Active NPI 1205885613 Individual Practitioner Male Practitioner

Dr. Abdul Hamid Sofi , MD

Internal Medicine • Perry, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Abdul Sofi, MD is a certified Internal Medicine practicing in Perry, FL. With approximately 32 years of clinical experience since completing medical education in 1994, Dr. Sofi delivers high-quality medical care to the local community at 315 E ASH ST.

Dr. Sofi is affiliated with Premier Medical Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, dexamethasone sodium phosphate, 1 mg, injection, ketorolac tromethamine, per 15 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

315 E Ash St

Perry, FL 323472029

Telephone 8505843278

Fax 8505848171

Associated Practice Facility / Clinic

🏢 Premier Medical Clinic Facility NPI 1518926799

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Perry, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs -6.5 yrs vs City Avg

City Avg: 38.5 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Perry, FL (10650 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

51.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sofi (32 Years) 32 Yrs

Perry Specialty Average (38.5 Years) 38.5 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
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,158	242	$15.00	$0.11
J1885 Injection, ketorolac tromethamine, per 15 mg	1,865	205	$19.76	$0.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,672	521	$200.00	$128.17
99213 Established patient office or other outpatient visit, typically 15 minutes	1,504	510	$150.00	$89.93
J0696 Injection, ceftriaxone sodium, per 250 mg	1,438	177	$29.53	$0.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,273	293	$50.00	$14.21
36415 Insertion of needle into vein for collection of blood sample	1,053	497	$20.00	$8.59
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	945	488	$30.00	$7.60
80048 Blood test, basic group of blood chemicals (calcium, total)	935	482	$50.00	$8.27
80076 Liver function blood test panel	895	480	$60.00	$8.00
83036 Hemoglobin A1C level	820	467	$30.00	$9.51
J1010 Injection, methylprednisolone acetate, 1 mg	811	14	$5.00	$0.13
84443 Blood test, thyroid stimulating hormone (TSH)	793	462	$55.00	$16.46
84439 Thyroxine (thyroid chemical), free	785	460	$50.00	$8.83
80061 Blood test, lipids (cholesterol and triglycerides)	463	411	$75.00	$13.09
87804 Detection test by immunoassay with direct visual observation for influenza virus	451	160	$35.86	$16.15
83721 Ldl cholesterol level	359	267	$33.62	$10.29
84478 Triglycerides level	316	241	$30.00	$5.63
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	292	292	$175.00	$130.50
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	238	187	$95.00	$55.75
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	236	162	$80.00	$40.38
81003 Automated urinalysis test	211	122	$40.00	$2.18
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	201	113	$160.00	$150.41
71046 X-ray of chest, 2 views	149	119	$95.00	$33.18
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	139	63	$64.02	$63.80
G0103 Prostate cancer screening; prostate specific antigen test (psa)	133	133	$52.00	$18.64
83718 Hdl cholesterol level	120	96	$30.00	$8.03
G0444 Annual depression screening, 5 to 15 minutes	109	109	$30.00	$19.09
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	85	67	$37.28	$16.01
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	82	35	$150.00	$80.79
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	81	36	$55.00	$23.03
82044 Urine microalbumin (protein) analysis	74	69	$15.00	$6.03
82043 Urine microalbumin (protein) level	71	67	$15.00	$5.66
84550 Uric acid level, blood	62	46	$25.00	$4.43
G0008 Administration of influenza virus vaccine	62	60	$35.00	$31.66
85610 Blood test, clotting time	61	11	$25.00	$3.91
90661 Influenza vaccine, trivalent derived from cell cultures	58	58	$50.00	$36.11
J1940 Injection, furosemide, up to 20 mg	58	15	$20.00	$0.52
72100 X-ray of lower and sacral spine, 2-3 views	52	50	$93.00	$38.57
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	48	48	$200.00	$154.64
82465 Cholesterol level	44	41	$25.00	$4.26
93000 Routine ekg using at least 12 leads including interpretation and report	41	39	$50.00	$14.51
80305 Testing for presence of drug, read by direct observation	39	37	$65.38	$12.35
99239 Hospital discharge day management, more than 30 minutes	39	39	$140.00	$116.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	35	$250.00	$183.48
73030 X-ray of shoulder, minimum of 2 views	37	36	$79.00	$35.38
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	35	35	$275.00	$134.36
84153 Psa (prostate specific antigen) measurement, total	35	35	$70.00	$18.02
99495 Transitional care management services for problem of at least moderate complexity	34	30	$325.00	$204.33
72040 X-ray of upper spine, 2-3 views	23	23	$102.00	$37.25
73502 X-ray of hip, 2-3 views	21	21	$80.00	$46.72
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	19	19	$135.00	$54.02
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	18	18	$350.00	$193.22
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	17	15	$35.00	$15.03
99496 Transitional care management services for problem of high complexity	16	15	$300.00	$282.12
76700 Ultrasound of abdomen	16	16	$350.00	$113.94
73560 X-ray of knee, 1-2 views	16	16	$80.00	$40.19
76536 Ultrasound of head and neck	15	14	$300.00	$107.92
74021 X-ray of abdomen, minimum of 3 views	15	14	$210.00	$42.19
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	13	12	$125.00	$24.36
74018 X-ray of abdomen, 1 view	13	13	$100.00	$30.02
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	12	12	$425.00	$66.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$300.00	$168.59
93880 Ultrasound of both sides of head and neck blood flow	12	11	$300.00	$186.21
80053 Blood test, comprehensive group of blood chemicals	11	11	$75.00	$10.35
73562 X-ray of knee, 3 views	11	11	$80.00	$43.94

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	2,331	610	$200.00	$124.06
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,253	213	$13.79	$0.12
J1885 Injection, ketorolac tromethamine, per 15 mg	2,027	174	$20.00	$0.55
J0696 Injection, ceftriaxone sodium, per 250 mg	1,466	170	$30.00	$0.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,335	269	$48.22	$13.65
99213 Established patient office or other outpatient visit, typically 15 minutes	1,207	494	$150.00	$85.86
36415 Insertion of needle into vein for collection of blood sample	1,157	528	$19.26	$8.34
80048 Blood test, basic group of blood chemicals (calcium, total)	1,031	515	$50.00	$8.27
80076 Liver function blood test panel	984	511	$60.00	$7.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	951	502	$30.00	$7.59
83036 Hemoglobin A1C level	812	467	$30.00	$9.47
84443 Blood test, thyroid stimulating hormone (TSH)	772	475	$55.00	$16.43
84439 Thyroxine (thyroid chemical), free	738	467	$50.00	$8.80
80061 Blood test, lipids (cholesterol and triglycerides)	483	427	$75.00	$13.12
83721 Ldl cholesterol level	402	312	$30.00	$10.24
87804 Detection test by immunoassay with direct visual observation for influenza virus	336	125	$35.00	$15.66
84478 Triglycerides level	332	262	$30.00	$5.61
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	305	305	$171.39	$124.32
80305 Testing for presence of drug, read by direct observation	268	155	$50.00	$12.30
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	254	65	$64.02	$61.28
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	172	126	$80.00	$39.27
81003 Automated urinalysis test	151	93	$40.00	$2.20
G0103 Prostate cancer screening; prostate specific antigen test (psa)	150	150	$52.00	$18.79
G0481 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	150	97	$160.00	$153.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	129	103	$95.00	$51.07
G0008 Administration of influenza virus vaccine	123	121	$35.00	$29.99
90756 Vaccine for influenza for injection into muscle	123	121	$35.00	$31.16
71046 X-ray of chest, 2 views	109	96	$95.00	$32.21
85610 Blood test, clotting time	96	25	$25.00	$4.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	78	70	$250.00	$175.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	36	$150.00	$78.57
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	71	32	$55.00	$22.21
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	71	52	$37.00	$16.20
J1940 Injection, furosemide, up to 20 mg	66	14	$19.55	$0.56
J1030 Injection, methylprednisolone acetate, 40 mg	65	22	$25.00	$7.62
82043 Urine microalbumin (protein) level	64	59	$15.00	$5.66
83718 Hdl cholesterol level	51	49	$30.00	$8.03
93000 Routine ekg using at least 12 leads including interpretation and report	51	50	$50.00	$13.93
84550 Uric acid level, blood	50	32	$25.00	$4.43
81002 Urinalysis, manual test	47	40	$40.00	$3.41
72100 X-ray of lower and sacral spine, 2-3 views	43	42	$93.00	$37.59
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	36	11	$43.33	$1.07
99495 Transitional care management services for problem of at least moderate complexity	35	29	$325.00	$183.81
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	35	34	$350.00	$183.71
82465 Cholesterol level	34	33	$24.18	$4.26
73560 X-ray of knee, 1-2 views	30	28	$80.00	$38.52
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	30	$275.00	$129.62
99239 Hospital discharge day management, more than 30 minutes	30	29	$140.00	$113.46
69209 Removal of impacted ear wax by washing	26	20	$59.23	$16.89
73502 X-ray of hip, 2-3 views	26	25	$80.00	$43.26
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	22	$135.00	$48.54
72040 X-ray of upper spine, 2-3 views	22	20	$102.00	$38.11
73030 X-ray of shoulder, minimum of 2 views	22	19	$79.00	$31.81
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$131.82	$121.76
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$192.86	$161.51
G0009 Administration of pneumococcal vaccine	21	21	$35.00	$30.24
76700 Ultrasound of abdomen	18	17	$350.00	$108.15
73630 X-ray of foot, minimum of 3 views	17	15	$75.00	$31.02
82550 Creatine kinase (cardiac enzyme) level, total	16	12	$26.00	$6.38
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	15	15	$381.67	$65.40
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	15	13	$35.00	$13.58
74176 Ct scan of abdomen and pelvis without contrast	15	15	$400.00	$183.71
70551 Mri scan of brain without contrast	15	15	$600.00	$185.27
20610 Aspiration and/or injection of fluid from large joint	14	12	$172.50	$66.56
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$300.00	$164.27
74021 X-ray of abdomen, minimum of 3 views	12	12	$210.00	$41.38
85652 Red blood cell sedimentation rate, to detect inflammation, automated	12	12	$30.00	$2.65
70450 Ct scan head or brain without contrast	12	12	$550.00	$99.31
73620 X-ray of foot, 2 views	11	11	$53.00	$27.31
71101 X-ray of ribs on side of body, minimum of 3 views	11	11	$125.00	$40.69
11104 Punch biopsy, first skin growth	11	11	$175.00	$122.29
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	11	11	$125.00	$24.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,349	237	$5.02	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,071	632	$200.00	$125.87
J1885 Injection, ketorolac tromethamine, per 15 mg	1,896	200	$20.00	$0.57
99213 Established patient office or other outpatient visit, typically 15 minutes	1,656	574	$150.00	$89.35
J0696 Injection, ceftriaxone sodium, per 250 mg	1,616	176	$30.00	$0.49
36415 Insertion of needle into vein for collection of blood sample	1,237	583	$14.00	$2.96
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,221	304	$35.02	$13.88
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	995	568	$30.00	$7.66
83036 Hemoglobin A1C level	831	494	$30.00	$9.58
80048 Blood test, basic group of blood chemicals (calcium, total)	766	481	$50.00	$8.33
84443 Blood test, thyroid stimulating hormone (TSH)	726	483	$55.00	$16.57
80076 Liver function blood test panel	708	481	$60.00	$8.04
84439 Thyroxine (thyroid chemical), free	587	409	$50.00	$8.90
80061 Blood test, lipids (cholesterol and triglycerides)	465	445	$75.00	$13.21
83721 Ldl cholesterol level	445	313	$30.00	$10.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	314	314	$150.00	$127.01
80053 Blood test, comprehensive group of blood chemicals	304	259	$75.00	$10.49
87804 Detection test by immunoassay with direct visual observation for influenza virus	290	118	$28.93	$16.17
84478 Triglycerides level	249	195	$30.00	$5.66
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	203	136	$80.00	$39.72
80305 Testing for presence of drug, read by direct observation	202	128	$50.00	$12.31
G0103 Prostate cancer screening; prostate specific antigen test (psa)	163	163	$52.00	$19.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	157	125	$250.00	$177.44
71046 X-ray of chest, 2 views	147	112	$95.00	$32.98
85610 Blood test, clotting time	125	32	$25.00	$4.24
81002 Urinalysis, manual test	122	88	$40.00	$3.42
G0008 Administration of influenza virus vaccine	114	112	$35.00	$28.43
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	111	39	$64.02	$62.43
90756 Vaccine for influenza for injection into muscle	110	108	$35.00	$29.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	109	91	$95.00	$55.87
93000 Routine ekg using at least 12 leads including interpretation and report	84	76	$50.00	$14.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	79	16	$20.00	$1.14
84550 Uric acid level, blood	62	42	$25.00	$4.46
J1940 Injection, furosemide, up to 20 mg	60	16	$5.00	$0.60
81003 Automated urinalysis test	49	40	$40.00	$2.24
82043 Urine microalbumin (protein) level	45	41	$15.00	$5.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	21	$150.00	$66.38
72100 X-ray of lower and sacral spine, 2-3 views	42	41	$93.00	$39.07
99495 Transitional care management services for problem of at least moderate complexity	38	32	$325.00	$203.39
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	34	34	$350.00	$190.66
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	34	29	$37.00	$16.36
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	29	12	$55.00	$22.31
73030 X-ray of shoulder, minimum of 2 views	28	26	$79.00	$33.98
G0009 Administration of pneumococcal vaccine	22	22	$35.00	$28.74
20610 Aspiration and/or injection of fluid from large joint	22	16	$140.00	$65.54
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$130.00	$127.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$200.00	$112.45
99217 Hospital observation care on day of discharge	21	20	$150.00	$70.75
99239 Hospital discharge day management, more than 30 minutes	21	21	$140.00	$103.98
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	20	19	$135.00	$52.18
69209 Removal of impacted ear wax by washing	20	17	$40.00	$16.87
74019 X-ray of abdomen, 2 views	20	20	$99.00	$36.13
73502 X-ray of hip, 2-3 views	20	19	$80.00	$45.89
73560 X-ray of knee, 1-2 views	19	17	$80.00	$31.78
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$170.00	$165.21
70450 Ct scan head or brain without contrast	18	16	$550.00	$107.68
76770 Complete ultrasound scan behind abdominal cavity	17	17	$235.00	$107.30
85652 Red blood cell sedimentation rate, to detect inflammation, automated	17	13	$30.00	$2.67
99219 Hospital observation care, typically 50 minutes	16	15	$250.00	$132.05
76536 Ultrasound of head and neck	16	14	$300.00	$110.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$300.00	$167.52
82550 Creatine kinase (cardiac enzyme) level, total	15	11	$26.00	$6.43
99225 Subsequent observation care, typically 25 minutes per day	14	11	$130.00	$70.54
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$275.00	$125.36
G0179 Physician re-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 to affirm the initial imp	14	13	$100.00	$40.42
73562 X-ray of knee, 3 views	14	13	$80.00	$42.86
72040 X-ray of upper spine, 2-3 views	14	14	$102.00	$38.75
11104 Punch biopsy, first skin growth	14	13	$175.00	$120.92
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	14	14	$375.00	$69.09
72070 X-ray of middle spine, 2 views	13	13	$91.00	$32.29
99496 Transitional care management services for problem of high complexity	13	13	$300.00	$275.44
76700 Ultrasound of abdomen	12	12	$350.00	$116.18
72148 MRI scan of lower spinal canal	12	11	$850.00	$198.08
74176 Ct scan of abdomen and pelvis without contrast	11	11	$400.00	$187.81

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	2,150	696	$197.44	$128.86
J1100 Injection, dexamethasone sodium phosphate, 1 mg	1,937	225	$5.00	$0.15
99213 Established patient office or other outpatient visit, typically 15 minutes	1,773	645	$138.53	$90.93
J1885 Injection, ketorolac tromethamine, per 15 mg	1,615	184	$13.73	$0.50
36415 Insertion of needle into vein for collection of blood sample	1,305	644	$16.48	$3.00
J0696 Injection, ceftriaxone sodium, per 250 mg	1,267	157	$21.84	$0.53
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,088	625	$27.94	$7.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	959	278	$39.47	$13.93
80048 Blood test, basic group of blood chemicals (calcium, total)	921	523	$40.81	$8.44
83036 Hemoglobin A1C level	899	551	$28.22	$9.68
84443 Blood test, thyroid stimulating hormone (TSH)	825	531	$49.20	$16.80
80076 Liver function blood test panel	817	497	$42.04	$8.15
84439 Thyroxine (thyroid chemical), free	645	448	$35.03	$9.01
80061 Blood test, lipids (cholesterol and triglycerides)	507	450	$66.68	$13.36
83721 Ldl cholesterol level	392	316	$32.12	$10.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	282	282	$170.26	$122.35
84478 Triglycerides level	227	187	$23.55	$5.74
80053 Blood test, comprehensive group of blood chemicals	214	177	$89.88	$10.56
80305 Testing for presence of drug, read by direct observation	206	139	$122.82	$12.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	201	155	$240.37	$181.45
81003 Automated urinalysis test	201	136	$37.53	$2.25
G0103 Prostate cancer screening; prostate specific antigen test (psa)	164	164	$63.36	$19.19
85610 Blood test, clotting time	160	37	$25.46	$4.29
G0008 Administration of influenza virus vaccine	149	141	$38.22	$16.59
71046 X-ray of chest, 2 views	135	112	$79.88	$32.92
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	117	77	$44.34	$22.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	112	32	$123.66	$71.17
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	110	73	$75.00	$40.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	92	$85.94	$55.76
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	85	83	$90.06	$29.81
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	74	16	$23.23	$1.26
93000 Routine ekg using at least 12 leads including interpretation and report	71	67	$40.70	$14.80
84550 Uric acid level, blood	64	48	$60.16	$4.52
90756 Vaccine for influenza for injection into muscle	61	60	$35.00	$28.37
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	59	53	$118.90	$52.42
87804 Detection test by immunoassay with direct visual observation for influenza virus	57	29	$25.84	$16.55
J1940 Injection, furosemide, up to 20 mg	53	18	$45.00	$0.61
G0179 Physician re-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 to affirm the initial imp	38	25	$83.00	$40.64
72100 X-ray of lower and sacral spine, 2-3 views	37	36	$78.92	$38.82
99496 Transitional care management services for problem of high complexity	35	33	$368.14	$276.46
99495 Transitional care management services for problem of at least moderate complexity	32	30	$306.25	$204.01
70450 Ct scan head or brain without contrast	29	28	$482.03	$111.78
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	29	28	$363.79	$192.72
82044 Urine microalbumin (protein) analysis	29	29	$75.00	$6.23
76700 Ultrasound of abdomen	29	29	$317.24	$119.56
71250 Ct scan of chest without contrast	27	25	$642.78	$140.29
20610 Aspiration and/or injection of fluid from large joint	27	23	$137.78	$65.53
82043 Urine microalbumin (protein) level	26	26	$15.00	$5.78
73562 X-ray of knee, 3 views	25	25	$81.28	$47.27
73502 X-ray of hip, 2-3 views	22	21	$80.91	$45.37
85652 Red blood cell sedimentation rate, to detect inflammation, automated	22	20	$32.18	$2.70
73030 X-ray of shoulder, minimum of 2 views	22	21	$69.09	$35.01
74176 Ct scan of abdomen and pelvis without contrast	21	21	$417.86	$193.83
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	19	19	$80.00	$41.38
72040 X-ray of upper spine, 2-3 views	19	19	$95.37	$38.49
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	19	17	$221.00	$72.25
72148 MRI scan of lower spinal canal	19	19	$766.74	$207.17
94640 Inhalation treatment for airway obstruction or sputum production	18	16	$49.83	$13.61
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$216.67	$152.63
J1030 Injection, methylprednisolone acetate, 40 mg	18	11	$21.67	$5.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$297.78	$169.08
99239 Hospital discharge day management, more than 30 minutes	17	16	$143.53	$106.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	13	$141.76	$98.91
73630 X-ray of foot, minimum of 3 views	17	16	$64.29	$33.47
69209 Removal of impacted ear wax by washing	15	14	$48.00	$16.05
71271 Low dose ct scan of chest for lung cancer screening	15	15	$444.00	$144.88
82550 Creatine kinase (cardiac enzyme) level, total	15	13	$24.93	$6.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$196.00	$112.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$311.43	$201.13
69210 Removal of impacted ear wax	14	14	$103.57	$48.40
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	13	13	$35.77	$16.53
70551 Mri scan of brain without contrast	13	13	$632.31	$211.61
99217 Hospital observation care on day of discharge	11	11	$130.00	$72.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	2,142	242	$5.00	$0.12
99213 Established patient office or other outpatient visit, typically 15 minutes	1,999	704	$124.80	$74.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,874	672	$196.09	$107.91
J1885 Injection, ketorolac tromethamine, per 15 mg	1,659	179	$7.24	$0.55
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	1,361	299	$42.40	$13.98
J0696 Injection, ceftriaxone sodium, per 250 mg	1,234	166	$15.09	$0.57
36415 Insertion of needle into vein for collection of blood sample	1,226	665	$20.01	$2.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,081	652	$25.80	$7.69
80048 Blood test, basic group of blood chemicals (calcium, total)	885	539	$30.05	$8.40
83036 Hemoglobin A1C level	855	557	$26.77	$9.65
80076 Liver function blood test panel	788	510	$20.18	$8.12
84443 Blood test, thyroid stimulating hormone (TSH)	782	535	$42.15	$16.70
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	751	477	$34.09	$22.56
84439 Thyroxine (thyroid chemical), free	513	377	$27.06	$8.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	417	417	$158.86	$112.89
83721 Ldl cholesterol level	376	294	$34.96	$10.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	280	219	$75.54	$44.86
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	271	123	$75.00	$41.68
81003 Automated urinalysis test	237	156	$44.43	$2.23
80305 Testing for presence of drug, read by direct observation	223	132	$199.39	$12.52
80061 Blood test, lipids (cholesterol and triglycerides)	190	187	$64.61	$13.37
G0103 Prostate cancer screening; prostate specific antigen test (psa)	187	187	$75.00	$19.21
80053 Blood test, comprehensive group of blood chemicals	185	150	$121.95	$10.50
85610 Blood test, clotting time	162	29	$25.99	$4.26
84478 Triglycerides level	152	126	$24.87	$5.71
G0008 Administration of influenza virus vaccine	127	121	$64.06	$16.54
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	127	121	$209.24	$29.07
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	111	88	$225.54	$146.26
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	107	40	$108.09	$73.59
71046 X-ray of chest, 2 views	97	86	$57.72	$32.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	92	22	$37.52	$1.49
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	87	65	$85.00	$53.17
87804 Detection test by immunoassay with direct visual observation for influenza virus	75	36	$32.68	$16.24
J1940 Injection, furosemide, up to 20 mg	71	29	$63.31	$0.63
93000 Routine ekg using at least 12 leads including interpretation and report	68	62	$34.06	$16.96
82044 Urine microalbumin (protein) analysis	62	56	$75.00	$6.20
84550 Uric acid level, blood	58	46	$98.71	$4.49
G0179 Physician re-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 to affirm the initial imp	54	30	$66.00	$40.53
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	41	41	$236.59	$167.53
J1030 Injection, methylprednisolone acetate, 40 mg	38	22	$15.24	$5.92
20610 Aspiration and/or injection of fluid from large joint	37	24	$130.00	$63.73
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	29	28	$33.00	$16.29
85652 Red blood cell sedimentation rate, to detect inflammation, automated	27	21	$33.00	$2.68
72100 X-ray of lower and sacral spine, 2-3 views	27	27	$66.11	$37.21
99496 Transitional care management services for problem of high complexity	26	23	$300.00	$241.62
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	23	23	$367.39	$151.37
99239 Hospital discharge day management, more than 30 minutes	22	22	$163.64	$108.13
J1040 Injection, methylprednisolone acetate, 80 mg	22	15	$73.23	$11.65
73562 X-ray of knee, 3 views	21	20	$70.10	$39.89
73502 X-ray of hip, 2-3 views	18	17	$81.89	$43.82
70450 Ct scan head or brain without contrast	17	15	$321.06	$111.14
99217 Hospital observation care on day of discharge	15	14	$95.00	$73.57
69209 Removal of impacted ear wax by washing	15	14	$52.00	$14.24
73630 X-ray of foot, minimum of 3 views	15	14	$58.07	$31.95
73030 X-ray of shoulder, minimum of 2 views	15	15	$55.60	$32.34
74176 Ct scan of abdomen and pelvis without contrast	14	14	$464.29	$196.74
72040 X-ray of upper spine, 2-3 views	14	14	$70.57	$37.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	14	13	$213.21	$139.55
99219 Hospital observation care, typically 50 minutes	13	12	$170.00	$138.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	12	12	$145.83	$105.96
72148 MRI scan of lower spinal canal	12	11	$642.83	$212.85
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$163.00	$119.19
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	11	11	$253.91	$80.34
76770 Complete ultrasound scan behind abdominal cavity	11	11	$221.36	$110.35
G0009 Administration of pneumococcal vaccine	11	11	$64.00	$16.54
71250 Ct scan of chest without contrast	11	11	$413.00	$154.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	4,640	402	$22.10	$0.12
J1885 Injection, ketorolac tromethamine, per 15 mg	3,132	290	$27.98	$0.52
99213 Established patient office or other outpatient visit, typically 15 minutes	2,813	811	$124.57	$72.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	2,732	495	$42.15	$16.21
J0696 Injection, ceftriaxone sodium, per 250 mg	2,634	286	$61.37	$0.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,045	693	$194.81	$106.24
36415 Insertion of needle into vein for collection of blood sample	1,608	755	$20.04	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,241	720	$25.98	$8.43
80048 Blood test, basic group of blood chemicals (calcium, total)	1,167	631	$30.09	$9.18
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,075	15	$7.00	$0.12
83036 Hemoglobin A1C level	997	613	$27.47	$10.54
80076 Liver function blood test panel	930	585	$20.33	$8.86
84443 Blood test, thyroid stimulating hormone (TSH)	887	598	$42.28	$18.28
84439 Thyroxine (thyroid chemical), free	571	421	$27.14	$9.82
80061 Blood test, lipids (cholesterol and triglycerides)	503	474	$64.91	$14.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	415	415	$171.12	$113.14
83721 Ldl cholesterol level	402	312	$35.09	$10.39
81003 Automated urinalysis test	298	182	$44.07	$2.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	291	220	$75.60	$43.83
80305 Testing for presence of drug, read by direct observation	287	156	$198.12	$12.31
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	266	123	$75.00	$40.96
85610 Blood test, clotting time	227	31	$26.00	$4.28
G0008 Administration of influenza virus vaccine	208	202	$62.12	$16.24
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	207	202	$197.32	$27.28
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	195	122	$40.28	$21.91
G0103 Prostate cancer screening; prostate specific antigen test (psa)	190	190	$75.00	$20.03
80053 Blood test, comprehensive group of blood chemicals	190	154	$118.40	$11.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	169	32	$36.38	$1.61
87804 Detection test by immunoassay with direct visual observation for influenza virus	160	76	$32.51	$16.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	159	68	$92.00	$73.03
71046 X-ray of chest, 2 views	128	109	$64.29	$30.73
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	103	77	$85.00	$52.56
93000 Routine ekg using at least 12 leads including interpretation and report	86	81	$33.77	$16.58
J1940 Injection, furosemide, up to 20 mg	84	30	$62.14	$0.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	82	70	$195.20	$137.92
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	75	75	$285.33	$166.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	69	$228.67	$140.91
85652 Red blood cell sedimentation rate, to detect inflammation, automated	70	51	$32.87	$2.94
J1030 Injection, methylprednisolone acetate, 40 mg	65	43	$15.14	$6.17
82044 Urine microalbumin (protein) analysis	57	55	$75.00	$6.11
20610 Aspiration and/or injection of fluid from large joint	57	40	$132.98	$60.34
84550 Uric acid level, blood	55	45	$79.25	$4.74
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	16	$67.00	$39.71
99239 Hospital discharge day management, more than 30 minutes	48	44	$150.58	$106.98
84478 Triglycerides level	48	43	$26.31	$6.25
99238 Hospital discharge day management, 30 minutes or less	45	43	$95.24	$73.05
G0179 Physician re-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 to affirm the initial imp	41	24	$66.00	$40.39
72100 X-ray of lower and sacral spine, 2-3 views	38	36	$68.53	$35.50
J1040 Injection, methylprednisolone acetate, 80 mg	37	23	$73.95	$12.19
99496 Transitional care management services for problem of high complexity	36	32	$300.00	$228.31
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	36	20	$139.89	$92.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$190.63	$108.00
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	30	27	$52.47	$22.87
73562 X-ray of knee, 3 views	27	25	$68.56	$36.16
73030 X-ray of shoulder, minimum of 2 views	26	26	$59.27	$29.33
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	25	25	$334.00	$127.25
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	24	23	$33.50	$16.20
94640 Inhalation treatment for airway obstruction or sputum production	24	21	$33.50	$17.41
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$160.25	$110.08
99217 Hospital observation care on day of discharge	23	22	$95.70	$73.09
82550 Creatine kinase (cardiac enzyme) level, total	23	20	$22.35	$7.09
G0297 Low dose ct scan (ldct) for lung cancer screening	23	23	$419.57	$227.72
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	23	21	$229.35	$77.16
69209 Removal of impacted ear wax by washing	23	22	$49.13	$13.65
G0009 Administration of pneumococcal vaccine	23	23	$61.48	$16.24
99219 Hospital observation care, typically 50 minutes	22	21	$171.64	$136.68
99291 Critical care, first 30-74 minutes	21	12	$404.81	$225.33
J2550 Injection, promethazine hcl, up to 50 mg	21	18	$83.10	$2.07
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	21	17	$138.10	$14.82
74021 X-ray of abdomen, minimum of 3 views	21	20	$106.57	$39.05
95913 Nerve conduction, 13 or more studies	20	20	$465.40	$298.79
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	19	15	$96.63	$37.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$290.26	$164.10
76770 Complete ultrasound scan behind abdominal cavity	19	19	$230.74	$105.31
99495 Transitional care management services for problem of at least moderate complexity	18	17	$200.00	$161.73
72040 X-ray of upper spine, 2-3 views	17	17	$82.24	$35.44
70450 Ct scan head or brain without contrast	17	17	$386.47	$112.55
73630 X-ray of foot, minimum of 3 views	15	14	$61.60	$32.31
11104 Punch biopsy, first skin growth	14	14	$179.64	$121.85
74018 X-ray of abdomen, 1 view	14	14	$91.07	$27.63
73130 X-ray of hand, minimum of 3 views	14	14	$64.71	$30.29
76536 Ultrasound of head and neck	14	14	$204.36	$111.36
76700 Ultrasound of abdomen	13	13	$234.62	$118.06
72070 X-ray of middle spine, 2 views	12	12	$64.75	$33.08
71250 Ct scan of chest without contrast	12	12	$469.67	$154.43
72148 MRI scan of lower spinal canal	12	12	$718.25	$208.70
69210 Removal of impacted ear wax	12	12	$85.00	$47.35
74176 Ct scan of abdomen and pelvis without contrast	12	12	$487.50	$183.33
74178 Ct scan of abdomen and pelvis before and after contrast	11	11	$477.27	$348.02
94618 Test for exercise-induced lung stress	11	11	$366.36	$31.31
73721 Mri scan of leg joint without contrast	11	11	$647.27	$225.85
73221 Mri scan of arm joint without contrast	11	11	$714.82	$214.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	5,049	412	$44.76	$0.11
J1885 Injection, ketorolac tromethamine, per 15 mg	2,997	268	$64.39	$0.57
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	2,789	490	$42.61	$19.52
99213 Established patient office or other outpatient visit, typically 15 minutes	2,775	846	$126.02	$69.87
J0696 Injection, ceftriaxone sodium, per 250 mg	2,685	315	$129.51	$0.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,940	668	$197.62	$103.51
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,629	25	$7.00	$0.11
36415 Insertion of needle into vein for collection of blood sample	1,516	728	$20.23	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,100	663	$25.73	$9.39
80048 Blood test, basic group of blood chemicals (calcium, total)	1,003	577	$30.01	$10.22
83036 Hemoglobin A1C level	898	574	$26.72	$11.74
84443 Blood test, thyroid stimulating hormone (TSH)	828	572	$42.25	$20.33
80076 Liver function blood test panel	780	522	$20.10	$9.88
80061 Blood test, lipids (cholesterol and triglycerides)	516	474	$65.38	$16.20
84439 Thyroxine (thyroid chemical), free	472	354	$27.20	$10.91
83721 Ldl cholesterol level	395	291	$34.99	$11.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	337	249	$76.71	$42.15
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	291	291	$264.15	$164.49
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	282	282	$169.20	$111.24
81003 Automated urinalysis test	275	165	$45.96	$2.71
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	274	78	$140.55	$89.73
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	249	90	$236.99	$71.80
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	244	108	$75.00	$40.84
85610 Blood test, clotting time	237	46	$26.00	$4.75
80053 Blood test, comprehensive group of blood chemicals	223	198	$124.00	$12.78
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	223	217	$215.00	$23.48
G0008 Administration of influenza virus vaccine	220	214	$65.00	$19.91
80305 Testing for presence of drug, read by direct observation	176	111	$197.70	$13.19
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	171	104	$39.16	$20.56
G0103 Prostate cancer screening; prostate specific antigen test (psa)	168	168	$75.00	$22.26
71046 X-ray of chest, 2 views	136	120	$50.33	$29.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	124	107	$209.19	$134.91
87804 Detection test by immunoassay with direct visual observation for influenza virus	106	51	$33.25	$15.96
93000 Routine ekg using at least 12 leads including interpretation and report	92	80	$31.91	$16.09
94640 Inhalation treatment for airway obstruction or sputum production	82	62	$32.00	$17.66
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	81	41	$110.53	$67.87
99239 Hospital discharge day management, more than 30 minutes	66	61	$162.56	$104.89
99217 Hospital observation care on day of discharge	56	50	$110.05	$71.81
99238 Hospital discharge day management, 30 minutes or less	55	51	$112.38	$71.81
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	54	45	$85.00	$52.06
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$208.49	$105.51
99219 Hospital observation care, typically 50 minutes	51	45	$201.88	$131.96
84478 Triglycerides level	50	47	$25.00	$6.95
J1030 Injection, methylprednisolone acetate, 40 mg	50	26	$15.00	$6.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	18	$60.50	$38.80
84550 Uric acid level, blood	46	36	$63.39	$5.11
73562 X-ray of knee, 3 views	43	41	$66.00	$33.35
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	42	42	$96.31	$61.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	40	$224.72	$141.41
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	40	23	$138.90	$84.44
82044 Urine microalbumin (protein) analysis	39	39	$75.00	$6.11
G0179 Physician re-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 to affirm the initial imp	36	23	$66.00	$40.24
85652 Red blood cell sedimentation rate, to detect inflammation, automated	35	32	$33.00	$3.26
20610 Aspiration and/or injection of fluid from large joint	35	17	$130.00	$59.92
72100 X-ray of lower and sacral spine, 2-3 views	34	34	$60.97	$33.39
J1940 Injection, furosemide, up to 20 mg	33	14	$65.00	$0.91
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	31	30	$400.00	$139.54
99496 Transitional care management services for problem of high complexity	30	30	$300.00	$225.03
69210 Removal of impacted ear wax	29	28	$85.00	$47.69
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	28	28	$163.00	$101.82
G0009 Administration of pneumococcal vaccine	28	28	$64.39	$19.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	28	28	$33.43	$15.72
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	27	27	$96.30	$42.25
73030 X-ray of shoulder, minimum of 2 views	26	25	$53.85	$28.01
73630 X-ray of foot, minimum of 3 views	26	24	$53.73	$28.08
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	25	18	$158.40	$14.17
95913 Nerve conduction, 13 or more studies	23	23	$486.78	$283.77
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	23	22	$204.17	$128.08
11100 Biopsy of single growth of skin and/or tissue	23	23	$172.00	$96.21
73502 X-ray of hip, 2-3 views	22	21	$82.00	$39.31
82550 Creatine kinase (cardiac enzyme) level, total	21	17	$22.00	$7.88
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	20	19	$42.00	$23.30
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	19	19	$163.63	$76.89
72148 MRI scan of lower spinal canal	19	18	$624.00	$203.45
70450 Ct scan head or brain without contrast	18	18	$272.00	$110.80
72040 X-ray of upper spine, 2-3 views	17	17	$61.29	$31.75
99495 Transitional care management services for problem of at least moderate complexity	17	16	$200.00	$159.15
70551 Mri scan of brain without contrast	16	15	$743.25	$213.49
99306 Initial nursing facility visit, typically 45 minutes per day	13	12	$260.69	$163.77
93880 Ultrasound of both sides of head and neck blood flow	13	13	$301.00	$194.62
94618 Test for exercise-induced lung stress	13	12	$301.23	$33.28
74176 Ct scan of abdomen and pelvis without contrast	13	13	$450.00	$192.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$295.00	$161.22
72070 X-ray of middle spine, 2 views	13	13	$56.00	$32.46
71250 Ct scan of chest without contrast	13	11	$347.00	$155.42
70220 X-ray of paranasal sinus, minimum of 3 views	12	12	$65.00	$35.73
G0297 Low dose ct scan (ldct) for lung cancer screening	12	12	$350.00	$224.18
74018 X-ray of abdomen, 1 view	12	12	$88.75	$26.03
J2550 Injection, promethazine hcl, up to 50 mg	11	11	$79.55	$1.81
99235 Initial hospital care with same-day admission and discharge with moderate level of medical decision making, per day, if using time, at least 70 minutes	11	11	$231.09	$166.95
73130 X-ray of hand, minimum of 3 views	11	11	$55.00	$30.31
76536 Ultrasound of head and neck	11	11	$204.00	$111.83
76770 Complete ultrasound scan behind abdominal cavity	11	11	$224.91	$109.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1100 Injection, dexamethasone sodium phosphate, 1 mg	3,884	327	$18.78	$0.11
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,970	27	$3.35	$0.12
J1885 Injection, ketorolac tromethamine, per 15 mg	2,424	244	$34.43	$0.63
J0696 Injection, ceftriaxone sodium, per 250 mg	2,399	265	$56.68	$0.63
99213 Established patient office or other outpatient visit, typically 15 minutes	2,329	720	$106.17	$69.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,312	713	$157.81	$103.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	2,229	425	$35.75	$23.99
36415 Insertion of needle into vein for collection of blood sample	1,512	719	$16.73	$2.93
J0153 Injection, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds)	1,081	24	$12.26	$0.55
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,026	637	$25.57	$10.43
83036 Hemoglobin A1C level	789	529	$28.62	$13.02
84443 Blood test, thyroid stimulating hormone (TSH)	753	562	$49.58	$22.59
80048 Blood test, basic group of blood chemicals (calcium, total)	597	400	$33.07	$7.99
80053 Blood test, comprehensive group of blood chemicals	592	390	$81.12	$13.85
80076 Liver function blood test panel	475	355	$36.39	$6.73
84439 Thyroxine (thyroid chemical), free	466	356	$28.78	$12.12
80061 Blood test, lipids (cholesterol and triglycerides)	423	399	$52.48	$11.13
83721 Ldl cholesterol level	383	296	$32.05	$12.83
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	380	260	$75.72	$41.55
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	296	296	$245.04	$161.92
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	284	204	$37.49	$19.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	277	88	$165.62	$70.80
85610 Blood test, clotting time	268	41	$25.40	$5.26
81003 Automated urinalysis test	230	133	$30.63	$3.01
G0008 Administration of influenza virus vaccine	225	222	$61.44	$24.60
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	214	214	$215.00	$23.57
G0103 Prostate cancer screening; prostate specific antigen test (psa)	140	140	$62.35	$24.73
87804 Detection test by immunoassay with direct visual observation for influenza virus	114	57	$29.95	$15.59
71020 X-ray of chest, 2 views, front and side	113	104	$72.12	$26.48
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	111	95	$202.64	$134.85
J1940 Injection, furosemide, up to 20 mg	100	24	$10.40	$1.30
93000 Routine ekg using at least 12 leads including interpretation and report	99	90	$44.30	$16.42
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	96	96	$172.21	$110.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	88	49	$108.63	$67.34
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	83	45	$68.00	$43.50
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	83	25	$3.00	$0.05
99239 Hospital discharge day management, more than 30 minutes	77	65	$158.77	$105.05
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	75	66	$120.33	$51.98
99238 Hospital discharge day management, 30 minutes or less	65	58	$98.18	$70.84
84478 Triglycerides level	59	47	$19.24	$3.35
99217 Hospital observation care on day of discharge	57	49	$102.60	$68.20
J1030 Injection, methylprednisolone acetate, 40 mg	56	34	$17.30	$5.66
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	54	53	$348.61	$150.96
84550 Uric acid level, blood	54	44	$45.83	$5.55
99231 Follow-up hospital inpatient care per day, typically 15 minutes	50	29	$66.06	$38.68
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	48	25	$206.46	$109.87
77080 Dxa bone density measurement of hip, pelvis, spine	48	47	$164.00	$38.79
G0179 Physician re-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 to affirm the initial imp	45	30	$83.38	$39.79
99219 Hospital observation care, typically 50 minutes	44	40	$186.77	$128.16
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	43	28	$158.00	$89.16
94640 Inhalation treatment for airway obstruction or sputum production	43	35	$34.09	$17.36
85652 Red blood cell sedimentation rate, to detect inflammation, automated	42	38	$31.43	$3.63
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	37	36	$97.78	$51.71
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	37	29	$77.70	$14.14
99496 Transitional care management services for problem of high complexity	34	32	$278.09	$222.91
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	33	31	$35.06	$16.11
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	33	18	$50.00	$2.28
11100 Biopsy of single growth of skin and/or tissue	33	32	$173.91	$95.19
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	32	32	$141.63	$92.51
G0009 Administration of pneumococcal vaccine	32	32	$42.69	$24.55
95886 Needle measurement of electrical activity in arm or leg muscles, complete study	31	16	$146.23	$87.19
72110 X-ray of lower and sacral spine, minimum of 4 views	31	31	$116.13	$45.28
82550 Creatine kinase (cardiac enzyme) level, total	30	24	$24.53	$3.99
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	28	27	$249.71	$62.77
94762 Test to measure oxygen level in blood using ear or finger device continuously overnight	27	25	$56.48	$22.99
69210 Removal of impacted ear wax	27	23	$101.30	$48.00
73562 X-ray of knee, 3 views	26	23	$79.12	$37.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$163.08	$105.60
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	26	26	$679.08	$429.68
70450 Ct scan head or brain without contrast	25	25	$461.04	$110.92
99495 Transitional care management services for problem of at least moderate complexity	24	24	$204.17	$151.68
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	22	$277.04	$199.28
J1040 Injection, methylprednisolone acetate, 80 mg	23	12	$54.65	$11.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	22	20	$132.00	$67.39
80305 Testing for presence of drug, read by direct observation	22	19	$200.00	$14.66
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	21	21	$290.43	$80.57
73030 X-ray of shoulder, minimum of 2 views	21	21	$73.76	$29.12
82044 Urine microalbumin (protein) analysis	20	19	$52.95	$5.84
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	20	20	$32.00	$15.95
76700 Ultrasound of abdomen	19	19	$246.05	$117.25
73630 X-ray of foot, minimum of 3 views	19	16	$75.11	$24.80
74020 Imaging of abdomen	19	19	$92.05	$36.01
96375 Injection of additional new drug or substance into vein	19	12	$38.47	$21.13
93880 Ultrasound of both sides of head and neck blood flow	18	18	$307.50	$192.13
76536 Ultrasound of head and neck	18	17	$204.67	$110.90
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	17	16	$139.00	$89.03
84153 Psa (prostate specific antigen) measurement, total	17	16	$49.94	$24.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$226.00	$140.21
72040 X-ray of upper spine, 2-3 views	16	16	$87.63	$31.43
74177 Ct scan of abdomen and pelvis with contrast	15	15	$576.67	$295.04
73502 X-ray of hip, 2-3 views	15	15	$80.53	$39.45
71250 Ct scan of chest without contrast	15	15	$637.40	$157.71
90471 Administration of 1 vaccine	15	15	$44.93	$24.22
95913 Nerve conduction, 13 or more studies	14	14	$426.43	$287.37
73721 Mri scan of leg joint without contrast	14	13	$771.00	$220.25
99220 Hospital observation care, typically 70 minutes	14	14	$226.29	$182.38
20610 Aspiration and/or injection of fluid from large joint	14	11	$138.57	$59.80
99285 Emergency department visit for life threatening or functioning severity	13	13	$733.92	$176.14
94664 Evaluation of use of breathing device	13	13	$28.92	$16.37
82607 Cyanocobalamin (vitamin B-12) level	13	13	$35.46	$20.27
94060 Test to measure expiratory airflow and volume changes before and after medication administration	13	13	$129.23	$57.58
76770 Complete ultrasound scan behind abdominal cavity	13	13	$229.23	$108.42
73130 X-ray of hand, minimum of 3 views	12	12	$76.92	$34.23
70486 CT scan of face	12	12	$483.08	$122.85
82570 Creatinine level to test for kidney function or muscle injury	11	11	$31.82	$6.96

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME95758

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

275575100 (FL)

Hospital & Practice Group Affiliations

Premier Medical Clinic

315 E Ash St, Perry, FL 323472029

Phone: 8505843278

Premier Medical Clinic

6265 Old Water Oak Rd, Tallahassee, FL 323123862

Phone: 8505843278

Practice Associates & Co-Workers

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

10 Associated Practitioners

Nicholas Evans , PA-C

Physician Assistant

NPI 1083386569

Physician Assistant (Certified)

Dr. Diane Dodgen , MD

Clinic/Center - Primary Care

NPI 1134117385

Doctor of Medicine (M.D.)

Elisa Murphy , APRN

Nurse Practitioner - Family

NPI 1144960931

Advanced Practice Registered Nurse

Dr. Pamela Sauls , MD

Family Medicine

NPI 1184041741

Doctor of Medicine (M.D.)

Zully Gaines , APRN

Nurse Practitioner - Family

NPI 1760914907

Advanced Practice Registered Nurse

Sharon Schlick , PA-C

Physician Assistant - Medical

NPI 1801807615

Physician Assistant (Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active August 24, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location August 24, 2015

Registered at 315 E ASH ST, PERRY, FL 323472029 (Tel: 8505843278)

📍

Updated Business Mailing Address August 24, 2015

Registered at PO BOX 719, PERRY, FL 323480719 (Tel: 8505843278)

👤

Provider Name / Credentials Updated August 24, 2015

Recorded as ABDUL SOFI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2015

Internal Medicine (License #ME95758 in FL)

🟢

Initial NPI Registration & Enumeration May 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1205885613

Entity Type:

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

Enumeration Date: May 10, 2006

Last Update: August 24, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 719

Perry, FL 323480719

Phone: 8505843278

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.