Active NPI 1134137144 Individual Practitioner Male Practitioner

Dr. Nirav A Sheth , MD

Internal Medicine • Bowling Green, KY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Nirav Sheth, MD is a certified Internal Medicine practicing in Bowling Green, KY. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Sheth delivers high-quality medical care to the local community at 201 PARK ST.

Dr. Sheth maintains professional affiliations with Pai Participant 1 Llc, Graves Gilbert Clinic Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, 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

201 Park St

Bowling Green, KY 421011759

Telephone 2707815111

Fax 2707800498

Associated Practice Facility / Clinic

🏢 Riley-White, Inc. Facility NPI 1184640294

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Bowling Green, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +12.9 yrs vs City Avg

City Avg: 20.1 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

50 Specialists

Practicing in Bowling Green, KY (1608 Statewide)

Telehealth Adoption Rate

12.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

47.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sheth (33 Years) 33 Yrs

Bowling Green Specialty Average (20.1 Years) 20.1 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
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	2,027	421	$156.40	$101.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,744	184	$175.00	$113.29
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,434	248	$156.52	$102.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	885	305	$182.00	$118.34
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	528	277	$32.00	$7.61
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	490	379	$222.00	$126.30
80053 Blood test, comprehensive group of blood chemicals	295	220	$35.00	$10.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	287	287	$207.00	$122.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	253	44	$125.00	$74.23
80048 Blood test, basic group of blood chemicals (calcium, total)	246	161	$30.00	$8.29
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	241	27	$89.00	$59.28
80061 Blood test, lipids (cholesterol and triglycerides)	218	194	$50.00	$13.06
83036 Hemoglobin A1C level	202	101	$35.00	$9.52
82306 Vitamin d-3 level	194	166	$95.00	$28.86
99315 Nursing facility discharge day management, 30 minutes or less	180	163	$125.00	$77.44
84439 Thyroxine (thyroid chemical), free	163	120	$30.00	$8.79
84443 Blood test, thyroid stimulating hormone (TSH)	162	122	$55.00	$16.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	154	143	$235.00	$123.12
G0008 Administration of influenza virus vaccine	139	137	$50.00	$29.43
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	136	15	$7.00	$0.95
90662 Influenza vaccine split virus, preservative free	122	120	$123.16	$81.41
99239 Hospital discharge day management, more than 30 minutes	96	77	$185.00	$108.04
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	90	70	$222.00	$126.74
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	74	25	$50.00	$13.31
G0103 Prostate cancer screening; prostate specific antigen test (psa)	67	67	$56.00	$18.92
83721 Ldl cholesterol level	63	59	$30.00	$10.13
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	63	40	$116.00	$70.74
87804 Detection test by immunoassay with direct visual observation for influenza virus	63	29	$33.00	$15.96
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	59	31	$116.00	$70.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	58	52	$343.00	$164.70
99495 Transitional care management services for problem of at least moderate complexity	52	41	$308.00	$186.99
99291 Critical care, first 30-74 minutes	49	37	$400.00	$203.07
81001 Manual urinalysis test with examination using microscope, automated	41	29	$16.00	$3.11
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	41	37	$65.00	$34.49
82607 Cyanocobalamin (vitamin B-12) level	40	30	$50.00	$14.78
90480 Admn sarscov2 vacc 1 dose	37	37	$100.00	$39.26
87086 Bacterial colony count, urine	32	24	$32.00	$7.91
91320 Sarscv2 vac 30mcg trs-suc im	31	31	$200.00	$150.43
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	30	26	$120.00	$50.05
77067 Screening mammography	22	22	$384.00	$116.14
71046 X-ray of chest, 2 views	22	19	$100.00	$30.45
77063 Screening digital tomography of both breasts	22	22	$102.00	$48.39
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$128.00	$85.51
99238 Hospital discharge day management, 30 minutes or less	20	18	$140.00	$76.54
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	20	19	$33.00	$16.20
84550 Uric acid level, blood	19	16	$20.00	$4.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	19	19	$310.00	$156.94
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	18	$35.00	$21.90
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$54.00	$13.24
87807 Detection test by immunoassay with direct visual observation for respiratory syncytial virus	17	15	$57.00	$12.84
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	15	14	$38.00	$15.77
73502 X-ray of hip, 2-3 views	14	14	$95.00	$42.83
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	14	11	$27.00	$8.48
87088 Bacterial urine culture	13	11	$31.00	$7.93
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$85.00	$36.03
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	11	11	$398.00	$292.08
84153 Psa (prostate specific antigen) measurement, total	11	11	$56.00	$18.02
G0009 Administration of pneumococcal vaccine	11	11	$50.00	$29.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	2,083	331	$125.00	$75.43
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,484	348	$154.00	$101.51
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,076	180	$154.00	$101.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	804	314	$175.05	$118.50
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	561	304	$32.00	$7.60
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	397	310	$222.00	$127.08
80053 Blood test, comprehensive group of blood chemicals	338	248	$35.00	$10.35
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	278	33	$67.44	$59.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	250	250	$207.00	$122.21
99239 Hospital discharge day management, more than 30 minutes	241	202	$184.81	$106.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	240	216	$235.00	$122.54
80048 Blood test, basic group of blood chemicals (calcium, total)	238	175	$30.00	$8.27
80061 Blood test, lipids (cholesterol and triglycerides)	234	205	$50.00	$13.12
83036 Hemoglobin A1C level	212	115	$35.00	$9.49
82306 Vitamin d-3 level	207	174	$95.00	$29.01
84443 Blood test, thyroid stimulating hormone (TSH)	201	138	$55.00	$16.46
84439 Thyroxine (thyroid chemical), free	197	137	$30.00	$8.84
99315 Nursing facility discharge day management, 30 minutes or less	147	134	$125.00	$77.93
99238 Hospital discharge day management, 30 minutes or less	142	134	$140.00	$76.32
G0008 Administration of influenza virus vaccine	134	134	$50.00	$28.60
99291 Critical care, first 30-74 minutes	96	81	$400.00	$203.34
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	96	11	$7.00	$1.05
90662 Influenza vaccine split virus, preservative free	85	85	$75.06	$71.93
G0103 Prostate cancer screening; prostate specific antigen test (psa)	71	71	$56.00	$18.67
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	70	24	$50.00	$13.19
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	62	54	$222.00	$127.60
99495 Transitional care management services for problem of at least moderate complexity	53	43	$308.00	$188.51
82607 Cyanocobalamin (vitamin B-12) level	47	40	$50.00	$14.78
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	43	39	$120.00	$48.83
81001 Manual urinalysis test with examination using microscope, automated	41	33	$16.00	$3.11
71046 X-ray of chest, 2 views	37	32	$100.00	$30.89
90480 Admn sarscov2 vacc 1 dose	35	35	$100.00	$38.12
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	34	34	$80.00	$75.81
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	26	26	$65.00	$34.62
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$33.00	$16.22
77067 Screening mammography	25	25	$384.00	$117.50
87086 Bacterial colony count, urine	25	19	$32.00	$7.91
91320 Sarscv2 vac 30mcg trs-suc im	25	25	$200.00	$128.48
77063 Screening digital tomography of both breasts	25	25	$102.00	$49.46
84550 Uric acid level, blood	20	19	$20.00	$4.43
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$54.00	$13.47
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$25.00	$21.90
83880 Natriuretic peptide (heart and blood vessel protein) level	12	11	$105.00	$38.47
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$310.00	$156.89
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	11	11	$33.00	$16.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,912	365	$116.50	$68.23
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,266	265	$164.53	$98.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	879	347	$175.00	$119.41
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	727	291	$154.00	$85.78
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	685	118	$154.00	$86.01
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	605	322	$32.00	$7.65
99238 Hospital discharge day management, 30 minutes or less	446	358	$132.79	$68.35
80053 Blood test, comprehensive group of blood chemicals	398	284	$35.00	$10.42
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	362	292	$222.00	$122.37
80061 Blood test, lipids (cholesterol and triglycerides)	288	249	$50.00	$13.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	258	258	$207.00	$124.62
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	256	237	$212.25	$127.11
82306 Vitamin d-3 level	244	212	$95.00	$29.16
80048 Blood test, basic group of blood chemicals (calcium, total)	237	166	$30.00	$8.33
83036 Hemoglobin A1C level	237	121	$35.00	$9.57
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	216	25	$65.00	$60.31
84439 Thyroxine (thyroid chemical), free	208	160	$30.00	$8.89
84443 Blood test, thyroid stimulating hormone (TSH)	206	156	$55.00	$16.61
99225 Subsequent observation care, typically 25 minutes per day	206	84	$116.00	$67.79
G0008 Administration of influenza virus vaccine	145	145	$50.00	$26.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	120	14	$7.00	$1.13
99291 Critical care, first 30-74 minutes	107	89	$400.00	$208.36
99219 Hospital observation care, typically 50 minutes	84	83	$217.26	$123.26
G0103 Prostate cancer screening; prostate specific antigen test (psa)	83	83	$56.00	$18.83
99217 Hospital observation care on day of discharge	78	75	$123.69	$67.56
99495 Transitional care management services for problem of at least moderate complexity	76	56	$308.00	$192.62
99315 Nursing facility discharge day management, 30 minutes or less	74	72	$125.00	$68.64
90662 Influenza vaccine split virus, preservative free	70	70	$75.00	$68.54
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	65	65	$74.92	$70.19
99226 Subsequent observation care, typically 35 minutes per day	63	43	$147.30	$95.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	57	24	$50.00	$12.39
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	56	54	$222.00	$123.33
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	55	49	$120.00	$49.77
81001 Manual urinalysis test with examination using microscope, automated	45	38	$16.00	$3.09
82607 Cyanocobalamin (vitamin B-12) level	34	32	$50.00	$14.89
71046 X-ray of chest, 2 views	34	32	$100.00	$31.13
0004A Fee covid-19 vac 1 res	31	31	$50.00	$35.96
91300 Sarscov2 vac 30mcg/0.3ml im	31	31	$0.01	$0.01
91312 Coronavirus vaccine 13	29	29	$0.01	$0.01
0124A Fee covid-19 vac 13 res	29	29	$50.00	$35.64
84550 Uric acid level, blood	26	22	$20.00	$4.47
87086 Bacterial colony count, urine	25	22	$32.00	$7.98
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	25	16	$100.00	$38.13
77067 Screening mammography	24	24	$384.00	$119.01
77063 Screening digital tomography of both breasts	22	22	$102.00	$49.80
99213 Established patient office or other outpatient visit, typically 15 minutes	21	18	$101.90	$85.98
93000 Routine ekg using at least 12 leads including interpretation and report	20	20	$54.00	$13.39
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	18	18	$200.00	$73.67
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	18	18	$63.00	$24.56
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$310.00	$159.14
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	14	$241.00	$110.31
77080 Dxa bone density measurement of hip, pelvis, spine	13	13	$220.15	$26.25
84154 Psa (prostate specific antigen) measurement, free	11	11	$53.00	$18.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,939	395	$105.03	$69.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,624	354	$145.04	$99.88
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,300	12	$1.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,074	385	$175.00	$120.74
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	633	355	$32.00	$7.75
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	527	457	$210.00	$130.30
99238 Hospital discharge day management, 30 minutes or less	512	426	$132.00	$69.09
80053 Blood test, comprehensive group of blood chemicals	485	331	$35.00	$10.51
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	376	86	$154.00	$87.31
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	368	203	$154.00	$86.95
80061 Blood test, lipids (cholesterol and triglycerides)	357	291	$50.00	$13.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	279	279	$207.00	$126.04
82306 Vitamin d-3 level	253	216	$95.00	$29.51
84443 Blood test, thyroid stimulating hormone (TSH)	252	194	$55.00	$16.80
83036 Hemoglobin A1C level	245	126	$35.00	$9.71
84439 Thyroxine (thyroid chemical), free	241	189	$30.00	$9.02
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	232	21	$9.17	$1.27
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	203	182	$222.00	$124.07
80048 Blood test, basic group of blood chemicals (calcium, total)	173	137	$30.00	$8.39
G0008 Administration of influenza virus vaccine	160	160	$29.95	$15.62
99219 Hospital observation care, typically 50 minutes	122	118	$200.00	$129.08
99225 Subsequent observation care, typically 25 minutes per day	116	68	$116.00	$69.14
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	104	34	$65.00	$39.06
99495 Transitional care management services for problem of at least moderate complexity	98	70	$308.00	$194.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	98	38	$50.00	$13.36
99217 Hospital observation care on day of discharge	81	77	$119.00	$68.85
G0103 Prostate cancer screening; prostate specific antigen test (psa)	79	79	$56.00	$19.07
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	75	75	$69.93	$66.36
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	75	69	$120.00	$50.07
91300 Sarscov2 vac 30mcg/0.3ml im	73	73	$0.01	$0.01
90662 Influenza vaccine split virus, preservative free	63	63	$70.00	$65.26
81001 Manual urinalysis test with examination using microscope, automated	58	39	$16.00	$3.17
99226 Subsequent observation care, typically 35 minutes per day	54	43	$140.00	$98.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	21	$175.00	$97.27
71046 X-ray of chest, 2 views	48	43	$100.00	$31.05
0003A Adm sarscov2 30mcg/0.3ml 3rd	43	43	$50.00	$36.67
82607 Cyanocobalamin (vitamin B-12) level	41	35	$50.00	$15.08
87086 Bacterial colony count, urine	30	25	$32.00	$8.07
0004A Fee covid-19 vac 1 res	30	30	$50.00	$36.67
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	29	16	$100.00	$38.62
93000 Routine ekg using at least 12 leads including interpretation and report	26	26	$54.00	$13.93
99213 Established patient office or other outpatient visit, typically 15 minutes	26	24	$100.00	$86.99
77067 Screening mammography	24	24	$384.00	$122.29
84550 Uric acid level, blood	23	19	$20.00	$4.38
77063 Screening digital tomography of both breasts	23	23	$102.00	$51.81
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	22	$24.82	$20.49
83880 Natriuretic peptide (heart and blood vessel protein) level	18	15	$105.00	$39.26
99315 Nursing facility discharge day management, 30 minutes or less	18	18	$125.00	$69.86
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	18	18	$65.00	$35.33
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$169.00	$97.80
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	15	14	$100.00	$39.32
76775 Limited ultrasound scan behind abdominal cavity	15	15	$198.00	$55.35
73502 X-ray of hip, 2-3 views	14	14	$95.00	$42.72
77080 Dxa bone density measurement of hip, pelvis, spine	14	14	$208.43	$25.60
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$85.00	$36.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	2,328	430	$145.00	$101.93
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	2,049	491	$105.00	$70.83
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,700	14	$1.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,216	394	$149.87	$101.82
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,012	210	$154.00	$88.61
99238 Hospital discharge day management, 30 minutes or less	627	501	$132.00	$70.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	622	539	$210.00	$133.87
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	547	347	$32.00	$7.68
80053 Blood test, comprehensive group of blood chemicals	439	316	$35.00	$10.45
80061 Blood test, lipids (cholesterol and triglycerides)	329	278	$50.00	$13.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	296	296	$207.35	$109.54
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	263	215	$222.00	$126.08
84443 Blood test, thyroid stimulating hormone (TSH)	244	201	$55.00	$16.69
84439 Thyroxine (thyroid chemical), free	241	196	$30.00	$8.94
83036 Hemoglobin A1C level	217	132	$35.00	$9.57
82306 Vitamin d-3 level	215	187	$95.00	$29.22
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	196	19	$10.00	$1.42
G0008 Administration of influenza virus vaccine	187	186	$26.00	$15.61
80048 Blood test, basic group of blood chemicals (calcium, total)	129	106	$30.00	$8.32
99219 Hospital observation care, typically 50 minutes	109	106	$200.00	$129.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	96	34	$50.00	$13.33
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	88	88	$65.00	$61.00
G0103 Prostate cancer screening; prostate specific antigen test (psa)	85	85	$56.00	$18.97
99495 Transitional care management services for problem of at least moderate complexity	84	66	$308.00	$174.13
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	83	77	$120.00	$50.67
99225 Subsequent observation care, typically 25 minutes per day	79	48	$98.91	$71.15
99217 Hospital observation care on day of discharge	77	74	$119.00	$69.36
81001 Manual urinalysis test with examination using microscope, automated	65	54	$16.00	$3.15
82607 Cyanocobalamin (vitamin B-12) level	63	57	$50.00	$14.99
90662 Influenza vaccine split virus, preservative free	58	58	$60.00	$60.00
99226 Subsequent observation care, typically 35 minutes per day	57	41	$140.00	$102.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	24	$146.06	$77.41
99213 Established patient office or other outpatient visit, typically 15 minutes	50	43	$100.00	$69.56
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	48	27	$100.00	$38.56
71046 X-ray of chest, 2 views	45	40	$100.00	$30.17
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	39	39	$21.00	$19.46
87086 Bacterial colony count, urine	28	22	$32.00	$8.00
84550 Uric acid level, blood	28	24	$20.00	$4.37
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	27	17	$116.00	$66.85
G0009 Administration of pneumococcal vaccine	21	21	$25.00	$15.41
93000 Routine ekg using at least 12 leads including interpretation and report	20	18	$54.00	$15.90
99221 Initial hospital inpatient care per day, typically 30 minutes	19	19	$152.58	$100.04
82565 Blood creatinine level	18	16	$18.00	$5.08
87088 Bacterial urine culture	18	14	$31.00	$8.02
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	18	14	$27.00	$8.57
99318 Nursing facility annual assessment, typically 30 minutes	18	18	$162.00	$92.89
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	16	16	$158.00	$87.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$292.86	$198.87
73560 X-ray of knee, 1-2 views	14	14	$60.00	$30.65
77067 Screening mammography	13	13	$384.00	$121.33
83880 Natriuretic peptide (heart and blood vessel protein) level	13	12	$105.00	$39.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$160.00	$116.86
84520 Urea nitrogen level to assess kidney function	12	11	$20.00	$3.92
84154 Psa (prostate specific antigen) measurement, free	12	11	$53.00	$18.30
99315 Nursing facility discharge day management, 30 minutes or less	12	12	$118.50	$71.90
83721 Ldl cholesterol level	11	11	$30.00	$8.14
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$241.00	$111.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	3,438	632	$105.00	$70.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,727	479	$140.00	$101.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,446	311	$145.00	$100.62
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,400	14	$1.00	$0.11
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,041	221	$154.00	$87.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	723	615	$210.00	$131.01
99238 Hospital discharge day management, 30 minutes or less	691	578	$132.00	$69.97
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	606	85	$56.93	$39.39
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	531	337	$32.00	$8.44
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	400	26	$10.00	$1.56
80061 Blood test, lipids (cholesterol and triglycerides)	379	321	$50.00	$14.58
80053 Blood test, comprehensive group of blood chemicals	365	275	$35.00	$11.46
84439 Thyroxine (thyroid chemical), free	337	255	$30.00	$9.82
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	314	254	$222.00	$125.75
82306 Vitamin d-3 level	267	227	$95.00	$32.23
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	266	266	$207.00	$109.77
83036 Hemoglobin A1C level	247	132	$35.00	$10.51
80048 Blood test, basic group of blood chemicals (calcium, total)	207	164	$30.00	$9.18
A9575 Injection, gadoterate meglumine, 0.1 ml	205	13	$6.00	$0.21
G0008 Administration of influenza virus vaccine	203	202	$26.00	$15.31
36415 Insertion of needle into vein for collection of blood sample	191	180	$12.00	$2.94
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	172	44	$50.00	$15.53
84443 Blood test, thyroid stimulating hormone (TSH)	166	139	$55.00	$18.30
99225 Subsequent observation care, typically 25 minutes per day	148	69	$86.24	$70.85
99219 Hospital observation care, typically 50 minutes	136	125	$200.00	$131.80
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	116	106	$120.00	$50.17
99217 Hospital observation care on day of discharge	100	94	$119.00	$70.40
99495 Transitional care management services for problem of at least moderate complexity	94	79	$308.00	$153.49
G0103 Prostate cancer screening; prostate specific antigen test (psa)	91	91	$56.00	$19.59
81001 Manual urinalysis test with examination using microscope, automated	75	63	$16.00	$3.42
90653 Vaccine for influenza for injection into muscle	72	72	$60.00	$58.34
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	70	32	$100.00	$38.53
90662 Influenza vaccine split virus, preservative free	69	69	$59.86	$54.80
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	62	12	$10.00	$1.80
82607 Cyanocobalamin (vitamin B-12) level	59	56	$50.00	$16.41
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	56	47	$158.00	$87.11
71046 X-ray of chest, 2 views	54	42	$100.00	$29.04
99213 Established patient office or other outpatient visit, typically 15 minutes	48	37	$102.50	$69.31
G0009 Administration of pneumococcal vaccine	46	46	$25.00	$15.31
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	45	45	$21.00	$18.65
77067 Screening mammography	37	37	$384.00	$124.37
99226 Subsequent observation care, typically 35 minutes per day	36	24	$134.58	$101.53
93000 Routine ekg using at least 12 leads including interpretation and report	34	30	$54.00	$15.87
84550 Uric acid level, blood	30	25	$20.00	$4.67
90670 Pneumococcal vaccine for injection into muscle	25	25	$239.00	$207.02
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	21	21	$116.00	$66.12
99221 Initial hospital inpatient care per day, typically 30 minutes	21	20	$130.00	$94.89
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$160.00	$109.71
83880 Natriuretic peptide (heart and blood vessel protein) level	19	16	$105.00	$38.47
82565 Blood creatinine level	18	17	$18.00	$5.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$265.00	$191.98
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	17	17	$21.00	$17.48
87086 Bacterial colony count, urine	13	13	$32.00	$8.79
84520 Urea nitrogen level to assess kidney function	13	13	$20.00	$4.30
82043 Urine microalbumin (protein) level	13	13	$19.00	$6.29
73502 X-ray of hip, 2-3 views	12	11	$95.00	$39.15
70553 Mri scan of brain before and after contrast	12	12	$1922.00	$329.79
76770 Complete ultrasound scan behind abdominal cavity	11	11	$230.00	$91.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	4,702	720	$96.19	$69.26
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,025	19	$1.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,946	517	$136.78	$99.86
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	887	211	$154.00	$87.24
36415 Insertion of needle into vein for collection of blood sample	878	465	$10.03	$2.93
99238 Hospital discharge day management, 30 minutes or less	710	576	$132.00	$69.45
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	593	518	$194.72	$130.47
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	458	99	$50.00	$39.61
80061 Blood test, lipids (cholesterol and triglycerides)	437	364	$43.34	$16.12
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	417	144	$116.00	$65.87
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	411	278	$29.98	$9.40
84439 Thyroxine (thyroid chemical), free	389	299	$26.62	$10.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	366	366	$207.00	$108.90
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	336	26	$10.00	$1.75
80053 Blood test, comprehensive group of blood chemicals	309	231	$31.99	$12.75
83036 Hemoglobin A1C level	301	164	$29.94	$11.67
82306 Vitamin d-3 level	287	248	$83.15	$35.62
G0008 Administration of influenza virus vaccine	230	228	$25.99	$18.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	204	80	$138.88	$99.44
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	196	162	$222.00	$124.40
80048 Blood test, basic group of blood chemicals (calcium, total)	181	145	$25.97	$10.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	176	54	$50.00	$18.62
90662 Influenza vaccine split virus, preservative free	173	173	$50.29	$49.08
99225 Subsequent observation care, typically 25 minutes per day	145	83	$85.00	$70.24
99221 Initial hospital inpatient care per day, typically 30 minutes	128	123	$120.16	$96.67
99219 Hospital observation care, typically 50 minutes	105	102	$190.19	$128.76
99217 Hospital observation care on day of discharge	100	94	$119.00	$69.27
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	94	91	$120.00	$50.11
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	92	84	$158.00	$87.24
G0103 Prostate cancer screening; prostate specific antigen test (psa)	91	91	$56.00	$22.26
81001 Manual urinalysis test with examination using microscope, automated	86	70	$16.00	$3.84
G0009 Administration of pneumococcal vaccine	83	83	$25.00	$18.71
84443 Blood test, thyroid stimulating hormone (TSH)	75	61	$50.93	$20.33
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	74	40	$100.00	$38.64
82607 Cyanocobalamin (vitamin B-12) level	74	70	$43.51	$18.05
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	71	16	$10.00	$1.94
90471 Administration of 1 vaccine	59	48	$26.24	$18.80
99315 Nursing facility discharge day management, 30 minutes or less	58	55	$99.00	$69.54
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	49	48	$20.00	$18.65
90670 Pneumococcal vaccine for injection into muscle	47	47	$225.00	$198.41
99213 Established patient office or other outpatient visit, typically 15 minutes	45	39	$91.29	$67.61
99495 Transitional care management services for problem of at least moderate complexity	44	40	$308.00	$153.33
71046 X-ray of chest, 2 views	42	37	$70.83	$27.83
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	40	$265.00	$193.25
84550 Uric acid level, blood	41	32	$20.00	$5.37
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	36	36	$160.00	$105.59
99496 Transitional care management services for problem of high complexity	36	36	$432.00	$217.34
77067 Screening mammography	35	35	$384.00	$124.19
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	25	25	$24.00	$13.70
87086 Bacterial colony count, urine	24	20	$32.00	$9.76
99218 Hospital observation care typically 30 minutes	23	22	$116.00	$96.04
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	22	22	$310.00	$161.14
93000 Routine ekg using at least 12 leads including interpretation and report	21	20	$48.00	$15.71
82043 Urine microalbumin (protein) level	20	17	$18.10	$7.00
72100 X-ray of lower and sacral spine, 2-3 views	19	18	$73.95	$31.86
73502 X-ray of hip, 2-3 views	19	18	$80.00	$37.46
82565 Blood creatinine level	17	15	$18.00	$6.20
87088 Bacterial urine culture	15	11	$31.00	$9.79
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	15	11	$27.00	$10.46
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	14	14	$241.00	$109.25
85652 Red blood cell sedimentation rate, to detect inflammation, automated	12	11	$16.00	$3.26
73030 X-ray of shoulder, minimum of 2 views	12	12	$85.00	$26.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	4,661	745	$93.00	$68.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,087	576	$134.00	$99.17
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,900	18	$1.00	$0.12
36415 Insertion of needle into vein for collection of blood sample	992	506	$10.00	$2.94
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	887	157	$116.00	$65.23
99238 Hospital discharge day management, 30 minutes or less	749	590	$132.00	$68.36
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	577	510	$190.00	$128.22
80061 Blood test, lipids (cholesterol and triglycerides)	510	419	$42.00	$14.05
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	470	325	$28.00	$10.40
80053 Blood test, comprehensive group of blood chemicals	387	284	$29.00	$9.69
84439 Thyroxine (thyroid chemical), free	383	293	$26.00	$12.05
83036 Hemoglobin A1C level	346	177	$29.00	$13.05
82306 Vitamin d-3 level	289	249	$81.00	$36.69
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	280	136	$154.00	$86.37
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	272	20	$10.00	$1.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	246	246	$207.00	$107.36
G0008 Administration of influenza virus vaccine	240	238	$19.23	$17.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	233	207	$265.00	$191.28
80048 Blood test, basic group of blood chemicals (calcium, total)	213	168	$25.00	$8.65
90662 Influenza vaccine split virus, preservative free	176	176	$50.00	$48.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	175	49	$50.00	$22.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	161	68	$132.00	$99.69
99225 Subsequent observation care, typically 25 minutes per day	160	72	$85.00	$69.61
G0103 Prostate cancer screening; prostate specific antigen test (psa)	119	119	$56.00	$24.52
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	113	106	$120.00	$49.84
99217 Hospital observation care on day of discharge	104	101	$119.00	$68.88
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	100	100	$310.00	$159.35
99219 Hospital observation care, typically 50 minutes	100	98	$190.00	$129.77
99495 Transitional care management services for problem of at least moderate complexity	88	74	$308.00	$151.62
81001 Manual urinalysis test with examination using microscope, automated	88	70	$16.00	$4.26
84443 Blood test, thyroid stimulating hormone (TSH)	83	69	$50.00	$22.38
G0009 Administration of pneumococcal vaccine	73	73	$23.63	$22.00
99318 Nursing facility annual assessment, typically 30 minutes	70	70	$162.00	$91.36
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	69	17	$10.00	$2.98
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	68	37	$100.00	$38.14
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	65	64	$20.00	$18.65
93000 Routine ekg using at least 12 leads including interpretation and report	56	44	$45.00	$15.59
71020 X-ray of chest, 2 views, front and side	52	50	$75.00	$25.40
84550 Uric acid level, blood	45	39	$20.00	$4.61
99496 Transitional care management services for problem of high complexity	45	35	$432.00	$214.71
82607 Cyanocobalamin (vitamin B-12) level	41	39	$42.00	$20.27
99213 Established patient office or other outpatient visit, typically 15 minutes	38	31	$86.00	$68.20
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	38	38	$160.00	$96.18
90670 Pneumococcal vaccine for injection into muscle	36	36	$218.06	$187.21
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	30	30	$219.00	$121.81
87804 Detection test by immunoassay with direct visual observation for influenza virus	28	14	$33.00	$15.40
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	21	20	$222.00	$123.77
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	21	21	$20.00	$8.19
99220 Hospital observation care, typically 70 minutes	19	19	$265.00	$177.42
72100 X-ray of lower and sacral spine, 2-3 views	18	18	$70.00	$31.63
82565 Blood creatinine level	17	17	$18.00	$2.31
99304 Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes	16	16	$158.00	$86.73
82043 Urine microalbumin (protein) level	16	16	$16.00	$7.77
84520 Urea nitrogen level to assess kidney function	15	15	$20.00	$2.26
87086 Bacterial colony count, urine	14	14	$32.00	$10.85
73502 X-ray of hip, 2-3 views	14	14	$76.00	$37.28
83540 Iron level	12	11	$20.00	$8.70
83550 Iron binding capacity	12	11	$34.00	$11.75
74178 Ct scan of abdomen and pelvis before and after contrast	12	12	$675.00	$317.22
82550 Creatine kinase (cardiac enzyme) level, total	12	11	$16.00	$4.09
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	12	12	$24.00	$13.63
84154 Psa (prostate specific antigen) measurement, free	11	11	$53.00	$24.73
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$241.00	$107.17

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License KY 35890

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

64036163 (KY)

Commercial Insurance / Payer ID Medicare Railroad

P00456287 (KY)

Hospital & Practice Group Affiliations

Pai Participant 1 Llc

550 High St, Bowling Green, KY 421011746

Phone: 2708433296

Pai Participant 1 Llc

3300 Tates Creek Rd, Lexington, KY 405023408

Phone: 8592662126

Pai Participant 1 Llc

5079 Scottsville Rd, Bowling Green, KY 421047897

Phone: 2707821125

Graves Gilbert Clinic Pllc

201 Park St, Bowling Green, KY 421011742

Phone: 2707815111

Pai Participant 1 Llc

1880 Western St, Bowling Green, KY 421044152

Phone: 2707966643

Pai Participant 1 Llc

1381 Campbell Ln, Bowling Green, KY 421041049

Phone: 2708430587

Graves Gilbert Clinic Pllc

2724 Nashville Rd, Bowling Green, KY 421014000

Phone: 2707815111270

Practice Associates & Co-Workers

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

40 Associated Practitioners

Elizabeth Hawkins , APRN, CNP, C-PNP-PC

Nurse Practitioner - Pediatrics

NPI 1003956426

Advanced Practice Registered Nurse, Certified Nurse Practitioner, CPNPPC

Dr. Rance Wentworth , MD

Internal Medicine

NPI 1013913417

Doctor of Medicine (M.D.)

Kathleen West , PT

Physical Therapist

NPI 1023345931

Physical Therapist

Dr. Kaitlyn Rippy , AuD

Audiologist

NPI 1023692308

Doctor of Audiology

Dr. Jianhua Zhu , MD

Psychiatry & Neurology - Neurology

NPI 1033115449

Doctor of Medicine (M.D.)

Louise Webb , APRN

Nurse Practitioner - Family

NPI 1033489737

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 02, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location July 02, 2014

Registered at 201 PARK ST, BOWLING GREEN, KY 421011759 (Tel: 2707815111)

📍

Updated Business Mailing Address July 02, 2014

Registered at 201 PARK STREET, BOWLING GREEN, KY 42101 (Tel: 2707815111)

👤

Provider Name / Credentials Updated July 02, 2014

Recorded as NIRAV SHETH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2014

Internal Medicine (License #35890 in KY)

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Initial NPI Registration & Enumeration August 04, 2006

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1134137144

Entity Type:

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

Enumeration Date: August 04, 2006

Last Update: July 02, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

201 Park Street

Bowling Green, KY 42101

Phone: 2707815111

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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