How much does Medicare pay for HCPCS G3003?

Medicare allowed an average of $28.16 per service and paid $22.30 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $84.24, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

Does G3003 pay differently in an office than a hospital?

Yes. The allowed amount averaged $29.46 in an office setting and $24.09 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 G3003 most?

Interventional Pain Management, with 12,015 services from 9 clinicians. Next are Pain Management, Nurse Practitioner, Anesthesiology.

HCPCS G3003

Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional, per calendar month. (list separately in addition to code for g3002. when using g3003, 15 minutes must be met or exceeded.)

$28.16Medicare-allowed amount per service, averaged across 31,523 services

Providers submitted

$84.24

Asking price, not received

Medicare allowed

$28.16

The fee schedule figure

Medicare paid

$22.30

Balance is patient coinsurance

Providers submitted an average of $84.24 for this code and Medicare allowed $28.16 — 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 $22.30 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $29.46
Hospital / facility: $24.09

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. 23,889 services were billed in an office setting and 7,634 in a facility.

Services: 31,523
Beneficiaries: 8,248
Providers billing it: 87
Total allowed: $887,688

What Medicare pays for HCPCS G3003

Across 31,523 services billed by 87 providers to 8,248 beneficiaries, Medicare allowed an average of $28.16 per service. That is 3.8 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 G3003

Specialty	Services	Beneficiaries	Avg allowed	Providers
Interventional Pain Management	12,015	2,528	$28.43	9
Pain Management	6,151	1,696	$29.30	15
Nurse Practitioner	5,155	1,507	$23.61	25
Anesthesiology	3,637	900	$29.99	13
Physical Medicine and Rehabilitation	2,955	705	$30.13	9
Family Practice	694	513	$31.53	3
Physician Assistant	477	161	$22.25	5
Internal Medicine	115	41	$30.68	2
Neurosurgery	110	43	$27.13	1
Diagnostic Radiology	108	73	$33.29	1
Rheumatology	60	50	$32.38	2
Preventive Medicine	27	14	$31.64	1
Neurology	19	17	$28.74	1

G3003 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	15,290	$27.53	$21.64	19
New Hampshire	2,750	$27.95	$22.02	3
Kentucky	2,276	$29.38	$23.55	1
California	1,717	$29.27	$22.15	17
Tennessee	1,649	$27.44	$22.52	3
Colorado	1,573	$30.28	$23.69	2
Maryland	1,532	$27.84	$22.41	4
New York	1,423	$31.75	$22.43	4
North Carolina	761	$28.39	$22.65	1
Texas	441	$25.59	$20.60	4
Virginia	352	$25.35	$19.88	1
Indiana	294	$29.63	$23.77	1
Oklahoma	260	$25.13	$22.04	4
New Jersey	248	$31.77	$21.96	3
Arizona	189	$27.30	$22.14	5
Alabama	184	$27.63	$23.63	2
Illinois	157	$30.34	$23.73	2
Missouri	118	$24.43	$20.19	2
District of Columbia	108	$33.29	$23.75	1
Pennsylvania	91	$29.69	$22.02	2
Nevada	42	$24.19	$15.74	2
Ohio	32	$28.61	$18.45	2
South Carolina	19	$28.74	$23.71	1
New Mexico	17	$21.05	$17.08	1

Related codes

G3002Chronic pain management and treatment$78.32

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.