California · 99493

Follow-Up Psychiatric Collaborative Care Management, Subsequent Calendar Month, First 60 Minutes in California

Follow-Up Psychiatric Collaborative Care Management, Subsequent Calendar Month, First 60 Minutes in California · the short answer

Medicare pays $118.56 on average for follow-up psychiatric collaborative care management, subsequent calendar month, first 60 minutes in California, 16% above the $102.19 national average across all states.

$118.56
CA Medicare avg
$102.19
National Medicare avg
16% above
vs. national average

State and national averages are computed directly from CMS Medicare Physician & Other Practitioners claims data, 2023.

California Medicare Avg
$118.56
16% above national avg
National Medicare Avg
$102.19
All states combined
Billed Charge (CA)
$454.88
What providers submit
Est. Commercial (CA)
$363.36
National avg: $281.02
Est. Cash / Self-Pay (CA)
$238.64
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

6.9K
Services in CA
411
Providers
$454.88
Avg Billed
$118.56
Medicare Avg

Top Providers in California

Provider Medicare Services
Bhakta, Hetal $115.67 509
Rashtian, Mayer M.D. $124.83 408
Roth, Raul M.D. $124.29 323
Durairaj, Azhil MD $125.50 309
Bitar, Fahed M.D. $124.22 300
Henriquez, Jaime MD $123.60 266
Rao, Vyshali MD $124.43 223
Baruch, Terrence M.D. $124.78 212
Vazquez, Jesus M.D. $125.52 181
Nassir, Joseph MD $51.91 170
Eisenberg, Evann M.D. $125.82 143
Duggirala, Srikant M.D. $126.34 130
Gabrielian, Victor M.D. $126.34 69
Aguiluz, Amable M.D. $118.96 55

California Pricing in Context

In California, CPT code 99493 (Follow-Up Psychiatric Collaborative Care Management, Subsequent Calendar Month, First 60 Minutes) carries an average Medicare payment of $118.56 - 16% above the national benchmark of $102.19. 411 providers across the state submitted claims for this procedure in 2023, performing 6.9K total services. Payment ranges by individual claim are not published in this CMS extract; the state average above is the figure to compare against the national benchmark.

The average billed charge in California is $454.88, 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 California 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 Care Management procedures, the estimated commercial insurance price in California lands near $363.36, with self-pay cash prices typically around $238.64. 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 Follow-Up Psychiatric Collaborative Care Management, Subsequent Calendar Month, First 60 Minutes cost in California?

The average Medicare payment for Follow-Up Psychiatric Collaborative Care Management, Subsequent Calendar Month, First 60 Minutes in California is $118.56, which is 16% above the national average of $102.19. Providers in CA typically bill $454.88 for this procedure.

What does Follow-Up Psychiatric Collaborative Care Management, Subsequent Calendar Month, First 60 Minutes cost with insurance in California?

With commercial insurance in California, Follow-Up Psychiatric Collaborative Care Management, Subsequent Calendar Month, First 60 Minutes costs an estimated $363.36. Without insurance, the estimated cash price is $238.64. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Follow-Up Psychiatric Collaborative Care Management, Subsequent Calendar Month, First 60 Minutes in California?

411 providers in California billed Medicare for Follow-Up Psychiatric Collaborative Care Management, Subsequent Calendar Month, First 60 Minutes in 2023, performing 6.9K total services. The state Medicare average for this code is $118.56.

Is Follow-Up Psychiatric Collaborative Care Management, Subsequent Calendar Month, First 60 Minutes cheaper in California than the national average?

No - Follow-Up Psychiatric Collaborative Care Management, Subsequent Calendar Month, First 60 Minutes costs 16% above the national average in California. The state average Medicare payment is $118.56 compared to $102.19 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure

Every figure on PlainProcedure is rendered directly from CMS Medicare Physician & Other Practitioners data, no number is typed in by an editor. This page draws directly on CMS Medicare Physician & Other Practitioners data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, the data changelog, or report a data error.