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Geographic Practice Cost Indices (GPCI)

December 21, 2023

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.

ARIA RCM Services wins Best in KLAS 2024

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.

Scroll down for this year's GPCI Value Table.

ARIA RCM Services wins Best in KLAS 2024 - Ambulatory RCM Services (EHR-Associated)
ARIA RCM Services wins Best in KLAS 2024

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.

2024 GPCI Value Table

Addendum CY 2024 Geographic Practice Cost Indices (GPCIs) by State and Medicare Locality

Medicare Admin Contractor (MAC)StateLocality NumberLocality Name2024 PW GPCI (with 1.0 Floor)2024 PE GPCI2024 MP GPCI2024 ANES-THESIA CONVER-SION FACTOR
10112AL00ALABAMA1.0000.8690.57519.10
02102AK01ALASKA*1.5001.0810.59220.26
03102AZ00ARIZONA1.0000.9750.85419.86
07102AR13ARKANSAS1.0000.8600.51818.63
01112CA54BAKERSFIELD1.0171.0930.66222.49
01112CA55CHICO1.0141.0930.56022.70
01182CA71EL CENTRO1.0141.0930.57021.00
01112CA56FRESNO1.0141.0930.56021.34
01112CA57HANFORD-CORCORAN1.0141.0930.56021.14
01182CA18LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY)1.0421.1940.69022.49
01112CA58MADERA1.0141.0930.56021.15
01112CA59MERCED1.0141.0930.56020.23
01112CA60MODESTO1.0141.0930.56019.39
01112CA51NAPA1.0581.3100.52119.55
01182CA17OXNARD-THOUSAND OAKS-VENTURA1.0261.1830.65119.75
01112CA61REDDING1.0141.0930.56019.37
01112CA62RIVERSIDE-SAN BERNARDINO-ONTARIO1.0141.0930.89219.67
01112CA63SACRAMENTO-ROSEVILLE-FOLSOM1.0341.1560.56019.85
01112CA64SALINAS1.0351.1650.56019.57
01182CA72SAN DIEGO-CHULA VISTA-CARLSBAD1.0281.1910.57220.75
01112CA05SAN FRANCISCO-OAKLAND-BERKELEY (SAN FRANCISCO/SAN MATEO/ALAMEDA/CONTRA COSTA CNTY)1.0881.4190.44520.84
01112CA52SAN FRANCISCO-OAKLAND-BERKELEY (MARIN CNTY)1.0881.4190.47020.74
01112CA65SAN JOSE-SUNNYVALE-SANTA CLARA (SAN BENITO CNTY)1.1001.4350.56022.70
01182CA73SAN LUIS OBISPO-PASO ROBLES1.0141.1320.56020.57
01112CA09SAN JOSE-SUNNYVALE-SANTA CLARA (SANTA CLARA CNTY)1.1001.4350.42020.95
01112CA66SANTA CRUZ-WATSONVILLE1.0171.2090.56020.08
01182CA74SANTA MARIA-SANTA BARBARA1.0221.1750.56019.45
01112CA67SANTA ROSA-PETALUMA1.0271.2320.56019.59
01112CA68STOCKTON1.0141.0930.56019.61
01112CA53VALLEJO1.0581.3100.47020.95
01112CA69VISALIA1.0141.0930.56020.17
01112CA70YUBA CITY1.0141.0930.56020.70
01112CA75REST OF CALIFORNIA1.0141.0930.56019.47
04112CO01COLORADO1.0081.0530.82720.51
13102CT00CONNECTICUT1.0221.0911.20721.35
12202DC01DC + MD/VA SUBURBS1.0571.1921.16820.48
12102DE01DELAWARE1.0090.9920.94922.19
09102FL03FORT LAUDERDALE1.0000.9981.77021.10
09102FL04MIAMI1.0001.0272.50022.23
09102FL99REST OF FLORIDA1.0000.9401.46720.36
10212GA01ATLANTA1.0000.9971.12820.54
10212GA99REST OF GEORGIA1.0000.8831.12519.70
01212HI01HAWAII, GUAM1.0001.1490.56120.29
02202ID00IDAHO1.0000.9080.46118.75
06102IL16CHICAGO1.0071.0232.01820.87
06102IL12EAST ST. LOUIS1.0000.9181.78421.43
06102IL15SUBURBAN CHICAGO1.0071.0481.55621.95
06102IL99REST OF ILLINOIS1.0000.9121.38120.20
08102IN00INDIANA1.0000.9220.48519.08
05102IA00IOWA1.0000.9130.45718.93
05202KS00KANSAS1.0000.9060.54018.97
15102KY00KENTUCKY1.0000.8770.91319.30
07202LA01NEW ORLEANS1.0000.9351.15620.06
07202LA99REST OF LOUISIANA1.0000.8810.98219.48
14112ME03SOUTHERN MAINE1.0001.0120.65619.69
14112ME99REST OF MAINE1.0000.9130.65019.10
12302MD01BALTIMORE/SURR. CNTYS1.0201.0781.30921.41
12302MD99REST OF MARYLAND1.0121.0160.97320.64
14212MA01METROPOLITAN BOSTON1.0421.1970.89421.61
14212MA99REST OF MASSACHUSETTS1.0171.0610.79620.64
08202MI01DETROIT1.0030.9861.71821.38
08202MI99REST OF MICHIGAN1.0000.9111.17319.97
06202MN00MINNESOTA1.0001.0250.30019.54
07302MS00MISSISSIPPI1.0000.8520.76818.85
05302MO02METROPOLITAN KANSAS CITY1.0000.9480.99219.98
05302MO01METROPOLITAN ST. LOUIS1.0000.9520.99419.98
05302MO99REST OF MISSOURI1.0000.8590.97419.24
03202MT01MONTANA**1.0001.0000.97819.55
05402NE00NEBRASKA1.0000.9170.30418.79
01312NV00NEVADA**1.0001.0000.84420.02
14312NH40NEW HAMPSHIRE1.0001.0340.89820.30
12402NJ01NORTHERN NJ1.0641.1721.03222.06
12402NJ99REST OF NEW JERSEY1.0421.1061.06921.54
04212NM05NEW MEXICO1.0000.9081.17219.96
13202NY01MANHATTAN1.0651.1661.65622.87
13202NY02NYC SUBURBS/LONG ISLAND1.0651.2001.91123.32
13202NY03POUGHKPSIE/N NYC SUBURBS1.0461.1061.26921.87
13292NY04QUEENS1.0651.1951.46222.71
13282NY99REST OF NEW YORK1.0000.9490.73219.77
11502NC00NORTH CAROLINA1.0000.9260.66519.48
03302ND01NORTH DAKOTA**1.0001.0000.51719.27
15202OH00OHIO1.0000.9111.03319.91
04312OK00OKLAHOMA1.0000.8910.81319.28
02302OR01PORTLAND1.0131.1030.68820.57
02302OR99REST OF OREGON1.0000.9860.64319.57
12502PA01METROPOLITAN PHILADELPHIA1.0241.0531.17721.22
12502PA99REST OF PENNSYLVANIA1.0000.9270.92519.91
09202PR20PUERTO RICO1.0001.0070.98220.76
14412RI01RHODE ISLAND1.0251.0390.84919.46
11202SC01SOUTH CAROLINA1.0000.9130.81718.87
03402SD02SOUTH DAKOTA**1.0001.0000.38218.92
10312TN35TENNESSEE1.0000.8960.54420.41
04412TX31AUSTIN1.0001.0460.91420.47
04412TX20BEAUMONT1.0000.9030.94720.47
04412TX09BRAZORIA1.0141.0060.79521.20
04412TX11DALLAS1.0111.0070.87719.81
04412TX28FORT WORTH1.0110.9980.90220.47
04412TX15GALVESTON1.0141.0000.85520.44
04412TX18HOUSTON1.0141.0031.40919.95
04412TX99REST OF TEXAS1.0000.9450.93419.52
03502UT09UTAH1.0000.9330.93019.35
14512VT50VERMONT1.0000.9930.51820.09
11302VA00VIRGINIA1.0020.9840.75521.65
09202VI50VIRGIN ISLANDS1.0001.0070.98220.42
02402WA02SEATTLE (KING CNTY)1.0431.2200.85319.80
02402WA99REST OF WASHINGTON1.0071.0400.80319.18
11402WV16WEST VIRGINIA1.0000.8621.33319.44
06302WI00WISCONSIN1.0000.9570.33120.40
03602WY21WYOMING**1.0001.0000.73920.40

 

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.
Integrated EHR and practice management
Our leading EHR solution, CGM APRIMA offers a uniquely fast, flexible, and powerful EHR designed to complement and simplify your workflow, not hinder it.

Instructions

*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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