2026 Medicare Physician Fee Schedule

See how much profit Chronic Care Managementcan add to your practice in 2026.

Choose your local Medicare Administrative Contractor, enter the number of eligible patients, and we'll calculate your projected CCM revenue and profit using the 2026 fee schedule.

Your Practice

Adjusted for your MAC's locality factor.

Patients with 2+ chronic conditions expected to last 12+ months.

Locality factor
Noridian Healthcare Solutions (JE) — 1.09× national rate
Projected Annual Revenue
$288,594
$24,049 / month
Annual Profit (40%)
$115,438
$9,620 / month

Revenue by CPT Code

2026 PFS rates × locality × typical utilization

CPTServiceLocal RateAnnual
99490CCM — First 20 min (clinical staff)$70$209,378
99439CCM — Each additional 20 min$53$79,216
Total Annual Revenue$288,594

Estimates based on the 2026 Medicare Physician Fee Schedule and typical CCM utilization patterns. Actual reimbursement varies by documentation, utilization, and locality GPCI adjustments. Profit assumes a 40% margin after staffing, technology, and program costs.

Why Practices Choose Esrun Health

A fully turn-key Chronic Care Management partner. No new staff, no new software— just better outcomes and a new, profitable revenue stream.

Turn-Key Program

Our care team does the heavy lifting—enrollment, monthly touchpoints, and documentation.

Better Outcomes

Proactive engagement reduces hospital readmissions and improves patient satisfaction.

Reduces Burden

Save hundreds of staff hours annually by outsourcing patient tasks.

Ready to capture this revenue?

See how Esrun Health can launch your CCM program in under 30 days—without adding headcount.