How much does Medicare pay for HCPCS G3002?

Medicare allowed an average of $78.32 per service and paid $60.46 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $235.11, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Does G3002 pay differently in an office than a hospital?

Yes. The allowed amount averaged $78.80 in an office setting and $67.56 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills G3002 most?

Pain Management, with 23,350 services from 66 clinicians. Next are Nurse Practitioner, Interventional Pain Management, Anesthesiology.

HCPCS G3002

Chronic pain management and treatment, monthly bundle including, diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development, implementation, revision, and/or maintenance of a person-centered care plan tha

$78.32Medicare-allowed amount per service, averaged across 116,348 services

Providers submitted

$235.11

Asking price, not received

Medicare allowed

$78.32

The fee schedule figure

Medicare paid

$60.46

Balance is patient coinsurance

Providers submitted an average of $235.11 for this code and Medicare allowed $78.32 — 3.0× 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 $60.46 (77%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $78.80
Hospital / facility: $67.56

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. 111,336 services were billed in an office setting and 5,012 in a facility.

Services: 116,348
Beneficiaries: 43,974
Providers billing it: 464
Total allowed: $9,112,375

What Medicare pays for HCPCS G3002

Across 116,348 services billed by 464 providers to 43,974 beneficiaries, Medicare allowed an average of $78.32 per service. That is 2.6 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 G3002

Specialty	Services	Beneficiaries	Avg allowed	Providers
Pain Management	23,350	9,062	$82.02	66
Nurse Practitioner	23,166	8,901	$67.67	148
Interventional Pain Management	20,686	6,224	$79.74	30
Anesthesiology	16,119	7,887	$80.59	64
Physical Medicine and Rehabilitation	12,518	4,138	$83.28	43
Family Practice	5,676	1,564	$83.30	26
Physician Assistant	4,899	2,066	$66.09	33
Internal Medicine	3,538	1,972	$83.99	30
Neurology	2,304	678	$81.10	6
Orthopedic Surgery	1,640	296	$87.91	2
Rheumatology	758	405	$86.93	3
Emergency Medicine	559	227	$87.83	2
Diagnostic Radiology	390	216	$90.33	1
Cardiology	234	98	$96.85	1
Neurosurgery	204	85	$76.43	2

G3002 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.

State	Services	Allowed	Standardized pmt	Providers
Florida	22,854	$79.69	$62.35	50
California	21,271	$84.62	$61.30	59
Texas	14,633	$76.68	$60.78	54
New York	8,252	$89.29	$63.32	23
Tennessee	5,901	$68.79	$54.82	22
Maryland	4,826	$76.73	$57.08	6
Oklahoma	4,239	$67.14	$57.86	8
Arizona	4,200	$74.96	$59.77	30
Pennsylvania	3,081	$78.23	$56.80	32
New Mexico	2,921	$74.96	$61.12	12
Nevada	2,215	$71.48	$52.18	14
Ohio	2,102	$70.63	$56.54	12
Colorado	1,827	$77.54	$60.47	9
Missouri	1,711	$66.93	$53.51	15
North Carolina	1,686	$79.06	$63.52	3
Virginia	1,538	$70.83	$53.77	7
Georgia	1,417	$75.81	$58.15	13
New Hampshire	1,286	$80.23	$61.82	3
Illinois	1,208	$78.44	$59.86	14
Massachusetts	1,151	$79.25	$62.06	4
District of Columbia	1,064	$90.18	$62.43	2
Alabama	939	$75.15	$64.55	3
South Carolina	925	$78.45	$60.41	1
Utah	901	$64.73	$52.35	12
Indiana	782	$75.05	$60.32	7
Nebraska	570	$61.91	$50.62	5
Washington	514	$66.53	$50.85	12
Delaware	391	$78.84	$60.37	7
Kentucky	333	$50.46	$58.33	4
Michigan	296	$81.41	$61.19	4
Oregon	294	$70.40	$52.47	4
Mississippi	223	$78.65	$63.06	2
Louisiana	196	$77.75	$64.14	1
Kansas	195	$63.83	$53.29	1
New Jersey	155	$75.87	$56.78	4
West Virginia	102	$78.12	$59.39	1
Wisconsin	71	$76.46	$64.72	1
Connecticut	33	$85.72	$56.84	1
North Dakota	28	$67.64	$51.20	1
Alaska	17	$99.72	$65.67	1

Related codes

G3003Each additional 15 minutes of chronic pain management and treatment by$28.16

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.