024)
1,476,728
Services billed
$42.9M
Est. Medicare paid
The fee

What does Medicare pay for 99307?

Medicare's 2026 Physician Fee Schedule national rate for 99307 is $42.09 in the office setting and $37.07 in a facility. National amounts before geographic adjustment — your locality's rate differs slightly.

Office (non-facility) rate$42.09
Facility rate$37.07
Fee schedule2026 Medicare Physician Fee Schedule

What Medicare actually paid per service in 2024, on average: $29.06 (observed payment across all settings and modifiers — not a fee-schedule rate).

The list

Who bills 99307 the most.

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

#ProviderSpecialtyLocationServicesEst. Medicare paid
1Syed Jamal, MDInternal MedicineJacksboro, TX20,916$583K
2Kamel Kamel, M.D.PsychiatryIrvine, CA10,278$318K
3Robert Gries, M.D.Geriatric MedicineHonolulu, HI8,556$279K
4Joseph Sidaoui, M.D.General SurgeryBrooklyn, NY6,814$239K
5Mehdi Derambakhsh, M.D.DermatologyEncino, CA6,673$205K

8,112 more providers billed 99307 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.

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The breakdown

Where 99307 gets billed.

Top states by volume

New York244,596 services
Florida163,450 services
California162,390 services
Texas116,732 services
New Jersey99,909 services
Illinois95,707 services
Pennsylvania61,058 services
Ohio44,005 services

About this code

CMS descriptionSubsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes
Code typeCPT (Level I HCPCS)
Providers billing it (2024)8,117
Services billed (2024)1,476,728
Avg. Medicare payment per service (2024)$29.06
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.

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