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HCPCS Code detail

99426

Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month

Latest data year CY2023

Ranking basis

Providers are ordered to identify the highest Medicare FFS volume for this code. Higher volume is a utilization signal only and is not presented as a quality, outcomes, or appropriateness measure.

Providers billing code61Distinct nationwide ophthalmology providers in Medicare FFS
Services for code8,163Total selected-code Medicare FFS services
Beneficiaries3,433Beneficiaries tied to selected-code rows
Average allowedBy providerDisplayed per row from Medicare allowed amount

Code-specific provider rankings

Filter by state or city, then sort providers by selected-code utilization, beneficiaries, average allowed amount, or overall Medicare FFS footprint.

National code rankState code rankProviderNPIMarketServicesBeneficiariesAverage Medicare allowedPlace of serviceProvider total services
#1Filter by stateAngelia F Thompson1427162395Lexington, KY797110$56.93O35,193
#2Filter by stateVinay A Shah1013951409Oklahoma City, OK608223$58.10O16,209
#3Filter by stateAshkan M Abbey1548402886Dallas, TX489163$60.48O129,794
#4Filter by stateSteven J Ryder1366732851Charlotte, NC465125$58.93O52,281
#5Filter by stateJames M Rouse1083877369Knoxville, TN433149$56.59O4,249
#6Filter by stateRonald M Kingsley1962471326Oklahoma City, OK416139$58.10O10,426
#7Filter by stateGeeta A Lalchandani-Lalwani1609891811Boulder, CO365106$62.33O13,558
#8Filter by stateMichael Johnson1548203185Charleston, SC354173$58.53O13,971
#9Filter by stateBen J Harvey1447448907Oklahoma City, OK313109$58.10O3,235
#10Filter by stateKatherine I Ochsner1104917657Wilmington, NC263111$58.97O4,586
#11Filter by stateMatthew D Lowrance1417284647Lenoir City, TN22177$56.57O6,053
#12Filter by stateAndrew J Mcclellan1588935217Dallas, TX22072$60.63O60,000
#13Filter by stateMarina Gilca1386028314Fargo, ND193131$59.99O89,570
#14Filter by stateDaniel S Choi1760820633Honolulu, HI17842$64.15O2,899
#15Filter by stateScott J Westhouse1306016977Grand Rapids, MI16556$59.47O6,771
#16Filter by stateSumit K Nanda1407840515Oklahoma City, OK14394$58.11O109,252
#17Filter by stateThomas A Browning1467457804Harriman, TN14150$56.57O3,795
#18Filter by stateMichael C Yim1669816864Miami, FL13450$64.15O4,988
#19Filter by stateAndrew F Perin1912266404Durham, NC13368$55.43O5,486
#20Filter by stateMahmoud A Khaimi1881745651Edmond, OK12948$57.66O3,703
#21Filter by stateAlan E Kimura1851343214Denver, CO10675$62.33O4,829
#22Filter by stateDon C Nguyen1588957146Edmond, OK10046$56.69O4,615
#23Filter by stateJila Noorikolouri1023548328Oklahoma City, OK9744$58.11O3,843
#24Filter by stateMurtaza K Adam1093004806Parker, CO9781$62.33O26,684
#25Filter by stateVlad M Matei1922397819Boulder, CO9467$62.32O7,526

Full code-specific utilization ranking

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