Top billers · Codes · 99310

Who bills 99310?

99310 is the CPT code for: Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes. In 2024, 13,634 providers billed 99310 2,124,063 times, with an estimated $225.5M paid by Medicare.

$163.33
2026 PFS national rate (office)
13,634
Providers billing it (2024)
2,124,063
Services billed
$225.5M
Est. Medicare paid
The fee

What does Medicare pay for 99310?

Medicare's 2026 Physician Fee Schedule national rate for 99310 is $163.33 in the office setting and $140.28 in a facility. National amounts before geographic adjustment — your locality's rate differs slightly.

Office (non-facility) rate$163.33
Facility rate$140.28
Fee schedule2026 Medicare Physician Fee Schedule

What Medicare actually paid per service in 2024, on average: $106.17 (observed payment across all settings and modifiers — not a fee-schedule rate).

The list

Who bills 99310 the most.

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

#ProviderSpecialtyLocationServicesEst. Medicare paid
1Andro Sharobiem, M.D.Internal MedicineRiverside, CA10,664$1.3M
2Vanessa Bell, FNP-CNurse PractitionerSeal Beach, CA4,951$521K
3John Gietzen, D.O.Family PracticeNew Glarus, WI4,467$460K
4Sandeep Chandra, M.D.Internal MedicineBurbank, IL4,431$548K
5Imran Mirza, M.D.Internal MedicineDeptford, NJ4,310$494K

13,629 more providers billed 99310 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 99310 gets billed.

Top states by volume

California234,381 services
Florida191,910 services
Texas187,747 services
Pennsylvania119,512 services
Illinois107,054 services
New Jersey104,918 services
Massachusetts77,977 services
Maryland67,129 services

About this code

CMS descriptionSubsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes
Code typeCPT (Level I HCPCS)
Providers billing it (2024)13,634
Services billed (2024)2,124,063
Avg. Medicare payment per service (2024)$106.17
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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