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

Methodology

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.

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National code rank	State code rank	Provider	NPI	Market	Services	Beneficiaries	Average Medicare allowed	Place of service	Provider total services
#26	Filter by state	David W Johnson	1598717977	Denver, CO	89	75	$62.33	O	9,811
#27	Filter by state	Max R Johnson	1679559975	Fargo, ND	89	63	$58.95	O	29,347
#28	Filter by state	Sharon R Richens	1497769368	St George, UT	71	45	$59.28	O	11,798
#29	Filter by state	Austin P Bell	1093008302	Rogers, AR	68	43	$55.42	O	4,117
#30	Filter by state	Matthew A Speicher	1275536963	Baltimore, MD	68	47	$62.85	O	19,418
#31	Filter by state	Mimi Liu	1568469625	Englewood, CO	66	60	$62.33	O	10,842
#32	Filter by state	Eric P Suan	1275536971	Baltimore, MD	65	48	$63.79	O	20,818
#33	Filter by state	Robert E Price	1922093988	Knoxville, TN	63	40	$56.52	O	2,158
#34	Filter by state	Anu S Patel	1467652891	Bingham Farms, MI	61	24	$63.10	O	14,512
#35	Filter by state	Eric Jablon	1215042569	Charleston, SC	59	22	$58.53	O	44,984
#36	Filter by state	Nancy J Christmas	1619927456	Denver, CO	58	51	$62.33	O	9,922
#37	Filter by state	Daniel Bettis	1033435318	Kansas City, MO	56	40	$58.32	O	2,860
#38	Filter by state	Razek Georges Coussa	1700362522	Oklahoma City, OK	51	24	$57.04	O	5,292
#39	Filter by state	Eric D Hansen	1912260456	Salt Lake City, UT	51	26	$58.19	O	7,815
#40	Filter by state	Daniel Alfaro	1982719290	Charleston, SC	49	20	$58.53	O	17,287
#41	Filter by state	Brian C Joondeph	1932151230	Denver, CO	46	38	$62.33	O	8,107
#42	Filter by state	Curtis L Hagedorn	1508863382	Denver, CO	43	38	$62.33	O	13,269
#43	Filter by state	Abraham J Park	1346530441	Kansas City, MO	37	29	$58.76	O	2,803
#44	Filter by state	Peter G Hovland	1720047210	Denver, CO	37	30	$62.33	O	15,879
#45	Filter by state	Michael J Siegel	1811217912	Southfield, MI	36	18	$63.10	O	4,297
#46	Filter by state	Usha K Bulusu	1043202948	Saginaw, MI	30	16	$58.42	O	1,579
#47	Filter by state	Rohit R Lakhanpal	1104870401	Owings Mills, MD	29	21	$65.29	O	30,830
#48	Filter by state	William L Clark	1528057890	West Columbia, SC	29	11	$58.53	O	16,555
#49	Filter by state	Shawno E May	1922098276	St George, UT	29	17	$59.26	O	1,981
#50	Filter by state	John Kerrison	1952416257	Charleston, SC	25	11	$58.53	O	26,380

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