RxDoctor Payments Data

CPT 98929

Osteopathic manipulative treatment, 9-10 body regions

$83.31Medicare-allowed amount per service, averaged across 86,867 services
Providers submitted
$181.78

Asking price, not received

Medicare allowed
$83.31

The fee schedule figure

Medicare paid
$64.03

Balance is patient coinsurance

Providers submitted an average of $181.78 for this code and Medicare allowed $83.312.2× 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 $64.03 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility
$84.11
Hospital / facility
$69.51

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. 82,102 services were billed in an office setting and 4,765 in a facility.

Services
86,867

Medicare Part B, 2024

Beneficiaries
16,831
Providers billing it
362
Total allowed
$7,236,890

Services × allowed amount

What Medicare pays for CPT 98929

Across 86,867 services billed by 362 providers to 16,831 beneficiaries, Medicare allowed an average of $83.31 per service. That is 5.2 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 98929

SpecialtyServicesBeneficiariesAvg allowedProviders
Osteopathic Manipulative Medicine34,9916,258$83.06125
Family Practice32,6406,511$83.86153
Physical Medicine and Rehabilitation5,7291,220$84.0327
Internal Medicine3,606654$83.0520
General Practice2,967641$84.279
Sports Medicine2,663665$84.725
Pain Management1,147198$84.303
Nurse Practitioner852167$71.653
Interventional Pain Management526136$85.662
Neurology45651$77.763
Physician Assistant40442$70.493
Undefined Physician type35360$81.711
Emergency Medicine20385$68.592
Plastic and Reconstructive Surgery11422$94.211
Obstetrics & Gynecology10030$81.441

98929 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
California19,488$88.30$63.5256
Florida18,918$80.79$62.9940
New York8,780$89.55$63.6742
Massachusetts4,911$84.02$62.4115
Pennsylvania4,479$83.46$61.9610
Arizona3,620$79.79$62.7113
Michigan3,617$78.63$61.5125
Maine3,267$76.32$59.9523
Ohio2,341$70.96$53.3318
Hawaii2,053$85.09$64.054
New Jersey1,635$87.74$63.6213
Oregon1,582$81.99$64.0210
Texas1,447$78.18$60.889
Colorado1,310$80.93$60.3910
Maryland1,028$91.99$64.671
Washington862$83.10$63.058
Montana810$72.32$53.905
Missouri738$78.71$63.984
Iowa682$77.35$60.685
Tennessee673$77.83$64.013
Illinois583$85.74$63.444
Nevada503$81.87$63.162
New Hampshire487$79.51$63.352
Virginia456$81.35$62.554
Kentucky397$73.11$55.886
South Carolina282$73.82$65.001
Wisconsin256$80.68$62.422
Oklahoma215$79.08$63.917
Alabama205$72.33$64.711
Kansas199$78.27$63.711
Alaska169$108.03$64.641
West Virginia166$79.16$53.642
North Carolina165$70.70$53.982
Vermont122$81.22$62.141
Indiana120$76.31$63.694
New Mexico87$79.26$53.271
Rhode Island76$84.85$62.402
Nebraska44$73.70$43.411
Connecticut35$87.38$62.221
North Dakota30$75.06$58.442
Utah29$85.02$63.691

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.