Top billers · Codes · 99348

Who bills 99348?

99348 is the CPT code for: Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes. In 2024, 11,456 providers billed 99348 1,740,229 times, with an estimated $89.6M paid by Medicare.

$78.83
2026 PFS national rate (office)
11,456
Providers billing it (2024)
1,740,229
Services billed
$89.6M
Est. Medicare paid
The fee

What does Medicare pay for 99348?

Medicare's 2026 Physician Fee Schedule national rate for 99348 is $78.83 in the office setting. National amounts before geographic adjustment — your locality's rate differs slightly.

Office (non-facility) rate$78.83
Facility rateNo separate facility rate
Fee schedule2026 Medicare Physician Fee Schedule

What Medicare actually paid per service in 2024, on average: $51.47 (observed payment across all settings and modifiers — not a fee-schedule rate).

The list

Who bills 99348 the most.

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

#ProviderSpecialtyLocationServicesEst. Medicare paid
1Michael Norris, D.P.MPodiatryNorth Miami Beach, FL5,425$325K
2Rufat AgayevPodiatryBrooklyn, NY4,567$306K
3Irene Campbell, DPMPodiatryFranklin, TN3,688$181K
4David Heise, MDFamily PracticePort Orange, FL3,570$207K
5Fareha Kazi, MDNephrologyFrisco, TX3,420$178K

11,451 more providers billed 99348 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 99348 gets billed.

Top states by volume

Florida303,448 services
California253,786 services
New York143,931 services
Texas91,980 services
Illinois88,161 services
New Jersey77,109 services
Ohio73,847 services
Michigan66,856 services

About this code

CMS descriptionResidence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes
Code typeCPT (Level I HCPCS)
Providers billing it (2024)11,456
Services billed (2024)1,740,229
Avg. Medicare payment per service (2024)$51.47
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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