Active NPI 1417925686 Individual Practitioner Male Practitioner

Dr. Michael L Keown , MD

Internal Medicine • Winter Haven, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Keown, MD is a certified Internal Medicine practicing in Winter Haven, FL. With approximately 28 years of clinical experience since graduating from University Of Florida College Of Medicine in 1998, Dr. Keown delivers high-quality medical care to the local community at 601 1ST ST N.

Dr. Keown is affiliated with Baycare Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, denosumab, 1 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

601 1st St N

Winter Haven, FL 338814129

Telephone 8632940670

Fax 8632983200

Associated Practice Facility / Clinic

🏢 Gessler Clinic Professional Association Facility NPI 1154399533

Medicare Profile & Education

Medical School

University Of Florida College Of Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Winter Haven, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs +3.8 yrs vs City Avg

City Avg: 24.2 Yrs

State Avg: 26.5 Yrs

Regional Practice Density

32 Specialists

Practicing in Winter Haven, FL (10650 Statewide)

Telehealth Adoption Rate

15.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Keown (28 Years) 28 Yrs

Winter Haven Specialty Average (24.2 Years) 24.2 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
J1010 Injection, methylprednisolone acetate, 1 mg	5,560	48	$0.34	$0.13
J0897 Injection, denosumab, 1 mg	3,600	38	$38.00	$25.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	799	416	$312.00	$124.37
99213 Established patient office or other outpatient visit, typically 15 minutes	507	367	$221.00	$88.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	389	389	$316.00	$125.07
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	333	124	$34.00	$13.71
J1885 Injection, ketorolac tromethamine, per 15 mg	240	46	$2.00	$0.66
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	226	188	$40.00	$16.09
G0008 Administration of influenza virus vaccine	163	159	$49.00	$31.66
90662 Influenza vaccine split virus, preservative free	159	155	$137.83	$80.95
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	122	71	$290.00	$115.76
G0009 Administration of pneumococcal vaccine	91	90	$49.00	$31.66
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	90	89	$640.00	$289.73
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	79	14	$5.00	$1.26
J0696 Injection, ceftriaxone sodium, per 250 mg	73	18	$2.00	$0.46
93000 Routine ekg using at least 12 leads including interpretation and report	49	46	$43.57	$13.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	36	36	$424.00	$168.99
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	36	16	$162.00	$22.04
99496 Transitional care management services for problem of high complexity	34	29	$675.00	$268.93
J1040 Injection, methylprednisolone acetate, 80 mg	28	27	$35.00	$9.71
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	18	13	$129.00	$51.61
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	18	11	$100.00	$39.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$409.00	$163.81
99238 Hospital discharge day management, 30 minutes or less	13	13	$198.00	$78.95
99495 Transitional care management services for problem of at least moderate complexity	12	11	$499.00	$185.56
99239 Hospital discharge day management, more than 30 minutes	11	11	$279.00	$111.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,660	41	$41.48	$23.23
36415 Insertion of needle into vein for collection of blood sample	1,171	504	$10.00	$8.40
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	896	493	$25.00	$7.59
80053 Blood test, comprehensive group of blood chemicals	864	497	$30.00	$10.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	859	429	$243.74	$126.72
80061 Blood test, lipids (cholesterol and triglycerides)	819	494	$38.00	$13.11
99213 Established patient office or other outpatient visit, typically 15 minutes	561	379	$172.77	$89.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	515	158	$33.09	$13.86
83036 Hemoglobin A1C level	365	250	$25.00	$9.52
J1885 Injection, ketorolac tromethamine, per 15 mg	355	68	$10.00	$0.55
84443 Blood test, thyroid stimulating hormone (TSH)	214	167	$53.00	$16.42
G0008 Administration of influenza virus vaccine	190	187	$30.38	$29.42
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	180	105	$180.00	$119.78
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	158	28	$7.89	$1.56
90662 Influenza vaccine split virus, preservative free	154	152	$116.53	$71.75
85610 Blood test, clotting time	139	24	$13.50	$4.20
82607 Cyanocobalamin (vitamin B-12) level	131	115	$60.00	$14.78
77067 Screening mammography	131	131	$257.77	$124.60
77063 Screening digital tomography of both breasts	130	130	$75.00	$52.05
82306 Vitamin d-3 level	129	104	$85.00	$29.01
82570 Creatinine level to test for kidney function or muscle injury	128	90	$17.00	$5.14
82043 Urine microalbumin (protein) level	128	90	$8.00	$5.68
J1040 Injection, methylprednisolone acetate, 80 mg	123	90	$15.16	$11.69
81001 Manual urinalysis test with examination using microscope, automated	122	85	$15.00	$3.11
J0696 Injection, ceftriaxone sodium, per 250 mg	116	28	$1.00	$0.51
83550 Iron binding capacity	107	84	$24.00	$8.57
83540 Iron level	107	84	$18.00	$6.34
82728 Ferritin (blood protein) level	103	82	$40.50	$13.36
71046 X-ray of chest, 2 views	87	75	$65.00	$32.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	81	81	$249.44	$127.83
93000 Routine ekg using at least 12 leads including interpretation and report	76	69	$55.19	$14.36
84153 Psa (prostate specific antigen) measurement, total	75	62	$55.00	$18.02
80048 Blood test, basic group of blood chemicals (calcium, total)	57	41	$25.00	$8.29
87086 Bacterial colony count, urine	48	35	$24.00	$7.91
83880 Natriuretic peptide (heart and blood vessel protein) level	46	31	$93.00	$38.47
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	42	29	$45.83	$22.46
84550 Uric acid level, blood	42	32	$17.50	$4.55
90480 Admn sarscov2 vacc 1 dose	41	41	$53.05	$40.33
91322 Sarscov2 vac 50 mcg/0.5ml im	41	41	$220.00	$143.00
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	41	40	$44.00	$15.60
84439 Thyroxine (thyroid chemical), free	40	37	$30.00	$8.84
83735 Magnesium level	40	31	$25.00	$6.57
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	39	39	$44.00	$17.69
77080 Dxa bone density measurement of hip, pelvis, spine	39	39	$97.95	$36.94
G0009 Administration of pneumococcal vaccine	37	36	$32.43	$29.51
87077 Bacterial culture for aerobic isolates	35	24	$25.00	$7.92
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	35	24	$25.00	$8.48
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	33	33	$118.00	$75.81
85652 Red blood cell sedimentation rate, to detect inflammation, automated	33	31	$15.00	$2.65
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	32	31	$416.41	$282.29
72114 X-ray lower and sacral spine, minimum of 6 views	31	30	$110.00	$60.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	28	$377.00	$174.54
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	30	28	$515.00	$190.49
G0103 Prostate cancer screening; prostate specific antigen test (psa)	30	30	$55.00	$18.92
71250 Ct scan of chest without contrast	27	24	$485.00	$132.99
99495 Transitional care management services for problem of at least moderate complexity	26	23	$397.00	$201.25
99496 Transitional care management services for problem of high complexity	24	21	$524.00	$272.76
82746 Folic acid level	24	22	$60.00	$14.41
84403 Testosterone (hormone) level, total	20	15	$70.00	$25.29
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	18	$138.42	$51.28
83721 Ldl cholesterol level	18	14	$27.00	$10.29
73502 X-ray of hip, 2-3 views	18	18	$80.00	$45.59
85730 Coagulation assessment blood test, plasma or whole blood	16	14	$16.00	$5.89
74176 Ct scan of abdomen and pelvis without contrast	16	14	$420.00	$186.03
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	13	$250.00	$115.76
87493 Detection test for clostridium difficile	14	12	$80.00	$36.52
87506 Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 6-11 targets	14	12	$540.00	$257.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$343.00	$177.78
86038 Screening test for autoimmune disorder	12	11	$35.00	$11.39
86431 Rheumatoid factor level	12	11	$26.00	$5.56
76536 Ultrasound of head and neck	11	11	$180.00	$108.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,240	41	$31.19	$21.59
36415 Insertion of needle into vein for collection of blood sample	1,519	603	$10.00	$2.97
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,440	15	$2.00	$0.12
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,138	590	$25.00	$7.67
80053 Blood test, comprehensive group of blood chemicals	1,083	594	$30.00	$10.41
80061 Blood test, lipids (cholesterol and triglycerides)	958	565	$38.00	$13.21
A9585 Injection, gadobutrol, 0.1 ml	925	13	$1.00	$0.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	820	419	$242.00	$128.07
99213 Established patient office or other outpatient visit, typically 15 minutes	703	446	$172.00	$91.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	451	146	$33.00	$14.21
83036 Hemoglobin A1C level	405	279	$25.00	$9.59
J1885 Injection, ketorolac tromethamine, per 15 mg	348	72	$10.00	$0.57
84443 Blood test, thyroid stimulating hormone (TSH)	347	253	$53.00	$16.56
G0008 Administration of influenza virus vaccine	213	209	$30.00	$28.70
90662 Influenza vaccine split virus, preservative free	210	206	$114.09	$68.34
82607 Cyanocobalamin (vitamin B-12) level	208	173	$60.00	$14.81
82306 Vitamin d-3 level	206	168	$85.00	$29.19
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	179	104	$180.00	$102.77
82570 Creatinine level to test for kidney function or muscle injury	176	113	$17.00	$5.13
82043 Urine microalbumin (protein) level	175	113	$8.00	$5.70
85610 Blood test, clotting time	173	34	$13.50	$4.27
81001 Manual urinalysis test with examination using microscope, automated	171	120	$15.00	$3.14
82728 Ferritin (blood protein) level	161	117	$40.50	$13.32
83540 Iron level	161	117	$18.00	$6.38
83550 Iron binding capacity	161	117	$24.00	$8.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	159	159	$247.00	$131.15
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	153	34	$8.00	$1.72
77063 Screening digital tomography of both breasts	141	141	$75.00	$52.93
77067 Screening mammography	141	141	$256.47	$127.59
J1750 Injection, iron dextran, 50 mg	116	11	$35.00	$15.86
J1040 Injection, methylprednisolone acetate, 80 mg	100	79	$15.00	$10.82
71046 X-ray of chest, 2 views	90	83	$65.00	$33.43
87086 Bacterial colony count, urine	83	61	$24.00	$8.00
93000 Routine ekg using at least 12 leads including interpretation and report	83	78	$55.40	$14.34
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	79	79	$44.00	$17.84
83735 Magnesium level	77	68	$25.00	$6.62
G0103 Prostate cancer screening; prostate specific antigen test (psa)	74	74	$55.00	$19.10
80048 Blood test, basic group of blood chemicals (calcium, total)	73	56	$25.00	$8.36
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	68	43	$43.00	$22.75
91313 Coronavirus vaccine 14	66	66	$0.01	$0.01
0134A Fee covid-19 vac 14 res	66	66	$45.00	$37.79
84153 Psa (prostate specific antigen) measurement, total	63	53	$55.00	$18.15
84439 Thyroxine (thyroid chemical), free	62	52	$30.00	$9.05
84550 Uric acid level, blood	60	41	$17.50	$4.46
J0696 Injection, ceftriaxone sodium, per 250 mg	60	13	$1.00	$0.50
77080 Dxa bone density measurement of hip, pelvis, spine	53	53	$99.25	$36.71
87077 Bacterial culture for aerobic isolates	53	35	$25.00	$8.32
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	52	34	$25.00	$8.88
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	52	47	$75.00	$74.84
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	51	47	$25.00	$24.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	49	$377.00	$200.33
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	48	12	$138.00	$66.58
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	45	34	$44.00	$15.74
83880 Natriuretic peptide (heart and blood vessel protein) level	44	35	$93.00	$38.78
0064A Adm sarscov2 50mcg/0.25mlbst	43	43	$45.00	$38.14
91306 Sarscov2 vac 50mcg/0.25ml im	42	42	$0.01	$0.01
82746 Folic acid level	42	40	$60.00	$14.07
85652 Red blood cell sedimentation rate, to detect inflammation, automated	39	33	$15.00	$2.67
71250 Ct scan of chest without contrast	36	31	$485.00	$136.18
74176 Ct scan of abdomen and pelvis without contrast	34	34	$420.00	$189.94
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	32	32	$515.00	$192.15
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	31	27	$140.00	$52.77
72114 X-ray lower and sacral spine, minimum of 6 views	29	27	$110.00	$61.27
99495 Transitional care management services for problem of at least moderate complexity	27	26	$389.00	$204.74
99238 Hospital discharge day management, 30 minutes or less	26	26	$136.00	$72.07
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	25	22	$250.00	$118.94
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	25	23	$120.00	$75.15
G0009 Administration of pneumococcal vaccine	24	24	$30.00	$28.99
99496 Transitional care management services for problem of high complexity	23	22	$524.00	$277.18
82150 Amylase (enzyme) level	22	21	$20.00	$6.41
83690 Lipase (fat enzyme) level	22	21	$19.00	$6.81
93880 Ultrasound of both sides of head and neck blood flow	21	21	$345.00	$185.43
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	21	13	$115.00	$40.81
83721 Ldl cholesterol level	20	18	$27.00	$10.37
76642 Limited ultrasound scan of 1 breast	20	14	$175.00	$91.30
86038 Screening test for autoimmune disorder	20	20	$35.00	$11.92
99226 Subsequent observation care, typically 35 minutes per day	19	11	$191.00	$101.97
85730 Coagulation assessment blood test, plasma or whole blood	18	18	$16.00	$5.93
84403 Testosterone (hormone) level, total	17	14	$70.00	$25.53
86431 Rheumatoid factor level	16	16	$26.00	$5.60
87502 Detection test by nucleic acid for multiple types influenza virus	16	16	$185.00	$95.62
91301 Sarscov2 vac 100mcg/0.5ml im	16	15	$0.01	$0.01
86140 Measurement C-reactive protein for detection of infection or inflammation	14	11	$15.00	$5.11
84270 Sex hormone binding globulin (protein) level	14	11	$21.00	$20.79
82550 Creatine kinase (cardiac enzyme) level, total	13	11	$21.00	$6.44
83970 Parathormone (parathyroid hormone) level	13	13	$115.00	$40.93
0013A Adm sarscov2 100mcg/0.5ml3rd	12	12	$45.00	$38.46
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$182.18	$132.02
87070 Bacterial culture	11	11	$25.00	$8.57
99217 Hospital observation care on day of discharge	11	11	$135.00	$71.63
72050 X-ray of upper spine, 4 or 5 views	11	11	$89.00	$52.81
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	11	11	$75.00	$52.82

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,600	35	$2.00	$0.12
J0897 Injection, denosumab, 1 mg	2,880	33	$26.80	$20.57
36415 Insertion of needle into vein for collection of blood sample	1,567	623	$10.00	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,178	608	$25.00	$7.76
80053 Blood test, comprehensive group of blood chemicals	1,132	605	$30.00	$10.55
80061 Blood test, lipids (cholesterol and triglycerides)	1,004	579	$38.00	$13.37
99213 Established patient office or other outpatient visit, typically 15 minutes	802	477	$100.00	$91.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	660	369	$150.00	$130.30
83036 Hemoglobin A1C level	431	273	$25.00	$9.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	332	118	$33.00	$14.10
84443 Blood test, thyroid stimulating hormone (TSH)	305	216	$53.00	$16.80
J1885 Injection, ketorolac tromethamine, per 15 mg	278	63	$10.00	$0.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	242	242	$209.00	$133.75
G0008 Administration of influenza virus vaccine	226	221	$30.00	$16.59
90662 Influenza vaccine split virus, preservative free	214	209	$70.00	$65.00
81001 Manual urinalysis test with examination using microscope, automated	190	136	$15.00	$3.17
82607 Cyanocobalamin (vitamin B-12) level	183	170	$60.00	$15.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	182	97	$180.00	$104.86
85610 Blood test, clotting time	178	24	$13.50	$4.29
91301 Sarscov2 vac 100mcg/0.5ml im	176	153	$0.01	$0.01
82570 Creatinine level to test for kidney function or muscle injury	168	105	$17.00	$5.15
82043 Urine microalbumin (protein) level	168	105	$8.00	$5.75
82306 Vitamin d-3 level	166	139	$85.00	$29.60
83540 Iron level	161	114	$18.00	$6.43
83550 Iron binding capacity	161	114	$24.00	$8.69
82728 Ferritin (blood protein) level	161	114	$40.50	$13.55
77063 Screening digital tomography of both breasts	149	149	$75.00	$54.86
77067 Screening mammography	147	147	$258.86	$130.51
0013A Adm sarscov2 100mcg/0.5ml3rd	130	130	$45.00	$38.88
71046 X-ray of chest, 2 views	123	104	$65.00	$33.25
93000 Routine ekg using at least 12 leads including interpretation and report	109	100	$55.40	$14.95
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	108	32	$8.00	$2.00
J1040 Injection, methylprednisolone acetate, 80 mg	88	75	$15.00	$10.56
87086 Bacterial colony count, urine	84	61	$24.00	$8.07
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	80	80	$44.00	$18.05
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	70	48	$40.00	$22.41
77080 Dxa bone density measurement of hip, pelvis, spine	69	69	$98.26	$37.13
84153 Psa (prostate specific antigen) measurement, total	61	48	$55.00	$18.39
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	60	43	$25.00	$8.65
87077 Bacterial culture for aerobic isolates	60	43	$25.00	$8.08
80048 Blood test, basic group of blood chemicals (calcium, total)	56	46	$25.00	$8.46
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	52	34	$120.00	$79.54
83880 Natriuretic peptide (heart and blood vessel protein) level	49	39	$93.00	$39.26
G0103 Prostate cancer screening; prostate specific antigen test (psa)	49	49	$55.00	$19.31
84439 Thyroxine (thyroid chemical), free	48	44	$30.00	$9.02
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	45	43	$515.00	$200.90
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	41	30	$44.00	$15.92
84550 Uric acid level, blood	40	33	$17.50	$4.43
85652 Red blood cell sedimentation rate, to detect inflammation, automated	39	37	$15.00	$2.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	38	38	$335.00	$203.32
83735 Magnesium level	37	32	$25.00	$6.70
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	36	11	$138.00	$71.06
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	32	32	$100.00	$51.31
72114 X-ray lower and sacral spine, minimum of 6 views	30	29	$110.00	$60.94
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	29	27	$250.00	$121.21
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	26	25	$140.00	$53.03
82746 Folic acid level	25	24	$60.00	$14.70
73564 X-ray of knee, 4 or more views	25	22	$60.00	$45.16
71250 Ct scan of chest without contrast	25	23	$485.00	$141.93
0011A Adm sarscov2 100mcg/0.5ml1st	25	25	$45.00	$38.88
99238 Hospital discharge day management, 30 minutes or less	24	22	$125.00	$72.91
93880 Ultrasound of both sides of head and neck blood flow	23	22	$345.00	$197.03
0012A Adm sarscov2 100mcg/0.5ml2nd	21	21	$45.00	$38.88
82150 Amylase (enzyme) level	21	20	$20.00	$6.48
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	21	14	$115.00	$41.11
73030 X-ray of shoulder, minimum of 2 views	20	19	$55.00	$33.80
83721 Ldl cholesterol level	20	19	$27.00	$10.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$175.00	$113.89
83690 Lipase (fat enzyme) level	20	19	$19.00	$6.89
83970 Parathormone (parathyroid hormone) level	19	17	$115.00	$41.28
84403 Testosterone (hormone) level, total	18	13	$70.00	$25.81
72050 X-ray of upper spine, 4 or 5 views	18	17	$89.00	$51.91
86038 Screening test for autoimmune disorder	18	18	$35.00	$12.09
76775 Limited ultrasound scan behind abdominal cavity	17	16	$140.00	$59.06
74178 Ct scan of abdomen and pelvis before and after contrast	16	16	$830.00	$367.36
86431 Rheumatoid factor level	16	16	$26.00	$5.67
G0009 Administration of pneumococcal vaccine	16	16	$30.00	$16.58
70450 Ct scan head or brain without contrast	16	16	$400.00	$103.71
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$315.00	$169.48
86140 Measurement C-reactive protein for detection of infection or inflammation	15	13	$15.00	$5.18
82565 Blood creatinine level	15	14	$24.00	$5.12
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$270.00	$170.80
99217 Hospital observation care on day of discharge	15	15	$130.00	$72.94
99226 Subsequent observation care, typically 35 minutes per day	15	13	$146.00	$104.87
76642 Limited ultrasound scan of 1 breast	15	11	$175.00	$87.28
99496 Transitional care management services for problem of high complexity	14	13	$450.00	$261.89
84270 Sex hormone binding globulin (protein) level	13	11	$21.00	$21.00
99495 Transitional care management services for problem of at least moderate complexity	13	12	$320.00	$206.52
73502 X-ray of hip, 2-3 views	13	13	$80.00	$45.82
74176 Ct scan of abdomen and pelvis without contrast	13	13	$420.00	$196.01
93970 Ultrasound study of arm or leg veins with compression and maneuvers	13	11	$375.00	$193.00
87493 Detection test for clostridium difficile	12	12	$80.00	$37.27
74018 X-ray of abdomen, 1 view	12	11	$48.00	$29.54
84450 Liver enzyme (sgot), level	12	11	$15.00	$5.18
71101 X-ray of ribs on side of body, minimum of 3 views	12	11	$77.00	$41.54
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	11	11	$25.00	$25.00
73630 X-ray of foot, minimum of 3 views	11	11	$55.00	$33.86
90670 Pneumococcal vaccine for injection into muscle	11	11	$375.00	$237.29
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	11	11	$75.00	$75.00
85379 Coagulation function measurement, d-dimer; quantitative	11	11	$30.00	$10.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,040	31	$2.00	$0.11
J0897 Injection, denosumab, 1 mg	2,760	29	$26.80	$19.60
36415 Insertion of needle into vein for collection of blood sample	1,621	657	$10.00	$2.98
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,151	633	$25.00	$7.70
80053 Blood test, comprehensive group of blood chemicals	1,110	630	$30.00	$10.47
80061 Blood test, lipids (cholesterol and triglycerides)	1,012	597	$38.00	$13.28
99213 Established patient office or other outpatient visit, typically 15 minutes	807	498	$100.00	$75.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	586	349	$150.00	$109.42
83036 Hemoglobin A1C level	432	282	$25.00	$9.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	303	110	$33.00	$14.26
84443 Blood test, thyroid stimulating hormone (TSH)	292	215	$53.00	$16.70
J1885 Injection, ketorolac tromethamine, per 15 mg	272	52	$10.00	$0.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	234	234	$209.00	$116.65
G0008 Administration of influenza virus vaccine	228	221	$30.00	$16.55
85610 Blood test, clotting time	211	33	$13.50	$4.26
90662 Influenza vaccine split virus, preservative free	205	199	$70.00	$60.56
82043 Urine microalbumin (protein) level	187	122	$8.00	$5.74
82570 Creatinine level to test for kidney function or muscle injury	187	122	$17.00	$5.15
81001 Manual urinalysis test with examination using microscope, automated	186	133	$15.00	$3.15
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	151	81	$180.00	$107.54
82306 Vitamin d-3 level	145	120	$85.00	$29.47
82607 Cyanocobalamin (vitamin B-12) level	138	124	$60.00	$14.99
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	116	30	$8.00	$2.00
77067 Screening mammography	113	113	$256.46	$135.53
77063 Screening digital tomography of both breasts	112	111	$75.00	$55.10
83550 Iron binding capacity	103	78	$24.00	$8.68
83540 Iron level	103	78	$18.00	$6.42
71046 X-ray of chest, 2 views	100	90	$65.00	$32.36
82728 Ferritin (blood protein) level	100	76	$40.50	$13.53
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	90	90	$44.00	$17.92
93000 Routine ekg using at least 12 leads including interpretation and report	89	85	$55.40	$16.97
J1040 Injection, methylprednisolone acetate, 80 mg	88	67	$15.00	$11.61
84153 Psa (prostate specific antigen) measurement, total	83	69	$55.00	$18.26
87086 Bacterial colony count, urine	83	61	$24.00	$8.02
80048 Blood test, basic group of blood chemicals (calcium, total)	82	67	$25.00	$8.40
84550 Uric acid level, blood	66	51	$17.50	$4.43
G0009 Administration of pneumococcal vaccine	62	62	$30.00	$16.47
77080 Dxa bone density measurement of hip, pelvis, spine	61	61	$100.00	$39.00
85652 Red blood cell sedimentation rate, to detect inflammation, automated	54	43	$15.00	$2.69
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	53	41	$25.00	$8.60
84439 Thyroxine (thyroid chemical), free	53	49	$30.00	$8.96
87077 Bacterial culture for aerobic isolates	53	41	$25.00	$8.03
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	53	23	$40.00	$22.84
J0696 Injection, ceftriaxone sodium, per 250 mg	48	11	$1.00	$0.56
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	46	29	$120.00	$77.70
83735 Magnesium level	35	28	$25.00	$6.66
90670 Pneumococcal vaccine for injection into muscle	34	34	$375.00	$224.31
G0103 Prostate cancer screening; prostate specific antigen test (psa)	34	34	$55.00	$19.14
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	33	32	$515.00	$200.76
72100 X-ray of lower and sacral spine, 2-3 views	33	33	$62.00	$37.42
83880 Natriuretic peptide (heart and blood vessel protein) level	31	23	$93.00	$38.85
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	31	26	$250.00	$120.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	30	$335.00	$208.50
73564 X-ray of knee, 4 or more views	30	25	$60.00	$43.12
99226 Subsequent observation care, typically 35 minutes per day	28	21	$146.00	$107.35
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	28	20	$44.00	$15.85
86140 Measurement C-reactive protein for detection of infection or inflammation	28	22	$15.00	$5.15
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	28	28	$165.00	$117.75
99238 Hospital discharge day management, 30 minutes or less	27	27	$125.00	$74.89
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	27	27	$315.00	$171.70
82746 Folic acid level	27	25	$60.00	$14.59
99496 Transitional care management services for problem of high complexity	26	23	$450.00	$244.96
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	26	21	$140.00	$53.65
74176 Ct scan of abdomen and pelvis without contrast	26	26	$420.00	$198.94
83721 Ldl cholesterol level	25	21	$27.00	$10.21
76705 Limited ultrasound scan of abdomen	25	25	$140.00	$90.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$175.00	$109.09
83970 Parathormone (parathyroid hormone) level	23	20	$115.00	$41.03
73030 X-ray of shoulder, minimum of 2 views	23	23	$55.00	$32.76
84403 Testosterone (hormone) level, total	23	19	$70.00	$25.61
87502 Detection test by nucleic acid for multiple types influenza virus	23	23	$185.00	$90.26
76775 Limited ultrasound scan behind abdominal cavity	22	20	$140.00	$58.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	22	22	$270.00	$167.49
70450 Ct scan head or brain without contrast	21	21	$400.00	$112.76
83690 Lipase (fat enzyme) level	20	20	$19.00	$6.85
82150 Amylase (enzyme) level	20	20	$20.00	$6.45
93880 Ultrasound of both sides of head and neck blood flow	20	20	$345.00	$197.62
87493 Detection test for clostridium difficile	20	18	$80.00	$36.82
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	19	19	$100.00	$51.31
73502 X-ray of hip, 2-3 views	17	17	$80.00	$44.33
99495 Transitional care management services for problem of at least moderate complexity	17	17	$320.00	$186.01
86431 Rheumatoid factor level	17	17	$26.00	$5.66
87506 Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 6-11 targets	17	16	$540.00	$260.21
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	17	16	$75.00	$54.71
99220 Hospital observation care, typically 70 minutes	16	16	$275.00	$190.97
86038 Screening test for autoimmune disorder	15	15	$35.00	$12.07
85730 Coagulation assessment blood test, plasma or whole blood	14	13	$16.00	$5.98
72114 X-ray lower and sacral spine, minimum of 6 views	14	14	$110.00	$58.47
84270 Sex hormone binding globulin (protein) level	14	11	$21.00	$20.82
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$186.00	$165.92
82565 Blood creatinine level	13	12	$24.00	$5.10
71250 Ct scan of chest without contrast	13	11	$485.00	$152.47
90653 Vaccine for influenza for injection into muscle	13	13	$75.00	$59.53
99217 Hospital observation care on day of discharge	12	12	$130.00	$74.06
84450 Liver enzyme (sgot), level	12	12	$15.00	$5.15
84460 Liver enzyme (sgpt), level	12	12	$15.00	$5.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,000	34	$26.80	$18.66
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,060	21	$2.00	$0.11
36415 Insertion of needle into vein for collection of blood sample	1,860	697	$10.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,279	666	$25.00	$8.44
80053 Blood test, comprehensive group of blood chemicals	1,241	672	$30.00	$11.49
80061 Blood test, lipids (cholesterol and triglycerides)	1,122	637	$38.00	$14.56
99213 Established patient office or other outpatient visit, typically 15 minutes	846	507	$100.00	$73.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	673	394	$150.00	$108.08
83036 Hemoglobin A1C level	509	312	$25.00	$10.57
84443 Blood test, thyroid stimulating hormone (TSH)	326	234	$53.00	$18.30
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	310	106	$33.00	$16.44
J1885 Injection, ketorolac tromethamine, per 15 mg	306	56	$10.00	$0.53
85610 Blood test, clotting time	272	53	$13.50	$4.27
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	232	232	$209.00	$116.28
G0008 Administration of influenza virus vaccine	228	227	$30.00	$16.24
81001 Manual urinalysis test with examination using microscope, automated	218	167	$15.00	$3.42
82570 Creatinine level to test for kidney function or muscle injury	197	115	$17.00	$5.63
82043 Urine microalbumin (protein) level	195	114	$8.00	$6.29
82607 Cyanocobalamin (vitamin B-12) level	177	158	$60.00	$16.33
90662 Influenza vaccine split virus, preservative free	157	156	$70.00	$54.64
77067 Screening mammography	154	154	$255.27	$133.44
71046 X-ray of chest, 2 views	137	130	$65.00	$31.15
93000 Routine ekg using at least 12 leads including interpretation and report	136	121	$55.40	$16.91
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	128	30	$8.00	$1.77
83540 Iron level	120	87	$18.00	$7.01
83550 Iron binding capacity	119	86	$24.00	$9.46
82728 Ferritin (blood protein) level	115	84	$40.50	$14.75
77063 Screening digital tomography of both breasts	114	114	$75.00	$54.52
82306 Vitamin d-3 level	107	95	$85.00	$32.23
80048 Blood test, basic group of blood chemicals (calcium, total)	98	77	$25.00	$9.14
77080 Dxa bone density measurement of hip, pelvis, spine	98	98	$100.00	$39.31
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	96	96	$44.00	$17.69
87086 Bacterial colony count, urine	87	61	$24.00	$8.79
J1040 Injection, methylprednisolone acetate, 80 mg	78	57	$15.00	$12.17
84153 Psa (prostate specific antigen) measurement, total	77	63	$55.00	$20.03
G0009 Administration of pneumococcal vaccine	75	75	$30.00	$16.24
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	73	39	$40.00	$22.37
83880 Natriuretic peptide (heart and blood vessel protein) level	72	52	$93.00	$38.47
J0696 Injection, ceftriaxone sodium, per 250 mg	68	16	$1.00	$0.60
84550 Uric acid level, blood	67	54	$17.50	$4.92
85652 Red blood cell sedimentation rate, to detect inflammation, automated	65	47	$15.00	$2.94
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	63	35	$180.00	$105.80
84439 Thyroxine (thyroid chemical), free	60	56	$30.00	$9.82
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	57	38	$120.00	$76.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	57	57	$315.00	$172.15
83735 Magnesium level	51	42	$25.00	$7.29
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	51	40	$25.00	$9.42
87077 Bacterial culture for aerobic isolates	51	40	$25.00	$8.79
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	50	24	$44.00	$17.06
90670 Pneumococcal vaccine for injection into muscle	50	50	$375.00	$208.22
G0103 Prostate cancer screening; prostate specific antigen test (psa)	49	49	$55.00	$20.03
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	47	39	$140.00	$53.24
90682 Influenza vaccine, quadrivalent derived from recombinant dna	39	39	$69.00	$54.89
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	36	35	$515.00	$200.00
72100 X-ray of lower and sacral spine, 2-3 views	34	33	$62.00	$35.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$175.00	$108.98
82746 Folic acid level	33	31	$60.00	$16.01
86140 Measurement C-reactive protein for detection of infection or inflammation	32	24	$15.00	$5.63
85730 Coagulation assessment blood test, plasma or whole blood	30	28	$16.00	$6.38
83721 Ldl cholesterol level	30	26	$27.00	$10.13
90653 Vaccine for influenza for injection into muscle	29	29	$75.00	$58.34
73564 X-ray of knee, 4 or more views	29	26	$60.00	$40.75
76775 Limited ultrasound scan behind abdominal cavity	27	26	$140.00	$58.07
95165 Professional service for preparation and provision of 1 or more antigens	26	14	$19.00	$13.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$270.00	$160.21
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$165.00	$111.17
87493 Detection test for clostridium difficile	25	21	$80.00	$38.21
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	25	23	$250.00	$118.62
74176 Ct scan of abdomen and pelvis without contrast	25	25	$420.00	$191.69
87506 Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 6-11 targets	25	21	$540.00	$257.73
83970 Parathormone (parathyroid hormone) level	24	20	$115.00	$44.29
93880 Ultrasound of both sides of head and neck blood flow	24	23	$345.00	$197.88
84403 Testosterone (hormone) level, total	24	17	$70.00	$28.11
73502 X-ray of hip, 2-3 views	23	23	$80.00	$42.11
84484 Troponin (protein) analysis, quantitative	22	22	$26.00	$12.22
76642 Limited ultrasound scan of 1 breast	22	15	$175.00	$79.64
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$75.00	$44.91
99495 Transitional care management services for problem of at least moderate complexity	20	19	$320.00	$163.71
85379 Coagulation function measurement, d-dimer; quantitative	20	20	$30.00	$11.08
87502 Detection test by nucleic acid for multiple types influenza virus	20	20	$185.00	$93.88
86431 Rheumatoid factor level	19	18	$26.00	$6.17
76705 Limited ultrasound scan of abdomen	19	18	$140.00	$89.27
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	19	17	$75.00	$52.04
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	19	15	$115.00	$40.93
82550 Creatine kinase (cardiac enzyme) level, total	18	18	$21.00	$7.09
70220 X-ray of paranasal sinus, minimum of 3 views	18	18	$76.50	$38.40
73030 X-ray of shoulder, minimum of 2 views	17	16	$55.00	$29.72
83690 Lipase (fat enzyme) level	16	12	$19.00	$7.50
82150 Amylase (enzyme) level	16	12	$20.00	$7.06
82565 Blood creatinine level	16	12	$24.00	$5.58
86038 Screening test for autoimmune disorder	16	16	$35.00	$13.16
77065 Diagnostic mammography of 1 breast	15	13	$227.00	$131.36
99496 Transitional care management services for problem of high complexity	14	14	$450.00	$231.42
76536 Ultrasound of head and neck	14	13	$180.00	$112.84
74018 X-ray of abdomen, 1 view	14	12	$48.00	$27.99
87070 Bacterial culture	14	14	$25.00	$9.38
84480 Thyroid hormone, t3 measurement, total	13	13	$40.00	$15.43
95117 Professional service for multiple injections of allergen	13	12	$27.00	$10.43
71250 Ct scan of chest without contrast	13	13	$485.00	$156.23
82553 Creatine kinase (cardiac enzyme) level, mb fraction only	12	12	$25.00	$12.57
83874 Myoglobin (muscle protein) level	12	12	$35.00	$14.06
70450 Ct scan head or brain without contrast	11	11	$400.00	$113.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,820	30	$26.80	$17.92
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,320	22	$2.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	1,846	710	$10.00	$2.94
A9585 Injection, gadobutrol, 0.1 ml	1,295	12	$1.00	$0.37
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,162	644	$25.00	$9.37
80053 Blood test, comprehensive group of blood chemicals	1,161	657	$30.00	$12.74
80061 Blood test, lipids (cholesterol and triglycerides)	1,030	592	$38.00	$16.16
99213 Established patient office or other outpatient visit, typically 15 minutes	1,008	606	$100.11	$71.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	762	425	$150.00	$105.48
83036 Hemoglobin A1C level	447	291	$25.00	$11.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	366	161	$33.00	$19.94
J1885 Injection, ketorolac tromethamine, per 15 mg	338	73	$10.00	$0.57
84443 Blood test, thyroid stimulating hormone (TSH)	321	238	$53.00	$20.33
85610 Blood test, clotting time	317	46	$13.50	$4.75
G0008 Administration of influenza virus vaccine	275	272	$30.00	$19.91
90662 Influenza vaccine split virus, preservative free	261	258	$70.00	$52.12
81001 Manual urinalysis test with examination using microscope, automated	222	174	$15.00	$3.84
71046 X-ray of chest, 2 views	175	161	$65.00	$29.72
82570 Creatinine level to test for kidney function or muscle injury	173	106	$17.00	$6.23
82043 Urine microalbumin (protein) level	173	106	$8.00	$6.96
82607 Cyanocobalamin (vitamin B-12) level	167	151	$60.00	$17.95
83540 Iron level	148	103	$18.00	$7.79
83550 Iron binding capacity	147	103	$24.00	$10.51
82728 Ferritin (blood protein) level	143	101	$40.50	$16.40
82306 Vitamin d-3 level	140	121	$85.00	$35.54
93000 Routine ekg using at least 12 leads including interpretation and report	133	126	$55.40	$16.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	128	128	$209.00	$115.14
77067 Screening mammography	124	124	$255.05	$132.98
J1040 Injection, methylprednisolone acetate, 80 mg	121	98	$15.00	$12.98
J0696 Injection, ceftriaxone sodium, per 250 mg	118	26	$1.00	$0.62
77063 Screening digital tomography of both breasts	117	117	$75.00	$53.84
87086 Bacterial colony count, urine	108	89	$24.00	$9.76
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	101	36	$8.00	$1.95
77080 Dxa bone density measurement of hip, pelvis, spine	99	99	$99.60	$40.59
80048 Blood test, basic group of blood chemicals (calcium, total)	90	64	$25.00	$10.23
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	89	45	$40.00	$21.05
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	89	58	$44.00	$18.88
G0009 Administration of pneumococcal vaccine	81	81	$30.00	$19.91
83880 Natriuretic peptide (heart and blood vessel protein) level	70	46	$93.00	$41.06
95165 Professional service for preparation and provision of 1 or more antigens	69	27	$19.00	$12.72
87077 Bacterial culture for aerobic isolates	67	50	$25.00	$9.77
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	67	50	$25.00	$10.46
90670 Pneumococcal vaccine for injection into muscle	60	60	$372.25	$197.96
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	59	59	$44.00	$19.25
G0103 Prostate cancer screening; prostate specific antigen test (psa)	59	59	$55.00	$22.26
72100 X-ray of lower and sacral spine, 2-3 views	52	50	$62.00	$34.17
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	51	35	$120.00	$76.71
84550 Uric acid level, blood	49	37	$17.50	$5.47
84439 Thyroxine (thyroid chemical), free	49	45	$30.00	$10.70
85652 Red blood cell sedimentation rate, to detect inflammation, automated	48	47	$15.00	$3.14
84153 Psa (prostate specific antigen) measurement, total	45	37	$55.00	$22.26
83735 Magnesium level	40	33	$25.00	$8.10
87493 Detection test for clostridium difficile	40	36	$80.00	$42.46
87506 Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 6-11 targets	38	35	$540.00	$258.22
83721 Ldl cholesterol level	36	28	$27.00	$11.54
71250 Ct scan of chest without contrast	35	29	$485.00	$157.19
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	35	35	$515.00	$202.23
99495 Transitional care management services for problem of at least moderate complexity	34	33	$320.00	$162.10
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	33	29	$250.00	$117.57
82550 Creatine kinase (cardiac enzyme) level, total	32	29	$21.00	$7.68
83970 Parathormone (parathyroid hormone) level	32	28	$115.00	$48.68
95117 Professional service for multiple injections of allergen	30	20	$27.00	$9.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$175.00	$107.72
73502 X-ray of hip, 2-3 views	27	26	$80.00	$40.19
74176 Ct scan of abdomen and pelvis without contrast	26	26	$420.00	$184.86
73030 X-ray of shoulder, minimum of 2 views	25	23	$55.00	$28.67
95115 Injection of incremental dosages of allergen	25	13	$20.00	$8.57
84403 Testosterone (hormone) level, total	24	19	$70.00	$31.23
70220 X-ray of paranasal sinus, minimum of 3 views	23	23	$76.50	$36.49
76775 Limited ultrasound scan behind abdominal cavity	23	22	$140.00	$57.25
82746 Folic acid level	23	20	$60.00	$17.79
99496 Transitional care management services for problem of high complexity	23	21	$450.00	$229.75
93880 Ultrasound of both sides of head and neck blood flow	22	21	$345.00	$198.92
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	21	18	$75.00	$54.15
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	18	$140.00	$53.12
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$160.71	$105.59
94727 Determination of lung volumes using gas dilution or washout	20	20	$150.00	$42.90
82565 Blood creatinine level	20	15	$24.00	$6.20
94729 Test to examine how well the lungs exchange gases	20	20	$130.00	$52.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	19	$75.00	$43.29
73562 X-ray of knee, 3 views	19	16	$52.00	$34.74
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$315.00	$169.97
83690 Lipase (fat enzyme) level	18	16	$19.00	$8.34
82150 Amylase (enzyme) level	18	16	$20.00	$7.84
86038 Screening test for autoimmune disorder	18	18	$35.00	$13.87
76642 Limited ultrasound scan of 1 breast	18	14	$175.00	$82.57
72040 X-ray of upper spine, 2-3 views	18	18	$56.00	$32.53
73630 X-ray of foot, minimum of 3 views	17	17	$55.00	$28.66
84480 Thyroid hormone, t3 measurement, total	17	17	$40.00	$17.16
84520 Urea nitrogen level to assess kidney function	16	14	$11.00	$4.78
94060 Test to measure expiratory airflow and volume changes before and after medication administration	16	16	$105.00	$58.81
87502 Detection test by nucleic acid for multiple types influenza virus	16	16	$185.00	$102.96
82575 Creatinine clearance measurement to test for kidney function	15	15	$32.00	$11.44
76705 Limited ultrasound scan of abdomen	15	14	$140.00	$89.69
86803 Hepatitis c antibody measurement	14	13	$40.00	$17.26
76536 Ultrasound of head and neck	14	12	$180.00	$113.81
85045 Red blood count, automated test	14	13	$12.00	$4.83
84484 Troponin (protein) analysis, quantitative	13	13	$26.00	$12.22
86431 Rheumatoid factor level	13	13	$26.00	$6.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$270.00	$164.25
72070 X-ray of middle spine, 2 views	12	11	$61.00	$33.16
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$35.00	$18.65
73610 X-ray of ankle, minimum of 3 views	12	12	$52.00	$30.75
85379 Coagulation function measurement, d-dimer; quantitative	11	11	$30.00	$12.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	3,120	31	$26.80	$16.64
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,580	27	$2.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	1,791	714	$10.00	$2.94
99213 Established patient office or other outpatient visit, typically 15 minutes	1,634	943	$100.00	$71.59
80053 Blood test, comprehensive group of blood chemicals	1,087	644	$30.00	$11.36
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,067	638	$25.00	$10.42
80061 Blood test, lipids (cholesterol and triglycerides)	1,015	616	$38.00	$13.84
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	793	452	$150.00	$105.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	583	258	$33.00	$24.43
J1885 Injection, ketorolac tromethamine, per 15 mg	559	114	$10.00	$0.63
83036 Hemoglobin A1C level	403	281	$25.00	$13.02
84443 Blood test, thyroid stimulating hormone (TSH)	353	276	$53.00	$22.59
85610 Blood test, clotting time	324	50	$13.50	$5.28
G0008 Administration of influenza virus vaccine	291	285	$30.00	$24.61
90662 Influenza vaccine split virus, preservative free	276	271	$70.00	$47.76
81001 Manual urinalysis test with examination using microscope, automated	222	166	$15.00	$4.26
J0696 Injection, ceftriaxone sodium, per 250 mg	217	49	$1.00	$0.65
82306 Vitamin d-3 level	215	179	$85.00	$39.80
82607 Cyanocobalamin (vitamin B-12) level	175	161	$60.00	$20.18
71020 X-ray of chest, 2 views, front and side	172	150	$65.00	$27.34
J1040 Injection, methylprednisolone acetate, 80 mg	141	128	$15.00	$11.35
J1030 Injection, methylprednisolone acetate, 40 mg	141	63	$7.00	$5.33
80048 Blood test, basic group of blood chemicals (calcium, total)	138	113	$25.00	$11.22
83540 Iron level	134	95	$18.00	$8.70
83550 Iron binding capacity	134	95	$24.00	$11.75
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	130	130	$255.88	$131.30
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	129	91	$44.00	$21.38
82043 Urine microalbumin (protein) level	129	93	$8.00	$2.35
82570 Creatinine level to test for kidney function or muscle injury	129	93	$17.00	$6.91
82728 Ferritin (blood protein) level	126	89	$40.50	$18.33
93000 Routine ekg using at least 12 leads including interpretation and report	119	114	$55.40	$16.77
77063 Screening digital tomography of both breasts	118	118	$75.00	$54.12
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	99	26	$8.00	$2.94
87086 Bacterial colony count, urine	95	75	$24.00	$10.85
77080 Dxa bone density measurement of hip, pelvis, spine	82	82	$208.23	$39.58
87077 Bacterial culture for aerobic isolates	80	65	$25.00	$10.86
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	79	64	$25.00	$11.62
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	75	31	$40.00	$19.71
84439 Thyroxine (thyroid chemical), free	71	65	$30.00	$12.12
84153 Psa (prostate specific antigen) measurement, total	66	54	$55.00	$24.73
72100 X-ray of lower and sacral spine, 2-3 views	61	60	$62.00	$33.37
G0009 Administration of pneumococcal vaccine	56	56	$30.00	$24.61
J2785 Injection, regadenoson, 0.1 mg	56	14	$94.00	$54.45
83880 Natriuretic peptide (heart and blood vessel protein) level	56	45	$93.00	$45.63
99495 Transitional care management services for problem of at least moderate complexity	52	50	$320.00	$158.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$175.00	$106.10
G0103 Prostate cancer screening; prostate specific antigen test (psa)	49	49	$55.00	$24.73
85652 Red blood cell sedimentation rate, to detect inflammation, automated	48	36	$15.00	$3.63
96401 Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle	42	28	$120.00	$71.90
83690 Lipase (fat enzyme) level	38	34	$19.00	$9.26
82150 Amylase (enzyme) level	38	34	$20.00	$8.71
71250 Ct scan of chest without contrast	36	28	$485.00	$158.03
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	34	34	$515.00	$220.99
90670 Pneumococcal vaccine for injection into muscle	34	34	$214.85	$186.45
84403 Testosterone (hormone) level, total	33	25	$70.00	$34.24
84550 Uric acid level, blood	32	27	$17.50	$5.24
83721 Ldl cholesterol level	32	25	$27.00	$12.83
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	30	15	$105.00	$103.32
87493 Detection test for clostridium difficile	29	25	$80.00	$39.02
76775 Limited ultrasound scan behind abdominal cavity	28	27	$140.00	$57.49
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	28	26	$140.00	$53.03
87506 Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 6-11 targets	27	23	$540.00	$265.48
73030 X-ray of shoulder, minimum of 2 views	27	25	$53.57	$27.62
82565 Blood creatinine level	26	22	$24.00	$5.14
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	26	24	$250.00	$116.19
70220 X-ray of paranasal sinus, minimum of 3 views	26	26	$76.50	$36.52
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	25	25	$44.00	$21.38
83735 Magnesium level	25	24	$25.00	$9.01
80076 Liver function blood test panel	23	22	$24.00	$10.64
87502 Detection test by nucleic acid for multiple types influenza virus	23	23	$185.00	$94.76
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$120.00	$93.70
74176 Ct scan of abdomen and pelvis without contrast	21	21	$420.00	$196.22
87070 Bacterial culture	21	21	$25.00	$11.58
84520 Urea nitrogen level to assess kidney function	21	19	$11.00	$2.17
73502 X-ray of hip, 2-3 views	20	20	$80.00	$40.21
86803 Hepatitis c antibody measurement	20	20	$40.00	$18.42
73630 X-ray of foot, minimum of 3 views	20	18	$55.00	$28.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$270.00	$156.13
86038 Screening test for autoimmune disorder	19	19	$35.00	$16.25
86431 Rheumatoid factor level	19	19	$26.00	$7.62
99496 Transitional care management services for problem of high complexity	19	18	$450.00	$227.56
84460 Liver enzyme (sgpt), level	18	18	$15.00	$4.32
76705 Limited ultrasound scan of abdomen	18	17	$140.00	$89.36
84450 Liver enzyme (sgot), level	18	18	$15.00	$4.32
83970 Parathormone (parathyroid hormone) level	18	17	$115.00	$55.49
73562 X-ray of knee, 3 views	18	17	$52.00	$34.71
72040 X-ray of upper spine, 2-3 views	17	17	$56.00	$32.13
93880 Ultrasound of both sides of head and neck blood flow	17	17	$345.00	$191.38
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	17	17	$203.00	$67.44
94727 Determination of lung volumes using gas dilution or washout	16	16	$150.00	$40.93
94729 Test to examine how well the lungs exchange gases	16	16	$130.00	$52.59
94060 Test to measure expiratory airflow and volume changes before and after medication administration	16	16	$105.00	$58.90
82550 Creatine kinase (cardiac enzyme) level, total	16	16	$21.00	$6.29
72070 X-ray of middle spine, 2 views	15	15	$61.00	$33.11
82746 Folic acid level	15	15	$60.00	$19.77
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$35.00	$18.65
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	15	15	$700.00	$469.70
84270 Sex hormone binding globulin (protein) level	15	14	$21.00	$10.75
73610 X-ray of ankle, minimum of 3 views	14	13	$52.00	$30.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$75.00	$41.15
85730 Coagulation assessment blood test, plasma or whole blood	14	14	$16.00	$8.08
85045 Red blood count, automated test	13	12	$12.00	$5.37
82575 Creatinine clearance measurement to test for kidney function	13	13	$32.00	$12.71
72148 MRI scan of lower spinal canal	13	13	$1075.00	$217.01
87328 Detection test for cryptosporidium (parasite)	12	12	$32.00	$16.11
84480 Thyroid hormone, t3 measurement, total	12	11	$40.00	$19.06
81003 Automated urinalysis test	12	11	$7.00	$3.02
87340 Detection test for Hepatitis B surface antigen	11	11	$30.00	$13.89

Medical Specialties & State Licenses

CMS Verified: 2024-05-29

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License FL ME86008

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

266620100 (FL)

Commercial Insurance / Payer ID Medicare Id/rrm Pin

P00001203 (FL)

Hospital & Practice Group Affiliations

Baycare Medical Group, Inc.

2461 Enterprise Rd, Clearwater, FL 337631726

Phone: 7277255060

Baycare Medical Group, Inc.

635 1st St N, Winter Haven, FL 338814129

Phone: 8632940670

Baycare Medical Group, Inc.

200 Ave F Ne, Winter Haven, FL 338814131

Baycare Medical Group, Inc.

601 1st St N, Winter Haven, FL 338814129

Phone: 8632983204

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Kajetan Pochcial , MD

Internal Medicine

NPI 1013986900

Doctor of Medicine (M.D.)

Dr. Rebecca Thomas , MD

Family Medicine

NPI 1033408984

Doctor of Medicine (M.D.)

Dr. Joseph Bergnes , MD

Internal Medicine - Medical Oncology

NPI 1053380113

Doctor of Medicine (M.D.)

Dr. Jorge Dopico , DPM

Podiatrist

NPI 1053389445

Doctor of Podiatric Medicine

Dr. Maria Martino-Villanueva , MD

Obstetrics & Gynecology

NPI 1083689160

Doctor of Medicine (M.D.)

Dr. Mary De Sena , MD

Family Medicine

NPI 1104819853

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address May 29, 2024

Registered at 2995 DREW ST, CLEARWATER, FL 337593012 (Tel: 7273157496)

✅

NPI Profile Active December 11, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location December 11, 2014

Registered at 601 1ST ST N, WINTER HAVEN, FL 338814129 (Tel: 8632940670)

📍

Updated Business Mailing Address December 11, 2014

Registered at 635 1ST ST N, WINTER HAVEN, FL 338814129 (Tel: 8632940670)

👤

Provider Name / Credentials Updated December 11, 2014

Recorded as MICHAEL KEOWN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 11, 2014

Internal Medicine (License #ME86008 in FL)

🟢

Initial NPI Registration & Enumeration March 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Michael Keown. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1417925686

Entity Type:

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

Enumeration Date: March 14, 2006

Last Update: May 29, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2995 Drew St

Clearwater, FL 337593012

Phone: 7273157496

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.