G0548 describes phone or internet services in the 21–30 minute category. G0551 is specifically identified as a 30-minute service for diagnosis or treatment.
On this page
CMS RVU26D · Effective 2026-10-01
G0551 in Madera
Office / nonfacility
$37.49
Base rate per service
Facility setting
$31.26
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Telehealth
About G0551: Phone and internet diagnosis-treatment service
Reports a 30-minute phone or internet service used to address a patient’s diagnostic or treatment needs remotely.
G0551 describes a phone or internet interaction focused on diagnosing or treating a patient’s health concern, with a 30-minute service duration. The clinical work may include discussing symptoms, evaluating information the patient provides, and determining or adjusting a treatment approach. The code is for the remote clinical interaction itself, rather than a device or the supply of digital equipment.
Select G0551 when the documented service matches its diagnostic-or-treatment purpose and 30-minute duration. The record should identify the patient concern, the clinical assessment or treatment work performed, the communication method, and the time spent. Distinguish it from nearby phone or internet codes by checking their stated service purpose and time category. The CMS facts supplied for this code list no additional payment rules; they do not establish a separate component, add-on pairing, or bundling instruction.
Where the value comes from
- Work RVU0.70 · 64%
- Practice expense (office) RVU0.35 · 32%
- Malpractice RVU0.05 · 5%
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.
G0551 compared with similar codes
Office rates for Madera, from the same CMS release.
G0549 identifies a phone or internet treatment service lasting over 31 minutes; G0551 is identified as a 30-minute diagnostic-or-treatment service.
G0550 describes a phone or internet diagnostic-or-treatment service with a different time designation. Check the documented duration and the exact descriptor for the service provided.
The same code, a different location
How does Madera compare?
In Bakersfield, the office rate for G0551 is $37.65—$0.16 higher than the $37.49 rate in Madera. Both use the same code, release and participation basis.
G0551 across payment areas
Same release and payment basis · bars start at $0
Madera · This locality
$37.49
$37.65
$0.16 higher than Madera
$37.49
The same base rate than Madera
$37.49
The same base rate than Madera
$37.49
The same base rate than Madera
$37.49
The same base rate than Madera
$1.79 higher than Madera
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, G0551 ranges from $34.28 in Arkansas to $48.44 in Alaska*. This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Merced
California · G0551
Office
$37.49
Facility
$31.26
The same base rate than Madera for the office setting.
Modesto
California · G0551
Office
$37.49
Facility
$31.26
The same base rate than Madera for the office setting.
Napa
California · G0551
Office
$41.11
Facility
$33.63
$3.62 higher than Madera for the office setting.
Oxnard-Thousand Oaks-Ventura
California · G0551
Office
$38.89
Facility
$32.18
$1.40 higher than Madera for the office setting.
Redding
California · G0551
Office
$37.49
Facility
$31.26
The same base rate than Madera for the office setting.
Rest Of California
California · G0551
Office
$37.49
Facility
$31.26
The same base rate than Madera for the office setting.
Riverside-San Bernardino-Ontario
California · G0551
Office
$38.04
Facility
$31.82
$0.55 higher than Madera for the office setting.
Sacramento-Roseville-Folsom
California · G0551
Office
$38.71
Facility
$32.11
$1.22 higher than Madera for the office setting.
Salinas
California · G0551
Office
$38.55
Facility
$31.97
$1.06 higher than Madera for the office setting.
San Diego-Chula Vista-Carlsbad
California · G0551
Office
$38.97
Facility
$32.18
$1.48 higher than Madera for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · G0551
Office
$42.85
Facility
$34.85
$5.36 higher than Madera for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · G0551
Office
$42.79
Facility
$34.79
$5.30 higher than Madera for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · G0551
Office
$43.71
Facility
$35.52
$6.22 higher than Madera for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · G0551
Office
$43.47
Facility
$35.29
$5.98 higher than Madera for the office setting.
San Luis Obispo-Paso Robles
California · G0551
Office
$37.99
Facility
$31.52
$0.50 higher than Madera for the office setting.
Santa Cruz-Watsonville
California · G0551
Office
$38.97
Facility
$32.07
$1.48 higher than Madera for the office setting.
Santa Maria-Santa Barbara
California · G0551
Office
$38.56
Facility
$31.94
$1.07 higher than Madera for the office setting.
Santa Rosa-Petaluma
California · G0551
Office
$39.33
Facility
$32.36
$1.84 higher than Madera for the office setting.
Stockton
California · G0551
Office
$37.49
Facility
$31.26
The same base rate than Madera for the office setting.
Vallejo
California · G0551
Office
$41.03
Facility
$33.54
$3.54 higher than Madera for the office setting.
Visalia
California · G0551
Office
$37.49
Facility
$31.26
The same base rate than Madera for the office setting.
Yuba City
California · G0551
Office
$37.49
Facility
$31.26
The same base rate than Madera for the office setting.
Dc + Md/Va Suburbs
District of Columbia · G0551
Office
$40.27
Facility
$33.58
$2.78 higher than Madera for the office setting.
Miami
Florida · G0551
Office
$39.77
Facility
$33.86
$2.28 higher than Madera for the office setting.
Chicago
Illinois · G0551
Office
$39.13
Facility
$33.42
$1.64 higher than Madera for the office setting.
Manhattan
New York · G0551
Office
$41.11
Facility
$34.51
$3.62 higher than Madera for the office setting.
Alaska*
Alaska · G0551
Office
$48.44
Facility
$42.39
$10.95 higher than Madera for the office setting.
Alabama
Alabama · G0551
Office
$34.55
Facility
$29.59
$2.94 lower than Madera for the office setting.
Arkansas
Arkansas · G0551
Office
$34.28
Facility
$29.41
$3.21 lower than Madera for the office setting.
Arizona
Arizona · G0551
Office
$36.14
Facility
$30.64
$1.35 lower than Madera for the office setting.
Colorado
Colorado · G0551
Office
$37.40
Facility
$31.36
$0.09 lower than Madera for the office setting.
Connecticut
Connecticut · G0551
Office
$38.46
Facility
$32.34
$0.97 higher than Madera for the office setting.
Delaware
Delaware · G0551
Office
$36.55
Facility
$30.94
$0.94 lower than Madera for the office setting.
Fort Lauderdale
Florida · G0551
Office
$38.24
Facility
$32.49
$0.75 higher than Madera for the office setting.
Rest Of Florida
Florida · G0551
Office
$37.07
Facility
$31.64
$0.42 lower than Madera for the office setting.
Atlanta
Georgia · G0551
Office
$37.33
Facility
$31.56
$0.16 lower than Madera for the office setting.
Rest Of Georgia
Georgia · G0551
Office
$35.80
Facility
$30.73
$1.69 lower than Madera for the office setting.
Hawaii, Guam
Hawaii · G0551
Office
$37.64
Facility
$31.18
$0.15 higher than Madera for the office setting.
Iowa
Iowa · G0551
Office
$34.74
Facility
$29.54
$2.75 lower than Madera for the office setting.
Idaho
Idaho · G0551
Office
$34.93
Facility
$29.70
$2.56 lower than Madera for the office setting.
East St. Louis
Illinois · G0551
Office
$37.50
Facility
$32.28
$0.01 higher than Madera for the office setting.
Rest Of Illinois
Illinois · G0551
Office
$36.66
Facility
$31.48
$0.83 lower than Madera for the office setting.
Suburban Chicago
Illinois · G0551
Office
$38.51
Facility
$32.68
$1.02 higher than Madera for the office setting.
Indiana
Indiana · G0551
Office
$35.03
Facility
$29.77
$2.46 lower than Madera for the office setting.
Kansas
Kansas · G0551
Office
$34.79
Facility
$29.66
$2.70 lower than Madera for the office setting.
Kentucky
Kentucky · G0551
Office
$35.30
Facility
$30.25
$2.19 lower than Madera for the office setting.
New Orleans
Louisiana · G0551
Office
$36.28
Facility
$30.94
$1.21 lower than Madera for the office setting.
Rest Of Louisiana
Louisiana · G0551
Office
$35.33
Facility
$30.30
$2.16 lower than Madera for the office setting.
Metropolitan Boston
Massachusetts · G0551
Office
$39.78
Facility
$33.00
$2.29 higher than Madera for the office setting.
Rest Of Massachusetts
Massachusetts · G0551
Office
$37.40
Facility
$31.42
$0.09 lower than Madera for the office setting.
Baltimore/Surr. Cntys
Maryland · G0551
Office
$38.36
Facility
$32.27
$0.87 higher than Madera for the office setting.
Rest Of Maryland
Maryland · G0551
Office
$36.98
Facility
$31.23
$0.51 lower than Madera for the office setting.
Rest Of Maine
Maine · G0551
Office
$35.17
Facility
$29.95
$2.32 lower than Madera for the office setting.
Southern Maine
Maine · G0551
Office
$36.02
Facility
$30.39
$1.47 lower than Madera for the office setting.
Detroit
Michigan · G0551
Office
$37.48
Facility
$32.00
$0.01 lower than Madera for the office setting.
Rest Of Michigan
Michigan · G0551
Office
$35.94
Facility
$30.76
$1.55 lower than Madera for the office setting.
Minnesota
Minnesota · G0551
Office
$35.90
Facility
$30.06
$1.59 lower than Madera for the office setting.
Metropolitan Kansas City
Missouri · G0551
Office
$35.99
Facility
$30.66
$1.50 lower than Madera for the office setting.
Metropolitan St. Louis
Missouri · G0551
Office
$36.18
Facility
$30.78
$1.31 lower than Madera for the office setting.
Rest Of Missouri
Missouri · G0551
Office
$35.08
Facility
$30.19
$2.41 lower than Madera for the office setting.
Mississippi
Mississippi · G0551
Office
$34.68
Facility
$29.79
$2.81 lower than Madera for the office setting.
Montana**
Montana · G0551
Office
$36.74
Facility
$31.06
$0.75 lower than Madera for the office setting.
North Carolina
North Carolina · G0551
Office
$35.35
Facility
$30.06
$2.14 lower than Madera for the office setting.
North Dakota**
North Dakota · G0551
Office
$35.75
Facility
$30.07
$1.74 lower than Madera for the office setting.
Nebraska
Nebraska · G0551
Office
$34.80
Facility
$29.56
$2.69 lower than Madera for the office setting.
New Hampshire
New Hampshire · G0551
Office
$37.01
Facility
$31.10
$0.48 lower than Madera for the office setting.
Northern Nj
New Jersey · G0551
Office
$40.20
Facility
$33.61
$2.71 higher than Madera for the office setting.
Rest Of New Jersey
New Jersey · G0551
Office
$38.91
Facility
$32.71
$1.42 higher than Madera for the office setting.
New Mexico
New Mexico · G0551
Office
$36.11
Facility
$30.90
$1.38 lower than Madera for the office setting.
Nevada**
Nevada · G0551
Office
$36.47
Facility
$30.79
$1.02 lower than Madera for the office setting.
Nyc Suburbs/Long Island
New York · G0551
Office
$41.88
Facility
$35.13
$4.39 higher than Madera for the office setting.
Poughkpsie/N Nyc Suburbs
New York · G0551
Office
$39.25
Facility
$33.04
$1.76 higher than Madera for the office setting.
Queens
New York · G0551
Office
$41.10
Facility
$34.39
$3.61 higher than Madera for the office setting.
Rest Of New York
New York · G0551
Office
$35.66
Facility
$30.27
$1.83 lower than Madera for the office setting.
Ohio
Ohio · G0551
Office
$35.74
Facility
$30.55
$1.75 lower than Madera for the office setting.
Oklahoma
Oklahoma · G0551
Office
$35.12
Facility
$30.05
$2.37 lower than Madera for the office setting.
Portland
Oregon · G0551
Office
$37.99
Facility
$31.68
$0.50 higher than Madera for the office setting.
Rest Of Oregon
Oregon · G0551
Office
$36.20
Facility
$30.54
$1.29 lower than Madera for the office setting.
Metropolitan Philadelphia
Pennsylvania · G0551
Office
$37.96
Facility
$32.05
$0.47 higher than Madera for the office setting.
Rest Of Pennsylvania
Pennsylvania · G0551
Office
$35.69
Facility
$30.48
$1.80 lower than Madera for the office setting.
Puerto Rico
Puerto Rico · G0551
Office
$36.84
Facility
$31.10
$0.65 lower than Madera for the office setting.
Rhode Island
Rhode Island · G0551
Office
$37.39
Facility
$31.53
$0.10 lower than Madera for the office setting.
South Carolina
South Carolina · G0551
Office
$35.60
Facility
$30.36
$1.89 lower than Madera for the office setting.
South Dakota**
South Dakota · G0551
Office
$35.63
Facility
$29.95
$1.86 lower than Madera for the office setting.
Tennessee
Tennessee · G0551
Office
$34.90
Facility
$29.74
$2.59 lower than Madera for the office setting.
Austin
Texas · G0551
Office
$37.28
Facility
$31.27
$0.21 lower than Madera for the office setting.
Beaumont
Texas · G0551
Office
$35.57
Facility
$30.40
$1.92 lower than Madera for the office setting.
Brazoria
Texas · G0551
Office
$36.46
Facility
$30.83
$1.03 lower than Madera for the office setting.
Dallas
Texas · G0551
Office
$36.67
Facility
$31.01
$0.82 lower than Madera for the office setting.
Fort Worth
Texas · G0551
Office
$36.57
Facility
$30.97
$0.92 lower than Madera for the office setting.
Galveston
Texas · G0551
Office
$36.56
Facility
$30.92
$0.93 lower than Madera for the office setting.
Houston
Texas · G0551
Office
$37.47
Facility
$31.84
$0.02 lower than Madera for the office setting.
Rest Of Texas
Texas · G0551
Office
$35.98
Facility
$30.59
$1.51 lower than Madera for the office setting.
Utah
Utah · G0551
Office
$35.87
Facility
$30.53
$1.62 lower than Madera for the office setting.
Virginia
Virginia · G0551
Office
$36.05
Facility
$30.47
$1.44 lower than Madera for the office setting.
Virgin Islands
United States Virgin Islands · G0551
Office
$36.84
Facility
$31.10
$0.65 lower than Madera for the office setting.
Vermont
Vermont · G0551
Office
$35.80
Facility
$30.18
$1.69 lower than Madera for the office setting.
Rest Of Washington
Washington · G0551
Office
$37.27
Facility
$31.29
$0.22 lower than Madera for the office setting.
Seattle (King Cnty)
Washington · G0551
Office
$40.26
Facility
$33.29
$2.77 higher than Madera for the office setting.
Wisconsin
Wisconsin · G0551
Office
$35.09
Facility
$29.65
$2.40 lower than Madera for the office setting.
West Virginia
West Virginia · G0551
Office
$35.93
Facility
$31.00
$1.56 lower than Madera for the office setting.
Wyoming**
Wyoming · G0551
Office
$36.31
Facility
$30.63
$1.18 lower than Madera for the office setting.
See how rates vary across the country
G0551 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$34.28
$48.44
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $48.44 | 1 |
| AL | $34.55 | 1 |
| AR | $34.28 | 1 |
| AZ | $36.14 | 1 |
| CA | $37.49–$43.71 | 29 |
| CO | $37.40 | 1 |
| CT | $38.46 | 1 |
| DC | $40.27 | 1 |
| DE | $36.55 | 1 |
| FL | $37.07–$39.77 | 3 |
| GA | $35.80–$37.33 | 2 |
| GU | $37.64 | 1 |
| HI | $37.64 | 1 |
| IA | $34.74 | 1 |
| ID | $34.93 | 1 |
| IL | $36.66–$39.13 | 4 |
| IN | $35.03 | 1 |
| KS | $34.79 | 1 |
| KY | $35.30 | 1 |
| LA | $35.33–$36.28 | 2 |
| MA | $37.40–$39.78 | 2 |
| MD | $36.98–$40.27 | 3 |
| ME | $35.17–$36.02 | 2 |
| MI | $35.94–$37.48 | 2 |
| MN | $35.90 | 1 |
| MO | $35.08–$36.18 | 3 |
| MS | $34.68 | 1 |
| MT | $36.74 | 1 |
| NC | $35.35 | 1 |
| ND | $35.75 | 1 |
| NE | $34.80 | 1 |
| NH | $37.01 | 1 |
| NJ | $38.91–$40.20 | 2 |
| NM | $36.11 | 1 |
| NV | $36.47 | 1 |
| NY | $35.66–$41.88 | 5 |
| OH | $35.74 | 1 |
| OK | $35.12 | 1 |
| OR | $36.20–$37.99 | 2 |
| PA | $35.69–$37.96 | 2 |
| PR | $36.84 | 1 |
| RI | $37.39 | 1 |
| SC | $35.60 | 1 |
| SD | $35.63 | 1 |
| TN | $34.90 | 1 |
| TX | $35.57–$37.47 | 8 |
| UT | $35.87 | 1 |
| VA | $36.05–$40.27 | 2 |
| VI | $36.84 | 1 |
| VT | $35.80 | 1 |
| WA | $37.27–$40.26 | 2 |
| WI | $35.09 | 1 |
| WV | $35.93 | 1 |
| WY | $36.31 | 1 |
Where does this rate apply?
Madera is a Medicare payment area. Our Census mapping connects it to 17 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Why are the office and facility amounts different?
For G0551 in Madera, the physician’s office rate is $37.49 and the facility-setting rate is $31.26: a difference of $6.23.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for G0551 in Madera. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$41.24
$37.49 × 110% = $41.24
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for G0551 in Madera.
PPRRVU2026_Oct_nonQPP.csv
15,346
- Code
- G0551
- Physician work
- 0.70
- Practice expense
- 0.35
- Malpractice
- 0.05
GPCI2026.csv
14
- Locality
- Madera
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 0.70 | × 1.017 | 0.7119 |
| Practice expense | 0.35 | × 1.096 | 0.3836 |
| Malpractice | 0.05 | × 0.536 | 0.0268 |
| Total RVUs | 1.1223 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Madera$37.49
Open G0551 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.7 | 1.017 |
| Practice expense | 0.35 | 1.096 |
| Malpractice | 0.05 | 0.536 |
(0.7 × 1.017 + 0.35 × 1.096 + 0.05 × 0.536) × $33.4009 = $37.49
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 0.7 | 1.017 |
| Practice expense | 0.18 | 1.096 |
| Malpractice | 0.05 | 0.536 |
(0.7 × 1.017 + 0.18 × 1.096 + 0.05 × 0.536) × $33.4009 = $31.26
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
G0551 · Office / nonfacility
$37.49
Effective 2026-10-01
The base rate is $2.85 higher than on 2025-10-01, moving from $34.64 to $37.49 (8.2%).
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
$34.64changed to$37.49
- Conversion factor 32.3465 changed to 33.4009
- Practice expense RVU 0.31 changed to 0.35
- Malpractice RVU 0.04 changed to 0.05
- 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
Earliest loaded release: $34.64
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
G0551 billing questions
What distinguishes G0551 from the nearby phone or internet codes?
G0551 is identified as a 30-minute service for diagnosis or treatment. Compare the service purpose and duration in the applicable code descriptor before selecting a neighboring code.
What should the documentation include?
Record the patient’s concern, the clinical assessment or treatment work, whether the contact was by phone or internet, and the time spent.
Can G0551 be reported for a brief administrative call?
The descriptor identifies a diagnostic or treatment service, not an administrative contact. Document the clinical work that supports the service.
Is G0551 an add-on code?
The supplied CMS facts do not identify an add-on pairing for G0551. They also do not specify a required primary service.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
