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Winner of the 2024 Best in KLAS award for ambulatory RCM services (EHR-Associated), ARIA RCM Services partners with you to build the most efficient path to a better bottom line.
Solutions such as CGM APRIMA EHR and Practice Management and ARIA RCM Services use GPCI values in conjunction with the RVU values for each CPT® fee to automatically calculate your Medicare fee schedule making it easy to update fees, model the impact of changes on practices, and automate charge entry.
The Medicare fee schedule can also be copied and adjusted for other contracts based on Medicare, such as percentage or fixed changes for all or ranges of codes. We advise that you check this page at the start of each quarter to see if there have been changes to the Conversion Factor or GPCIs. And depending upon your system, GPCI, charge, and RVU content is automatically updated or is easily downloaded to keep your data current. Instructions for updating CompuGroup Medical systems can be found in your system documentation.
The 2024 Physician Fee Schedule Conversion Factor is $32.7442.
The GPCI table below is brought to you by the Best in KLAS award-winning ARIA RCM Services team at CompuGroup Medical.
Our experts work tirelessly every day to improve a practice's accounts receivable and boost their bottom line. With this assistance, our customers can keep their focus on their patients while their doctors are able to rediscover the joy of practicing medicine.
Addendum CY 2024 Geographic Practice Cost Indices (GPCIs) by State and Medicare Locality
Medicare Admin Contractor (MAC)
State
Locality Number
Locality Name
2024 PW GPCI (with 1.0 Floor)
2024 PE GPCI
2024 MP GPCI
2024 ANES-THESIA CONVER-SION FACTOR
10112
AL
00
ALABAMA
1.000
0.869
0.575
19.10
02102
AK
01
ALASKA*
1.500
1.081
0.592
20.26
03102
AZ
00
ARIZONA
1.000
0.975
0.854
19.86
07102
AR
13
ARKANSAS
1.000
0.860
0.518
18.63
01112
CA
54
BAKERSFIELD
1.017
1.093
0.662
22.49
01112
CA
55
CHICO
1.014
1.093
0.560
22.70
01182
CA
71
EL CENTRO
1.014
1.093
0.570
21.00
01112
CA
56
FRESNO
1.014
1.093
0.560
21.34
01112
CA
57
HANFORD-CORCORAN
1.014
1.093
0.560
21.14
01182
CA
18
LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY)
1.042
1.194
0.690
22.49
01112
CA
58
MADERA
1.014
1.093
0.560
21.15
01112
CA
59
MERCED
1.014
1.093
0.560
20.23
01112
CA
60
MODESTO
1.014
1.093
0.560
19.39
01112
CA
51
NAPA
1.058
1.310
0.521
19.55
01182
CA
17
OXNARD-THOUSAND OAKS-VENTURA
1.026
1.183
0.651
19.75
01112
CA
61
REDDING
1.014
1.093
0.560
19.37
01112
CA
62
RIVERSIDE-SAN BERNARDINO-ONTARIO
1.014
1.093
0.892
19.67
01112
CA
63
SACRAMENTO-ROSEVILLE-FOLSOM
1.034
1.156
0.560
19.85
01112
CA
64
SALINAS
1.035
1.165
0.560
19.57
01182
CA
72
SAN DIEGO-CHULA VISTA-CARLSBAD
1.028
1.191
0.572
20.75
01112
CA
05
SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY)
1.088
1.419
0.445
20.84
01112
CA
52
SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)
1.088
1.419
0.470
20.74
01112
CA
65
SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)
1.100
1.435
0.560
22.70
01182
CA
73
SAN LUIS OBISPO-PASO ROBLES
1.014
1.132
0.560
20.57
01112
CA
09
SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)
1.100
1.435
0.420
20.95
01112
CA
66
SANTA CRUZ-WATSONVILLE
1.017
1.209
0.560
20.08
01182
CA
74
SANTA MARIA-SANTA BARBARA
1.022
1.175
0.560
19.45
01112
CA
67
SANTA ROSA-PETALUMA
1.027
1.232
0.560
19.59
01112
CA
68
STOCKTON
1.014
1.093
0.560
19.61
01112
CA
53
VALLEJO
1.058
1.310
0.470
20.95
01112
CA
69
VISALIA
1.014
1.093
0.560
20.17
01112
CA
70
YUBA CITY
1.014
1.093
0.560
20.70
01112
CA
75
REST OF CALIFORNIA
1.014
1.093
0.560
19.47
04112
CO
01
COLORADO
1.008
1.053
0.827
20.51
13102
CT
00
CONNECTICUT
1.022
1.091
1.207
21.35
12202
DC
01
DC + MD/VA SUBURBS
1.057
1.192
1.168
20.48
12102
DE
01
DELAWARE
1.009
0.992
0.949
22.19
09102
FL
03
FORT LAUDERDALE
1.000
0.998
1.770
21.10
09102
FL
04
MIAMI
1.000
1.027
2.500
22.23
09102
FL
99
REST OF FLORIDA
1.000
0.940
1.467
20.36
10212
GA
01
ATLANTA
1.000
0.997
1.128
20.54
10212
GA
99
REST OF GEORGIA
1.000
0.883
1.125
19.70
01212
HI
01
HAWAII, GUAM
1.000
1.149
0.561
20.29
02202
ID
00
IDAHO
1.000
0.908
0.461
18.75
06102
IL
16
CHICAGO
1.007
1.023
2.018
20.87
06102
IL
12
EAST ST. LOUIS
1.000
0.918
1.784
21.43
06102
IL
15
SUBURBAN CHICAGO
1.007
1.048
1.556
21.95
06102
IL
99
REST OF ILLINOIS
1.000
0.912
1.381
20.20
08102
IN
00
INDIANA
1.000
0.922
0.485
19.08
05102
IA
00
IOWA
1.000
0.913
0.457
18.93
05202
KS
00
KANSAS
1.000
0.906
0.540
18.97
15102
KY
00
KENTUCKY
1.000
0.877
0.913
19.30
07202
LA
01
NEW ORLEANS
1.000
0.935
1.156
20.06
07202
LA
99
REST OF LOUISIANA
1.000
0.881
0.982
19.48
14112
ME
03
SOUTHERN MAINE
1.000
1.012
0.656
19.69
14112
ME
99
REST OF MAINE
1.000
0.913
0.650
19.10
12302
MD
01
BALTIMORE/SURR. CNTYS
1.020
1.078
1.309
21.41
12302
MD
99
REST OF MARYLAND
1.012
1.016
0.973
20.64
14212
MA
01
METROPOLITAN BOSTON
1.042
1.197
0.894
21.61
14212
MA
99
REST OF MASSACHUSETTS
1.017
1.061
0.796
20.64
08202
MI
01
DETROIT
1.003
0.986
1.718
21.38
08202
MI
99
REST OF MICHIGAN
1.000
0.911
1.173
19.97
06202
MN
00
MINNESOTA
1.000
1.025
0.300
19.54
07302
MS
00
MISSISSIPPI
1.000
0.852
0.768
18.85
05302
MO
02
METROPOLITAN KANSAS CITY
1.000
0.948
0.992
19.98
05302
MO
01
METROPOLITAN ST. LOUIS
1.000
0.952
0.994
19.98
05302
MO
99
REST OF MISSOURI
1.000
0.859
0.974
19.24
03202
MT
01
MONTANA**
1.000
1.000
0.978
19.55
05402
NE
00
NEBRASKA
1.000
0.917
0.304
18.79
01312
NV
00
NEVADA**
1.000
1.000
0.844
20.02
14312
NH
40
NEW HAMPSHIRE
1.000
1.034
0.898
20.30
12402
NJ
01
NORTHERN NJ
1.064
1.172
1.032
22.06
12402
NJ
99
REST OF NEW JERSEY
1.042
1.106
1.069
21.54
04212
NM
05
NEW MEXICO
1.000
0.908
1.172
19.96
13202
NY
01
MANHATTAN
1.065
1.166
1.656
22.87
13202
NY
02
NYC SUBURBS/LONG ISLAND
1.065
1.200
1.911
23.32
13202
NY
03
POUGHKPSIE/N NYC SUBURBS
1.046
1.106
1.269
21.87
13292
NY
04
QUEENS
1.065
1.195
1.462
22.71
13282
NY
99
REST OF NEW YORK
1.000
0.949
0.732
19.77
11502
NC
00
NORTH CAROLINA
1.000
0.926
0.665
19.48
03302
ND
01
NORTH DAKOTA**
1.000
1.000
0.517
19.27
15202
OH
00
OHIO
1.000
0.911
1.033
19.91
04312
OK
00
OKLAHOMA
1.000
0.891
0.813
19.28
02302
OR
01
PORTLAND
1.013
1.103
0.688
20.57
02302
OR
99
REST OF OREGON
1.000
0.986
0.643
19.57
12502
PA
01
METROPOLITAN PHILADELPHIA
1.024
1.053
1.177
21.22
12502
PA
99
REST OF PENNSYLVANIA
1.000
0.927
0.925
19.91
09202
PR
20
PUERTO RICO
1.000
1.007
0.982
20.76
14412
RI
01
RHODE ISLAND
1.025
1.039
0.849
19.46
11202
SC
01
SOUTH CAROLINA
1.000
0.913
0.817
18.87
03402
SD
02
SOUTH DAKOTA**
1.000
1.000
0.382
18.92
10312
TN
35
TENNESSEE
1.000
0.896
0.544
20.41
04412
TX
31
AUSTIN
1.000
1.046
0.914
20.47
04412
TX
20
BEAUMONT
1.000
0.903
0.947
20.47
04412
TX
09
BRAZORIA
1.014
1.006
0.795
21.20
04412
TX
11
DALLAS
1.011
1.007
0.877
19.81
04412
TX
28
FORT WORTH
1.011
0.998
0.902
20.47
04412
TX
15
GALVESTON
1.014
1.000
0.855
20.44
04412
TX
18
HOUSTON
1.014
1.003
1.409
19.95
04412
TX
99
REST OF TEXAS
1.000
0.945
0.934
19.52
03502
UT
09
UTAH
1.000
0.933
0.930
19.35
14512
VT
50
VERMONT
1.000
0.993
0.518
20.09
11302
VA
00
VIRGINIA
1.002
0.984
0.755
21.65
09202
VI
50
VIRGIN ISLANDS
1.000
1.007
0.982
20.42
02402
WA
02
SEATTLE (KING CNTY)
1.043
1.220
0.853
19.80
02402
WA
99
REST OF WASHINGTON
1.007
1.040
0.803
19.18
11402
WV
16
WEST VIRGINIA
1.000
0.862
1.333
19.44
06302
WI
00
WISCONSIN
1.000
0.957
0.331
20.40
03602
WY
21
WYOMING**
1.000
1.000
0.739
20.40
Looking for help with billing?
Winner of the 2024 Best in KLAS award for ambulatory RCM services (EHR-Associated), ARIA RCM Services partners with you to build the most efficient path to a better bottom line.
Our leading EHR solution, CGM APRIMA offers a uniquely fast, flexible, and powerful EHR designed to complement and simplify your workflow, not hinder it.
*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.
**PE GPCI reflects a 1.0 floor for frontier states established by the ACA.
Note:
The 1.0 Work GPCI floor required by Section 501 of the Further Continuing Appropriations and Other Extensions Act, 2024 [November 16, 2023] extended the Work GPCI floor through January 19, 2024. Therefore, the Work GPCIs for 2023 reflect the 1.0 work GPCI floor, Work GPCIs for 2024 are shown both with and without a 1.0 floor, and Work GPCIs for 2025 do not reflect a 1.0 floor.
For CY 2024 and on, Addendum E will reflect the retirement of 3 California localities, as finalized in the CY 2023 PFS final rule.
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