RxDoctor Payments Data

CPT 98976

Device supply with scheduled recording and transmission for remote monitoring of respiratory system, per 30 days

$48.79Medicare-allowed amount per service, averaged across 132,638 services
Providers submitted
$124.69

Asking price, not received

Medicare allowed
$48.79

The fee schedule figure

Medicare paid
$38.51

Balance is patient coinsurance

Providers submitted an average of $124.69 for this code and Medicare allowed $48.792.6× 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 $38.51 (79%); the rest is the patient’s coinsurance and deductible.

Services
132,638

Medicare Part B, 2024

Beneficiaries
46,373
Providers billing it
71
Total allowed
$6,471,408

Services × allowed amount

What Medicare pays for CPT 98976

Across 132,638 services billed by 71 providers to 46,373 beneficiaries, Medicare allowed an average of $48.79 per service. That is 2.9 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 98976

SpecialtyServicesBeneficiariesAvg allowedProviders
Geriatric Medicine49,80417,109$46.862
Family Practice25,8259,422$50.318
Internal Medicine21,9968,221$49.808
Emergency Medicine18,2826,820$50.169
Neurology7,3282,072$55.122
Pulmonary Disease6,8641,751$44.3711
Sleep Medicine615237$49.164
General Practice471120$49.132
Nurse Practitioner292120$41.456
Physical Therapist in Private Practice278127$46.923
Obstetrics & Gynecology25452$53.491
Hematology-Oncology233157$40.258
Pediatric Medicine19562$43.901
Hospitalist8132$42.961
Medical Oncology7055$40.254

98976 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
Connecticut66,383$47.74$36.994
California16,305$52.69$36.267
Missouri12,306$46.75$36.992
New Jersey9,791$51.91$36.242
Nevada5,710$54.96$36.742
Michigan4,716$49.07$36.942
Georgia3,731$42.28$36.7911
Arizona3,054$43.84$36.925
Washington3,027$49.34$36.493
Texas1,905$46.00$36.814
New York1,878$57.10$36.883
Oregon1,751$49.28$36.521
South Carolina512$43.39$37.061
Florida449$44.45$37.054
Arkansas275$40.03$36.9011
Rhode Island264$43.92$36.921
Indiana124$43.73$34.301
Pennsylvania113$65.68$37.061
Illinois102$47.81$36.691
North Carolina100$41.89$36.562
New Hampshire81$45.39$33.241
Ohio49$44.61$36.361
Colorado12$48.70$36.911

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.