GPCI

GPCI

2014 GPCI Value Table

    The following table shows the GPCI values, by Medicare Carrier and Locality, CPT® Conversion Factor and Anesthesia Conversion Factor by Locality for 2014. e-MDs Bill uses these in conjunction with the RVU values for each CPT® fee to automatically calculate your Medicare fee schedule. This fee schedule can also be copied and adjusted for other contracts based on Medicare. 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. You should also check the for updated RVU conversion files.

Instructions:

  1. Ensure you have the 2014 CPT® & HCPCS content update.
  2. Ensure you have the 2014 RVU update against the CPT® and HCPCS codes.
  3. Look up your Medicare locality in the Locality Name column. Make sure you distinguish between urban areas and rest of state areas.
  4. In e-MDs Bill, click File >> Setup Options and type the GPCI values into the fields provided. Don't forget to use the decimal point. Note that the options are facility-specific, so be sure to set these based on the facility in which you are calculating fees. There is no Budget Neutrality Adjuster (BNA) for 2014 so leave the Data 1 field blank or set to 1.
  5. Enter the CPT® and Anesthesia Conversion Factors. The 2014 Physician Fee Schedule Conversion Factor is $35.8228. The anesthesia CF for your locality can be found in the GPCI table. Click Save.
  6. Refer to Fee Schedules in the e-MDs Bill User Guide for assistance with creating the Medicare and other fee schedules.

 

 

ADDENDUM E FINAL 2014 GEOGRAPHIC PRACTICE COST INDICES (GPCIs)
Locality State/County Work RVU PE RVU MP RVU 2014 Anes. Conversion Factor
00 Alabama 1.000 0.882 0.543 21.41
01 Alaska** 1.500 1.087 0.687 31.05
00 Arizona 1.000 0.989 0.946 22.54
13 Arkansas 1.000 0.866 0.492 21.25
26 Anaheim/Santa Ana, CA 1.040 1.217 0.792 23.73
18 Los Angeles, CA 1.042 1.158 0.775 23.52
03 Marin/Napa/Solano, CA 1.055 1.267 0.476 23.56
07 Oakland/Berkeley, CA 1.060 1.257 0.487 23.63
05 San Francisco, CA 1.076 1.374 0.487 24.32
06 San Mateo, CA 1.076 1.363 0.466 24.24
09 Santa Clara, CA 1.083 1.342 0.466 24.29
17 Ventura, CA 1.032 1.187 0.720 23.35
99 Rest of California 1.026 1.084 0.603 22.67
01 Colorado 1.000 1.008 0.981 22.67
00 Connecticut 1.024 1.116 1.234 23.93
01 DC + MD/VA Suburbs 1.050 1.202 1.205 24.63
01 Delaware 1.012 1.038 0.878 22.79
03 Fort Lauderdale, FL 1.000 1.041 1.849 24.42
04 Miami, FL 1.000 1.044 2.653 25.95
99 Rest of Florida 1.000 0.964 1.434 23.37
01 Atlanta, GA 1.001 1.010 0.946 22.63
99 Rest of Georgia 1.000 0.899 0.916 22.17
01 Hawaii/Guam 1.002 1.158 0.659 22.61
00 Idaho 1.000 0.896 0.556 21.48
16 Chicago, IL 1.023 1.044 2.048 25.21
12 East St. Louis, IL 1.000 0.935 1.910 24.17
15 Suburban Chicago, IL 1.019 1.065 1.671 24.5
99 Rest of Illinois 1.000 0.909 1.295 22.92
00 Indiana 1.000 0.922 0.615 21.68
00 Iowa 1.000 0.892 0.475 21.31
00 Kansas 1.000 0.899 0.810 21.97
00 Kentucky 1.000 0.872 0.774 21.81
01 New Orleans, LA 1.000 0.980 1.156 22.9
99 Rest of Louisiana 1.000 0.882 0.975 22.22
03 Southern Maine 1.000 1.016 0.659 22.09
99 Rest of Maine 1.000 0.911 0.659 21.73
01 Baltimore/Surr. Cntys, MD 1.025 1.097 1.194 23.81
99 Rest of Maryland 1.013 1.036 0.979 22.99
01 Metropolitan Boston 1.016 1.156 0.704 22.93
99 Rest of Massachusetts 1.015 1.064 0.704 22.6
01 Detroit, MI 1.010 1.009 1.571 23.96
99 Rest of Michigan 1.000 0.922 1.012 22.43
00 Minnesota 1.000 1.016 0.301 21.41
00 Mississippi 1.000 0.865 0.687 21.62
02 Metropolitan Kansas City, MO 1.000 0.953 1.129 22.76
01 Metropolitan St Louis, MO 1.000 0.960 1.045 22.62
99 Rest of Missouri 1.000 0.850 0.985 22.13
01 Montana *** 1.000 1.000 1.165 22.99
00 Nebraska 1.000 0.906 0.342 21.11
00 Nevada *** 1.001 1.055 1.107 23.09
40 New Hampshire 1.000 1.051 0.867 22.6
01 Northern NJ 1.042 1.184 1.068 24.17
99 Rest of New Jersey 1.023 1.126 1.068 23.64
05 New Mexico 1.000 0.918 1.079 22.54
01 Manhattan, NY 1.057 1.165 1.518 25.21
02 NYC Suburbs/Long I., NY 1.048 1.211 1.828 25.8
03 Poughkpsie/N NYC Suburbs, NY 1.011 1.070 1.283 23.64
04 Queens, NY 1.057 1.197 1.836 25.92
99 Rest of New York 1.000 0.942 0.661 21.84
00 North Carolina 1.000 0.929 0.732 21.93
01 North Dakota *** 1.000 1.000 0.536 21.8
00 Ohio 1.000 0.923 1.117 22.63
00 Oklahoma 1.000 0.864 0.790 21.81
01 Portland, OR 1.005 1.047 0.667 22.3
99 Rest of Oregon 1.000 0.965 0.667 21.93
01 Metropolitan Philadelphia, PA 1.018 1.073 1.444 24.08
99 Rest of Pennsylvania 1.000 0.921 1.055 22.51
20 Puerto Rico 1.000 0.692 0.271 20.24
01 Rhode Island 1.020 1.053 0.973 23.16
01 South Carolina 1.000 0.911 0.618 21.65
02 South Dakota*** 1.000 1.000 0.416 21.57
35 Tennessee 1.000 0.898 0.524 21.43
31 Austin, TX 1.000 1.014 0.759 22.27
20 Beaumont, TX 1.000 0.899 0.939 22.21
09 Brazoria, TX 1.014 0.989 0.939 22.77
11 Dallas, TX 1.014 1.013 0.803 22.59
28 Fort Worth, TX 1.002 0.987 0.799 22.29
15 Galveston, TX 1.014 1.005 0.970 22.88
18 Houston, TX 1.014 1.004 0.939 22.82
99 Rest of Texas 1.000 0.916 0.816 22.04
09 Utah 1.000 0.919 1.136 22.65
50 Vermont 1.000 1.006 0.618 21.98
00 Virginia 1.000 0.980 0.778 22.19
50 Virgin Islands 1.000 1.004 1.003 22.7
02 Seattle (King Cnty), WA 1.025 1.150 0.688 23.04
99 Rest of Washington 1.000 1.014 0.668 22.1
16 West Virginia 1.000 0.832 1.256 22.58
00 Wisconsin 1.000 0.958 0.557 21.69
21 Wyoming *** 1.000 1.000 1.226 23.1