CMS RVU26D · Effective 2026-10-01

New York Medicare fee schedule

Compare Medicare physician payment amounts, inspect the CMS source, and browse rates by code and payment locality.

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.

Rates by payment locality

Examples are selected by 2024 national office/non-facility service volume among codes with supported current PFS rates. This is not a local or specialty utilization ranking. Amounts use the current release, not historical averages.

A selection of codes and localities from this schedule. Browse the complete directories below, or verify your practice’s locality by ZIP.

Manhattan

Medicare physician rates for Manhattan
CodeOffice / nonfacilityFacilityWork RVU
99214$153.27$93.891.92
99213$107.63$63.781.3
97110$32.43Not available in this setting0.45
97530$39.45Not available in this setting0.44

Nyc Suburbs/Long Island

Medicare physician rates for Nyc Suburbs/Long Island
CodeOffice / nonfacilityFacilityWork RVU
99214$156.34$95.581.92
99213$109.76$64.891.3
97110$32.90Not available in this setting0.45
97530$40.09Not available in this setting0.44

Poughkpsie/N Nyc Suburbs

Medicare physician rates for Poughkpsie/N Nyc Suburbs
CodeOffice / nonfacilityFacilityWork RVU
99214$145.82$89.861.92
99213$102.41$61.081.3
97110$31.11Not available in this setting0.45
97530$37.71Not available in this setting0.44

Queens

Medicare physician rates for Queens
CodeOffice / nonfacilityFacilityWork RVU
99214$153.94$93.531.92
99213$108.18$63.561.3
97110$32.66Not available in this setting0.45
97530$39.81Not available in this setting0.44

Rest Of New York

Medicare physician rates for Rest Of New York
CodeOffice / nonfacilityFacilityWork RVU
99214$130.88$82.331.92
99213$91.86$56.011.3
97110$28.27Not available in this setting0.45
97530$33.97Not available in this setting0.44

Primary care

Compare office and outpatient evaluation-and-management base rates.

Behavioral health

Compare selected psychiatric diagnostic and individual psychotherapy base rates.

Physical therapy

Compare selected outpatient therapy base rates before claim-level adjustments.

Browse procedure codes

Start with a service family. These reviewed search terms help you find rate pages; the service performed and documentation determine the billing code.

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.