Estimate your CCM reimbursement
Two inputs. A representative monthly and annual figure. No data leaves your browser, the calculator is entirely client-side.
The estimate uses 2026 national-average Medicare rates for CPT 99490 (base CCM) and typical add-on utilization. Actual reimbursement varies by locality, payer mix, and documentation completeness. Enter your eligible patient count and expected enrollment rate to see the range for your practice.
Patients in the panel with 2+ chronic conditions on Medicare Part B.
Realistic range for a cold-start CCM program is 40-60%.
Typical monthly reimbursement (±10% band)
$5,900 - $7,300/ month
Typical annual reimbursement (±10% band)
$71,300 - $87,100/ year
Representative figures only. Assumes CPT 99490 base-code billing at the 2026 Medicare rate. Actual reimbursement varies with complex-CCM add-ons (99439 / 99487 / 99489), payer mix, and enrollment conversion. Zenith does not bill Medicare directly; the billing practitioner remains the practice.
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