Active NPI 1417975186 Individual Practitioner Male Practitioner

Dr. John W Mitchell , MD

Specialist • Auburn, AL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. John Mitchell, MD is a certified Specialist practicing in Auburn, AL. With approximately 46 years of clinical experience since graduating from University Of Alabama School Of Medicine in 1980, Dr. Mitchell delivers high-quality medical care to the local community at 2375 CHAMPIONS BLVD.

Dr. Mitchell maintains professional affiliations with Bridgeway Diagnostic Radiology, The Heart Center Cardiology, Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

2375 Champions Blvd

Auburn, AL 368306471

Telephone 3343213700

Fax 3348877475

Associated Practice Facility / Clinic

🏢 Lee Obstetrics & Gynecology, Pc Facility NPI 1033170238

Medicare Profile & Education

Medical School

University Of Alabama School Of Medicine

Graduation Year

1980

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Auburn, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

46 Yrs Matches City Avg

City Avg: 46.0 Yrs

State Avg: 34.8 Yrs

Regional Practice Density

4 Specialists

Practicing in Auburn, AL (611 Statewide)

Telehealth Adoption Rate

25.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

61.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mitchell (46 Years) 46 Yrs

Auburn Specialty Average (46.0 Years) 46.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	418	375	$93.63	$81.41
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	332	298	$44.25	$11.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	324	295	$138.09	$115.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	318	109	$94.79	$71.47
93280 Programming of dual lead pacemaker system	270	150	$76.33	$64.21
93000 Routine ekg using at least 12 leads including interpretation and report	244	209	$52.70	$12.33
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	237	230	$338.31	$196.43
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	228	227	$300.50	$160.35
93320 Ultrasound of heart blood flow, valves and chambers	223	222	$99.38	$44.57
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	223	222	$91.25	$20.21
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	218	217	$45.00	$12.83
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	211	204	$326.92	$166.49
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	194	176	$86.88	$63.27
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	155	154	$793.13	$195.79
93880 Ultrasound of both sides of head and neck blood flow	103	102	$250.54	$160.04
93244 Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days	97	96	$27.56	$20.65
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	97	90	$1390.00	$497.04
93242 Heart rhythm recording continous external ekg over more than 48 hours up to 7 days	92	91	$16.20	$9.42
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	81	81	$45.00	$12.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$211.30	$151.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	76	70	$265.35	$155.33
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$137.83	$100.36
36415 Insertion of needle into vein for collection of blood sample	67	64	$3.75	$3.67
93923 Complete ultrasound study of arm and leg arteries	65	65	$178.75	$95.40
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	59	16	$40.89	$27.06
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	55	55	$126.95	$32.27
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	54	54	$95.63	$62.11
93320 Ultrasound of heart blood flow, valves and chambers	53	53	$24.46	$16.33
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	52	52	$4.80	$2.86
80048 Blood test, basic group of blood chemicals (calcium, total)	48	47	$17.20	$8.15
85014 Red blood cell concentration measurement	48	47	$3.29	$2.28
84484 Troponin (protein) analysis, quantitative	48	46	$15.59	$11.75
82553 Creatine kinase (cardiac enzyme) level, mb fraction only	47	45	$17.83	$11.13
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	47	46	$179.13	$115.29
J1250 Injection, dobutamine hydrochloride, per 250 mg	46	46	$8.11	$7.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	44	$184.66	$151.95
93567 Injection for X-ray imaging of aorta above heart valve	37	37	$176.35	$32.29
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	37	37	$960.63	$198.66
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	33	33	$1181.88	$278.65
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	28	28	$282.79	$68.31
92960 External shock to heart to regulate heart beat	28	25	$285.00	$94.22
92920 Balloon dilation of single coronary artery or branch	28	28	$1383.66	$389.30
93283 Programming of dual lead implantable defibrillator system	27	17	$103.79	$80.29
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	27	27	$207.50	$63.65
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	27	27	$105.25	$70.10
71046 X-ray of chest, 2 views	24	24	$36.41	$28.68
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	22	22	$38.75	$22.79
93308 Ultrasound of heart, follow-up	20	20	$34.28	$22.91
33228 Removal and replacement of dual lead permanent pacemaker pulse generator	16	16	$671.25	$311.10
33208 Insertion of pacemaker and upper and lower heart chamber electrode	15	15	$1485.00	$453.43
80061 Blood test, lipids (cholesterol and triglycerides)	13	12	$20.84	$12.11
94010 Test to measure expiratory airflow and volume	11	11	$57.50	$23.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	453	407	$93.63	$82.63
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	358	313	$44.25	$11.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	335	281	$138.09	$117.70
93280 Programming of dual lead pacemaker system	317	174	$79.57	$72.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	311	112	$94.79	$74.73
93000 Routine ekg using at least 12 leads including interpretation and report	310	271	$52.50	$13.08
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	273	270	$338.31	$207.15
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	250	246	$319.96	$169.70
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	195	179	$86.88	$65.18
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	157	157	$793.13	$217.21
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	134	134	$45.00	$13.38
93320 Ultrasound of heart blood flow, valves and chambers	133	133	$96.56	$45.41
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	133	133	$88.00	$20.49
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	131	131	$292.68	$165.95
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	111	110	$38.75	$24.17
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	108	103	$45.00	$13.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$211.30	$153.40
85610 Blood test, clotting time	103	14	$7.32	$4.04
93320 Ultrasound of heart blood flow, valves and chambers	101	97	$24.46	$16.89
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	101	97	$95.63	$64.58
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	100	96	$4.80	$2.95
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	96	83	$1390.00	$499.82
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	94	85	$265.35	$157.08
93880 Ultrasound of both sides of head and neck blood flow	79	79	$248.44	$166.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	77	71	$179.13	$121.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	70	70	$137.83	$104.35
36415 Insertion of needle into vein for collection of blood sample	66	59	$3.75	$3.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	60	55	$184.66	$168.91
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	56	55	$207.50	$65.41
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	56	55	$105.25	$73.23
93923 Complete ultrasound study of arm and leg arteries	55	55	$178.75	$100.04
84484 Troponin (protein) analysis, quantitative	50	44	$15.59	$11.73
82553 Creatine kinase (cardiac enzyme) level, mb fraction only	49	43	$17.83	$11.32
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	49	49	$126.95	$33.77
85014 Red blood cell concentration measurement	44	43	$3.29	$2.21
93308 Ultrasound of heart, follow-up	43	42	$34.28	$23.88
80048 Blood test, basic group of blood chemicals (calcium, total)	41	40	$17.20	$8.29
93567 Injection for X-ray imaging of aorta above heart valve	40	40	$176.35	$35.25
93283 Programming of dual lead implantable defibrillator system	39	25	$105.24	$86.17
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	33	32	$960.63	$202.25
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	32	32	$1181.88	$342.07
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	30	15	$40.89	$27.78
92920 Balloon dilation of single coronary artery or branch	29	24	$1383.66	$388.82
33208 Insertion of pacemaker and upper and lower heart chamber electrode	20	20	$1485.00	$459.59
92960 External shock to heart to regulate heart beat	20	18	$285.00	$102.66
33228 Removal and replacement of dual lead permanent pacemaker pulse generator	17	17	$671.25	$330.04
93461 Insertion of tube in right and left heart chambers, coronary artery, and bypass graft for diagnosis with review by radiologist	12	12	$1349.38	$336.00
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	11	11	$282.79	$59.92
75630 Review by radiologist of abdominal aorta and both leg arteries image	11	11	$217.50	$89.70
36223 Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist	11	11	$424.19	$347.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	481	426	$93.63	$84.23
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	453	122	$94.79	$64.09
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	401	341	$44.25	$12.31
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	342	330	$318.90	$174.57
93000 Routine ekg using at least 12 leads including interpretation and report	326	270	$52.50	$12.68
93280 Programming of dual lead pacemaker system	304	174	$80.00	$76.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	240	211	$138.09	$118.22
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	227	225	$338.31	$206.54
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	204	178	$86.88	$66.15
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	172	172	$286.21	$164.67
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	169	169	$45.00	$14.00
93320 Ultrasound of heart blood flow, valves and chambers	168	168	$94.03	$45.91
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	168	168	$85.08	$20.59
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	132	129	$793.13	$230.97
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	109	108	$38.75	$24.39
93880 Ultrasound of both sides of head and neck blood flow	106	106	$247.42	$172.55
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	106	101	$45.00	$13.92
36415 Insertion of needle into vein for collection of blood sample	93	86	$3.75	$2.96
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	93	85	$1390.00	$541.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	91	91	$137.83	$105.93
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	90	88	$105.25	$75.36
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	90	88	$207.50	$64.23
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	86	81	$95.63	$63.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	84	76	$265.35	$190.78
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	81	76	$4.80	$3.02
93320 Ultrasound of heart blood flow, valves and chambers	81	76	$24.46	$17.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	67	65	$179.13	$126.06
80048 Blood test, basic group of blood chemicals (calcium, total)	64	61	$17.20	$7.99
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	64	63	$126.95	$61.99
85014 Red blood cell concentration measurement	64	61	$3.29	$2.24
84484 Troponin (protein) analysis, quantitative	63	61	$15.59	$11.60
93923 Complete ultrasound study of arm and leg arteries	61	61	$178.75	$100.33
82553 Creatine kinase (cardiac enzyme) level, mb fraction only	59	58	$17.83	$11.28
93454 Insertion of tube in coronary artery for diagnosis with review by radiologist	48	47	$728.75	$188.98
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	38	18	$28.83	$19.83
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	38	38	$1181.88	$306.36
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	37	36	$960.63	$268.49
93308 Ultrasound of heart, follow-up	36	35	$34.28	$23.86
92960 External shock to heart to regulate heart beat	36	31	$285.00	$98.73
93283 Programming of dual lead implantable defibrillator system	32	21	$105.24	$87.65
93567 Injection for X-ray imaging of aorta above heart valve	31	31	$176.35	$50.79
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	30	15	$40.89	$29.33
71046 X-ray of chest, 2 views	29	26	$36.41	$31.68
33208 Insertion of pacemaker and upper and lower heart chamber electrode	28	28	$1485.00	$504.19
92920 Balloon dilation of single coronary artery or branch	26	25	$1383.66	$447.74
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	24	24	$282.79	$75.11
33228 Removal and replacement of dual lead permanent pacemaker pulse generator	24	24	$671.25	$345.30
99219 Hospital observation care, typically 50 minutes	22	21	$177.75	$127.72
94010 Test to measure expiratory airflow and volume	22	22	$57.50	$24.91
83880 Natriuretic peptide (heart and blood vessel protein) level	18	18	$68.40	$35.09
80061 Blood test, lipids (cholesterol and triglycerides)	15	15	$20.84	$13.24
85379 Coagulation function measurement, d-dimer; quantitative	14	13	$15.70	$10.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$211.30	$150.06
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	12	12	$355.00	$249.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	534	479	$93.44	$85.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	506	165	$94.79	$69.14
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	425	365	$44.25	$12.13
93280 Programming of dual lead pacemaker system	332	185	$79.92	$73.28
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	295	290	$316.52	$175.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	273	248	$138.09	$122.65
93000 Routine ekg using at least 12 leads including interpretation and report	265	228	$52.50	$13.53
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	208	187	$86.88	$68.11
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	204	202	$338.31	$213.15
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	203	203	$45.00	$13.99
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	201	201	$277.06	$164.35
93320 Ultrasound of heart blood flow, valves and chambers	199	199	$90.72	$45.87
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	198	198	$81.64	$20.62
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	196	194	$793.13	$241.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	133	12	$48.75	$35.10
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	130	130	$105.25	$75.64
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	128	128	$207.50	$63.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	108	108	$137.83	$104.11
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	106	103	$38.75	$25.12
85610 Blood test, clotting time	98	16	$7.32	$4.29
36415 Insertion of needle into vein for collection of blood sample	96	88	$3.75	$3.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	95	86	$265.35	$193.67
93880 Ultrasound of both sides of head and neck blood flow	85	85	$244.70	$173.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	84	77	$179.13	$128.42
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	76	71	$1390.00	$545.18
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	75	29	$28.83	$22.24
93923 Complete ultrasound study of arm and leg arteries	74	73	$178.75	$104.67
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	73	72	$45.00	$14.12
85014 Red blood cell concentration measurement	69	67	$3.29	$2.31
80048 Blood test, basic group of blood chemicals (calcium, total)	69	67	$17.20	$8.36
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	68	67	$126.95	$70.48
84484 Troponin (protein) analysis, quantitative	68	63	$15.59	$11.22
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	67	26	$40.89	$29.72
71046 X-ray of chest, 2 views	61	55	$36.41	$30.29
82553 Creatine kinase (cardiac enzyme) level, mb fraction only	61	57	$17.83	$11.40
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	57	56	$95.63	$67.59
93320 Ultrasound of heart blood flow, valves and chambers	55	54	$24.46	$17.65
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	55	54	$4.80	$3.07
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	51	51	$1181.88	$327.43
93567 Injection for X-ray imaging of aorta above heart valve	45	45	$176.35	$50.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$211.30	$161.57
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	41	39	$960.63	$256.54
93283 Programming of dual lead implantable defibrillator system	41	29	$105.24	$87.80
92920 Balloon dilation of single coronary artery or branch	35	32	$1383.66	$420.37
99219 Hospital observation care, typically 50 minutes	33	32	$177.75	$121.58
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	31	13	$136.44	$97.69
94010 Test to measure expiratory airflow and volume	31	31	$57.50	$27.39
93308 Ultrasound of heart, follow-up	28	27	$34.28	$24.76
33208 Insertion of pacemaker and upper and lower heart chamber electrode	26	26	$1485.00	$498.20
92960 External shock to heart to regulate heart beat	20	18	$285.00	$100.81
75630 Review by radiologist of abdominal aorta and both leg arteries image	19	18	$217.50	$94.39
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	18	18	$282.79	$75.65
93461 Insertion of tube in right and left heart chambers, coronary artery, and bypass graft for diagnosis with review by radiologist	17	17	$1349.38	$358.49
83880 Natriuretic peptide (heart and blood vessel protein) level	17	17	$68.40	$39.26
93284 Programming of multiple lead implantable defibrillator system	16	11	$123.13	$100.27
93660 Evaluation of heart function using tilt table	12	12	$182.50	$86.02
80061 Blood test, lipids (cholesterol and triglycerides)	12	12	$20.84	$13.39
33228 Removal and replacement of dual lead permanent pacemaker pulse generator	11	11	$671.25	$347.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	597	165	$94.79	$70.61
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	430	374	$44.25	$12.12
99213 Established patient office or other outpatient visit, typically 15 minutes	430	364	$92.85	$70.14
93280 Programming of dual lead pacemaker system	340	190	$80.00	$67.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	310	258	$138.09	$102.59
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	291	285	$309.10	$180.59
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	242	221	$86.88	$71.96
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	205	204	$338.31	$214.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	179	30	$48.75	$24.97
93000 Routine ekg using at least 12 leads including interpretation and report	169	147	$52.50	$15.05
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	169	169	$281.10	$163.76
93320 Ultrasound of heart blood flow, valves and chambers	165	165	$92.12	$47.17
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	164	164	$83.34	$21.13
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	159	159	$45.00	$14.74
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	147	145	$793.13	$248.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	131	131	$137.83	$99.09
36415 Insertion of needle into vein for collection of blood sample	128	116	$3.75	$2.97
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	127	45	$28.83	$22.92
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	119	118	$207.50	$62.25
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	118	117	$105.25	$78.60
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	113	41	$40.89	$30.88
85610 Blood test, clotting time	109	20	$7.32	$4.26
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	105	94	$1390.00	$531.86
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	104	97	$179.13	$131.47
84484 Troponin (protein) analysis, quantitative	90	81	$15.59	$12.06
93880 Ultrasound of both sides of head and neck blood flow	90	90	$239.50	$175.38
82553 Creatine kinase (cardiac enzyme) level, mb fraction only	88	79	$17.83	$11.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	84	79	$265.35	$195.41
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	83	83	$1181.88	$324.79
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	81	79	$38.75	$25.96
71046 X-ray of chest, 2 views	80	73	$36.41	$29.48
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	75	74	$45.00	$14.73
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	65	65	$126.95	$71.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	63	63	$211.30	$154.56
80048 Blood test, basic group of blood chemicals (calcium, total)	62	61	$17.20	$8.25
85014 Red blood cell concentration measurement	61	60	$3.29	$2.37
93923 Complete ultrasound study of arm and leg arteries	60	60	$178.75	$99.25
93283 Programming of dual lead implantable defibrillator system	53	32	$105.24	$83.17
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	51	51	$282.79	$77.06
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	46	45	$960.63	$259.31
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	16	$136.44	$101.86
92920 Balloon dilation of single coronary artery or branch	37	31	$1383.66	$424.06
99219 Hospital observation care, typically 50 minutes	36	34	$177.75	$130.99
93567 Injection for X-ray imaging of aorta above heart valve	31	31	$176.35	$50.63
33208 Insertion of pacemaker and upper and lower heart chamber electrode	29	29	$1485.00	$510.52
94010 Test to measure expiratory airflow and volume	28	28	$57.50	$30.68
93461 Insertion of tube in right and left heart chambers, coronary artery, and bypass graft for diagnosis with review by radiologist	27	27	$1349.38	$318.27
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	24	23	$4.80	$3.08
93320 Ultrasound of heart blood flow, valves and chambers	24	23	$24.46	$18.05
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	24	23	$95.63	$70.84
83874 Myoglobin (muscle protein) level	21	21	$19.94	$12.66
92960 External shock to heart to regulate heart beat	20	20	$285.00	$105.99
80061 Blood test, lipids (cholesterol and triglycerides)	20	17	$20.84	$13.28
83880 Natriuretic peptide (heart and blood vessel protein) level	20	18	$68.40	$39.10
93284 Programming of multiple lead implantable defibrillator system	16	11	$123.13	$95.53
75630 Review by radiologist of abdominal aorta and both leg arteries image	13	13	$217.50	$96.03
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$63.16	$50.92
33228 Removal and replacement of dual lead permanent pacemaker pulse generator	12	12	$671.25	$346.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	829	206	$94.79	$69.35
99213 Established patient office or other outpatient visit, typically 15 minutes	491	395	$92.85	$68.26
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	480	383	$44.25	$11.74
93280 Programming of dual lead pacemaker system	365	198	$56.87	$40.35
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	306	261	$86.88	$70.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	297	255	$138.09	$100.54
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	297	284	$309.39	$173.18
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	215	209	$338.31	$202.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	191	32	$48.75	$24.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	153	52	$136.44	$98.34
85610 Blood test, clotting time	144	26	$7.32	$4.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	140	140	$137.83	$100.58
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	133	133	$288.18	$163.29
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	133	133	$45.00	$14.43
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	130	130	$85.93	$21.59
93320 Ultrasound of heart blood flow, valves and chambers	130	130	$94.77	$47.26
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	128	123	$793.13	$241.14
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	121	106	$265.35	$190.12
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	120	119	$207.50	$60.50
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	120	119	$105.25	$76.96
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	119	94	$1390.00	$503.09
93880 Ultrasound of both sides of head and neck blood flow	110	110	$240.01	$173.82
93923 Complete ultrasound study of arm and leg arteries	107	105	$178.75	$97.66
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	102	43	$28.83	$22.81
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	102	93	$179.13	$129.11
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	96	93	$38.75	$25.06
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	94	40	$40.89	$29.54
85014 Red blood cell concentration measurement	90	79	$3.29	$2.53
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	89	88	$45.00	$14.26
36415 Insertion of needle into vein for collection of blood sample	87	76	$3.75	$2.94
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	80	80	$1181.88	$334.69
93000 Routine ekg using at least 12 leads including interpretation and report	73	63	$52.50	$14.85
80048 Blood test, basic group of blood chemicals (calcium, total)	73	68	$17.20	$8.55
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	69	69	$126.95	$73.01
99219 Hospital observation care, typically 50 minutes	57	54	$177.75	$123.99
93283 Programming of dual lead implantable defibrillator system	57	32	$86.66	$54.95
94010 Test to measure expiratory airflow and volume	52	51	$57.50	$31.03
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	46	46	$95.63	$66.85
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	45	45	$4.80	$3.09
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	45	43	$960.63	$269.42
93320 Ultrasound of heart blood flow, valves and chambers	45	45	$24.46	$17.64
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	43	43	$282.79	$75.84
93567 Injection for X-ray imaging of aorta above heart valve	36	36	$176.35	$49.46
83880 Natriuretic peptide (heart and blood vessel protein) level	36	33	$68.40	$38.47
33208 Insertion of pacemaker and upper and lower heart chamber electrode	33	33	$1485.00	$488.53
75630 Review by radiologist of abdominal aorta and both leg arteries image	31	31	$217.50	$82.28
93461 Insertion of tube in right and left heart chambers, coronary artery, and bypass graft for diagnosis with review by radiologist	31	30	$1349.38	$286.66
71046 X-ray of chest, 2 views	31	30	$36.41	$27.21
92920 Balloon dilation of single coronary artery or branch	30	27	$1383.66	$382.10
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	28	11	$89.15	$65.29
93284 Programming of multiple lead implantable defibrillator system	24	14	$90.32	$61.48
93272 Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional	23	23	$43.75	$19.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$211.30	$149.01
92960 External shock to heart to regulate heart beat	22	20	$285.00	$103.83
84484 Troponin (protein) analysis, quantitative	22	22	$15.59	$12.22
33228 Removal and replacement of dual lead permanent pacemaker pulse generator	20	20	$671.25	$330.80
80061 Blood test, lipids (cholesterol and triglycerides)	19	17	$20.84	$14.58
80047 Blood test, basic group of blood chemicals (calcium, ionized)	19	18	$17.20	$13.46
92937 Removal of plaque, insertion of stent and/or balloon dilation of single coronary vessel with distal protection	19	18	$1613.26	$505.20
82553 Creatine kinase (cardiac enzyme) level, mb fraction only	18	18	$17.83	$12.57
99225 Subsequent observation care, typically 25 minutes per day	16	13	$95.20	$69.72
75625 Radiological supervision and interpretation X-ray of abdominal aorta	15	15	$128.75	$52.87
36225 Insertion of tube into chest artery for diagnosis or treatment with review by radiologist	15	15	$422.53	$147.58
36223 Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist	15	15	$424.19	$381.74
93660 Evaluation of heart function using tilt table	13	13	$182.50	$84.54
36200 Insertion of catheter into aorta	13	12	$237.50	$131.62
83874 Myoglobin (muscle protein) level	13	13	$19.94	$14.06
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	12	12	$63.16	$49.75
93572 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, each additional vessel	11	11	$101.36	$58.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	742	207	$94.79	$68.39
99213 Established patient office or other outpatient visit, typically 15 minutes	535	417	$92.85	$66.78
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	448	357	$44.25	$11.78
93280 Programming of dual lead pacemaker system	330	183	$55.17	$38.19
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	295	263	$86.88	$69.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	215	183	$138.09	$98.27
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	201	200	$338.31	$197.52
85610 Blood test, clotting time	183	31	$7.32	$4.56
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	165	163	$45.00	$13.99
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	157	151	$302.63	$173.82
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	140	138	$95.63	$66.55
93320 Ultrasound of heart blood flow, valves and chambers	138	136	$24.46	$17.40
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	138	136	$4.80	$3.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	134	25	$48.75	$22.76
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	132	112	$1390.00	$516.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	129	109	$179.13	$125.51
93880 Ultrasound of both sides of head and neck blood flow	125	123	$243.92	$170.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	119	108	$265.35	$189.99
93923 Complete ultrasound study of arm and leg arteries	118	118	$178.75	$101.64
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	117	117	$45.00	$14.08
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	117	117	$286.49	$177.59
93320 Ultrasound of heart blood flow, valves and chambers	116	116	$94.21	$47.35
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	116	116	$85.29	$21.80
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	103	99	$793.13	$220.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	92	92	$137.83	$98.22
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	85	85	$1181.88	$299.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	81	38	$136.44	$98.66
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	76	74	$126.95	$88.23
94010 Test to measure expiratory airflow and volume	75	74	$57.50	$30.51
93272 Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional	74	74	$43.75	$23.78
93283 Programming of dual lead implantable defibrillator system	71	36	$86.73	$56.64
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	71	25	$28.83	$23.56
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	61	20	$40.89	$29.23
92920 Balloon dilation of single coronary artery or branch	59	52	$1383.66	$378.67
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	51	47	$960.63	$228.60
99219 Hospital observation care, typically 50 minutes	50	45	$177.75	$128.57
93461 Insertion of tube in right and left heart chambers, coronary artery, and bypass graft for diagnosis with review by radiologist	40	40	$1349.38	$305.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$211.30	$145.90
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	35	34	$38.75	$24.49
33208 Insertion of pacemaker and upper and lower heart chamber electrode	34	34	$1485.00	$471.88
93000 Routine ekg using at least 12 leads including interpretation and report	31	23	$52.50	$15.13
93284 Programming of multiple lead implantable defibrillator system	29	20	$86.92	$59.49
80061 Blood test, lipids (cholesterol and triglycerides)	28	26	$20.84	$15.73
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	26	26	$282.79	$76.42
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	25	11	$89.15	$65.18
75630 Review by radiologist of abdominal aorta and both leg arteries image	22	22	$217.50	$83.26
99225 Subsequent observation care, typically 25 minutes per day	22	18	$95.20	$69.41
93567 Injection for X-ray imaging of aorta above heart valve	22	22	$176.35	$48.88
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	19	19	$105.25	$76.26
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	19	19	$207.50	$60.04
36223 Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist	16	16	$424.19	$392.61
92937 Removal of plaque, insertion of stent and/or balloon dilation of single coronary vessel with distal protection	15	14	$1613.26	$439.61
36225 Insertion of tube into chest artery for diagnosis or treatment with review by radiologist	15	15	$422.53	$145.30
93660 Evaluation of heart function using tilt table	15	15	$182.50	$72.35
92960 External shock to heart to regulate heart beat	15	14	$285.00	$104.75
75625 Radiological supervision and interpretation X-ray of abdominal aorta	13	13	$128.75	$52.59
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	13	13	$63.16	$49.83
36200 Insertion of catheter into aorta	13	13	$237.50	$130.48
33228 Removal and replacement of dual lead permanent pacemaker pulse generator	12	12	$671.25	$326.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	446	142	$94.79	$66.90
99213 Established patient office or other outpatient visit, typically 15 minutes	436	380	$92.85	$65.85
93280 Programming of dual lead pacemaker system	275	177	$54.80	$37.32
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	257	234	$44.25	$11.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	207	184	$138.09	$94.69
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	181	171	$86.88	$58.75
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	179	177	$338.31	$231.35
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	170	168	$45.00	$13.95
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	156	154	$4.80	$3.04
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	156	154	$95.63	$67.18
93320 Ultrasound of heart blood flow, valves and chambers	156	154	$24.46	$17.33
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	146	22	$48.75	$23.62
85610 Blood test, clotting time	122	26	$7.32	$5.24
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	105	101	$285.40	$176.91
93320 Ultrasound of heart blood flow, valves and chambers	101	100	$89.74	$42.80
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	101	100	$45.00	$13.56
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	101	100	$80.12	$19.24
93350 Ultrasound of heart during rest, exercise and/or drug-induced stress with report	101	100	$274.13	$188.02
93880 Ultrasound of both sides of head and neck blood flow	93	93	$232.74	$145.45
93923 Complete ultrasound study of arm and leg arteries	91	90	$178.75	$99.86
93460 Insertion of tube in right and left heart chambers and coronary artery for diagnosis with review by radiologist	77	77	$1181.88	$313.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	71	64	$179.13	$123.61
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	70	25	$28.83	$22.72
93272 Electrocardiogram (ecg) up to 30 days continuous with symptom monitoring, transmission and review and report by health care professional	69	68	$43.75	$24.02
94010 Test to measure expiratory airflow and volume	66	66	$57.50	$30.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	65	63	$265.35	$183.33
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	64	54	$1390.00	$498.77
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	61	61	$793.13	$221.53
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	59	22	$40.89	$31.71
80061 Blood test, lipids (cholesterol and triglycerides)	50	50	$20.84	$14.74
93283 Programming of dual lead implantable defibrillator system	48	29	$88.08	$57.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$137.83	$96.68
93461 Insertion of tube in right and left heart chambers, coronary artery, and bypass graft for diagnosis with review by radiologist	42	42	$1349.38	$299.11
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	39	38	$960.63	$241.87
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	38	18	$136.44	$94.62
93571 Ultrasound evaluation of heart blood vessel during diagnosis or treatment, initial vessel	36	36	$126.95	$81.22
99219 Hospital observation care, typically 50 minutes	34	33	$177.75	$124.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$211.30	$143.06
92920 Balloon dilation of single coronary artery or branch	31	21	$1383.66	$324.16
93284 Programming of multiple lead implantable defibrillator system	28	19	$86.97	$58.77
75625 Radiological supervision and interpretation X-ray of abdominal aorta	27	27	$128.75	$50.06
75716 Review by radiologist of both arms or legs arteries image	22	22	$132.50	$57.02
93000 Routine ekg using at least 12 leads including interpretation and report	22	19	$52.50	$14.52
93567 Injection for X-ray imaging of aorta above heart valve	19	18	$176.35	$48.43
33208 Insertion of pacemaker and upper and lower heart chamber electrode	16	16	$1485.00	$454.68
92937 Removal of plaque, insertion of stent and/or balloon dilation of single coronary vessel with distal protection	16	14	$1613.26	$397.73
36225 Insertion of tube into chest artery for diagnosis or treatment with review by radiologist	15	15	$422.53	$142.97
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	15	$63.16	$48.93
36223 Insertion of tube into intracranial artery for diagnosis or treatment with review by radiologist	15	15	$424.19	$385.15
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	14	14	$282.79	$74.82
75630 Review by radiologist of abdominal aorta and both leg arteries image	11	11	$217.50	$82.13
93660 Evaluation of heart function using tilt table	11	11	$182.50	$89.28

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License AL 11981

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Blue Cross Blue Shield

51542690 (AL)

Hospital & Practice Group Affiliations

The Heart Center Cardiology, Pc

209 Main St S, Wedowee, AL 362785139

Phone: 3343213700

The Heart Center Cardiology, Pc

2375 Champions Blvd, Auburn, AL 368306471

Phone: 3343213700

Bridgeway Diagnostic Radiology

100 Bascom Ct, Columbus, GA 319092989

Phone: 7063505800

The Heart Center Cardiology, Pc

121 N 20th St, Opelika, AL 368015456

Bridgeway Diagnostic Radiology

5007 Summerville Rd, Phenix City, AL 368671559

Phone: 3344082854

The Heart Center Cardiology, Pc

121 N 20th St, Opelika, AL 368015456

Phone: 3343213700

The Heart Center Cardiology, Pc

2000 Pepperell Pkwy, Opelika, AL 368015452

Phone: 3347051700

The Heart Center Cardiology, Pc

7 Medical Park, Valley, AL 368543665

Phone: 3343213700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Dr. Joseph Downs , MD

Internal Medicine

NPI 1104910488

Doctor of Medicine (M.D.)

Laura Zambrana

Clinical Nurse Specialist

NPI 1679101117

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active July 25, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 25, 2014

Registered at 2375 CHAMPIONS BLVD, AUBURN, AL 368306471 (Tel: 3343213700)

📍

Updated Business Mailing Address July 25, 2014

Registered at PO BOX 2145, OPELIKA, AL 368032145 (Tel: 3343213700)

👤

Provider Name / Credentials Updated July 25, 2014

Recorded as JOHN MITCHELL, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 25, 2014

Specialist (License #11981 in AL)

🟢

Initial NPI Registration & Enumeration July 18, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1417975186

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 18, 2006

Last Update: July 25, 2014

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

Po Box 2145

Opelika, AL 368032145

Phone: 3343213700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.