GPCI
2012 GPCI Value Table
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The following table shows the GPCI values, by Medicare Carrier and Locality, CPT® Conversion Factor and Anesthesia Conversion Factor by Locality for 2011. 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:
- Ensure you have the 2012 CPT® & HCPCS content update.
- Ensure you have the 2012 RVU update against the CPT® and HCPCS codes.
- Look up your Medicare locality in the Locality Name column. Make sure you distinguish between urban areas and rest of state areas.
- 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 2012 so leave the Data 1 field blank or set to 1.
- Enter the CPT® and Anesthesia Conversion Factors. The 2012 Physician Fee Schedule Conversion Factor is $34.0376 The anesthesia CF for your locality can be found in the GPCI table. Click Save.
- Refer to Fee Schedules in the e-MDs Bill User Guide for assistance with creating the Medicare and other fee schedules.
| 2012 Geographic Practice Cost Indices (GPCIs) and Anesthesia CF by State and Medicare Locality |
| Locality | Locality name | 2012 Work GPCI1 | 2012 PE GPCI 2 | 2012 MP GPCI | Anes. CF |
| 00 | Alabama | 1.000 | 0.878 | 0.474 | 20.14 |
| 01 | Alaska** | 1.500 | 1.067 | 0.661 | 29.33 |
| 00 | Arizona | 1.000 | 0.978 | 1.015 | 21.48 |
| 13 | Arkansas | 1.000 | 0.865 | 0.450 | 20.06 |
| 26 | Anaheim/Santa Ana, CA | 1.044 | 1.218 | 0.676 | 22.33 |
| 18 | Los Angeles, CA | 1.036 | 1.154 | 0.642 | 21.93 |
| 03 | Marin/Napa/Solano, CA | 1.051 | 1.248 | 0.456 | 22.12 |
| 07 | Oakland/Berkeley, CA | 1.058 | 1.254 | 0.516 | 22.37 |
| 99 | Rest of California* | 1.024 | 1.085 | 0.547 | 21.33 |
| 05 | San Francisco, CA | 1.072 | 1.360 | 0.516 | 22.94 |
| 06 | San Mateo, CA | 1.072 | 1.354 | 0.516 | 22.92 |
| 09 | Santa Clara, CA | 1.077 | 1.337 | 0.516 | 22.95 |
| 17 | Ventura, CA | 1.034 | 1.193 | 0.605 | 21.95 |
| 01 | Colorado | 1.000 | 1.004 | 0.872 | 21.29 |
| 00 | Connecticut | 1.024 | 1.110 | 1.235 | 22.7 |
| 01 | DC + MD/VA Suburbs | 1.049 | 1.198 | 1.130 | 23.2 |
| 01 | Delaware | 1.012 | 1.044 | 0.672 | 21.24 |
| 03 | Fort Lauderdale, FL | 1.000 | 1.051 | 1.982 | 23.52 |
| 04 | Miami, FL | 1.000 | 1.054 | 2.815 | 25.09 |
| 99 | Rest of Florida | 1.000 | 0.968 | 1.553 | 22.45 |
| 01 | Atlanta, GA | 1.002 | 1.015 | 0.949 | 21.5 |
| 99 | Rest of Georgia | 1.000 | 0.898 | 0.928 | 21.06 |
| 01 | Hawaii/Guam | 1.000 | 1.154 | 0.700 | 21.44 |
| 00 | Idaho | 1.000 | 0.894 | 0.603 | 20.44 |
| 16 | Chicago, IL | 1.030 | 1.051 | 2.077 | 24.19 |
| 12 | East St. Louis, IL | 1.000 | 0.936 | 1.934 | 23.07 |
| 99 | Rest of Illinois | 1.000 | 0.909 | 1.336 | 21.86 |
| 15 | Suburban Chicago, IL | 1.025 | 1.072 | 1.706 | 23.48 |
| 00 | Indiana | 1.000 | 0.923 | 0.613 | 20.55 |
| 00 | Iowa | 1.000 | 0.887 | 0.456 | 20.14 |
| 00 | Kansas | 1.000 | 0.894 | 0.957 | 21.1 |
| 00 | Kentucky | 1.000 | 0.871 | 0.752 | 20.64 |
| 01 | New Orleans, LA | 1.000 | 0.976 | 0.921 | 21.29 |
| 99 | Rest of Louisiana | 1.000 | 0.877 | 0.744 | 20.65 |
| 99 | Rest of Maine | 1.000 | 0.904 | 0.676 | 20.61 |
| 03 | Southern Maine | 1.000 | 1.024 | 0.676 | 20.99 |
| 01 | Baltimore/Surr. Cntys, MD | 1.027 | 1.097 | 1.206 | 22.66 |
| 99 | Rest of Maryland | 1.011 | 1.035 | 0.987 | 21.79 |
| 01 | Metropolitan Boston | 1.014 | 1.149 | 0.790 | 21.83 |
| 99 | Rest of Massachusetts | 1.013 | 1.062 | 0.790 | 21.54 |
| 01 | Detroit, MI | 1.022 | 1.023 | 1.814 | 23.48 |
| 99 | Rest of Michigan | 1.000 | 0.923 | 1.069 | 21.4 |
| 00 | Minnesota | 1.000 | 1.012 | 0.282 | 20.21 |
| 00 | Mississippi | 1.000 | 0.866 | 0.761 | 20.64 |
| 02 | Metropolitan Kansas City, MO | 1.000 | 0.953 | 1.233 | 21.81 |
| 01 | Metropolitan St Louis, MO | 1.000 | 0.964 | 1.064 | 21.52 |
| 99 | Rest of Missouri | 1.000 | 0.851 | 1.023 | 21.09 |
| 01 | Montana *** | 1.000 | 1.000 | 1.103 | 21.71 |
| 00 | Nebraska | 1.000 | 0.904 | 0.322 | 19.94 |
| 00 | Nevada *** | 1.000 | 1.058 | 1.232 | 22.14 |
| 40 | New Hampshire | 1.000 | 1.044 | 0.860 | 21.4 |
| 01 | Northern NJ | 1.044 | 1.186 | 1.045 | 22.92 |
| 99 | Rest of New Jersey | 1.021 | 1.126 | 1.045 | 22.35 |
| 05 | New Mexico | 1.000 | 0.916 | 0.997 | 21.25 |
| 01 | Manhattan, NY | 1.062 | 1.162 | 1.271 | 23.56 |
| 02 | NYC Suburbs/Long I., NY | 1.049 | 1.212 | 1.441 | 23.82 |
| 03 | Poughkpsie/N NYC Suburbs, NY | 1.011 | 1.065 | 1.081 | 22.06 |
| 04 | Queens, NY | 1.062 | 1.195 | 1.491 | 24.08 |
| 99 | Rest of New York | 1.000 | 0.939 | 0.562 | 20.5 |
| 00 | North Carolina | 1.000 | 0.927 | 0.695 | 20.71 |
| 01 | North Dakota *** | 1.000 | 1.000 | 0.517 | 20.61 |
| 00 | Ohio | 1.000 | 0.927 | 1.240 | 21.74 |
| 00 | Oklahoma | 1.000 | 0.856 | 0.734 | 20.56 |
| 01 | Portland, OR | 1.005 | 1.044 | 0.625 | 21.04 |
| 99 | Rest of Oregon | 1.000 | 0.962 | 0.625 | 20.69 |
| 01 | Metropolitan Philadelphia, PA | 1.014 | 1.059 | 1.624 | 23.11 |
| 99 | Rest of Pennsylvania | 1.000 | 0.913 | 1.123 | 21.47 |
| 20 | Puerto Rico | 1.000 | 0.678 | 0.249 | 19.09 |
| 01 | Rhode Island | 1.017 | 1.052 | 1.187 | 22.31 |
| 01 | South Carolina | 1.000 | 0.909 | 0.520 | 20.33 |
| 02 | South Dakota*** | 1.000 | 1.000 | 0.432 | 20.45 |
| 35 | Tennessee | 1.000 | 0.898 | 0.523 | 20.3 |
| 31 | Austin, TX | 1.000 | 1.009 | 0.751 | 21.08 |
| 20 | Beaumont, TX | 1.000 | 0.896 | 0.923 | 21.04 |
| 09 | Brazoria, TX | 1.009 | 0.987 | 0.923 | 21.48 |
| 11 | Dallas, TX | 1.009 | 1.017 | 0.834 | 21.41 |
| 28 | Fort Worth, TX | 1.000 | 0.979 | 0.826 | 21.13 |
| 15 | Galveston, TX | 1.009 | 0.996 | 0.985 | 21.63 |
| 18 | Houston, TX | 1.009 | 1.002 | 0.923 | 21.53 |
| 99 | Rest of Texas | 1.000 | 0.912 | 0.809 | 20.88 |
| 09 | Utah | 1.000 | 0.916 | 1.102 | 21.44 |
| 50 | Vermont | 1.000 | 1.008 | 0.554 | 20.71 |
| 50 | Virgin Islands | 1.000 | 1.002 | 1.010 | 21.54 |
| 00 | Virginia | 1.000 | 0.977 | 0.731 | 20.94 |
| 99 | Rest of Washington | 1.000 | 1.012 | 0.861 | 21.3 |
| 02 | Seattle (King Cnty), WA | 1.025 | 1.144 | 0.881 | 22.16 |
| 16 | West Virginia | 1.000 | 0.828 | 1.229 | 21.4 |
| 00 | Wisconsin | 1.000 | 0.960 | 0.547 | 20.54 |
| 21 | Wyoming *** | 1.000 | 1.000 | 1.233 | 21.95 |