Active NPI 1427050632 Individual Practitioner Male Practitioner

Dr. Robert M Stout , MD

Internal Medicine • Lagrange, GA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Robert Stout, MD is a certified Internal Medicine practicing in Lagrange, GA. With approximately 47 years of clinical experience since graduating from Medical College Of Georgia School Of Medicine in 1979, Dr. Stout delivers high-quality medical care to the local community at 1602 VERNON RD.

Dr. Stout is affiliated with Lagrange Internal Medicine, Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include chronic care management services, first, injection, methylprednisolone acetate, 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

1602 Vernon Rd
Ste 400

Lagrange, GA 302404100

Telephone 7068829341

Fax 7068840131

Associated Practice Facility / Clinic

🏢 Lagrange Internal Medicine, Pc Facility NPI 1831267632

Medicare Profile & Education

Medical School

Medical College Of Georgia School Of Medicine

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lagrange, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +16.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

16 Specialists

Practicing in Lagrange, GA (4065 Statewide)

Telehealth Adoption Rate

56.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

50.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Stout (47 Years) 47 Yrs

Lagrange Specialty Average (30.3 Years) 30.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	2,031	210	$71.00	$60.06
J1010 Injection, methylprednisolone acetate, 1 mg	1,362	28	$0.81	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,359	645	$225.02	$121.74
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	1,192	204	$50.00	$45.74
36415 Insertion of needle into vein for collection of blood sample	1,177	546	$15.00	$8.62
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	955	534	$36.00	$7.60
80053 Blood test, comprehensive group of blood chemicals	908	511	$30.00	$10.34
84443 Blood test, thyroid stimulating hormone (TSH)	891	499	$48.00	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	863	494	$45.00	$13.06
83036 Hemoglobin A1C level	802	464	$44.00	$9.47
84439 Thyroxine (thyroid chemical), free	769	423	$65.00	$8.80
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	748	453	$18.00	$16.07
84481 Thyroid hormone, t3 measurement, free	735	406	$40.00	$16.51
84681 C-peptide (protein) level	702	389	$83.00	$20.27
83525 Insulin measurement, total	698	389	$49.00	$11.15
84550 Uric acid level, blood	685	380	$20.00	$4.42
82172 Apolipoprotein level	667	375	$25.00	$20.64
81003 Automated urinalysis test	522	388	$14.00	$2.19
82306 Vitamin d-3 level	483	414	$107.00	$28.90
82607 Cyanocobalamin (vitamin B-12) level	477	409	$71.00	$14.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	397	397	$129.00	$125.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	344	41	$45.00	$13.52
82570 Creatinine level to test for kidney function or muscle injury	303	213	$15.00	$5.05
82043 Urine microalbumin (protein) level	302	212	$20.00	$5.62
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	236	36	$5.00	$1.27
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	205	128	$20.00	$4.18
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	194	25	$60.00	$45.76
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	187	22	$48.00	$36.65
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	173	21	$70.00	$41.68
83550 Iron binding capacity	152	101	$30.00	$8.57
83540 Iron level	152	101	$20.00	$6.34
82728 Ferritin (blood protein) level	137	88	$56.00	$13.24
85610 Blood test, clotting time	130	13	$20.00	$4.20
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	126	52	$75.00	$67.57
G0103 Prostate cancer screening; prostate specific antigen test (psa)	117	117	$53.00	$18.92
99213 Established patient office or other outpatient visit, typically 15 minutes	97	92	$150.31	$86.45
90662 Influenza vaccine split virus, preservative free	96	94	$118.54	$80.25
71046 X-ray of chest, 2 views	95	84	$65.00	$30.99
G0008 Administration of influenza virus vaccine	94	92	$35.00	$30.39
77063 Screening digital tomography of both breasts	86	86	$98.55	$49.26
77067 Screening mammography	86	86	$420.00	$118.22
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	85	54	$140.00	$126.48
77080 Dxa bone density measurement of hip, pelvis, spine	80	80	$140.00	$35.88
80048 Blood test, basic group of blood chemicals (calcium, total)	67	51	$25.00	$8.29
87631 Detection test for multiple types of respiratory virus	59	52	$300.00	$139.78
76700 Ultrasound of abdomen	56	55	$380.00	$105.35
84402 Testosterone (hormone) level, free	49	32	$52.00	$24.96
84403 Testosterone (hormone) level, total	49	32	$39.00	$25.29
G0009 Administration of pneumococcal vaccine	44	43	$35.00	$30.39
83735 Magnesium level	42	33	$28.00	$6.57
93000 Routine ekg using at least 12 leads including interpretation and report	39	37	$55.00	$13.61
76981 Elastography ultrasound of organ tissue	37	36	$225.00	$92.70
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	37	36	$325.00	$288.11
84153 Psa (prostate specific antigen) measurement, total	35	27	$53.00	$18.02
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	35	34	$700.94	$110.89
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	33	27	$45.00	$44.10
87804 Detection test by immunoassay with direct visual observation for influenza virus	33	27	$58.00	$16.22
69210 Removal of impacted ear wax	28	24	$110.00	$45.61
83970 Parathormone (parathyroid hormone) level	28	20	$78.00	$36.64
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	24	24	$50.00	$41.30
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	23	23	$40.00	$37.55
72100 X-ray of lower and sacral spine, 2-3 views	20	19	$95.00	$36.71
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$165.00	$160.10
99496 Transitional care management services for problem of high complexity	16	16	$295.00	$266.57
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	14	14	$58.00	$16.20
73502 X-ray of hip, 2-3 views	13	13	$55.00	$43.61
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$168.00	$159.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$330.00	$159.80

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,965	214	$71.00	$59.43
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,170	515	$225.03	$120.23
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	1,099	205	$50.00	$44.82
36415 Insertion of needle into vein for collection of blood sample	1,046	484	$15.00	$8.34
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	909	478	$36.00	$7.57
80053 Blood test, comprehensive group of blood chemicals	876	470	$30.00	$10.31
80061 Blood test, lipids (cholesterol and triglycerides)	826	464	$45.00	$13.01
84443 Blood test, thyroid stimulating hormone (TSH)	819	460	$48.00	$16.39
84439 Thyroxine (thyroid chemical), free	786	429	$65.00	$8.78
83036 Hemoglobin A1C level	780	438	$44.00	$9.41
84481 Thyroid hormone, t3 measurement, free	777	424	$40.00	$16.46
83525 Insulin measurement, total	762	414	$49.00	$11.13
82172 Apolipoprotein level	736	392	$25.00	$20.62
84681 C-peptide (protein) level	735	399	$83.00	$20.24
84550 Uric acid level, blood	681	356	$20.00	$4.41
82306 Vitamin d-3 level	475	390	$107.00	$28.85
82607 Cyanocobalamin (vitamin B-12) level	460	387	$71.00	$14.68
81003 Automated urinalysis test	360	306	$14.00	$2.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	354	354	$129.00	$123.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	310	46	$45.00	$13.29
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	223	38	$5.00	$1.57
82570 Creatinine level to test for kidney function or muscle injury	205	167	$15.00	$5.05
82043 Urine microalbumin (protein) level	205	167	$20.00	$5.63
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	192	26	$70.00	$44.33
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	184	26	$60.00	$45.72
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	177	23	$48.00	$37.65
83540 Iron level	150	84	$20.00	$6.34
83550 Iron binding capacity	150	84	$30.00	$8.57
G0103 Prostate cancer screening; prostate specific antigen test (psa)	121	121	$53.00	$18.92
85610 Blood test, clotting time	116	11	$20.00	$4.20
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	112	46	$75.00	$66.59
G0008 Administration of influenza virus vaccine	107	106	$28.93	$26.22
90662 Influenza vaccine split virus, preservative free	104	103	$96.88	$71.86
77063 Screening digital tomography of both breasts	97	97	$75.00	$49.90
77067 Screening mammography	97	97	$420.00	$118.54
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	95	73	$20.00	$4.16
71046 X-ray of chest, 2 views	95	76	$65.00	$30.87
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	91	91	$325.00	$279.14
G0009 Administration of pneumococcal vaccine	87	87	$25.92	$24.90
99213 Established patient office or other outpatient visit, typically 15 minutes	75	72	$150.00	$82.25
77080 Dxa bone density measurement of hip, pelvis, spine	73	73	$140.00	$35.03
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	72	48	$140.00	$123.96
82728 Ferritin (blood protein) level	54	46	$56.00	$13.20
76700 Ultrasound of abdomen	51	51	$380.00	$105.15
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	42	39	$36.19	$35.47
87804 Detection test by immunoassay with direct visual observation for influenza virus	42	39	$58.00	$16.22
84153 Psa (prostate specific antigen) measurement, total	41	33	$53.00	$18.02
80048 Blood test, basic group of blood chemicals (calcium, total)	37	28	$25.00	$7.66
83970 Parathormone (parathyroid hormone) level	35	26	$78.00	$39.43
93000 Routine ekg using at least 12 leads including interpretation and report	29	29	$55.00	$13.64
84403 Testosterone (hormone) level, total	29	19	$39.00	$25.29
84402 Testosterone (hormone) level, free	29	19	$52.00	$24.96
83735 Magnesium level	29	24	$28.00	$6.57
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	28	26	$700.94	$113.27
J1030 Injection, methylprednisolone acetate, 40 mg	27	26	$10.00	$7.45
76981 Elastography ultrasound of organ tissue	22	22	$225.00	$88.60
72100 X-ray of lower and sacral spine, 2-3 views	22	18	$95.00	$36.88
69210 Removal of impacted ear wax	18	15	$110.00	$45.31
99495 Transitional care management services for problem of at least moderate complexity	18	17	$220.00	$190.15
84100 Phosphate level	16	11	$20.00	$4.65
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$165.00	$158.60
93880 Ultrasound of both sides of head and neck blood flow	11	11	$750.00	$175.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,887	190	$71.00	$60.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,106	451	$225.01	$120.16
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	995	184	$50.00	$45.50
36415 Insertion of needle into vein for collection of blood sample	858	441	$15.00	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	693	435	$36.00	$7.57
80053 Blood test, comprehensive group of blood chemicals	691	432	$30.00	$10.31
80061 Blood test, lipids (cholesterol and triglycerides)	631	417	$45.00	$13.00
83036 Hemoglobin A1C level	606	391	$44.00	$9.39
83525 Insulin measurement, total	591	385	$49.00	$11.15
84443 Blood test, thyroid stimulating hormone (TSH)	584	417	$48.00	$16.39
84439 Thyroxine (thyroid chemical), free	579	416	$65.00	$8.79
84481 Thyroid hormone, t3 measurement, free	542	384	$40.00	$16.47
82306 Vitamin d-3 level	414	369	$107.00	$28.97
82607 Cyanocobalamin (vitamin B-12) level	391	359	$71.00	$14.76
84681 C-peptide (protein) level	359	276	$83.00	$20.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	336	336	$129.00	$124.56
81003 Automated urinalysis test	319	267	$14.00	$2.18
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	307	51	$45.00	$13.43
82172 Apolipoprotein level	296	226	$25.00	$20.53
82570 Creatinine level to test for kidney function or muscle injury	214	171	$15.00	$5.09
82043 Urine microalbumin (protein) level	212	169	$20.00	$5.66
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	206	36	$5.00	$1.72
84550 Uric acid level, blood	176	139	$20.00	$4.40
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	175	28	$60.00	$46.50
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	170	27	$70.00	$48.74
99213 Established patient office or other outpatient visit, typically 15 minutes	163	141	$150.09	$82.06
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	144	48	$75.00	$65.43
85610 Blood test, clotting time	130	13	$20.00	$4.23
G0103 Prostate cancer screening; prostate specific antigen test (psa)	125	125	$53.00	$19.03
G0008 Administration of influenza virus vaccine	108	107	$25.00	$24.54
90662 Influenza vaccine split virus, preservative free	104	103	$74.33	$68.30
77067 Screening mammography	93	93	$420.00	$117.02
77063 Screening digital tomography of both breasts	93	93	$75.00	$48.88
83550 Iron binding capacity	92	62	$30.00	$8.62
83540 Iron level	92	62	$20.00	$6.38
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	83	49	$140.00	$122.59
71046 X-ray of chest, 2 views	76	66	$65.00	$30.86
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	74	61	$20.00	$4.18
77080 Dxa bone density measurement of hip, pelvis, spine	65	65	$140.00	$34.30
99458 Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute	64	21	$48.00	$38.34
87804 Detection test by immunoassay with direct visual observation for influenza virus	47	41	$58.00	$15.67
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	46	41	$35.00	$32.92
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	40	38	$75.00	$41.84
84153 Psa (prostate specific antigen) measurement, total	35	26	$53.00	$18.15
76700 Ultrasound of abdomen	34	34	$380.00	$108.02
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	32	32	$25.00	$16.75
84402 Testosterone (hormone) level, free	29	22	$52.00	$25.10
80048 Blood test, basic group of blood chemicals (calcium, total)	29	24	$25.00	$7.36
84403 Testosterone (hormone) level, total	29	22	$39.00	$25.43
93000 Routine ekg using at least 12 leads including interpretation and report	26	26	$55.00	$13.51
83735 Magnesium level	25	20	$28.00	$6.60
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	25	24	$700.94	$112.36
J1030 Injection, methylprednisolone acetate, 40 mg	22	20	$10.00	$6.17
G0009 Administration of pneumococcal vaccine	20	18	$25.00	$24.57
83970 Parathormone (parathyroid hormone) level	16	12	$78.00	$40.87
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	14	14	$20.00	$13.49
99496 Transitional care management services for problem of high complexity	14	14	$295.00	$262.47
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$165.00	$159.97
99495 Transitional care management services for problem of at least moderate complexity	13	13	$220.00	$179.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,903	230	$41.22	$39.07
36415 Insertion of needle into vein for collection of blood sample	1,264	521	$15.00	$3.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,050	512	$36.00	$7.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,025	453	$225.01	$123.18
80053 Blood test, comprehensive group of blood chemicals	1,011	506	$30.00	$10.54
80061 Blood test, lipids (cholesterol and triglycerides)	857	487	$45.00	$13.30
83036 Hemoglobin A1C level	802	445	$44.00	$9.59
84443 Blood test, thyroid stimulating hormone (TSH)	790	490	$48.00	$16.78
83525 Insulin measurement, total	779	430	$49.00	$11.34
84439 Thyroxine (thyroid chemical), free	760	486	$65.00	$8.95
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	694	192	$39.19	$35.73
81003 Automated urinalysis test	569	409	$14.00	$2.24
82306 Vitamin d-3 level	553	450	$107.00	$29.51
82607 Cyanocobalamin (vitamin B-12) level	533	444	$71.00	$15.02
99213 Established patient office or other outpatient visit, typically 15 minutes	510	358	$150.03	$86.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	420	420	$127.25	$125.91
82570 Creatinine level to test for kidney function or muscle injury	402	281	$15.00	$5.16
82043 Urine microalbumin (protein) level	397	279	$20.00	$5.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	356	52	$45.00	$13.40
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	353	280	$75.00	$42.01
84481 Thyroid hormone, t3 measurement, free	294	223	$40.00	$16.77
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	249	58	$44.32	$41.17
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	245	48	$5.00	$1.98
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	229	159	$20.00	$4.17
85610 Blood test, clotting time	183	20	$20.00	$4.29
83550 Iron binding capacity	147	89	$30.00	$8.74
83540 Iron level	147	89	$20.00	$6.47
G0103 Prostate cancer screening; prostate specific antigen test (psa)	143	143	$53.00	$19.31
G0008 Administration of influenza virus vaccine	116	115	$25.00	$15.74
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	116	59	$91.90	$85.70
90662 Influenza vaccine split virus, preservative free	105	105	$65.00	$65.00
71046 X-ray of chest, 2 views	80	68	$65.00	$31.26
84550 Uric acid level, blood	71	45	$20.00	$4.35
77067 Screening mammography	65	65	$420.00	$122.76
77080 Dxa bone density measurement of hip, pelvis, spine	63	63	$140.00	$35.32
77063 Screening digital tomography of both breasts	59	59	$75.00	$51.95
93000 Routine ekg using at least 12 leads including interpretation and report	50	47	$55.00	$13.84
80048 Blood test, basic group of blood chemicals (calcium, total)	46	31	$25.00	$8.46
83735 Magnesium level	42	28	$28.00	$6.70
84153 Psa (prostate specific antigen) measurement, total	37	32	$53.00	$18.39
83970 Parathormone (parathyroid hormone) level	36	25	$78.00	$41.28
84402 Testosterone (hormone) level, free	35	24	$52.00	$25.47
84681 C-peptide (protein) level	35	27	$83.00	$20.37
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	35	33	$700.94	$121.42
84403 Testosterone (hormone) level, total	35	24	$39.00	$25.81
76700 Ultrasound of abdomen	33	33	$380.00	$113.74
J1030 Injection, methylprednisolone acetate, 40 mg	22	20	$10.00	$5.65
G0009 Administration of pneumococcal vaccine	17	17	$25.00	$15.76
84100 Phosphate level	16	12	$20.00	$4.74
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$137.86	$124.78
93784 Ambulatory blood pressure monitoring, 1 day or longer, with recording, scanning analysis, interpretation, and report	13	13	$125.00	$41.41
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	12	11	$51.15	$50.27
90682 Influenza vaccine, quadrivalent derived from recombinant dna	12	11	$65.00	$64.67
93880 Ultrasound of both sides of head and neck blood flow	12	11	$750.00	$172.18
69210 Removal of impacted ear wax	12	11	$110.00	$45.68
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$95.00	$36.83
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$165.00	$158.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,617	262	$44.00	$40.45
36415 Insertion of needle into vein for collection of blood sample	1,335	560	$15.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,132	492	$225.09	$104.02
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,111	555	$35.96	$7.70
80053 Blood test, comprehensive group of blood chemicals	1,085	553	$30.00	$10.47
80061 Blood test, lipids (cholesterol and triglycerides)	892	492	$45.00	$13.23
84443 Blood test, thyroid stimulating hormone (TSH)	787	521	$48.00	$16.72
83036 Hemoglobin A1C level	768	417	$44.00	$9.59
83525 Insulin measurement, total	768	417	$49.00	$11.28
84439 Thyroxine (thyroid chemical), free	738	510	$65.00	$8.94
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	673	197	$39.00	$36.23
99213 Established patient office or other outpatient visit, typically 15 minutes	633	422	$150.00	$71.85
82306 Vitamin d-3 level	624	491	$107.00	$29.28
82607 Cyanocobalamin (vitamin B-12) level	567	466	$71.00	$14.92
81003 Automated urinalysis test	473	364	$14.00	$2.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	430	430	$113.09	$111.84
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	370	58	$45.00	$13.65
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	308	68	$64.86	$42.39
82570 Creatinine level to test for kidney function or muscle injury	301	234	$15.00	$5.14
82043 Urine microalbumin (protein) level	300	234	$20.00	$5.73
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	255	48	$5.00	$2.01
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	250	171	$20.00	$4.20
85610 Blood test, clotting time	201	20	$20.00	$4.26
83550 Iron binding capacity	173	104	$30.00	$8.57
83540 Iron level	173	104	$20.00	$6.34
G0008 Administration of influenza virus vaccine	163	162	$25.00	$15.89
G0103 Prostate cancer screening; prostate specific antigen test (psa)	150	150	$53.00	$19.19
90662 Influenza vaccine split virus, preservative free	150	150	$65.00	$60.98
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	129	68	$114.80	$87.29
84481 Thyroid hormone, t3 measurement, free	124	98	$40.00	$16.83
84550 Uric acid level, blood	89	49	$20.00	$4.49
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	76	75	$75.00	$42.13
77067 Screening mammography	75	75	$417.20	$128.45
71046 X-ray of chest, 2 views	69	63	$65.00	$30.68
84681 C-peptide (protein) level	68	45	$83.00	$19.47
77080 Dxa bone density measurement of hip, pelvis, spine	47	47	$140.00	$36.54
84153 Psa (prostate specific antigen) measurement, total	46	36	$53.00	$18.26
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	45	45	$65.00	$59.45
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	45	42	$700.94	$119.53
80048 Blood test, basic group of blood chemicals (calcium, total)	44	30	$25.00	$8.26
83735 Magnesium level	42	32	$28.00	$6.56
93000 Routine ekg using at least 12 leads including interpretation and report	40	39	$55.00	$15.83
83970 Parathormone (parathyroid hormone) level	38	28	$78.00	$41.11
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	34	34	$110.00	$109.03
84403 Testosterone (hormone) level, total	31	24	$39.00	$25.68
84402 Testosterone (hormone) level, free	31	24	$52.00	$25.34
G0009 Administration of pneumococcal vaccine	30	30	$25.00	$15.84
J1030 Injection, methylprednisolone acetate, 40 mg	28	21	$10.00	$6.10
90682 Influenza vaccine, quadrivalent derived from recombinant dna	24	24	$61.46	$56.67
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	23	23	$165.00	$161.45
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	$51.46	$51.38
76700 Ultrasound of abdomen	19	18	$380.00	$115.77
72100 X-ray of lower and sacral spine, 2-3 views	17	16	$95.00	$35.50
93880 Ultrasound of both sides of head and neck blood flow	15	14	$750.00	$179.13
99496 Transitional care management services for problem of high complexity	14	14	$235.00	$236.39

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	1,629	636	$153.62	$103.94
36415 Insertion of needle into vein for collection of blood sample	1,574	661	$11.29	$2.93
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,378	259	$47.32	$40.10
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,314	644	$28.00	$8.45
80053 Blood test, comprehensive group of blood chemicals	1,268	637	$30.00	$11.49
80061 Blood test, lipids (cholesterol and triglycerides)	834	529	$45.00	$14.54
84443 Blood test, thyroid stimulating hormone (TSH)	830	589	$48.00	$18.30
83525 Insulin measurement, total	818	417	$49.00	$12.42
83036 Hemoglobin A1C level	793	407	$44.00	$10.54
84439 Thyroxine (thyroid chemical), free	730	552	$65.00	$9.82
82306 Vitamin d-3 level	675	541	$107.00	$32.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	551	103	$29.68	$15.80
82607 Cyanocobalamin (vitamin B-12) level	546	494	$71.00	$16.41
99213 Established patient office or other outpatient visit, typically 15 minutes	512	337	$105.64	$71.12
81003 Automated urinalysis test	503	427	$14.00	$2.44
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	501	501	$113.00	$111.27
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	480	102	$5.00	$1.80
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	267	196	$20.00	$4.18
82043 Urine microalbumin (protein) level	259	217	$20.00	$6.29
82570 Creatinine level to test for kidney function or muscle injury	257	216	$15.00	$5.63
85610 Blood test, clotting time	229	31	$17.00	$4.28
90682 Influenza vaccine, quadrivalent derived from recombinant dna	219	218	$59.86	$54.82
G0103 Prostate cancer screening; prostate specific antigen test (psa)	177	177	$53.00	$20.03
83550 Iron binding capacity	171	123	$30.00	$9.52
83540 Iron level	171	123	$20.00	$7.05
G0008 Administration of influenza virus vaccine	163	162	$25.00	$15.59
84681 C-peptide (protein) level	156	95	$83.00	$22.55
84481 Thyroid hormone, t3 measurement, free	155	125	$40.00	$18.44
84550 Uric acid level, blood	151	83	$20.00	$4.92
77067 Screening mammography	142	142	$279.79	$126.25
71046 X-ray of chest, 2 views	124	94	$49.68	$29.55
77080 Dxa bone density measurement of hip, pelvis, spine	108	108	$140.00	$36.89
83735 Magnesium level	84	58	$28.00	$7.29
80048 Blood test, basic group of blood chemicals (calcium, total)	82	61	$25.00	$9.02
J1030 Injection, methylprednisolone acetate, 40 mg	73	60	$10.00	$6.30
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	68	68	$102.60	$100.55
76700 Ultrasound of abdomen	68	63	$196.87	$112.60
J0696 Injection, ceftriaxone sodium, per 250 mg	63	25	$15.00	$0.58
93000 Routine ekg using at least 12 leads including interpretation and report	50	44	$55.00	$16.08
G0009 Administration of pneumococcal vaccine	48	48	$25.00	$15.59
90670 Pneumococcal vaccine for injection into muscle	48	47	$184.00	$176.56
84153 Psa (prostate specific antigen) measurement, total	45	34	$53.00	$20.03
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	42	42	$700.94	$120.39
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	37	37	$65.00	$60.20
84402 Testosterone (hormone) level, free	33	20	$52.00	$27.73
84403 Testosterone (hormone) level, total	33	20	$39.00	$28.11
83970 Parathormone (parathyroid hormone) level	32	22	$78.00	$44.94
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	29	$51.46	$50.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	28	$66.94	$42.93
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$165.00	$160.17
93880 Ultrasound of both sides of head and neck blood flow	19	18	$750.00	$186.69
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	19	19	$20.00	$16.26
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	19	16	$115.00	$86.93
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	15	15	$168.00	$165.04
90739 Hepatitis b vaccine (hepb), cpg-adjuvanted, adult dosage, 2 dose or 4 dose schedule, for intramuscular use	15	11	$140.00	$128.48
G0010 Administration of hepatitis b vaccine	14	12	$25.00	$15.59
72100 X-ray of lower and sacral spine, 2-3 views	14	12	$95.00	$34.08
92250 Photography of the retina	13	13	$95.00	$47.63
77065 Diagnostic mammography of 1 breast	13	13	$255.38	$124.56

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	1,706	659	$130.34	$102.67
36415 Insertion of needle into vein for collection of blood sample	1,690	705	$10.00	$2.94
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,410	697	$28.00	$9.39
80053 Blood test, comprehensive group of blood chemicals	1,359	689	$30.00	$12.75
80061 Blood test, lipids (cholesterol and triglycerides)	1,220	678	$45.00	$16.17
83721 Ldl cholesterol level	1,103	645	$15.00	$11.54
84443 Blood test, thyroid stimulating hormone (TSH)	965	644	$48.00	$20.33
84439 Thyroxine (thyroid chemical), free	806	581	$65.00	$10.91
83036 Hemoglobin A1C level	797	419	$44.00	$11.75
82306 Vitamin d-3 level	705	590	$107.00	$35.82
81003 Automated urinalysis test	646	491	$14.00	$2.71
82607 Cyanocobalamin (vitamin B-12) level	577	513	$71.00	$18.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	566	114	$25.00	$19.17
99213 Established patient office or other outpatient visit, typically 15 minutes	565	353	$90.13	$69.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	538	538	$112.96	$110.69
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	521	106	$5.00	$1.96
83525 Insulin measurement, total	499	360	$49.00	$13.82
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	457	203	$53.00	$40.32
82043 Urine microalbumin (protein) level	398	296	$20.00	$7.00
82570 Creatinine level to test for kidney function or muscle injury	391	296	$15.00	$6.26
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	334	221	$20.00	$4.29
90682 Influenza vaccine, quadrivalent derived from recombinant dna	301	301	$55.00	$52.30
85610 Blood test, clotting time	258	34	$17.00	$4.75
84481 Thyroid hormone, t3 measurement, free	222	182	$40.00	$20.50
G0008 Administration of influenza virus vaccine	222	220	$25.00	$19.06
84550 Uric acid level, blood	195	102	$20.00	$5.47
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	188	188	$65.00	$60.50
83550 Iron binding capacity	187	123	$30.00	$10.57
83540 Iron level	187	123	$20.00	$7.83
99497 Advance care planning, first 30 minutes	185	185	$82.88	$81.22
G0103 Prostate cancer screening; prostate specific antigen test (psa)	178	178	$53.00	$22.26
77067 Screening mammography	139	139	$195.00	$126.70
71046 X-ray of chest, 2 views	131	117	$45.00	$28.35
83735 Magnesium level	112	71	$28.00	$8.10
J1030 Injection, methylprednisolone acetate, 40 mg	100	72	$10.00	$6.67
90670 Pneumococcal vaccine for injection into muscle	96	96	$183.88	$180.20
84681 C-peptide (protein) level	85	77	$83.00	$25.19
77080 Dxa bone density measurement of hip, pelvis, spine	84	84	$140.00	$38.23
J0696 Injection, ceftriaxone sodium, per 250 mg	82	33	$15.00	$0.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	72	49	$65.00	$41.68
80048 Blood test, basic group of blood chemicals (calcium, total)	72	60	$25.00	$10.09
93000 Routine ekg using at least 12 leads including interpretation and report	63	60	$55.00	$15.90
76700 Ultrasound of abdomen	60	57	$179.00	$114.51
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	52	49	$700.94	$120.29
83970 Parathormone (parathyroid hormone) level	48	36	$78.00	$49.94
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	48	42	$51.46	$50.67
84153 Psa (prostate specific antigen) measurement, total	41	34	$53.00	$22.26
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	36	22	$39.48	$38.99
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	35	35	$165.00	$159.08
G0009 Administration of pneumococcal vaccine	35	35	$25.00	$19.06
84402 Testosterone (hormone) level, free	33	23	$52.00	$30.82
84403 Testosterone (hormone) level, total	33	23	$39.00	$31.23
90746 Vaccine for hepatitis b adult dosage (3 dose schedule) injection into muscle	30	15	$75.00	$63.76
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	27	$95.00	$93.10
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	22	$25.00	$16.22
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	23	23	$20.00	$16.15
93880 Ultrasound of both sides of head and neck blood flow	22	21	$750.00	$186.67
G0010 Administration of hepatitis b vaccine	19	11	$25.00	$19.06
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	17	13	$212.00	$110.31
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$168.00	$163.89
76770 Complete ultrasound scan behind abdominal cavity	16	16	$171.00	$106.08
84100 Phosphate level	15	13	$20.00	$5.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	14	$218.33	$139.21
92250 Photography of the retina	13	13	$95.00	$53.28
93978 Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts	12	12	$750.00	$173.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,924	724	$130.07	$101.06
36415 Insertion of needle into vein for collection of blood sample	1,901	764	$10.00	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,543	747	$28.00	$10.44
80053 Blood test, comprehensive group of blood chemicals	1,510	748	$30.00	$10.25
80061 Blood test, lipids (cholesterol and triglycerides)	1,363	737	$45.00	$14.65
83721 Ldl cholesterol level	1,361	736	$15.00	$12.81
84443 Blood test, thyroid stimulating hormone (TSH)	1,043	702	$48.00	$22.59
84439 Thyroxine (thyroid chemical), free	832	616	$65.00	$12.10
83036 Hemoglobin A1C level	810	412	$44.00	$12.99
81003 Automated urinalysis test	803	539	$14.00	$3.00
82306 Vitamin d-3 level	658	575	$107.00	$39.75
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	647	123	$25.00	$23.54
99497 Advance care planning, first 30 minutes	602	600	$81.91	$78.66
99213 Established patient office or other outpatient visit, typically 15 minutes	593	350	$90.00	$68.98
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	587	112	$5.00	$2.92
82607 Cyanocobalamin (vitamin B-12) level	585	531	$71.00	$20.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	573	573	$112.00	$109.18
82570 Creatinine level to test for kidney function or muscle injury	527	331	$15.00	$6.94
82043 Urine microalbumin (protein) level	525	330	$19.69	$7.75
85610 Blood test, clotting time	364	43	$17.00	$5.28
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	330	224	$20.00	$4.76
90662 Influenza vaccine split virus, preservative free	259	259	$50.00	$47.33
83550 Iron binding capacity	206	142	$30.00	$11.70
83540 Iron level	206	142	$20.00	$8.66
G0103 Prostate cancer screening; prostate specific antigen test (psa)	197	197	$53.00	$24.73
84550 Uric acid level, blood	194	95	$20.00	$5.26
G0008 Administration of influenza virus vaccine	188	187	$25.00	$23.40
71020 X-ray of chest, 2 views, front and side	186	153	$65.00	$25.81
J0696 Injection, ceftriaxone sodium, per 250 mg	185	76	$15.00	$0.65
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	123	123	$195.00	$124.59
J1030 Injection, methylprednisolone acetate, 40 mg	111	84	$10.00	$5.79
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	59	$65.00	$41.09
J1885 Injection, ketorolac tromethamine, per 15 mg	81	15	$15.00	$0.64
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	73	54	$51.63	$50.84
77080 Dxa bone density measurement of hip, pelvis, spine	72	72	$140.00	$37.28
83735 Magnesium level	71	51	$28.00	$9.01
93000 Routine ekg using at least 12 leads including interpretation and report	71	69	$55.00	$15.65
76700 Ultrasound of abdomen	64	61	$179.00	$113.70
80048 Blood test, basic group of blood chemicals (calcium, total)	64	50	$25.00	$10.57
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	55	46	$2.00	$0.02
90670 Pneumococcal vaccine for injection into muscle	54	54	$181.19	$177.46
84481 Thyroid hormone, t3 measurement, free	44	39	$40.00	$22.78
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	44	23	$39.48	$38.88
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	42	41	$700.94	$145.98
83970 Parathormone (parathyroid hormone) level	41	33	$78.00	$55.49
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	34	34	$168.00	$162.14
84153 Psa (prostate specific antigen) measurement, total	31	22	$53.00	$24.73
87804 Detection test by immunoassay with direct visual observation for influenza virus	25	25	$25.00	$16.11
93880 Ultrasound of both sides of head and neck blood flow	24	22	$750.00	$182.17
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	23	23	$21.48	$18.65
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$165.00	$157.71
G0009 Administration of pneumococcal vaccine	20	20	$25.00	$23.40
84403 Testosterone (hormone) level, total	20	15	$39.00	$34.70
84402 Testosterone (hormone) level, free	20	15	$52.00	$34.24
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$95.00	$93.10
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$201.00	$137.95
92250 Photography of the retina	15	14	$95.00	$60.61
76770 Complete ultrasound scan behind abdominal cavity	14	14	$171.00	$105.24
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	13	$212.00	$106.54
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$95.00	$32.32
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	13	13	$20.00	$15.99
G0206 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral	12	12	$165.00	$122.56

Medical Specialties & State Licenses

CMS Verified: 2024-04-15

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 025835

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

00280178C (GA)

Hospital & Practice Group Affiliations

Lagrange Internal Medicine, Pc

1602 Vernon Rd, Lagrange, GA 302404129

Phone: 7068829341

Practice Associates & Co-Workers

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

10 Associated Practitioners

Anna Odom , NP

Nurse Practitioner

NPI 1043212236

Nurse Practitioner

Syed Ahmed

Internal Medicine

NPI 1144470840

Dr. Amir Usman , MD

Internal Medicine

NPI 1255333456

Doctor of Medicine (M.D.)

Kelly Morgan , NP-C

Nurse Practitioner - Primary Care

NPI 1346538733

Nurse Practitioner (Certified)

Dr. Arnold Smalls , MD

Internal Medicine

NPI 1396747598

Doctor of Medicine (M.D.)

James Yancey

Nurse Practitioner - Family

NPI 1437762747

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active May 02, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 02, 2011

Registered at 1602 VERNON RD, STE 400, LAGRANGE, GA 302404100 (Tel: 7068829341)

📍

Updated Business Mailing Address May 02, 2011

Registered at 1602 VERNON RD, STE 400, LAGRANGE, GA 302404100 (Tel: 7068829341)

👤

Provider Name / Credentials Updated May 02, 2011

Recorded as ROBERT STOUT, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 02, 2011

Internal Medicine (License #025835 in GA)

🟢

Initial NPI Registration & Enumeration June 01, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1427050632

Entity Type:

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

Enumeration Date: June 01, 2005

Last Update: April 15, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1602 Vernon Rd, Ste 400

Lagrange, GA 302404100

Phone: 7068829341

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.