Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, CPT Code Billing: Medicare claim submission and phone numbers for all states

Medicare All state claim address and phone number list, if any modification please comment it.

State		IVR #	Claim mailing address	Appeal address	Online resource
Florida	FL	1-877-847-4992	Medicare Part B Participating Providers P.O. Box 44117 Jacksonville, FL 32231-4117.	Medicare Part B Redetermination P.O. Box 2360 Jacksonville, FL 32231-0018	http://medicare.fcso.com/
Virgin Islands	VI	1-877-847-4992	Medicare Part B Participating Providers P.O. Box 44117 Jacksonville, FL 32231-4117.	Medicare Part B Redetermination P.O. Box 2360 Jacksonville, FL 32231-0018	http://medicare.fcso.com/
Arizona	AZ	1-877-908-8431	Medicare Part B P.O. Box 6704 Fargo, ND 58108-6704	Medicare Part B PO Box 6704 Fargo, ND 58108-6704	www.noridianmedicare.com
Montana	MT	1-877-908-8431	Medicare Part B P.O. Box 6735 Fargo, ND 58108-6735	Medicare Part B PO Box 6735 Fargo, ND 58108-6735	www.noridianmedicare.com
North Dakota	ND	1-877-908-8431	Medicare Part B P.O. Box 6706 Fargo, ND 58108-6706	Medicare Part B PO Box 6706 Fargo, ND 58108-6706	www.noridianmedicare.com
South Dakota	SD	1-877-908-8431	Medicare Part B P.O. Box 6707 Fargo, ND 58108-6707	Medicare Part B PO Box 6707 Fargo, ND 58108-6707	www.noridianmedicare.com
Utah	UT	1-877-908-8431	Medicare Part B P.O. Box 6725 Fargo, ND 58108-6725	Medicare Part B PO Box 6725 Fargo, ND 58108-6725	www.noridianmedicare.com
Wyoming	WY	1-877-908-8431	Medicare Part B P.O. Box 6708 Fargo, ND 58108-6708	Medicare Part B PO Box 6708 Fargo, ND 58108-6708	www.noridianmedicare.com
Arkansas	AR	1-877-908-8434	Pinnacle Medicare Services Attn: Claims P.O. Box 1418 Little Rock AR 72203	Pinnacle Medicare Services P.O. Box 8150 Little Rock, AR 72203 Phone: (866) 345-0274	www.pinnaclemedicare.com
Louisiana	LA	1-877-567-7204	Pinnacle Medicare Services Attn: LA Claims P.O. Box 8082 Little Rock AR 72203	Pinnacle Medicare Services P.O. Box 8066 Little Rock, AR 72203-8066 Phone: (866) 567-8419	www.pinnaclemedicare.com
California	CA	1-866-931-3903	Palmetto GBA Part B - J1 MAC P.O. Box 1051 Augusta, GA 30903-1051 Fax: (803) 462-3930(North California) Fax: (803) 462-3931(South California)	Palmetto GBA Part B - J1 MAC P.O. Box 1252 Augusta, GA 30903-1052 Fax: (803) 462-3914	www.palmettogba.com
Hawaii	HI	1-866-931-3903	Palmetto GBA Part B - J1 MAC P.O. Box 1051 Augusta, GA 30903-1051 Fax: (803) 462-3932	Palmetto GBA Part B - J1 MAC P.O. Box 1252 Augusta, GA 30903-1052 Fax: (803) 462-3914	www.palmettogba.com
Nevada	NV	1-866-931-3903	Palmetto GBA Part B - J1 MAC P.O. Box 1051 Augusta, GA 30903-1051 Fax: (803) 462-3932	Palmetto GBA Part B - J1 MAC P.O. Box 1252 Augusta, GA 30903-1052 Fax: (803) 462-3914	www.palmettogba.com
Colorado	CO	1-877-567-9230	Medicare Part B Claims P.O. Box 660031 Dallas, TX 75266-0031	Medicare Part B Claims P.O. Box 650714 Dallas, TX 75265-0714	www.trailblazerhealth.com
New Mexico	NM	1-877-567-9230	Medicare Part B Claims P.O. Box 660031 Dallas, TX 75266-0031	Medicare Part B Claims P.O. Box 650714 Dallas, TX 75265-0714	www.trailblazerhealth.com
Oklahoma	OK	1-877-567-9230	Medicare Part B Claims P.O. Box 660031 Dallas, TX 75266-0031	Medicare Part B Claims P.O. Box 650714 Dallas, TX 75265-0714	www.trailblazerhealth.com
Texas	TX	1-877-567-9230	Medicare Part B Claims P.O. Box 660031 Dallas, TX 75266-0031	Medicare Part B Claims P.O. Box 660156 Dallas, TX 75265-0156	www.trailblazerhealth.com
Alaska	AK	1-877-908-8431	Medicare Part B PO Box 6703 Fargo, ND 58108-6703	Medicare Part B PO Box 6703 Fargo, ND 58108-6703	www.noridianmedicare.com
Oregon	OR	1-877-908-8431	Medicare Part B PO Box 6702 Fargo, ND 58108-6702	Medicare Part B PO Box 6702 Fargo, ND 58108-6702	www.noridianmedicare.com
Washington	WA	1-877-908-8431	Medicare Part B PO Box 6700 Fargo, ND 58108-6700	Medicare Part B PO Box 6700 Fargo, ND 58108-6700	www.noridianmedicare.com
Alabama	AL	1-877-567-7271	Alabama Medicare Part B Claims PO Box 830140 Birmingham, AL 35283-0140	Alabama Part B Redeterminations PO Box 1921 Birmingham, AL 35201-1921	www.cahabagba.com
Georgia	GA	1-877-567-7271	Georgia Medicare Part B Claims PO Box 12847 Birmingham, AL 35202-2847	Georgia Part B Redeterminations PO Box 12967 Birmingham, AL 35202-2967	www.cahabagba.com
Tennessee	TN	1-877-567-7271	Tennessee Part B Claims PO Box 12086 Birmingham, AL 35202-2086	Tennessee Part B Redeterminations PO Box 12724 Birmingham, AL 35202-6724	www.cahabagba.com
Mississippi	MS	1-877-567-7271	Mississippi Medicare Part B Claims PO Box 547 Birmingham, AL 35201	Mississippi Part B Redeterminations PO Box 548 Birmingham, AL 35201	www.cahabagba.com
Connecticut	CT	1-877-869-6504	National Government Services, Inc. P.O. Box 6185 Indianapolis, IN 46206-6185	National Government Services, Inc. P.O. Box 7111 Indianapolis, IN 46207-7111	www.ngsmedicare.com
Indiana	IN	1-866-250-5665	National Government Services, Inc. P.O. Box 6160 Indianapolis, IN 46206-6160	National Government Services, Inc. P.O. Box 6160 Indianapolis, IN 46206-6160	www.ngsmedicare.com
New York	NY (downstate counties)	1-877-869-6504	National Government Services, Inc. P.O. Box 6178 Indianapolis, IN 46206-6178	National Government Services, Inc. P.O. Box 7111 Indianapolis, IN 46207-7111	www.ngsmedicare.com
New York	NY (Queens county)	1-877-869-6504	National Government Services, Inc. P.O. Box 6239 Indianapolis, IN 46206-6239	National Government Services, Inc. P.O. Box 7111 Indianapolis, IN 46207-7111	www.ngsmedicare.com
New York	NY (upstate counties)	1-877-869-6504	National Government Services, Inc. P.O. Box 6189 Indianapolis, IN 46206-6189	National Government Services, Inc. P.O. Box 7111 Indianapolis, IN 46207-7111	www.ngsmedicare.com
Pennsylvania	PA	1-877-235-8073	Highmark Medicare Services PO Box 890418 Camp Hill, PA 17089-0418	Highmark Medicare Services Appeals PO Box 890413 Camp Hill, PA 17089-0413	www.highmarkmedicareservices.com
Maryland	MD	1-877-235-8073	Highmark Medicare Services PO Box 890398 Camp Hill, PA 17089-0398	Highmark Medicare Services Appeals PO Box 890401 Camp Hill, PA 17089-0401	www.highmarkmedicareservices.com
New Jersey	NJ	1-877-235-8073	Highmark Medicare Services PO Box 890030 Camp Hill, PA 17089-0030	Highmark Medicare Services Appeals PO Box 890031 Camp Hill, PA 17089-0031	www.highmarkmedicareservices.com
Delaware	DE	1-877-235-8073	Highmark Medicare Services PO Box 890397 Camp Hill, PA 17089-0397	Highmark Medicare Services Appeals PO Box 890400 Camp Hill, PA 17089-0400	www.highmarkmedicareservices.com
Washington DC MA	DCMA	1-877-235-8073	Highmark Medicare Services PO Box 890396 Camp Hill, PA 17089-0396	Highmark Medicare Services Appeals PO Box 890399 Camp Hill, PA 17089-0399	www.highmarkmedicareservices.com
North Carolina	NC	1877-872-5556	Palmetto GBA - J11 MAC Mail Code: AG-600 P.O. Box 100190 Columbia, SC 29202-3190	Palmetto GBA - J11 MAC Mail Code: AG-600 P.O. Box 100190 Columbia, SC 29202-3190	www.palmettogba.com
South Carolina	SC	1877-872-5556	Palmetto GBA - J11 MAC Mail Code: AG-600 P.O. Box 100190 Columbia, SC 29202-3190	Palmetto GBA - J11 MAC Mail Code: AG-600 P.O. Box 100190 Columbia, SC 29202-3190	www.palmettogba.com
Virginia	VA	1877-872-5556	Palmetto GBA - J11 MAC Mail Code: AG-600 P.O. Box 100190 Columbia, SC 29202-3190	Palmetto GBA - J11 MAC Mail Code: AG-600 P.O. Box 100190 Columbia, SC 29202-3190	www.palmettogba.com
West Virginia	WV	1877-872-5556	Palmetto GBA - J11 MAC Mail Code: AG-600 P.O. Box 100190 Columbia, SC 29202-3190	Palmetto GBA - J11 MAC Mail Code: AG-600 P.O. Box 100190 Columbia, SC 29202-3190	www.palmettogba.com
Idaho	ID	1-866-502-9051	CGS PO Box 22599 Nashville, TN 37202	CGS Attention: Redeterminations PO Box 22990 Nashville, TN 37202	www.cgsmedicare.com
Kentucky	KY	1-866-290-4036	CGS Administrators, LLC 1 Cameron Hill Cir STE 0060 Chattanooga, TN 37402-0060	CGS Administrators, LLC 1 Cameron Hill Cir Ste 0061 Chattanooga, TN 37402-0061	www.cgsmedicare.com
Ohio	OH	1-866-290-4036	CGS 1 Cameron Hill Cir STE 0060 Chattanooga, TN 37402-0060	CGS 1 Cameron Hill Cir Ste 0061 Chattanooga, TN 37402-0061	www.cgsmedicare.com

Medicare physician fee schedule - Quick overview

Medicare Part B pays for physician services based on the PFS, which lists the more than 7,400 unique
covered services and their payment rates. Physicians’ services include the following:

* Office visits;
* Surgical procedures;
* Anesthesia services; and
* A range of other diagnostic and therapeutic services.

Medicare Physician Fee Schedule Payment Rates

Payment rates for an individual service are based on
three components:
1) Relative Value Units (RVU)
2) Conversion Factor (CF)
3) Geographic Practice Cost Indices (GPCI)

Medicare Physician Fee Schedule Payment Rates Formula

The Medicare PFS payment rates formula is shown below:

[(Work RVU x Work GPCI) + (PE RVU x PE GPCI) +
(MP RVU x MP GPCI)] x CF

Medicare fee schedule download

Medicare Fee Schedule, Payment and Reimbursement Benefit Guideline, CPT Code Billing

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Medicare claim submission and phone numbers for all states

Medicare physician fee schedule - Quick overview

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