RxDoctor Payments Data

CPT 92523

Evaluation of speech sound production with evaluation of language comprehension and expression

$224.37Medicare-allowed amount per service, averaged across 31,723 services
Providers submitted
$354.36

Asking price, not received

Medicare allowed
$224.37

The fee schedule figure

Medicare paid
$174.41

Balance is patient coinsurance

Providers submitted an average of $354.36 for this code and Medicare allowed $224.371.6× 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 $174.41 (78%); the rest is the patient’s coinsurance and deductible.

Services
31,723

Medicare Part B, 2024

Beneficiaries
27,103
Providers billing it
1,111
Total allowed
$7,117,690

Services × allowed amount

What Medicare pays for CPT 92523

Across 31,723 services billed by 1,111 providers to 27,103 beneficiaries, Medicare allowed an average of $224.37 per service. That is 1.2 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 92523

SpecialtyServicesBeneficiariesAvg allowedProviders
Speech Language Pathologist31,20026,602$224.441,091
Physical Medicine and Rehabilitation138124$214.272
Pulmonary Disease116116$221.938
Neurology10197$222.054
Otolaryngology7472$218.143
Unknown Supplier/Provider Specialty7068$222.941
Audiologist1212$246.161
Internal Medicine1212$222.951

92523 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 York3,675$245.43$174.0498
Florida2,852$216.81$173.5295
New Jersey2,634$240.21$174.4490
Pennsylvania2,349$225.79$174.4072
Illinois1,745$220.98$172.9971
Virginia1,379$225.73$172.8448
Texas1,156$220.72$174.0954
South Carolina1,147$214.72$174.9236
Ohio1,064$215.08$175.8538
North Carolina857$215.84$174.7035
Tennessee850$212.05$172.8932
Maryland784$229.08$172.2728
Missouri761$216.23$171.0930
Wisconsin722$217.00$173.7325
Colorado614$224.72$173.5426
Indiana611$214.29$174.4924
Georgia600$219.17$170.1225
California594$237.54$170.1526
Kansas586$214.12$172.3420
Washington547$224.90$172.6215
Kentucky481$211.52$174.7818
Minnesota453$224.59$174.8318
Arkansas452$209.03$175.2116
Nevada439$213.89$175.258
Michigan428$214.82$172.8417
Nebraska391$212.96$171.8014
Iowa382$211.27$175.5216
Mississippi378$205.01$174.5212
Delaware347$227.16$173.6310
Massachusetts329$236.91$171.6011
Connecticut290$233.51$175.489
Arizona251$225.11$171.0513
Alabama209$204.86$174.328
Oklahoma207$212.55$172.2311
Louisiana177$213.82$172.485
West Virginia151$212.10$174.047
South Dakota132$218.40$163.731
Maine126$223.37$170.144
New Hampshire100$227.19$173.983
Alaska88$243.79$173.113
Rhode Island73$230.72$170.413
Hawaii61$224.14$179.043
Oregon59$220.84$164.643
Wyoming54$222.63$168.882
District of Columbia51$242.24$174.553
Utah35$216.09$169.292
Montana22$221.59$165.841
North Dakota19$221.88$168.731
Puerto Rico11$216.30$133.101

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.