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CMS RVU26D · Effective 2026-10-01

92563 in Merced

Office / nonfacility

$38.98

Base rate per service

Facility setting

Not available in this setting

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.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 92563 is $39.01—$0.03 higher than the $38.98 rate in Merced. Both use the same code, release and participation basis.

92563 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $38.98

  2. Bakersfield

    $39.01

    $0.03 higher than Merced

  3. Chico

    $38.98

    The same base rate than Merced

  4. El Centro

    $38.98

    The same base rate than Merced

  5. Fresno

    $38.98

    The same base rate than Merced

  6. Hanford-Corcoran

    $38.98

    The same base rate than Merced

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $42.11

    $3.13 higher than Merced

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, 92563 ranges from $30.58 in Arkansas to $51.23 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). 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

  • Madera

    California · 92563

    Office

    $38.98

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Modesto

    California · 92563

    Office

    $38.98

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Napa

    California · 92563

    Office

    $46.83

    Facility

    Unavailable

    $7.85 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 92563

    Office

    $42.06

    Facility

    Unavailable

    $3.08 higher than Merced for the office setting.

  • Redding

    California · 92563

    Office

    $38.98

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 92563

    Office

    $38.98

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 92563

    Office

    $39.09

    Facility

    Unavailable

    $0.11 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 92563

    Office

    $41.35

    Facility

    Unavailable

    $2.37 higher than Merced for the office setting.

  • Salinas

    California · 92563

    Office

    $41.21

    Facility

    Unavailable

    $2.23 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 92563

    Office

    $42.53

    Facility

    Unavailable

    $3.55 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 92563

    Office

    $50.07

    Facility

    Unavailable

    $11.09 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 92563

    Office

    $50.06

    Facility

    Unavailable

    $11.08 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 92563

    Office

    $51.23

    Facility

    Unavailable

    $12.25 higher than Merced for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 92563

    Office

    $51.19

    Facility

    Unavailable

    $12.21 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 92563

    Office

    $40.51

    Facility

    Unavailable

    $1.53 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 92563

    Office

    $43.20

    Facility

    Unavailable

    $4.22 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 92563

    Office

    $41.46

    Facility

    Unavailable

    $2.48 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 92563

    Office

    $43.66

    Facility

    Unavailable

    $4.68 higher than Merced for the office setting.

  • Stockton

    California · 92563

    Office

    $38.98

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 92563

    Office

    $46.82

    Facility

    Unavailable

    $7.84 higher than Merced for the office setting.

  • Visalia

    California · 92563

    Office

    $38.98

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 92563

    Office

    $38.98

    Facility

    Unavailable

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 92563

    Office

    $42.08

    Facility

    Unavailable

    $3.10 higher than Merced for the office setting.

  • Miami

    Florida · 92563

    Office

    $37.70

    Facility

    Unavailable

    $1.28 lower than Merced for the office setting.

  • Chicago

    Illinois · 92563

    Office

    $36.35

    Facility

    Unavailable

    $2.63 lower than Merced for the office setting.

  • Manhattan

    New York · 92563

    Office

    $41.67

    Facility

    Unavailable

    $2.69 higher than Merced for the office setting.

  • Alaska*

    Alaska · 92563

    Office

    $37.89

    Facility

    Unavailable

    $1.09 lower than Merced for the office setting.

  • Alabama

    Alabama · 92563

    Office

    $31.17

    Facility

    Unavailable

    $7.81 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 92563

    Office

    $30.58

    Facility

    Unavailable

    $8.40 lower than Merced for the office setting.

  • Arizona

    Arizona · 92563

    Office

    $34.59

    Facility

    Unavailable

    $4.39 lower than Merced for the office setting.

  • Colorado

    Colorado · 92563

    Office

    $37.93

    Facility

    Unavailable

    $1.05 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 92563

    Office

    $38.54

    Facility

    Unavailable

    $0.44 lower than Merced for the office setting.

  • Delaware

    Delaware · 92563

    Office

    $35.28

    Facility

    Unavailable

    $3.70 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 92563

    Office

    $36.47

    Facility

    Unavailable

    $2.51 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 92563

    Office

    $34.35

    Facility

    Unavailable

    $4.63 lower than Merced for the office setting.

  • Atlanta

    Georgia · 92563

    Office

    $36.37

    Facility

    Unavailable

    $2.61 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 92563

    Office

    $31.98

    Facility

    Unavailable

    $7.00 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 92563

    Office

    $40.45

    Facility

    Unavailable

    $1.47 higher than Merced for the office setting.

  • Iowa

    Iowa · 92563

    Office

    $32.53

    Facility

    Unavailable

    $6.45 lower than Merced for the office setting.

  • Idaho

    Idaho · 92563

    Office

    $32.73

    Facility

    Unavailable

    $6.25 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 92563

    Office

    $33.25

    Facility

    Unavailable

    $5.73 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 92563

    Office

    $32.85

    Facility

    Unavailable

    $6.13 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 92563

    Office

    $36.95

    Facility

    Unavailable

    $2.03 lower than Merced for the office setting.

  • Indiana

    Indiana · 92563

    Office

    $32.98

    Facility

    Unavailable

    $6.00 lower than Merced for the office setting.

  • Kansas

    Kansas · 92563

    Office

    $32.17

    Facility

    Unavailable

    $6.81 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 92563

    Office

    $31.78

    Facility

    Unavailable

    $7.20 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 92563

    Office

    $33.70

    Facility

    Unavailable

    $5.28 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 92563

    Office

    $31.65

    Facility

    Unavailable

    $7.33 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 92563

    Office

    $42.57

    Facility

    Unavailable

    $3.59 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 92563

    Office

    $37.55

    Facility

    Unavailable

    $1.43 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 92563

    Office

    $38.40

    Facility

    Unavailable

    $0.58 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 92563

    Office

    $36.14

    Facility

    Unavailable

    $2.84 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 92563

    Office

    $32.78

    Facility

    Unavailable

    $6.20 lower than Merced for the office setting.

  • Southern Maine

    Maine · 92563

    Office

    $35.30

    Facility

    Unavailable

    $3.68 lower than Merced for the office setting.

  • Detroit

    Michigan · 92563

    Office

    $34.73

    Facility

    Unavailable

    $4.25 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 92563

    Office

    $32.70

    Facility

    Unavailable

    $6.28 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 92563

    Office

    $36.53

    Facility

    Unavailable

    $2.45 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 92563

    Office

    $33.57

    Facility

    Unavailable

    $5.41 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 92563

    Office

    $34.04

    Facility

    Unavailable

    $4.94 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 92563

    Office

    $30.84

    Facility

    Unavailable

    $8.14 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 92563

    Office

    $30.73

    Facility

    Unavailable

    $8.25 lower than Merced for the office setting.

  • Montana**

    Montana · 92563

    Office

    $35.74

    Facility

    Unavailable

    $3.24 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 92563

    Office

    $33.25

    Facility

    Unavailable

    $5.73 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 92563

    Office

    $35.54

    Facility

    Unavailable

    $3.44 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 92563

    Office

    $32.81

    Facility

    Unavailable

    $6.17 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 92563

    Office

    $37.15

    Facility

    Unavailable

    $1.83 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 92563

    Office

    $41.43

    Facility

    Unavailable

    $2.45 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 92563

    Office

    $39.03

    Facility

    Unavailable

    $0.05 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 92563

    Office

    $32.87

    Facility

    Unavailable

    $6.11 lower than Merced for the office setting.

  • Nevada**

    Nevada · 92563

    Office

    $35.72

    Facility

    Unavailable

    $3.26 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 92563

    Office

    $42.72

    Facility

    Unavailable

    $3.74 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 92563

    Office

    $39.17

    Facility

    Unavailable

    $0.19 higher than Merced for the office setting.

  • Queens

    New York · 92563

    Office

    $42.33

    Facility

    Unavailable

    $3.35 higher than Merced for the office setting.

  • Rest Of New York

    New York · 92563

    Office

    $33.87

    Facility

    Unavailable

    $5.11 lower than Merced for the office setting.

  • Ohio

    Ohio · 92563

    Office

    $32.66

    Facility

    Unavailable

    $6.32 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 92563

    Office

    $31.88

    Facility

    Unavailable

    $7.10 lower than Merced for the office setting.

  • Portland

    Oregon · 92563

    Office

    $39.58

    Facility

    Unavailable

    $0.60 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 92563

    Office

    $35.50

    Facility

    Unavailable

    $3.48 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 92563

    Office

    $37.26

    Facility

    Unavailable

    $1.72 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 92563

    Office

    $32.82

    Facility

    Unavailable

    $6.16 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 92563

    Office

    $36.12

    Facility

    Unavailable

    $2.86 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 92563

    Office

    $36.87

    Facility

    Unavailable

    $2.11 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 92563

    Office

    $33.00

    Facility

    Unavailable

    $5.98 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 92563

    Office

    $35.52

    Facility

    Unavailable

    $3.46 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 92563

    Office

    $32.36

    Facility

    Unavailable

    $6.62 lower than Merced for the office setting.

  • Austin

    Texas · 92563

    Office

    $37.75

    Facility

    Unavailable

    $1.23 lower than Merced for the office setting.

  • Beaumont

    Texas · 92563

    Office

    $32.53

    Facility

    Unavailable

    $6.45 lower than Merced for the office setting.

  • Brazoria

    Texas · 92563

    Office

    $35.35

    Facility

    Unavailable

    $3.63 lower than Merced for the office setting.

  • Dallas

    Texas · 92563

    Office

    $35.55

    Facility

    Unavailable

    $3.43 lower than Merced for the office setting.

  • Fort Worth

    Texas · 92563

    Office

    $35.20

    Facility

    Unavailable

    $3.78 lower than Merced for the office setting.

  • Galveston

    Texas · 92563

    Office

    $35.43

    Facility

    Unavailable

    $3.55 lower than Merced for the office setting.

  • Houston

    Texas · 92563

    Office

    $35.62

    Facility

    Unavailable

    $3.36 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 92563

    Office

    $33.90

    Facility

    Unavailable

    $5.08 lower than Merced for the office setting.

  • Utah

    Utah · 92563

    Office

    $33.58

    Facility

    Unavailable

    $5.40 lower than Merced for the office setting.

  • Virginia

    Virginia · 92563

    Office

    $35.04

    Facility

    Unavailable

    $3.94 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 92563

    Office

    $36.12

    Facility

    Unavailable

    $2.86 lower than Merced for the office setting.

  • Vermont

    Vermont · 92563

    Office

    $35.22

    Facility

    Unavailable

    $3.76 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 92563

    Office

    $37.54

    Facility

    Unavailable

    $1.44 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 92563

    Office

    $43.71

    Facility

    Unavailable

    $4.73 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 92563

    Office

    $34.02

    Facility

    Unavailable

    $4.96 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 92563

    Office

    $31.24

    Facility

    Unavailable

    $7.74 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 92563

    Office

    $35.65

    Facility

    Unavailable

    $3.33 lower than Merced for the office setting.

See how rates vary across the country

92563 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$30.58

$45.11

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$37.891
AL$31.171
AR$30.581
AZ$34.591
CA$38.98–$51.2329
CO$37.931
CT$38.541
DC$42.081
DE$35.281
FL$34.35–$37.703
GA$31.98–$36.372
GU$40.451
HI$40.451
IA$32.531
ID$32.731
IL$32.85–$36.954
IN$32.981
KS$32.171
KY$31.781
LA$31.65–$33.702
MA$37.55–$42.572
MD$36.14–$42.083
ME$32.78–$35.302
MI$32.70–$34.732
MN$36.531
MO$30.84–$34.043
MS$30.731
MT$35.741
NC$33.251
ND$35.541
NE$32.811
NH$37.151
NJ$39.03–$41.432
NM$32.871
NV$35.721
NY$33.87–$42.725
OH$32.661
OK$31.881
OR$35.50–$39.582
PA$32.82–$37.262
PR$36.121
RI$36.871
SC$33.001
SD$35.521
TN$32.361
TX$32.53–$37.758
UT$33.581
VA$35.04–$42.082
VI$36.121
VT$35.221
WA$37.54–$43.712
WI$34.021
WV$31.241
WY$35.651

Explore 92563 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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.

Browse all communities in California →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 92563 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$42.88

$38.98 × 110% = $42.88

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.

Compare your contract offer →

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 92563 in Merced.

PPRRVU2026_Oct_nonQPP.csv

11,837

Code
92563
Physician work
0.00
Practice expense
1.06
Malpractice
0.01

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 92563 in Merced
ComponentRVULocality factorAdjusted
Physician work0.00× 1.0170.0000
Practice expense1.06× 1.0961.1618
Malpractice0.01× 0.5360.0054
Total RVUs1.1671
Conversion factor× 33.4009

Office / nonfacility rate, Merced$38.98

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 92563 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work01.017
Practice expense1.061.096
Malpractice0.010.536

(0 × 1.017 + 1.06 × 1.096 + 0.01 × 0.536) × $33.4009 = $38.98

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

92563 · Office / nonfacility

$38.98

Effective 2026-10-01

The base rate is $1.32 higher than on 2025-10-01, moving from $37.66 to $38.98 (3.5%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $37.66changed to$38.98

    • Conversion factor 32.3465 changed to 33.4009
    • 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.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $37.66

    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
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$38.98Not available in this settingRVU26D
2026-07-01$38.98Not available in this settingRVU26C
2026-04-01$38.98Not available in this settingRVU26B
2026-01-01$38.98Not available in this settingRVU26A
2025-10-01$37.66Not available in this settingRVU25D
2025-07-01$37.66Not available in this settingRVU25C
2025-04-01$37.66Not available in this settingRVU25B
2025-01-01$37.66Not available in this settingRVU25A

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.

RVUs for 92563PPRRVU2026_Oct_nonQPP.csv, line 11,837 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet