Active NPI 1447239595 Individual Practitioner Male Practitioner

Dr. Christopher Centafont , DO

Internal Medicine - Cardiovascular Disease • Dothan, AL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Christopher Centafont, DO is a certified Internal Medicine - Cardiovascular Disease practicing in Dothan, AL. With approximately 32 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 1994, Dr. Centafont delivers high-quality medical care to the local community at 1150 ROSS CLARK CIR.

Dr. Centafont maintains professional affiliations with Southeast Cardiology Clinic Inc., Donalsonville Hospital Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services, first, established patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1150 Ross Clark Cir

Dothan, AL 363013022

Telephone 3347121929

Fax 3347122799

Associated Practice Facility / Clinic

🏢 Southeast Cardiology Clinic Inc. Facility NPI 1285790915

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Cardiovascular Disease in Dothan, AL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs -2.8 yrs vs City Avg

City Avg: 34.8 Yrs

State Avg: 31.6 Yrs

Regional Practice Density

17 Specialists

Practicing in Dothan, AL (337 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

54.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Centafont (32 Years) 32 Yrs

Dothan Specialty Average (34.8 Years) 34.8 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
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	3,054	407	$99.95	$58.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,535	962	$203.81	$119.52
93000 Routine ekg using at least 12 leads including interpretation and report	1,393	973	$55.00	$12.96
J2785 Injection, regadenoson, 0.1 mg	984	243	$108.00	$6.72
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	729	717	$347.09	$168.06
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	564	282	$240.00	$108.79
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	317	173	$76.13	$44.48
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	281	281	$112.51	$56.42
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	281	281	$657.15	$374.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	186	85	$79.19	$46.30
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	154	154	$265.04	$154.60
93880 Ultrasound of both sides of head and neck blood flow	133	133	$288.16	$164.82
36415 Insertion of needle into vein for collection of blood sample	107	84	$25.00	$8.57
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	102	37	$126.44	$73.96
93793 Anticoagulant management of patient taking warfarin	99	13	$20.34	$10.59
85610 Blood test, clotting time	65	12	$15.00	$4.20
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	63	62	$196.33	$63.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	61	59	$208.85	$122.07
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	41	40	$39.96	$23.21
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	25	25	$750.00	$232.79
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	24	24	$76.57	$11.27
93308 Ultrasound of heart, follow-up	22	20	$150.70	$85.78
93246 Heart rhythm recording of continous external ekg over 8-15 days	20	20	$17.77	$9.89
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	18	16	$950.00	$291.31
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	16	16	$273.21	$156.15
93923 Complete ultrasound study of arm and leg arteries	15	15	$196.56	$113.59
99238 Hospital discharge day management, 30 minutes or less	13	12	$129.42	$75.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	3,306	454	$100.00	$58.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,565	952	$201.96	$119.41
93000 Routine ekg using at least 12 leads including interpretation and report	1,344	942	$55.00	$13.20
J2785 Injection, regadenoson, 0.1 mg	971	232	$108.08	$53.72
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	621	607	$434.24	$170.49
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	556	282	$265.20	$108.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	399	173	$84.96	$46.93
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	325	196	$75.00	$44.39
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	283	283	$174.56	$56.61
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	282	282	$882.69	$391.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	180	180	$309.41	$155.71
36415 Insertion of needle into vein for collection of blood sample	178	131	$6.21	$5.84
93793 Anticoagulant management of patient taking warfarin	166	16	$25.00	$10.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	158	63	$138.21	$75.70
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	157	154	$175.00	$65.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	135	134	$261.27	$123.59
93880 Ultrasound of both sides of head and neck blood flow	123	123	$370.20	$167.34
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	61	61	$75.13	$11.88
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	50	50	$794.00	$262.20
99238 Hospital discharge day management, 30 minutes or less	31	28	$195.45	$76.86
93308 Ultrasound of heart, follow-up	22	21	$227.06	$85.19
93246 Heart rhythm recording of continous external ekg over 8-15 days	22	22	$23.69	$9.26
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	20	20	$815.00	$286.60
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	18	18	$190.00	$13.39
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	18	18	$45.00	$23.78
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	15	14	$345.61	$157.35
93923 Complete ultrasound study of arm and leg arteries	11	11	$252.26	$113.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	3,567	508	$100.00	$60.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,547	935	$202.02	$121.54
93000 Routine ekg using at least 12 leads including interpretation and report	1,358	951	$55.00	$13.23
J2785 Injection, regadenoson, 0.1 mg	916	224	$108.08	$59.39
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	705	697	$435.00	$181.10
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	563	282	$265.00	$97.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	501	200	$85.00	$37.41
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	283	283	$175.00	$57.82
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	282	282	$884.30	$409.91
36415 Insertion of needle into vein for collection of blood sample	236	176	$6.00	$2.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	211	211	$309.90	$158.74
93793 Anticoagulant management of patient taking warfarin	193	19	$25.00	$10.84
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	189	127	$75.00	$45.76
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	163	67	$138.36	$68.63
93880 Ultrasound of both sides of head and neck blood flow	147	146	$370.20	$179.16
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	132	127	$182.05	$67.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	125	123	$262.06	$130.53
85610 Blood test, clotting time	52	14	$10.72	$4.24
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	48	48	$75.00	$12.13
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	36	36	$791.67	$259.33
93308 Ultrasound of heart, follow-up	23	22	$227.06	$91.65
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$136.60	$65.10
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	20	$80.54	$35.34
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	20	18	$350.78	$169.08
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	19	19	$230.00	$56.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	19	$400.00	$190.60
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	18	18	$190.00	$14.08
93246 Heart rhythm recording of continous external ekg over 8-15 days	13	13	$25.00	$10.63
92960 External shock to heart to regulate heart beat	13	12	$384.89	$104.93
99238 Hospital discharge day management, 30 minutes or less	12	12	$200.00	$68.95
93248 Heart rhythm review and interpretation of continous external ekg over 8-15 days	12	12	$45.00	$24.86
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	11	11	$800.00	$311.95
93923 Complete ultrasound study of arm and leg arteries	11	11	$252.26	$119.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	3,278	471	$77.22	$39.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,602	963	$201.95	$124.32
93000 Routine ekg using at least 12 leads including interpretation and report	1,413	973	$55.00	$13.68
J2785 Injection, regadenoson, 0.1 mg	1,028	253	$108.08	$58.30
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	742	730	$421.74	$184.68
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	642	321	$265.00	$98.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	479	177	$84.97	$37.46
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	322	322	$175.00	$58.30
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	321	321	$884.30	$436.51
36415 Insertion of needle into vein for collection of blood sample	287	211	$6.00	$2.95
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	218	144	$75.00	$35.94
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	182	182	$309.90	$160.58
93880 Ultrasound of both sides of head and neck blood flow	147	147	$370.20	$185.03
93793 Anticoagulant management of patient taking warfarin	141	18	$25.00	$11.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	140	55	$138.36	$70.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	126	123	$262.06	$132.52
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	93	91	$336.98	$68.43
85610 Blood test, clotting time	66	16	$10.72	$4.29
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	54	54	$75.00	$12.26
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	47	47	$725.00	$268.34
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	31	31	$230.00	$64.82
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	18	18	$792.98	$312.69
93308 Ultrasound of heart, follow-up	15	15	$227.06	$92.35
93923 Complete ultrasound study of arm and leg arteries	15	15	$252.26	$122.90
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	14	14	$350.78	$170.11
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	13	13	$190.00	$14.32
99238 Hospital discharge day management, 30 minutes or less	12	12	$200.00	$69.90
99213 Established patient office or other outpatient visit, typically 15 minutes	11	11	$136.60	$66.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	3,129	398	$76.52	$39.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,562	930	$201.88	$103.56
93000 Routine ekg using at least 12 leads including interpretation and report	1,354	937	$55.00	$15.59
J2785 Injection, regadenoson, 0.1 mg	720	180	$108.08	$58.68
99231 Follow-up hospital inpatient care per day, typically 15 minutes	486	186	$85.00	$37.47
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	482	474	$416.57	$184.70
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	454	228	$260.83	$99.97
93793 Anticoagulant management of patient taking warfarin	299	18	$25.00	$11.26
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	272	195	$99.85	$35.74
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	229	229	$175.00	$59.30
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	227	227	$884.30	$436.02
36415 Insertion of needle into vein for collection of blood sample	190	119	$6.00	$2.97
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	152	66	$138.36	$70.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$201.52	$102.52
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	125	122	$338.61	$72.54
93880 Ultrasound of both sides of head and neck blood flow	117	117	$370.20	$180.90
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	97	96	$400.00	$195.76
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	91	89	$75.00	$12.14
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	68	67	$725.00	$278.25
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	66	35	$30.00	$8.11
85610 Blood test, clotting time	44	14	$10.72	$4.26
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	37	36	$230.00	$72.25
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	31	31	$190.00	$13.85
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	30	30	$110.00	$20.70
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	26	26	$730.89	$285.91
99213 Established patient office or other outpatient visit, typically 15 minutes	24	24	$136.60	$49.97
99238 Hospital discharge day management, 30 minutes or less	23	23	$200.00	$70.79
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	20	20	$350.78	$169.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	14	$80.54	$25.04
0296T External EKG recording for more than 48 hours up to 21 days	16	16	$43.13	$13.63
99213 Established patient office or other outpatient visit, typically 15 minutes	13	13	$146.59	$69.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	3,531	1,391	$201.81	$102.31
93000 Routine ekg using at least 12 leads including interpretation and report	3,063	1,431	$55.00	$15.39
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,817	383	$76.52	$39.24
J2785 Injection, regadenoson, 0.1 mg	1,133	284	$108.08	$56.48
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	767	758	$417.18	$183.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	751	288	$85.00	$37.24
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	716	358	$244.62	$97.62
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	363	362	$175.00	$58.01
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	358	358	$884.30	$431.38
36415 Insertion of needle into vein for collection of blood sample	277	176	$6.00	$2.91
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	266	150	$30.00	$7.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	239	99	$138.36	$69.59
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	234	171	$148.74	$85.41
93793 Anticoagulant management of patient taking warfarin	201	11	$25.00	$11.44
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	188	185	$339.89	$70.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	176	172	$400.00	$192.51
93880 Ultrasound of both sides of head and neck blood flow	172	171	$370.20	$179.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	170	170	$201.52	$101.54
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	123	118	$75.00	$11.66
85610 Blood test, clotting time	102	20	$10.72	$4.28
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	87	85	$725.86	$261.35
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	63	61	$49.51	$24.55
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	51	50	$230.00	$71.46
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	47	46	$190.00	$13.46
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	46	46	$110.00	$20.53
99213 Established patient office or other outpatient visit, typically 15 minutes	43	41	$136.60	$47.93
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	38	35	$673.56	$276.24
99238 Hospital discharge day management, 30 minutes or less	29	28	$200.00	$69.62
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	27	26	$350.78	$173.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	20	$82.95	$24.33
99213 Established patient office or other outpatient visit, typically 15 minutes	23	22	$145.08	$70.11
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	20	20	$46.12	$22.09
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	19	19	$65.42	$28.78
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	18	17	$100.28	$49.88
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	15	14	$1158.42	$539.77
93312 Ultrasound of heart with probe in esophagus, with report	13	13	$237.10	$101.16
93308 Ultrasound of heart, follow-up	11	11	$227.06	$89.73
93923 Complete ultrasound study of arm and leg arteries	11	11	$252.26	$110.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	3,783	1,464	$201.88	$94.51
93000 Routine ekg using at least 12 leads including interpretation and report	3,255	1,483	$55.00	$14.24
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,029	419	$76.52	$37.10
J2785 Injection, regadenoson, 0.1 mg	1,093	269	$108.08	$54.79
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	821	811	$415.04	$173.74
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	736	370	$244.62	$71.57
99231 Follow-up hospital inpatient care per day, typically 15 minutes	685	271	$85.00	$34.71
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	375	374	$171.98	$54.02
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	368	368	$884.30	$409.32
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	358	142	$30.00	$7.65
36415 Insertion of needle into vein for collection of blood sample	301	178	$6.00	$2.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	203	104	$138.36	$64.66
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	195	186	$335.96	$68.02
93880 Ultrasound of both sides of head and neck blood flow	182	180	$370.20	$172.47
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	158	153	$400.00	$180.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	136	136	$201.52	$95.03
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	135	130	$75.00	$10.82
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	122	110	$148.80	$80.69
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	122	119	$744.02	$230.25
85610 Blood test, clotting time	71	17	$10.72	$4.75
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	71	71	$220.21	$69.04
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	47	35	$46.12	$22.17
99495 Transitional care management services for problem of at least moderate complexity	45	43	$307.78	$141.26
99213 Established patient office or other outpatient visit, typically 15 minutes	42	40	$149.18	$63.50
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	38	38	$110.00	$19.86
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	38	38	$190.00	$13.34
93294 Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days	37	28	$65.42	$27.57
93228 Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional	36	36	$50.60	$23.35
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	36	36	$673.56	$268.61
99213 Established patient office or other outpatient visit, typically 15 minutes	32	32	$136.60	$42.39
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	27	24	$1158.42	$476.28
99238 Hospital discharge day management, 30 minutes or less	27	26	$200.00	$64.95
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	24	23	$350.78	$159.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	17	$80.54	$22.62
93308 Ultrasound of heart, follow-up	17	17	$227.06	$85.95
93270 Heart rhythm symptom-related tracing of 24-hour ekg monitoring up to 30 days	16	16	$16.30	$7.15
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	12	$100.28	$46.99
99496 Transitional care management services for problem of high complexity	11	11	$434.18	$204.32
93312 Ultrasound of heart with probe in esophagus, with report	11	11	$237.10	$100.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	3,377	1,488	$201.85	$96.42
93000 Routine ekg using at least 12 leads including interpretation and report	3,194	1,591	$51.34	$14.61
J2785 Injection, regadenoson, 0.1 mg	1,214	300	$108.08	$53.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	894	349	$81.73	$35.60
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	824	813	$414.55	$195.50
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	814	410	$244.62	$113.27
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	414	412	$141.74	$58.49
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	412	412	$873.66	$409.44
99213 Established patient office or other outpatient visit, typically 15 minutes	338	301	$135.88	$65.53
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	305	153	$26.49	$7.82
36415 Insertion of needle into vein for collection of blood sample	239	135	$6.00	$2.93
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	209	204	$324.11	$60.47
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	209	209	$200.91	$95.89
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	206	98	$138.36	$63.86
93880 Ultrasound of both sides of head and neck blood flow	152	150	$370.20	$161.50
85610 Blood test, clotting time	122	31	$10.72	$5.28
93458 Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist	119	117	$1020.18	$353.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	117	115	$262.06	$124.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	96	95	$394.79	$180.69
99152 Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 15 minutes	88	88	$75.00	$11.31
99238 Hospital discharge day management, 30 minutes or less	75	74	$187.66	$65.98
93270 Heart rhythm symptom-related tracing of 24-hour ekg monitoring up to 30 days	47	47	$16.30	$6.94
93280 Programming of dual lead pacemaker system	43	33	$109.54	$52.38
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	41	40	$97.95	$20.56
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	40	40	$166.52	$69.40
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	40	39	$177.05	$13.73
92928 Insertion of stents with balloon dilation of coronary artery or branch, single artery or branch	29	26	$1158.42	$468.99
93459 Insertion of tube in left lower heart chamber, coronary artery and bypass graft for diagnosis with review by radiologist	29	29	$1251.28	$444.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$296.42	$146.07
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	24	24	$100.28	$47.95
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	23	20	$350.78	$164.39
36410 Insertion of needle into vein, patient 3 years or older	22	14	$31.52	$15.21
93296 Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days	16	14	$46.12	$22.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$272.50	$129.71
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$212.16	$84.87

Medical Specialties & State Licenses

Internal Medicine - Cardiovascular Disease Primary Specialty

NUCC Taxonomy Code: 207RC0000X

State License AL 378-DO

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

000095006 (AL)

Medicaid State Provider ID

375117101 (FL)

Medicaid State Provider ID

000055301 (AL)

Medicaid State Provider ID

375117100 (FL)

Medicaid State Provider ID

00599266A (GA)