RxDoctor Payments Data

HCPCS 0599T

Fluorescence wound imaging for bacteria, each additional anatomic site

$81.95Medicare-allowed amount per service, averaged across 15,768 services
Providers submitted
$239.35

Asking price, not received

Medicare allowed
$81.95

The fee schedule figure

Medicare paid
$65.14

Balance is patient coinsurance

Providers submitted an average of $239.35 for this code and Medicare allowed $81.952.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $65.14 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$80.45
Hospital / facility
$86.19

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 11,653 services were billed in an office setting and 4,115 in a facility.

Services
15,768

Medicare Part B, 2024

Beneficiaries
4,626
Providers billing it
129
Total allowed
$1,292,188

Services × allowed amount

What Medicare pays for HCPCS 0599T

Across 15,768 services billed by 129 providers to 4,626 beneficiaries, Medicare allowed an average of $81.95 per service. That is 3.4 services per beneficiary, so this is a code patients typically receive more than once. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 0599T

SpecialtyServicesBeneficiariesAvg allowedProviders
Nurse Practitioner11,6993,299$79.2993
Physician Assistant1,461359$83.497
Family Practice826267$88.949
Emergency Medicine371138$93.381
Podiatry336149$85.338
Internal Medicine309158$103.543
Hospice and Palliative Care24442$87.831
Plastic and Reconstructive Surgery22491$112.711
General Surgery15271$79.363
General Practice12541$109.872
Physical Medicine and Rehabilitation2111$63.201

0599T reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

StateServicesAllowedStandardized pmtProviders
New Jersey6,502$96.20$77.5634
Oklahoma2,476$76.91$60.5318
Florida1,370$86.98$68.8417
Missouri1,197$30.01$23.757
Louisiana1,114$77.72$61.7318
Mississippi921$72.43$57.6210
Ohio600$95.63$76.193
New York403$95.95$80.782
Georgia269$35.08$27.953
Maryland232$92.00$76.781
Pennsylvania140$95.92$76.422
Texas132$81.72$66.773
Illinois109$12.55$9.942
Tennessee78$79.16$62.911
Indiana77$30.70$25.282
North Carolina70$47.51$39.273
Kansas55$32.69$25.382
California23$79.54$63.381

Related codes

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.