Medicare Physician Fee Schedule Lookup tools, analyzer

Medicare Physician Fee Schedule Lookup


Use this practice management tool to look up the area-specific Medicare fee for a CPT® code.   Enter your own fee to compare it to area-specific Medicare fees for the years 2002 through 2019. You have access over over 12 million fees.

This physician fee lookup tool provides an easy crosswalk or match between your carrier & locality and zip code. This tool is updated quarterly and annually to reflect Medicare's current fees.



Related Topics

2019 Medicare Physician Fee Schedule

2018 Medicare Physician Fee Schedule

2017 Medicare Physician Fee Schedule

2016 Medicare Physician Fee Schedule

2015 Medicare Physician Fee Schedule

2014 Medicare Physician Fee Schedule

2013 Medicare Physician Fee Schedule

2012 Medicare Physician Fee Schedule

2011 Medicare Physician Fee Schedule

2010 Medicare Physician Fee Schedule

2009 Medicare Physician Fee Schedule

2008 Medicare Physician Fee Schedule

2007 Medicare Physician Fee Schedule

2006 Medicare Physician Fee Schedule

2005 Medicare Physician Fee Schedule

2004 Medicare Physician Fee Schedule

2003 Medicare Physician Fee Schedule

2002 Medicare Physician Fee Schedule


Georgia Medicare Fee Schedule

Florida Medicare Fee Schedule

North Carolina Medicare Fee Schedule

South Carolina Medicare Fee Schedule

Tennessee Medicare Fee Schedule

Mississippi Medicare Fee Schedule


Physician Reimbursement

Physician Fee Schedule

CMS Fee Schedule





Related Web Sites
  • CMS/Medicare Physicain Fee Schedule Lookup
  • Download Medicare Fee Schedule

  • Medicare Fee Schedule Lookup
    Please enter the required information below for Medicare fee schedule information.

       1.  Enter your practice address Zip Code.    

       2.  Enter a 5-digit CPT Code and select Modifier.
            (include leading zeroes "0")
     CPT Code
    Modifier

       3.  Is service performed in a facility setting other than your office?     

       4.  Enter your usual and customary fee for comparsion.  $

          

    Lookup Results

    For service rendered in your office/facility
    Medicare fee CPT code: 99201
    Description: Office/outpatient visit new


    Medicare
    Year
    Carrier Locality Par 2 Non-Par 3 Limiting
    Charge 4
    Your Fee
    as a % of
    Medicare 4

    2021 03302 01 $0.00 $0.00 $0.00 0.00%

    2020 03302 01 $26.14 $24.83 $28.55 0.00%

    2019 03302 01 $26.56 $25.23 $29.01 0.00%

    2018 03302 01 $26.15 $24.84 $28.57 0.00%

    2017 03302 01 $26.46 $25.14 $28.91 0.00%

    2016 03302 01 $26.05 $24.75 $28.46 0.00%

    2015 03302 01 $26.18 $24.87 $28.60 0.00%

    2014 03302 01 $25.84 $24.55 $28.23 0.00%

    2013 03302 01 $25.20 $23.94 $27.53 0.00%

    2012 03302 01 $25.21 $23.95 $27.54 0.00%

    2011 03302 01 $25.08 $23.83 $27.40 0.00%

    2010 03302 01 $24.25 $23.04 $26.50 0.00%

    2009 03302 01 $21.82 $20.73 $23.84 0.00%

    2008 03302 01 $20.66 $19.63 $22.57 0.00%

    2007 03302 01 $20.73 $19.69 $22.64 0.00%

    2006 00820 01 $22.63 $21.50 $24.73 0.00%

    2005 00820 01 $22.68 $21.55 $24.78 0.00%

    2004 00820 01 $22.53 $21.40 $24.61 0.00%

    2003 00820 01 $21.39 $20.32 $23.37 0.00%

    2002 00820 01 $21.05 $20.00 $23.00 0.00%


    Medicare YearPhysician Fee
    Schedule Records
    20211,005,984
    20201,005,984
    20191,002,176
    2018993,664
    2017992,096
    2016794,430
    2015789,300
    2014810,216
    2013806,578
    2012807,426
    2011808,324
    2010802,497
    2009831,802
    2008779,976
    2007772,984
    2006781,172
    2005790,924
    2004778,412
    2003762,128
    2002753,020
    Total Fee Records13,638,511



    References



    1. CPT - Current Procedural Terminology codes copyrighted by American Medical Association.

    2. Par Fee - The fee allowed by Medicare for services provided by participating physicians. A participating physician agrees to accept Medicare's allowable as the full fee for the service provided. Medicare pays 80% of the allowed fee to the physician.

    3. Non Par Fee - The fee allowed by Medicare for services provided by non-participating physicians. This fee is 95% of the Medicare Par Fee. Medicare pays 80% of the Non-Par allowed fee to the patient or the physician depending on whether the non participating physician accepts assignment on the claim.

    4. Limiting Charge - The maximum amount that a non participating physician can charge a Medicare beneficiary. This amount is 115% of the Non Par Fee.

    CPT is a registered trademark of the American Medical Association. CPT copyright 2019 American Medical Association. All rights reserved.