HCPCS code G0439: Annual wellness visit, subsequent visit2026 Medicare rate & RVUs in Madera, CA
A subsequent Medicare annual wellness visit updates the prevention plan after an initial AWV, once 11 full calendar months have passed since the previous AWV.
In Madera, CA, Medicare pays $143.32 for G0439 in the office.
Check a contract rate as a % of Medicare · G0439 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What G0439 covers
The subsequent annual wellness visit is a Medicare Part B preventive benefit. It updates the health risk assessment, medical and family history, provider and supplier list, and measurements such as weight and blood pressure. It also includes cognitive impairment assessment, an updated written screening schedule and risk-factor list, and personalized health advice with referrals as appropriate. Physicians, nurse practitioners, physician assistants, and clinical nurse specialists commonly furnish it in primary care offices. A team that includes qualified professionals such as health educators or registered dietitians may furnish it under physician direct supervision. It is not a comprehensive physical examination.
Report G0439 after the beneficiary has received an initial AWV (G0438) and 11 full calendar months have passed since the previous AWV. Document the updated assessment and the revised prevention plan provided to the patient. Medicare waives the deductible and coinsurance for the AWV. If the clinician also evaluates a significant, separately identifiable problem, report the appropriate E/M code with modifier 25; normal cost sharing applies to that E/M service.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
Billing guides for G0439: Annual wellness visit codes
How Madera, CA compares for G0439
Across 109 of 109 payment localities, the office rate for G0439 runs from $125.76 in Arkansas to $173.21 in San Benito County, CA. Madera, CA pays $143.32. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Madera, CA · this page$143.32
- Bakersfield, CA · California$143.77+$0.45
- Chico, CA · California$143.32
- El Centro, CA · California$143.35+$0.03
- Fresno, CA · California$143.32
- Hanford, CA · California$143.32
- Los Angeles, CA · California$151.43+$8.11
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| Merced, CACalifornia | $143.32 | — |
| Modesto, CACalifornia | $143.32 | — |
| Napa, CACalifornia | $161.50 | — |
| Oxnard, CACalifornia | $150.35 | — |
| Redding, CACalifornia | $143.32 | — |
| Rest of CaliforniaCalifornia | $143.32 | — |
| Riverside, CACalifornia | $144.77 | — |
| Sacramento, CACalifornia | $149.18 | — |
| Salinas, CACalifornia | $148.58 | — |
| San Diego, CACalifornia | $151.10 | — |
| Marin County, CACalifornia | $169.70 | — |
| San Francisco, CACalifornia | $169.55 | — |
| San Benito County, CACalifornia | $173.21 | — |
| Santa Clara County, CACalifornia | $172.61 | — |
| San Luis Obispo, CACalifornia | $146.30 | — |
| Santa Cruz, CACalifornia | $151.81 | — |
| Santa Maria, CACalifornia | $148.87 | — |
| Santa Rosa, CACalifornia | $153.28 | — |
| Stockton, CACalifornia | $143.32 | — |
| Vallejo, CACalifornia | $161.29 | — |
| Visalia, CACalifornia | $143.32 | — |
| Yuba City, CACalifornia | $143.32 | — |
| Washington, DC areaDistrict of Columbia | $153.87 | — |
| Miami, FLFlorida | $147.09 | — |
| Chicago, ILIllinois | $144.03 | — |
| Manhattan, NYNew York | $155.46 | — |
| AlaskaAlaska | $172.22 | — |
| AlabamaAlabama | $127.08 | — |
| ArkansasArkansas | $125.76 | — |
| ArizonaArizona | $134.84 | — |
| ColoradoColorado | $141.86 | — |
| ConnecticutConnecticut | $145.13 | — |
| DelawareDelaware | $136.66 | — |
| Fort Lauderdale, FLFlorida | $142.02 | — |
| Rest of FloridaFlorida | $136.75 | — |
| Atlanta, GAGeorgia | $139.78 | — |
| Rest of GeorgiaGeorgia | $130.98 | — |
| Hawaii, Guam, HIHawaii | $145.26 | — |
| IowaIowa | $129.12 | — |
| IdahoIdaho | $129.79 | — |
| East St. Louis, ILIllinois | $136.48 | — |
| Rest of IllinoisIllinois | $134.04 | — |
| Suburban Chicago, ILIllinois | $143.28 | — |
| IndianaIndiana | $130.33 | — |
| KansasKansas | $128.82 | — |
| KentuckyKentucky | $129.57 | — |
| New Orleans, LALouisiana | $134.12 | — |
| Rest of LouisianaLouisiana | $129.48 | — |
| Metropolitan Boston, MAMassachusetts | $153.18 | — |
| Rest of MassachusettsMassachusetts | $141.42 | — |
| Baltimore area, MDMaryland | $144.71 | — |
| Rest of MarylandMaryland | $138.73 | — |
| Rest of MaineMaine | $130.44 | — |
| Southern Maine, MEMaine | $135.39 | — |
| Detroit, MIMichigan | $138.17 | — |
| Rest of MichiganMichigan | $132.16 | — |
| MinnesotaMinnesota | $136.56 | — |
| Metropolitan Kansas City, MOMissouri | $133.29 | — |
| Metropolitan St. Louis, MOMissouri | $134.30 | — |
| Rest of MissouriMissouri | $127.96 | — |
| MississippiMississippi | $126.87 | — |
| MontanaMontana | $137.60 | — |
| North CarolinaNorth Carolina | $131.41 | — |
| North DakotaNorth Dakota | $135.03 | — |
| NebraskaNebraska | $129.59 | — |
| New HampshireNew Hampshire | $139.90 | — |
| Northern New JerseyNew Jersey | $153.01 | — |
| Rest of New JerseyNew Jersey | $146.96 | — |
| New MexicoNew Mexico | $132.75 | — |
| NevadaNevada | $136.96 | — |
| NYC suburbs and Long Island, NYNew York | $158.50 | — |
| Poughkeepsie and northern NYC suburbs, NYNew York | $147.98 | — |
| Queens, NYNew York | $156.22 | — |
| Rest of New YorkNew York | $132.87 | — |
| OhioOhio | $131.63 | — |
| OklahomaOklahoma | $129.25 | — |
| Portland, OROregon | $145.20 | — |
| Rest of OregonOregon | $136.05 | — |
| Metropolitan Philadelphia, PAPennsylvania | $142.44 | — |
| Rest of PennsylvaniaPennsylvania | $131.70 | — |
| Puerto RicoPuerto Rico | $138.31 | — |
| Rhode IslandRhode Island | $140.64 | — |
| South CarolinaSouth Carolina | $131.71 | — |
| South DakotaSouth Dakota | $134.73 | — |
| TennesseeTennessee | $129.31 | — |
| Austin, TXTexas | $141.26 | — |
| Beaumont, TXTexas | $131.08 | — |
| Brazoria, TXTexas | $136.55 | — |
| Dallas, TXTexas | $137.30 | — |
| Fort Worth, TXTexas | $136.66 | — |
| Galveston, TXTexas | $136.89 | — |
| Houston, TXTexas | $139.27 | — |
| Rest of TexasTexas | $133.66 | — |
| UtahUtah | $133.02 | — |
| VirginiaVirginia | $135.16 | — |
| Virgin Islands, VIUnited States Virgin Islands | $138.31 | — |
| VermontVermont | $134.78 | — |
| Rest of WashingtonWashington | $141.07 | — |
| King County, WAWashington | $155.72 | — |
| WisconsinWisconsin | $131.70 | — |
| West VirginiaWest Virginia | $130.43 | — |
| WyomingWyoming | $136.48 | — |
G0439 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$125.76
$172.22
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $172.22 | 1 |
| AL | $127.08 | 1 |
| AR | $125.76 | 1 |
| AZ | $134.84 | 1 |
| CA | $143.32–$173.21 | 29 |
| CO | $141.86 | 1 |
| CT | $145.13 | 1 |
| DC | $153.87 | 1 |
| DE | $136.66 | 1 |
| FL | $136.75–$147.09 | 3 |
| GA | $130.98–$139.78 | 2 |
| GU | $145.26 | 1 |
| HI | $145.26 | 1 |
| IA | $129.12 | 1 |
| ID | $129.79 | 1 |
| IL | $134.04–$144.03 | 4 |
| IN | $130.33 | 1 |
| KS | $128.82 | 1 |
| KY | $129.57 | 1 |
| LA | $129.48–$134.12 | 2 |
| MA | $141.42–$153.18 | 2 |
| MD | $138.73–$153.87 | 3 |
| ME | $130.44–$135.39 | 2 |
| MI | $132.16–$138.17 | 2 |
| MN | $136.56 | 1 |
| MO | $127.96–$134.30 | 3 |
| MS | $126.87 | 1 |
| MT | $137.60 | 1 |
| NC | $131.41 | 1 |
| ND | $135.03 | 1 |
| NE | $129.59 | 1 |
| NH | $139.90 | 1 |
| NJ | $146.96–$153.01 | 2 |
| NM | $132.75 | 1 |
| NV | $136.96 | 1 |
| NY | $132.87–$158.50 | 5 |
| OH | $131.63 | 1 |
| OK | $129.25 | 1 |
| OR | $136.05–$145.20 | 2 |
| PA | $131.70–$142.44 | 2 |
| PR | $138.31 | 1 |
| RI | $140.64 | 1 |
| SC | $131.71 | 1 |
| SD | $134.73 | 1 |
| TN | $129.31 | 1 |
| TX | $131.08–$141.26 | 8 |
| UT | $133.02 | 1 |
| VA | $135.16–$153.87 | 2 |
| VI | $138.31 | 1 |
| VT | $134.78 | 1 |
| WA | $141.07–$155.72 | 2 |
| WI | $131.70 | 1 |
| WV | $130.43 | 1 |
| WY | $136.48 | 1 |
How the G0439 rate is calculated
Each of G0439’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · G0439
RVUs × geographic indexes × conversion factor
Work1.92
1.92 RVUs× 1.000 GPCI
Practice expense2.07
2.07 RVUs× 1.000 GPCI
Malpractice0.13
0.13 RVUs× 1.000 GPCI
Adjusted RVUs
4.1200
Conversion factor
$33.4009
Medicare rate
$137.61
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Madera, CA inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
15,261
- Code
- G0439
- Physician work
- 1.92
- Practice expense
- 2.07
- Malpractice
- 0.13
GPCI2026.csv
14
- Locality
- Madera, CA
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.92 | × 1.017 | 1.9526 |
| Practice expense | 2.07 | × 1.096 | 2.2687 |
| Malpractice | 0.13 | × 0.536 | 0.0697 |
| Total RVUs | 4.2910 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Madera, CA$143.32
Office: (1.92 × 1.017 + 2.07 × 1.096 + 0.13 × 0.536) × $33.4009 = $143.32
Payment rules and modifiers for G0439
G0439 has no global surgery period, no multiple-procedure, bilateral or assistant-at-surgery adjustment, and no professional/technical split. What changes the payment is where the service happens: the place of service on the claim decides whether Medicare pays the office or the facility rate.
Place of service · G0439
Which rate does Medicare pay?
The POS code on the claim line (CMS-1500 box 24B).
POS 11 · non-facility rate · national
$137.61
Higher because the practice carries its own overhead.
How G0439 has changed in Madera, CA
G0439 · Office / nonfacility
$143.32
Effective 2026-10-01
The base rate is $12.23 higher than on 2025-10-01, moving from $131.09 to $143.32 (9.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$131.09changed to$143.32
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 1.86 changed to 2.07
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$134.90changed to$131.09
- Conversion factor 33.2875 changed to 32.3465
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$132.70changed to$134.90
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$134.60changed to$132.70
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 1.80 changed to 1.86
- Malpractice RVU 0.12 changed to 0.13
- Work GPCI 1.021 changed to 1.014
- Practice expense GPCI 1.079 changed to 1.093
- Malpractice GPCI 0.579 changed to 0.560
January 1, 2023
RVU23A
$136.85changed to$134.60
- Conversion factor 34.6062 changed to 33.8872
- Malpractice RVU 0.11 changed to 0.12
- Work GPCI 1.027 changed to 1.021
- Practice expense GPCI 1.065 changed to 1.079
- Malpractice GPCI 0.597 changed to 0.579
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$137.66changed to$136.85
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 1.78 changed to 1.80
- Malpractice RVU 0.13 changed to 0.11
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$121.42changed to$137.66
- Conversion factor 36.0896 changed to 34.8931
- Work RVU 1.50 changed to 1.92
- Practice expense RVU 1.66 changed to 1.78
- Malpractice RVU 0.09 changed to 0.13
- Work GPCI 1.024 changed to 1.027
- Practice expense GPCI 1.070 changed to 1.065
- Malpractice GPCI 0.580 changed to 0.597
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$122.19changed to$121.42
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 1.68 changed to 1.66
- Malpractice RVU 0.10 changed to 0.09
- Work GPCI 1.020 changed to 1.024
- Practice expense GPCI 1.074 changed to 1.070
- Malpractice GPCI 0.562 changed to 0.580
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$123.22changed to$122.19
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 1.71 changed to 1.68
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$122.37changed to$123.22
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 1.68 changed to 1.71
- Work GPCI 1.024 changed to 1.020
- Practice expense GPCI 1.079 changed to 1.074
- Malpractice GPCI 0.610 changed to 0.562
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$122.37
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $143.32 | Not available in this setting | RVU26D |
| 2026-07-01 | $143.32 | Not available in this setting | RVU26C |
| 2026-04-01 | $143.32 | Not available in this setting | RVU26B |
| 2026-01-01 | $143.32 | Not available in this setting | RVU26A |
| 2025-10-01 | $131.09 | Not available in this setting | RVU25D |
| 2025-07-01 | $131.09 | Not available in this setting | RVU25C |
| 2025-04-01 | $131.09 | Not available in this setting | RVU25B |
| 2025-01-01 | $131.09 | Not available in this setting | RVU25A |
| 2024-10-01 | $134.90 | Not available in this setting | RVU24D |
| 2024-07-01 | $134.90 | Not available in this setting | RVU24C |
| 2024-04-01 | $134.90 | Not available in this setting | RVU24B |
| 2024-03-09 | $134.90 | Not available in this setting | RVU24AR |
| 2024-01-01 | $132.70 | Not available in this setting | RVU24A |
| 2023-10-01 | $134.60 | Not available in this setting | RVU23D |
| 2023-07-01 | $134.60 | Not available in this setting | RVU23C |
| 2023-04-01 | $134.60 | Not available in this setting | RVU23B |
| 2023-01-01 | $134.60 | Not available in this setting | RVU23A |
| 2022-10-01 | $136.85 | Not available in this setting | RVU22D |
| 2022-07-01 | $136.85 | Not available in this setting | RVU22C |
| 2022-04-01 | $136.85 | Not available in this setting | RVU22B |
| 2022-01-01 | $136.85 | Not available in this setting | RVU22A |
| 2021-10-01 | $137.66 | Not available in this setting | RVU21D |
| 2021-07-01 | $137.66 | Not available in this setting | RVU21C |
| 2021-04-01 | $137.66 | Not available in this setting | RVU21B |
| 2021-01-01 | $137.66 | Not available in this setting | RVU21A |
| 2020-10-01 | $121.42 | Not available in this setting | RVU20D |
| 2020-07-01 | $121.42 | Not available in this setting | RVU20C |
| 2020-04-01 | $121.42 | Not available in this setting | RVU20B |
| 2020-01-01 | $121.42 | Not available in this setting | RVU20A |
| 2019-10-01 | $122.19 | Not available in this setting | RVU19D |
| 2019-07-01 | $122.19 | Not available in this setting | RVU19C |
| 2019-04-01 | $122.19 | Not available in this setting | RVU19B |
| 2019-01-01 | $122.19 | Not available in this setting | RVU19A |
| 2018-10-01 | $123.22 | Not available in this setting | RVU18D |
| 2018-07-01 | $123.22 | Not available in this setting | RVU18C |
| 2018-04-01 | $123.22 | Not available in this setting | RVU18B |
| 2018-01-01 | $123.22 | Not available in this setting | RVU18AR1 |
| 2017-10-01 | $122.37 | Not available in this setting | RVU17D |
| 2017-07-01 | $122.37 | Not available in this setting | RVU17C |
| 2017-04-01 | $122.37 | Not available in this setting | RVU17B |
| 2017-01-01 | $122.37 | Not available in this setting | RVU17A |
| 2016-10-01 | Rate data unavailable | Not available in this setting | RVU16D |
| 2016-07-01 | Rate data unavailable | Not available in this setting | RVU16C |
| 2016-04-01 | Rate data unavailable | Not available in this setting | RVU16B |
| 2016-01-01 | Rate data unavailable | Not available in this setting | RVU16A |
| 2015-10-01 | Rate data unavailable | Not available in this setting | RVU15D |
| 2015-07-01 | Rate data unavailable | Not available in this setting | RVU15C |
| 2015-04-01 | Rate data unavailable | Not available in this setting | RVU15B |
| 2015-01-01 | Rate data unavailable | Not available in this setting | RVU15A |
| 2014-10-01 | Rate data unavailable | Not available in this setting | RVU14D |
| 2014-07-01 | Rate data unavailable | Not available in this setting | RVU14C |
| 2014-04-01 | Rate data unavailable | Not available in this setting | RVU14B |
| 2014-01-01 | Rate data unavailable | Not available in this setting | RVU14A |
| 2013-10-01 | Rate data unavailable | Not available in this setting | RVU13D |
| 2013-07-01 | Rate data unavailable | Not available in this setting | RVU13C |
| 2013-04-01 | Rate data unavailable | Not available in this setting | RVU13B |
| 2013-01-01 | Rate data unavailable | Not available in this setting | RVU13AR |
Where the Madera, CA rate applies
Madera, CA is a Medicare payment area, not a city. Our Census mapping connects it to 17 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
- Madera
- Ahwahnee
- Bass Lake
- Bonadelle Ranchos
- Chowchilla
- Coarsegold
- Fairmead
- La Vina
G0439 billing questions
How do I choose between G0438 and G0439?
G0438 is the beneficiary's one-time initial AWV. Use G0439 for a later AWV after G0438, once 11 full calendar months have passed since the previous AWV; an IPPE alone does not qualify the beneficiary for G0439.
Can a problem-oriented E/M visit be billed on the same day?
Yes, if a significant, separately identifiable problem is evaluated and documented. Report the E/M code with modifier 25; normal cost sharing applies to that service.
Can advance care planning be billed with the subsequent AWV?
Yes. Advance care planning is optional at the AWV; report 99497 and, when the additional time requirement is met, 99498. Append modifier 33 to the advance care planning code when the same provider furnishes it on the AWV date so its deductible and coinsurance are waived.
Is annual depression screening separately billable with G0439?
G0444 may be reported with G0439 when the separate annual depression screening is performed and documented. CMS does not allow G0444 with the initial AWV, G0438.
Does the subsequent AWV require a physical exam?
No. It requires measurements, a health risk assessment, cognitive impairment assessment, and prevention-plan updates, but not a comprehensive physical examination.
What happens if G0439 is billed too soon?
Medicare may deny it for frequency if 11 full calendar months have not passed since the previous AWV. Check the prior AWV date and confirm that the beneficiary has received G0438.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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