RxDoctor Payments Data

CPT 29515

Application of short leg splint from calf to foot

$62.72Medicare-allowed amount per service, averaged across 6,136 services
Providers submitted
$181.71

Asking price, not received

Medicare allowed
$62.72

The fee schedule figure

Medicare paid
$48.13

Balance is patient coinsurance

Providers submitted an average of $181.71 for this code and Medicare allowed $62.722.9× 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 $48.13 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$66.64
Hospital / facility
$29.68

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 5,486 services were billed in an office setting and 650 in a facility.

Services
6,136

Medicare Part B, 2024

Beneficiaries
3,947
Providers billing it
205
Total allowed
$384,850

Services × allowed amount

What Medicare pays for CPT 29515

Across 6,136 services billed by 205 providers to 3,947 beneficiaries, Medicare allowed an average of $62.72 per service. That is 1.6 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 29515

SpecialtyServicesBeneficiariesAvg allowedProviders
Podiatry4,1302,300$62.22113
Orthopedic Surgery1,164932$68.3450
Physician Assistant599496$57.8929
Nurse Practitioner11088$58.406
Emergency Medicine7272$71.093
Ambulatory Surgical Center2727$20.702
Plastic and Reconstructive Surgery1816$24.711
Family Practice1616$71.881

29515 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
Florida1,622$65.87$49.9424
California811$56.41$41.7425
Arizona280$54.07$41.9412
New Jersey255$75.93$52.958
Michigan244$71.74$57.354
New York216$80.24$52.159
Oklahoma216$56.28$47.155
Indiana198$65.72$54.267
Tennessee177$55.25$49.578
Illinois176$68.42$49.679
Georgia175$57.05$45.468
Ohio168$50.99$42.019
Maryland158$68.55$50.918
Pennsylvania122$66.79$53.726
Texas121$60.65$48.477
North Carolina114$62.61$51.384
Nevada97$68.24$55.503
Virginia74$41.37$32.435
Minnesota70$55.96$46.371
Mississippi69$49.80$41.384
Washington65$66.21$46.094
Utah62$34.49$28.124
New Mexico56$67.94$56.222
Kentucky55$49.08$44.943
Louisiana54$65.10$56.112
South Carolina53$63.13$49.913
South Dakota52$62.20$50.183
Massachusetts49$76.47$56.462
New Hampshire47$62.05$44.483
Alabama46$49.86$42.553
Wisconsin39$64.39$54.871
Connecticut33$77.54$57.511
Nebraska28$51.82$42.912
Maine28$68.74$56.091
Colorado28$62.91$48.971
North Dakota24$69.20$47.021
Alaska22$73.03$44.561
Rhode Island18$25.84$19.511
Oregon14$70.14$57.411

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.