Physician Or Allowed Practitioner Re-Certification For Medicare-Covered Home Health Services Under A Home Health Plan Of Care (patient Not Present), Including Contacts With Home Health Agency And Review Of Reports Of Patient Status Required By Physicians A in California
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in California
| Provider | Medicare | Services |
|---|---|---|
| Tanyi, Ruth RN, MSN, NP-C | $2.59 | 2.9K |
| Ortiz, Maria M.D. | $35.60 | 2.7K |
| De Leon, Maria Lourdes M.D. | $36.38 | 2.4K |
| Villar, Hermilito | $35.29 | 2.0K |
| Azar, Nicola M.D. | $35.72 | 2.0K |
| Bautista, Daisy MD | $36.40 | 1.9K |
| Enriquez, Linda M.D. | $36.37 | 1.6K |
| Enriquez, Policarpoi MD | $36.53 | 1.5K |
| Flores, Aracely | $29.50 | 1.5K |
| Noel-Uyloan, Catherine MD | $36.55 | 1.4K |
| Nashed, Ashraf MD | $34.29 | 1.4K |
| Azar, Dan MD MPH | $35.59 | 1.4K |
| Samonte, Mark M.D. | $35.73 | 1.2K |
| Radnia, Daniel M.D. | $34.88 | 1.2K |
| Linares, Daniel M.D. | $35.89 | 1.1K |
| Aguiluz, Amable M.D. | $34.39 | 1.1K |
| Bailey-Walton, Paula M.D. | $36.09 | 1.0K |
| Groke, Steven MD | $35.39 | 965 |
| Khan, Abdul MD | $36.38 | 779 |
| Holgado Aguilera, Gemelia MD | $36.15 | 762 |
| Smith, Gregory M.D. | $34.53 | 753 |
| Polussa, Arthur M.D. | $38.69 | 680 |
| Chua, William M.D. | $36.17 | 646 |
| Zhou, Shuo | $31.16 | 640 |
| Flanigan, George MD | $36.43 | 622 |
California Pricing in Context
In California, CPT code G0179 (Physician Or Allowed Practitioner Re-Certification For Medicare-Covered Home Health Services Under A Home Health Plan Of Care (patient Not Present), Including Contacts With Home Health Agency And Review Of Reports Of Patient Status Required By Physicians A) carries an average Medicare payment of $34.01 — 13% above the national benchmark of $30.17. 2.3K providers across the state submitted claims for this procedure in 2023, performing 84.9K total services. Individual payments in CA 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 California is $86.69, 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 Temporary Procedures procedures, the estimated commercial insurance price in California lands near $105.46, with self-pay cash prices typically around $56.80. 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 Physician Or Allowed Practitioner Re-Certification For Medicare-Covered Home Health Services Under A Home Health Plan Of Care (patient Not Present), Including Contacts With Home Health Agency And Review Of Reports Of Patient Status Required By Physicians A cost in California?
The average Medicare payment for Physician Or Allowed Practitioner Re-Certification For Medicare-Covered Home Health Services Under A Home Health Plan Of Care (patient Not Present), Including Contacts With Home Health Agency And Review Of Reports Of Patient Status Required By Physicians A in California is $34.01, which is 13% above the national average of $30.17. Providers in CA typically bill $86.69 for this procedure.
What does Physician Or Allowed Practitioner Re-Certification For Medicare-Covered Home Health Services Under A Home Health Plan Of Care (patient Not Present), Including Contacts With Home Health Agency And Review Of Reports Of Patient Status Required By Physicians A cost with insurance in California?
With commercial insurance in California, Physician Or Allowed Practitioner Re-Certification For Medicare-Covered Home Health Services Under A Home Health Plan Of Care (patient Not Present), Including Contacts With Home Health Agency And Review Of Reports Of Patient Status Required By Physicians A costs an estimated $105.46. Without insurance, the estimated cash price is $56.80. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.
How many providers perform Physician Or Allowed Practitioner Re-Certification For Medicare-Covered Home Health Services Under A Home Health Plan Of Care (patient Not Present), Including Contacts With Home Health Agency And Review Of Reports Of Patient Status Required By Physicians A in California?
2.3K providers in California billed Medicare for Physician Or Allowed Practitioner Re-Certification For Medicare-Covered Home Health Services Under A Home Health Plan Of Care (patient Not Present), Including Contacts With Home Health Agency And Review Of Reports Of Patient Status Required By Physicians A in 2023, performing 84.9K total services. Medicare payments ranged from N/A to N/A depending on the provider.
Is Physician Or Allowed Practitioner Re-Certification For Medicare-Covered Home Health Services Under A Home Health Plan Of Care (patient Not Present), Including Contacts With Home Health Agency And Review Of Reports Of Patient Status Required By Physicians A cheaper in California than the national average?
No — Physician Or Allowed Practitioner Re-Certification For Medicare-Covered Home Health Services Under A Home Health Plan Of Care (patient Not Present), Including Contacts With Home Health Agency And Review Of Reports Of Patient Status Required By Physicians A costs 13% above the national average in California. The state average Medicare payment is $34.01 compared to $30.17 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.