Top billers · Codes · 99349

Who bills 99349?

99349 is the CPT code for: Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes. In 2024, 14,815 providers billed 99349 3,553,733 times, with an estimated $294.3M paid by Medicare.

$132.27
2026 PFS national rate (office)
14,815
Providers billing it (2024)
3,553,733
Services billed
$294.3M
Est. Medicare paid
The fee

What does Medicare pay for 99349?

Medicare's 2026 Physician Fee Schedule national rate for 99349 is $132.27 in the office setting. National amounts before geographic adjustment — your locality's rate differs slightly.

Office (non-facility) rate$132.27
Facility rateNo separate facility rate
Fee schedule2026 Medicare Physician Fee Schedule

What Medicare actually paid per service in 2024, on average: $82.81 (observed payment across all settings and modifiers — not a fee-schedule rate).

The list

Who bills 99349 the most.

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

#ProviderSpecialtyLocationServicesEst. Medicare paid
1Asha Pritpal Sidhu, MDInternal MedicineFresno, CA7,562$794K
2Dawnele Taylor, ARNPNurse PractitionerWichita, KS6,081$433K
3Ilana Solomon, D.OFamily PracticeReseda, CA5,654$609K
4David Ghods, DOOsteopathic Manipulative MedicineLos Angeles, CA5,578$589K
5James Krablin, MDGeriatric MedicineLexington, OK4,961$444K

14,810 more providers billed 99349 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 99349 gets billed.

Top states by volume

Florida555,873 services
California335,473 services
Texas242,424 services
New York221,635 services
North Carolina192,466 services
Illinois172,266 services
South Carolina156,934 services
New Jersey141,713 services

About this code

CMS descriptionResidence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes
Code typeCPT (Level I HCPCS)
Providers billing it (2024)14,815
Services billed (2024)3,553,733
Avg. Medicare payment per service (2024)$82.81
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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