Chronic Care Management Services For Two Or More Chronic Conditions, Additional 20 Minutes Of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month in District of Columbia
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in District of Columbia
| Provider | Medicare | Services |
|---|---|---|
| Rhodes, Paul M.D. | $41.84 | 1.3K |
District of Columbia Pricing in Context
In District of Columbia, CPT code 99439 (Chronic Care Management Services For Two Or More Chronic Conditions, Additional 20 Minutes Of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month) carries an average Medicare payment of $40.71 — 12% above the national benchmark of $36.31. 29 providers across the state submitted claims for this procedure in 2023, performing 2.9K total services. Individual payments in DC ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.
The average billed charge in District of Columbia is $79.60, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because District of Columbia sits above the national Medicare average, commercial rates in the state may also run higher than the US median.
Using RAND 2024 commercial-to-Medicare ratios for Emergency procedures, the estimated commercial insurance price in District of Columbia lands near $118.68, with self-pay cash prices typically around $60.59. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.
Frequently Asked Questions
How much does Chronic Care Management Services For Two Or More Chronic Conditions, Additional 20 Minutes Of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month cost in District of Columbia?
The average Medicare payment for Chronic Care Management Services For Two Or More Chronic Conditions, Additional 20 Minutes Of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month in District of Columbia is $40.71, which is 12% above the national average of $36.31. Providers in DC typically bill $79.60 for this procedure.
What does Chronic Care Management Services For Two Or More Chronic Conditions, Additional 20 Minutes Of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month cost with insurance in District of Columbia?
With commercial insurance in District of Columbia, Chronic Care Management Services For Two Or More Chronic Conditions, Additional 20 Minutes Of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month costs an estimated $118.68. Without insurance, the estimated cash price is $60.59. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Chronic Care Management Services For Two Or More Chronic Conditions, Additional 20 Minutes Of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month in District of Columbia?
29 providers in District of Columbia billed Medicare for Chronic Care Management Services For Two Or More Chronic Conditions, Additional 20 Minutes Of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month in 2023, performing 2.9K total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Chronic Care Management Services For Two Or More Chronic Conditions, Additional 20 Minutes Of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month cheaper in District of Columbia than the national average?
No — Chronic Care Management Services For Two Or More Chronic Conditions, Additional 20 Minutes Of Clinical Staff Time Directed By Health Care Professional, Per Calendar Month costs 12% above the national average in District of Columbia. The state average Medicare payment is $40.71 compared to $36.31 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.