99350 is the CPT code for: Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes. In 2024, 7,440 providers billed 99350 1,238,110 times, with an estimated $152.0M paid by Medicare.
Medicare's 2026 Physician Fee Schedule national rate for 99350 is $193.06 in the office setting. National amounts before geographic adjustment — your locality's rate differs slightly.
What Medicare actually paid per service in 2024, on average: $122.76 (observed payment across all settings and modifiers — not a fee-schedule rate).
The top 5 billers nationally, ranked by 2024 Medicare service volume.
| # | Provider | Specialty | Location | Services | Est. Medicare paid |
|---|---|---|---|---|---|
| 1 | Nelson Dalla Tor, MD | Family Practice | Whittier, CA | 9,617 | $1.4M |
| 2 | Harry Lazarte, M.D. | Internal Medicine | Scottsbluff, NE | 6,967 | $919K |
| 3 | Maria Ortiz, M.D. | Family Practice | San Fernando, CA | 6,506 | $895K |
| 4 | Andro Sharobiem, M.D. | Internal Medicine | Riverside, CA | 6,352 | $920K |
| 5 | Heather Cooksey, FNP | Nurse Practitioner | Riverside, CA | 5,324 | $673K |
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