Active NPI 1528099603 Individual Practitioner Male Practitioner

Dr. Ernesto J. Carames , MD

Internal Medicine • St Augustine, FL

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ernesto Carames, MD is a certified Internal Medicine practicing in St Augustine, FL. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Carames delivers high-quality medical care to the local community at 16 SAINT JOHNS MEDICAL PARK DR.

Dr. Carames maintains professional affiliations with Ability Health Services And Rehabilitation Lp, Ability Health Services, Inc, Millennium Physician Group Llc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least, annual depression screening, 5 to. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16 Saint Johns Medical Park Dr

St Augustine, FL 320865299

Telephone 9047945411

Fax 9047946815

Associated Practice Facility / Clinic

🏢 Internal Medicine Associates Of St Johns County Pa Facility NPI 1699704841

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in St Augustine, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +11.0 yrs vs City Avg

City Avg: 26.0 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

37 Specialists

Practicing in St Augustine, FL (10650 Statewide)

Telehealth Adoption Rate

29.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

37.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carames (37 Years) 37 Yrs

St Augustine Specialty Average (26.0 Years) 26.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,082	404	$160.33	$124.25
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	377	81	$185.00	$115.43
G0444 Annual depression screening, 5 to 15 minutes	281	280	$22.70	$17.90
99497 Advance care planning, first 30 minutes	262	244	$100.00	$80.12
99213 Established patient office or other outpatient visit, typically 15 minutes	218	150	$133.64	$88.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	194	194	$200.34	$125.13
99239 Hospital discharge day management, more than 30 minutes	162	96	$200.00	$110.92
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	151	136	$33.62	$16.04
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	120	55	$130.00	$76.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	83	65	$295.00	$168.58
93000 Routine ekg using at least 12 leads including interpretation and report	70	63	$63.48	$13.85
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	67	62	$337.45	$175.82
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	37	36	$30.46	$21.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$256.04	$163.45
81003 Automated urinalysis test	28	23	$5.00	$2.20
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	27	27	$113.00	$51.29
99496 Transitional care management services for problem of high complexity	24	23	$350.00	$268.73
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	20	14	$93.06	$40.01
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	16	15	$75.00	$40.55
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$299.46	$216.20
94010 Test to measure expiratory airflow and volume	14	13	$73.61	$25.81
99495 Transitional care management services for problem of at least moderate complexity	12	11	$275.00	$198.53

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	951	383	$140.03	$125.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	412	106	$185.00	$118.30
99497 Advance care planning, first 30 minutes	278	260	$100.00	$81.71
G0444 Annual depression screening, 5 to 15 minutes	262	262	$20.04	$17.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	242	242	$200.00	$125.31
99213 Established patient office or other outpatient visit, typically 15 minutes	237	158	$130.00	$88.58
99239 Hospital discharge day management, more than 30 minutes	192	126	$200.00	$113.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	158	65	$130.00	$78.63
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	117	85	$295.00	$172.42
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	75	36	$35.00	$8.03
93000 Routine ekg using at least 12 leads including interpretation and report	67	60	$65.00	$14.17
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	57	48	$113.00	$50.65
99496 Transitional care management services for problem of high complexity	35	33	$350.00	$269.43
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	32	29	$75.00	$40.55
81003 Automated urinalysis test	30	23	$5.00	$2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$251.92	$164.20
99495 Transitional care management services for problem of at least moderate complexity	23	22	$275.00	$198.68
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	23	14	$95.00	$40.19
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	17	$30.00	$22.18
94010 Test to measure expiratory airflow and volume	17	17	$75.00	$25.82
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	12	12	$30.00	$20.52
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	12	12	$25.00	$13.63

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	828	384	$140.00	$126.76
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	416	105	$185.00	$101.74
99213 Established patient office or other outpatient visit, typically 15 minutes	336	220	$130.00	$90.13
G0444 Annual depression screening, 5 to 15 minutes	309	309	$20.00	$17.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	284	92	$130.00	$70.94
99497 Advance care planning, first 30 minutes	284	263	$100.00	$84.22
99239 Hospital discharge day management, more than 30 minutes	207	121	$200.00	$103.80
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	205	98	$35.00	$8.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	205	117	$295.00	$197.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	151	151	$172.52	$128.41
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	67	58	$113.00	$52.09
93000 Routine ekg using at least 12 leads including interpretation and report	62	58	$65.00	$14.24
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	53	47	$75.00	$40.84
99495 Transitional care management services for problem of at least moderate complexity	43	41	$275.00	$203.26
99496 Transitional care management services for problem of high complexity	37	36	$350.00	$273.64
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	28	19	$95.00	$40.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$250.93	$167.61
99220 Hospital observation care, typically 70 minutes	25	24	$211.00	$177.51
99217 Hospital observation care on day of discharge	23	22	$125.00	$70.64
99306 Initial nursing facility visit, typically 45 minutes per day	23	15	$250.00	$163.02
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	22	12	$125.00	$67.98
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	20	20	$25.00	$14.28
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	20	20	$30.00	$21.51
81003 Automated urinalysis test	18	17	$5.00	$2.21
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	13	$30.00	$22.46
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	11	11	$275.00	$211.36

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	945	408	$140.08	$130.84
99213 Established patient office or other outpatient visit, typically 15 minutes	554	318	$125.38	$91.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	437	115	$185.00	$104.56
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	358	114	$130.00	$72.93
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	330	134	$35.00	$8.45
G0444 Annual depression screening, 5 to 15 minutes	277	277	$20.05	$18.42
99497 Advance care planning, first 30 minutes	276	264	$100.00	$86.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	221	128	$295.00	$203.21
99239 Hospital discharge day management, more than 30 minutes	212	128	$200.00	$107.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	105	105	$150.00	$133.58
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	61	52	$113.00	$52.98
99495 Transitional care management services for problem of at least moderate complexity	59	51	$275.00	$206.27
93000 Routine ekg using at least 12 leads including interpretation and report	38	37	$65.00	$14.95
99496 Transitional care management services for problem of high complexity	36	31	$350.00	$279.40
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	28	28	$25.00	$14.71
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	28	18	$95.00	$41.07
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	28	28	$33.21	$22.16
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	12	$100.00	$38.93
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	21	20	$75.00	$41.38
99220 Hospital observation care, typically 70 minutes	19	19	$211.00	$184.49
99217 Hospital observation care on day of discharge	18	18	$125.00	$72.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	18	15	$30.00	$22.41
94010 Test to measure expiratory airflow and volume	18	18	$75.00	$29.20
99306 Initial nursing facility visit, typically 45 minutes per day	18	15	$250.00	$168.03
76770 Complete ultrasound scan behind abdominal cavity	17	16	$188.00	$77.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$252.08	$170.73

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	891	415	$140.13	$108.10
99213 Established patient office or other outpatient visit, typically 15 minutes	808	430	$88.36	$73.46
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	339	104	$117.82	$73.33
99497 Advance care planning, first 30 minutes	283	263	$100.00	$86.36
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	244	112	$35.00	$8.62
G0444 Annual depression screening, 5 to 15 minutes	230	230	$20.04	$17.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	221	70	$165.26	$104.02
99239 Hospital discharge day management, more than 30 minutes	168	109	$172.53	$107.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	167	109	$283.26	$205.22
93000 Routine ekg using at least 12 leads including interpretation and report	81	77	$65.00	$16.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$150.00	$114.31
99496 Transitional care management services for problem of high complexity	50	43	$350.00	$242.04
99495 Transitional care management services for problem of at least moderate complexity	44	39	$275.00	$182.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$250.58	$165.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	19	$40.00	$14.13
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	15	$88.97	$40.17
94010 Test to measure expiratory airflow and volume	29	28	$75.00	$34.61
77080 Dxa bone density measurement of hip, pelvis, spine	23	23	$15.00	$10.04
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	21	21	$113.00	$52.87
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	16	$180.00	$146.43
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$260.00	$209.80
76770 Complete ultrasound scan behind abdominal cavity	20	20	$188.00	$86.38
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	17	$30.53	$22.59
99217 Hospital observation care on day of discharge	18	15	$97.50	$73.82
96127 Assessment of emotional or behavioral problems	18	18	$20.00	$4.94
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	18	18	$275.00	$221.31
99220 Hospital observation care, typically 70 minutes	17	15	$211.00	$189.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$135.00	$108.22
76536 Ultrasound of head and neck	16	16	$150.00	$108.56
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	14	13	$315.00	$236.65
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	14	14	$34.29	$22.58
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	14	14	$25.00	$15.00

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	916	433	$140.15	$107.24
99213 Established patient office or other outpatient visit, typically 15 minutes	861	456	$88.24	$73.31
36415 Insertion of needle into vein for collection of blood sample	618	287	$6.01	$2.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	417	151	$95.00	$73.03
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	398	184	$35.00	$8.53
G0444 Annual depression screening, 5 to 15 minutes	355	355	$20.03	$17.60
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	291	87	$136.00	$103.80
99239 Hospital discharge day management, more than 30 minutes	228	164	$135.00	$107.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	210	210	$150.00	$114.28
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	190	68	$75.00	$68.77
81002 Urinalysis, manual test	186	154	$9.00	$3.41
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	169	135	$260.00	$203.15
83036 Hemoglobin A1C level	129	103	$20.00	$10.57
93000 Routine ekg using at least 12 leads including interpretation and report	118	103	$65.00	$16.79
99496 Transitional care management services for problem of high complexity	70	60	$350.00	$228.25
99306 Initial nursing facility visit, typically 45 minutes per day	57	46	$200.00	$166.70
76536 Ultrasound of head and neck	48	46	$150.00	$111.59
87804 Detection test by immunoassay with direct visual observation for influenza virus	46	21	$30.00	$16.22
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	23	$40.00	$16.34
99495 Transitional care management services for problem of at least moderate complexity	42	38	$275.00	$158.53
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	42	36	$113.00	$52.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	37	34	$30.00	$22.12
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	36	36	$225.00	$169.18
76770 Complete ultrasound scan behind abdominal cavity	36	35	$188.00	$107.22
77080 Dxa bone density measurement of hip, pelvis, spine	34	34	$15.00	$9.90
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	28	23	$110.00	$91.49
94010 Test to measure expiratory airflow and volume	26	26	$75.00	$34.35
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	23	23	$315.00	$269.85
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	22	11	$350.00	$115.98
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	21	21	$30.00	$17.69
76705 Limited ultrasound scan of abdomen	21	20	$145.00	$88.03
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$260.00	$206.06
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	20	20	$19.00	$8.46
99315 Nursing facility discharge day management, 30 minutes or less	19	16	$90.00	$73.43
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	19	19	$275.00	$218.26
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	14	$60.00	$39.65
99220 Hospital observation care, typically 70 minutes	17	15	$211.00	$177.18
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	16	15	$100.00	$81.22
99217 Hospital observation care on day of discharge	15	15	$92.00	$69.10
93016 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician	15	15	$34.00	$22.33
93018 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician	14	14	$25.00	$14.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$250.00	$163.63
87430 Detection test by immunoassay technique for streptococcus, group a (strep)	13	13	$30.00	$16.47
94660 Initiation and management of continued pressured respiratory assistance by mask or breathing tube	11	11	$95.00	$63.27
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	11	11	$150.00	$130.26
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	11	11	$850.00	$463.70
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	11	11	$125.00	$62.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,886	703	$88.27	$72.19
95004 Test for allergy using allergenic extract	1,190	17	$11.30	$4.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	961	475	$140.12	$106.11
36415 Insertion of needle into vein for collection of blood sample	914	357	$6.00	$2.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	453	154	$95.36	$73.29
G0444 Annual depression screening, 5 to 15 minutes	413	413	$20.01	$17.58
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	397	106	$75.00	$69.37
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	346	178	$35.00	$8.54
99497 Advance care planning, first 30 minutes	339	322	$100.00	$84.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	329	226	$19.00	$9.40
81002 Urinalysis, manual test	266	215	$9.00	$3.41
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	248	88	$136.00	$104.89
99239 Hospital discharge day management, more than 30 minutes	235	148	$134.83	$107.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	213	152	$259.77	$203.24
83036 Hemoglobin A1C level	167	116	$20.00	$11.75
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	152	152	$150.00	$114.67
93000 Routine ekg using at least 12 leads including interpretation and report	140	125	$65.00	$16.65
99306 Initial nursing facility visit, typically 45 minutes per day	119	85	$200.00	$167.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	87	$65.00	$43.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	75	33	$40.00	$20.01
99496 Transitional care management services for problem of high complexity	75	64	$350.00	$229.71
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	65	58	$113.00	$52.46
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	60	43	$110.00	$91.61
99495 Transitional care management services for problem of at least moderate complexity	57	49	$275.00	$161.98
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	55	47	$30.18	$21.05
76536 Ultrasound of head and neck	52	50	$150.00	$113.73
87804 Detection test by immunoassay with direct visual observation for influenza virus	44	25	$30.00	$16.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	42	38	$180.00	$144.20
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	15	$60.00	$39.59
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	36	19	$350.00	$109.52
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	31	31	$30.00	$19.25
94010 Test to measure expiratory airflow and volume	28	28	$75.00	$35.01
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	26	21	$165.00	$136.14
99220 Hospital observation care, typically 70 minutes	24	23	$211.00	$187.49
99217 Hospital observation care on day of discharge	22	21	$92.00	$73.28
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	21	21	$150.00	$130.68
99315 Nursing facility discharge day management, 30 minutes or less	20	19	$90.00	$72.80
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	20	20	$260.00	$207.21
76770 Complete ultrasound scan behind abdominal cavity	19	19	$188.00	$111.27
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	19	19	$850.00	$448.61
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	19	19	$131.58	$58.52
93975 Complete ultrasound of abdomen and pelvis artery and vein blood flow	18	18	$314.17	$276.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$250.00	$164.87
77080 Dxa bone density measurement of hip, pelvis, spine	16	16	$15.00	$10.22
87430 Detection test by immunoassay technique for streptococcus, group a (strep)	15	15	$30.00	$16.47
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	15	15	$275.00	$220.14
90682 Influenza vaccine, quadrivalent derived from recombinant dna	15	15	$95.00	$50.92
G0008 Administration of influenza virus vaccine	15	15	$25.00	$19.91
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$225.00	$169.97
J1040 Injection, methylprednisolone acetate, 80 mg	13	13	$19.23	$12.68
76705 Limited ultrasound scan of abdomen	11	11	$145.00	$89.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	2,212	843	$88.11	$72.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,041	491	$140.12	$106.03
36415 Insertion of needle into vein for collection of blood sample	923	383	$6.00	$2.94
G0444 Annual depression screening, 5 to 15 minutes	467	467	$20.02	$17.56
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	443	115	$75.00	$68.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	416	148	$96.08	$72.12
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	329	167	$35.00	$8.50
81002 Urinalysis, manual test	314	261	$8.75	$3.43
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	288	220	$19.00	$10.45
80048 Blood test, basic group of blood chemicals (calcium, total)	252	205	$18.00	$7.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	226	75	$136.00	$104.22
80076 Liver function blood test panel	216	186	$20.00	$7.31
99239 Hospital discharge day management, more than 30 minutes	210	144	$135.00	$107.22
80061 Blood test, lipids (cholesterol and triglycerides)	202	175	$33.00	$12.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	202	153	$258.77	$202.68
83721 Ldl cholesterol level	190	170	$30.00	$12.83
84443 Blood test, thyroid stimulating hormone (TSH)	159	144	$42.00	$22.59
93000 Routine ekg using at least 12 leads including interpretation and report	146	130	$65.00	$16.77
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	120	51	$40.00	$24.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	89	$65.00	$42.87
99306 Initial nursing facility visit, typically 45 minutes per day	95	70	$200.00	$166.45
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	91	91	$150.00	$113.94
J0696 Injection, ceftriaxone sodium, per 250 mg	77	19	$20.00	$0.64
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	71	48	$110.00	$91.13
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	70	70	$30.00	$21.38
85610 Blood test, clotting time	67	19	$15.00	$5.28
83036 Hemoglobin A1C level	67	60	$20.00	$13.05
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	67	58	$113.00	$53.06
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	65	46	$30.00	$19.71
99497 Advance care planning, first 30 minutes	63	59	$100.40	$80.96
G0250 Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequent	62	12	$12.00	$9.19
99496 Transitional care management services for problem of high complexity	57	52	$350.00	$227.48
76536 Ultrasound of head and neck	57	55	$150.00	$113.30
84153 Psa (prostate specific antigen) measurement, total	48	46	$48.00	$24.73
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	48	44	$150.00	$130.47
99495 Transitional care management services for problem of at least moderate complexity	44	42	$275.00	$160.70
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	43	43	$225.00	$168.51
87804 Detection test by immunoassay with direct visual observation for influenza virus	36	20	$30.00	$16.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$250.97	$163.44
77080 Dxa bone density measurement of hip, pelvis, spine	36	34	$15.00	$10.32
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	34	17	$332.35	$115.97
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	33	25	$95.00	$40.62
99238 Hospital discharge day management, 30 minutes or less	31	30	$98.00	$72.31
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	25	25	$260.00	$206.01
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	19	$231.20	$137.53
99318 Nursing facility annual assessment, typically 30 minutes	20	20	$120.00	$95.97
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	20	18	$275.00	$218.39
99220 Hospital observation care, typically 70 minutes	19	18	$211.00	$186.06
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	19	17	$8.00	$4.77
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	18	18	$125.00	$67.32
J1040 Injection, methylprednisolone acetate, 80 mg	18	17	$20.00	$11.23
99315 Nursing facility discharge day management, 30 minutes or less	18	16	$90.00	$73.03
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	17	17	$850.00	$469.36
84436 Thyroxine (thyroid chemical), total	15	14	$15.00	$9.23
84479 Thyroid hormone evaluation	15	14	$14.00	$8.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	14	13	$60.00	$39.46
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$180.00	$143.04
76705 Limited ultrasound scan of abdomen	13	13	$145.00	$89.23
94010 Test to measure expiratory airflow and volume	12	12	$75.00	$34.67
94060 Test to measure expiratory airflow and volume changes before and after medication administration	12	12	$114.00	$58.75
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$145.42	$107.34
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	12	12	$100.00	$82.64
99217 Hospital observation care on day of discharge	11	11	$92.00	$72.85

Medical Specialties & State Licenses

CMS Verified: 2024-11-11

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME65960

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

375143100 (FL)

Commercial Insurance / Payer ID Blue Cross/shield

25502

Hospital & Practice Group Affiliations

Ability Health Services And Rehabilitation Lp

1200 Lexington Green Ln, Sanford, FL 327711013

Ability Health Services, Inc

1200 Lexington Green Ln, Sanford, FL 327711013

Millennium Physician Group Llc

16 Saint Johns Medical Park Dr, St Augustine, FL 320865299

Phone: 9047945411

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Rajesh Persaud , MD

General Practice

NPI 1023384179

Doctor of Medicine (M.D.)

Dr. Joseph Rozas , MD

Internal Medicine

NPI 1174554737

Doctor of Medicine (M.D.)

Dr. Walter Frady , MD

Internal Medicine

NPI 1255361382

Doctor of Medicine (M.D.)

Jennifer Ritschl , APRN

Nurse Practitioner - Family

NPI 1295545085

Advanced Practice Registered Nurse

Dr. Myriam Perez , MD

Internal Medicine - Rheumatology

NPI 1649204280

Doctor of Medicine (M.D.)

Wanda Morgan , ARNP

Nurse Practitioner - Family

NPI 1750581658

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events

📍

Updated Practice Location November 11, 2024

Registered at 16 SAINT JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 320865299 (Tel: 9047945411)

📍

Updated Business Mailing Address November 11, 2024

Registered at 2675 WINKLER AVE FL 2, FORT MYERS, FL 339019342 (Tel: 8778563774)

👤

Provider Name / Credentials Updated August 12, 2024

Recorded as ERNESTO CARAMES, M.D.

✅

NPI Profile Active January 08, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location January 08, 2010

Registered at 16 ST JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 320865299 (Tel: 9047945411)

📍

Updated Business Mailing Address January 08, 2010

Registered at 16 ST JOHNS MEDICAL PARK DR, ST AUGUSTINE, FL 320865299 (Tel: 9047945411)

👤

Provider Name / Credentials Updated January 08, 2010

Recorded as ERNEST CARAMES, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2010

Internal Medicine (License #ME65960 in FL)

🟢

Initial NPI Registration & Enumeration July 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1528099603

Entity Type:

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

Enumeration Date: July 06, 2006

Last Update: November 11, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2675 Winkler Ave Fl 2

Fort Myers, FL 339019342

Phone: 8778563774

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.