Active NPI 1831123132 Individual Practitioner Male Practitioner

Dr. George Thomas Waterfallen , MD

General Practice • Bastrop, LA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. George Waterfallen, MD is a certified General Practice practicing in Bastrop, LA. With approximately 48 years of clinical experience since graduating from Louisiana State University School Of Medicine In Shreveport in 1978, Dr. Waterfallen delivers high-quality medical care to the local community at 323 WEST WALNUT.

Dr. Waterfallen is affiliated with Winn Community Health Center, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include chronic care management services for two or more chronic conditions, additional, chronic care management services, first, 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

323 West Walnut

Bastrop, LA 71220

Telephone 8008939698

Associated Practice Facility / Clinic

🏢 Delta Anesthesia Associates Facility NPI 1316050982

Medicare Profile & Education

Medical School

Louisiana State University School Of Medicine In Shreveport

Graduation Year

1978

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Bastrop, LA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

48 Yrs +17.5 yrs vs City Avg

City Avg: 30.5 Yrs

State Avg: 27.5 Yrs

Regional Practice Density

3 Specialists

Practicing in Bastrop, LA (173 Statewide)

Telehealth Adoption Rate

33.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Waterfallen (48 Years) 48 Yrs

Bastrop Specialty Average (30.5 Years) 30.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	472	105	$80.00	$42.51
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	472	105	$80.00	$55.87
99213 Established patient office or other outpatient visit, typically 15 minutes	347	99	$140.00	$80.40
81003 Automated urinalysis test	275	96	$6.00	$2.20
J0696 Injection, ceftriaxone sodium, per 250 mg	249	22	$4.00	$0.46
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	191	48	$230.00	$112.14
36415 Insertion of needle into vein for collection of blood sample	177	101	$6.00	$5.85
84100 Phosphate level	177	102	$10.00	$4.62
83735 Magnesium level	177	102	$20.00	$6.53
80053 Blood test, comprehensive group of blood chemicals	169	98	$30.00	$10.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	167	97	$30.00	$7.61
94664 Evaluation of use of breathing device	145	71	$30.00	$14.66
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	140	25	$70.00	$26.40
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	129	44	$45.00	$12.44
80061 Blood test, lipids (cholesterol and triglycerides)	128	85	$30.00	$13.02
84439 Thyroxine (thyroid chemical), free	116	80	$20.00	$8.76
84270 Sex hormone binding globulin (protein) level	115	76	$50.00	$21.30
83002 Gonadotropin, luteinizing (reproductive hormone) level	114	75	$40.00	$18.15
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	114	75	$40.00	$18.21
84403 Testosterone (hormone) level, total	113	75	$60.00	$25.29
82607 Cyanocobalamin (vitamin B-12) level	113	80	$30.00	$14.65
82670 Measurement of total estradiol (hormone)	113	75	$60.00	$27.38
82746 Folic acid level	113	80	$40.00	$14.28
84146 Prolactin (milk producing hormone) level	113	75	$40.00	$18.99
82728 Ferritin (blood protein) level	112	76	$30.00	$13.36
86376 Microsomal antibodies (autoantibody) measurement	111	75	$30.00	$14.13
84443 Blood test, thyroid stimulating hormone (TSH)	110	76	$50.00	$16.46
84144 Progesterone (reproductive hormone) level	109	73	$50.00	$20.44
93000 Routine ekg using at least 12 leads including interpretation and report	76	57	$30.00	$12.31
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	75	54	$210.00	$113.74
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	68	22	$40.00	$8.17
82962 Blood glucose (sugar) test performed by hand-held instrument	63	33	$10.00	$3.21
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	60	34	$30.00	$12.48
82306 Vitamin d-3 level	55	50	$70.00	$29.01
96127 Assessment of emotional or behavioral problems	54	27	$13.23	$3.92
80305 Testing for presence of drug, read by direct observation	54	38	$20.00	$12.35
J1885 Injection, ketorolac tromethamine, per 15 mg	54	14	$1.00	$0.61
94060 Test to measure expiratory airflow and volume changes before and after medication administration	54	42	$110.00	$32.26
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	53	16	$12.00	$6.92
99497 Advance care planning, first 30 minutes	53	45	$170.00	$73.05
83036 Hemoglobin A1C level	45	36	$20.00	$9.52
82043 Urine microalbumin (protein) level	40	33	$20.00	$5.66
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$220.00	$113.19
94640 Inhalation treatment for airway obstruction or sputum production	39	25	$30.00	$6.65
82570 Creatinine level to test for kidney function or muscle injury	38	31	$10.00	$5.08
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	37	27	$150.00	$40.55
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	34	30	$10.00	$4.18
84550 Uric acid level, blood	34	30	$10.00	$4.43
87651 Detection test for Strep (Streptococcus, group A)	33	24	$80.00	$34.39
71046 X-ray of chest, 2 views	32	27	$50.34	$22.40
82533 Cortisol (hormone) measurement	32	28	$36.00	$15.97
86200 Measurement of antibody for rheumatoid arthritis assessment	32	28	$30.00	$12.69
87581 Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique	25	19	$80.00	$34.39
87486 Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique	25	19	$80.00	$34.39
87631 Detection test for multiple types of respiratory virus	25	19	$300.00	$134.91
87798 Detection test for organism	25	19	$80.00	$34.39
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	15	$90.00	$49.75
71250 Ct scan of chest without contrast	18	18	$183.22	$79.35
72110 X-ray of lower and sacral spine, minimum of 4 views	16	15	$67.51	$35.00
70220 X-ray of paranasal sinus, minimum of 3 views	15	12	$63.49	$26.76
72220 X-ray of sacrum and tailbone, minimum of 2 views	14	14	$39.91	$21.22
72202 X-ray of joint between lower spine and hip bone, 3 or more views	13	13	$53.90	$25.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	476	71	$79.75	$44.18
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	474	71	$79.75	$58.79
J0696 Injection, ceftriaxone sodium, per 250 mg	418	37	$4.00	$0.49
81003 Automated urinalysis test	350	128	$5.99	$2.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	329	138	$209.68	$118.90
36415 Insertion of needle into vein for collection of blood sample	311	154	$6.00	$5.75
84100 Phosphate level	308	156	$10.00	$4.56
83735 Magnesium level	305	156	$20.00	$6.44
99213 Established patient office or other outpatient visit, typically 15 minutes	301	107	$140.00	$83.90
80053 Blood test, comprehensive group of blood chemicals	295	151	$30.00	$10.29
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	295	151	$30.00	$7.56
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	240	53	$230.00	$112.14
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	239	39	$128.00	$45.02
80305 Testing for presence of drug, read by direct observation	237	99	$19.96	$12.07
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	237	37	$128.00	$43.42
80061 Blood test, lipids (cholesterol and triglycerides)	227	145	$30.00	$12.86
84439 Thyroxine (thyroid chemical), free	219	141	$20.00	$8.66
86376 Microsomal antibodies (autoantibody) measurement	213	139	$30.00	$13.96
84146 Prolactin (milk producing hormone) level	211	139	$40.00	$18.59
84403 Testosterone (hormone) level, total	211	139	$60.00	$24.76
83002 Gonadotropin, luteinizing (reproductive hormone) level	210	139	$40.00	$17.77
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	210	138	$40.00	$17.82
82670 Measurement of total estradiol (hormone)	210	139	$60.00	$26.80
84270 Sex hormone binding globulin (protein) level	210	139	$50.00	$20.85
84144 Progesterone (reproductive hormone) level	209	138	$50.00	$20.00
84443 Blood test, thyroid stimulating hormone (TSH)	199	132	$50.00	$16.39
82728 Ferritin (blood protein) level	196	133	$30.00	$13.00
82607 Cyanocobalamin (vitamin B-12) level	190	133	$30.00	$14.43
82306 Vitamin d-3 level	190	133	$70.00	$28.19
82746 Folic acid level	188	133	$40.00	$14.08
94664 Evaluation of use of breathing device	184	84	$29.92	$14.92
84481 Thyroid hormone, t3 measurement, free	183	127	$35.00	$16.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	155	52	$45.00	$12.74
J1100 Injection, dexamethasone sodium phosphate, 1 mg	136	17	$2.00	$0.12
71046 X-ray of chest, 2 views	104	76	$59.05	$24.65
93000 Routine ekg using at least 12 leads including interpretation and report	100	87	$30.00	$12.95
83036 Hemoglobin A1C level	100	69	$20.00	$9.24
82962 Blood glucose (sugar) test performed by hand-held instrument	99	40	$10.00	$3.18
94060 Test to measure expiratory airflow and volume changes before and after medication administration	84	55	$110.00	$33.56
82043 Urine microalbumin (protein) level	82	69	$20.00	$5.60
82570 Creatinine level to test for kidney function or muscle injury	71	62	$10.00	$5.02
87651 Detection test for Strep (Streptococcus, group A)	70	43	$80.00	$33.41
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	69	42	$150.00	$39.37
84550 Uric acid level, blood	68	55	$10.00	$4.43
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	68	55	$10.00	$4.18
82533 Cortisol (hormone) measurement	67	55	$36.00	$15.97
86200 Measurement of antibody for rheumatoid arthritis assessment	66	54	$30.00	$12.69
99497 Advance care planning, first 30 minutes	62	57	$170.00	$78.55
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	57	18	$210.00	$98.13
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	54	20	$12.00	$6.47
94640 Inhalation treatment for airway obstruction or sputum production	53	36	$30.00	$7.83
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$220.00	$117.45
71250 Ct scan of chest without contrast	51	45	$241.18	$92.28
J1885 Injection, ketorolac tromethamine, per 15 mg	47	13	$1.00	$0.55
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	40	16	$80.00	$38.20
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	36	13	$4.00	$1.56
87661 Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique	36	34	$80.00	$32.69
87631 Detection test for multiple types of respiratory virus	35	25	$300.00	$122.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	29	$90.00	$49.34
87486 Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique	32	21	$80.00	$32.24
87798 Detection test for organism	32	21	$80.00	$32.24
87581 Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique	32	21	$80.00	$32.24
70220 X-ray of paranasal sinus, minimum of 3 views	29	24	$66.77	$28.60
72110 X-ray of lower and sacral spine, minimum of 4 views	25	24	$68.62	$36.66
86308 Screening test for mononucleosis (mono)	25	20	$10.00	$4.88
G0008 Administration of influenza virus vaccine	24	24	$29.41	$28.43
70360 X-ray of soft tissue of neck	24	20	$56.45	$24.16
72131 CT scan of lower spine	22	20	$182.65	$66.80
87502 Detection test by nucleic acid for multiple types influenza virus	21	17	$190.00	$89.41
81025 Urine pregnancy test	19	13	$20.00	$8.04
87634 Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique	18	14	$210.60	$68.80
70450 Ct scan head or brain without contrast	15	14	$214.88	$67.00
87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique	15	15	$80.00	$34.39
87591 Detection test for Neisseria gonorrhoeae (gonorrhoeae bacteria)	15	15	$80.00	$34.39
74176 Ct scan of abdomen and pelvis without contrast	14	12	$265.34	$116.87
73630 X-ray of foot, minimum of 3 views	14	11	$60.44	$26.51
G0103 Prostate cancer screening; prostate specific antigen test (psa)	14	14	$40.00	$17.57
87806 Detection test for HIV-1	14	14	$65.00	$32.11
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	14	14	$100.00	$48.51
83880 Natriuretic peptide (heart and blood vessel protein) level	14	11	$80.00	$38.47
94375 Diagnostic testing in a pulmonary function lab	14	11	$75.00	$34.76
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$320.00	$157.31
82150 Amylase (enzyme) level	13	13	$20.00	$5.92
84153 Psa (prostate specific antigen) measurement, total	13	12	$40.00	$18.02
86318 Test for detection of infectious agent antibody, qualitative or semiquantitative	13	13	$40.00	$16.37
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	13	13	$40.00	$39.20
83690 Lipase (fat enzyme) level	13	13	$20.00	$6.75
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	12	12	$40.00	$30.70
92250 Photography of the retina	11	11	$101.82	$34.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
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	817	130	$80.00	$45.66
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	808	130	$80.00	$60.74
99213 Established patient office or other outpatient visit, typically 15 minutes	663	199	$140.00	$86.74
J0696 Injection, ceftriaxone sodium, per 250 mg	500	56	$4.00	$0.49
80305 Testing for presence of drug, read by direct observation	392	112	$20.00	$12.45
84100 Phosphate level	386	215	$10.00	$4.67
83735 Magnesium level	382	214	$20.00	$6.60
80053 Blood test, comprehensive group of blood chemicals	375	208	$30.00	$10.43
81003 Automated urinalysis test	374	147	$6.00	$2.22
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	357	199	$30.00	$7.67
36415 Insertion of needle into vein for collection of blood sample	353	200	$6.00	$2.97
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	351	69	$128.00	$46.47
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	350	68	$128.00	$48.11
J1100 Injection, dexamethasone sodium phosphate, 1 mg	337	33	$2.00	$0.12
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	304	77	$230.00	$113.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	301	92	$45.00	$13.48
86376 Microsomal antibodies (autoantibody) measurement	281	193	$30.00	$14.33
82728 Ferritin (blood protein) level	281	195	$30.00	$13.38
84439 Thyroxine (thyroid chemical), free	279	192	$20.00	$8.85
84443 Blood test, thyroid stimulating hormone (TSH)	270	187	$50.00	$16.55
80061 Blood test, lipids (cholesterol and triglycerides)	265	188	$30.00	$13.23
84481 Thyroid hormone, t3 measurement, free	262	184	$35.00	$6.28
82306 Vitamin d-3 level	259	189	$70.00	$29.03
82746 Folic acid level	254	188	$40.00	$14.42
82607 Cyanocobalamin (vitamin B-12) level	253	188	$30.00	$14.84
84480 Thyroid hormone, t3 measurement, total	223	168	$30.00	$13.98
84403 Testosterone (hormone) level, total	203	157	$60.00	$25.50
84146 Prolactin (milk producing hormone) level	202	156	$40.00	$19.15
82670 Measurement of total estradiol (hormone)	202	156	$60.00	$27.61
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	202	156	$40.00	$18.36
83002 Gonadotropin, luteinizing (reproductive hormone) level	202	156	$40.00	$18.30
84270 Sex hormone binding globulin (protein) level	201	155	$50.00	$21.48
84144 Progesterone (reproductive hormone) level	199	155	$50.00	$20.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	194	127	$210.00	$122.38
82962 Blood glucose (sugar) test performed by hand-held instrument	177	78	$10.00	$3.24
J1885 Injection, ketorolac tromethamine, per 15 mg	143	20	$1.02	$0.54
93000 Routine ekg using at least 12 leads including interpretation and report	130	117	$30.00	$13.51
83036 Hemoglobin A1C level	125	94	$20.00	$9.59
94060 Test to measure expiratory airflow and volume changes before and after medication administration	124	91	$110.00	$35.42
71046 X-ray of chest, 2 views	116	87	$63.61	$21.52
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	113	79	$150.00	$40.98
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	102	27	$210.00	$100.81
99497 Advance care planning, first 30 minutes	101	99	$170.00	$81.93
87651 Detection test for Strep (Streptococcus, group A)	98	71	$80.00	$34.72
82043 Urine microalbumin (protein) level	85	71	$20.00	$5.70
82570 Creatinine level to test for kidney function or muscle injury	84	70	$10.00	$5.12
82533 Cortisol (hormone) measurement	72	64	$36.00	$16.12
86200 Measurement of antibody for rheumatoid arthritis assessment	71	63	$30.00	$12.81
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	26	$80.00	$38.44
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	69	69	$38.00	$16.68
84550 Uric acid level, blood	68	62	$10.00	$4.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$220.00	$122.34
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	63	56	$10.00	$4.22
94664 Evaluation of use of breathing device	62	38	$30.00	$15.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	58	46	$90.00	$53.79
95816 Measurement of brain wave activity (eeg), awake and drowsy	55	54	$670.00	$346.75
95957 Digital analysis of electrical brain wave activity (EEG)	55	54	$480.00	$242.56
96138 Administration of psychological or neuropsychological test by technician, first 30 minutes	52	51	$70.00	$30.79
96132 Evaluation of neuropsychological test, first hour	52	51	$270.00	$127.98
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	51	23	$12.00	$6.69
70220 X-ray of paranasal sinus, minimum of 3 views	50	40	$76.64	$25.74
87634 Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique	47	38	$210.60	$69.44
86308 Screening test for mononucleosis (mono)	46	33	$10.00	$5.13
81025 Urine pregnancy test	43	15	$20.00	$8.35
92652 Evaluation of brain response to sound for determination of hearing threshold with interpretation and report	42	42	$250.00	$110.65
G0008 Administration of influenza virus vaccine	42	40	$30.00	$27.41
87502 Detection test by nucleic acid for multiple types influenza virus	40	36	$190.00	$94.70
71250 Ct scan of chest without contrast	38	35	$231.36	$70.69
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	38	19	$4.00	$1.72
95930 Measurement of nerve conduction using visual stimulation testing with report	38	38	$150.00	$60.02
83880 Natriuretic peptide (heart and blood vessel protein) level	36	32	$80.00	$38.77
70360 X-ray of soft tissue of neck	35	29	$61.02	$20.79
87631 Detection test for multiple types of respiratory virus	33	21	$300.00	$139.31
94640 Inhalation treatment for airway obstruction or sputum production	31	23	$30.00	$10.02
G0103 Prostate cancer screening; prostate specific antigen test (psa)	29	29	$40.00	$19.09
72110 X-ray of lower and sacral spine, minimum of 4 views	29	28	$97.83	$34.82
82150 Amylase (enzyme) level	27	26	$20.00	$6.41
74176 Ct scan of abdomen and pelvis without contrast	27	25	$317.63	$102.26
83690 Lipase (fat enzyme) level	26	25	$20.00	$6.81
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	25	24	$40.00	$31.13
73564 X-ray of knee, 4 or more views	23	19	$91.54	$31.86
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	23	19	$100.00	$50.00
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	22	22	$40.00	$39.20
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	22	18	$30.00	$14.71
86318 Test for detection of infectious agent antibody, qualitative or semiquantitative	21	20	$40.00	$17.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$320.00	$161.80
70450 Ct scan head or brain without contrast	19	16	$201.34	$49.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$210.00	$108.18
76770 Complete ultrasound scan behind abdominal cavity	17	15	$213.42	$66.87
72050 X-ray of upper spine, 4 or 5 views	17	16	$124.90	$36.76
93880 Ultrasound of both sides of head and neck blood flow	16	15	$426.37	$132.16
73030 X-ray of shoulder, minimum of 2 views	16	12	$72.24	$23.96
72202 X-ray of joint between lower spine and hip bone, 3 or more views	15	15	$72.79	$25.57
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	15	13	$402.88	$117.72
72220 X-ray of sacrum and tailbone, minimum of 2 views	15	15	$61.34	$21.68
87804 Detection test by immunoassay with direct visual observation for influenza virus	15	14	$30.00	$16.35
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$330.00	$160.32
84153 Psa (prostate specific antigen) measurement, total	14	14	$40.00	$18.15
77080 Dxa bone density measurement of hip, pelvis, spine	12	12	$75.44	$24.59
76700 Ultrasound of abdomen	11	11	$243.49	$61.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	725	238	$140.00	$87.85
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	450	139	$80.00	$39.24
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	445	137	$80.00	$35.88
84100 Phosphate level	441	243	$9.99	$4.74
83735 Magnesium level	437	242	$19.98	$6.70
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	427	234	$30.00	$7.77
80053 Blood test, comprehensive group of blood chemicals	420	232	$30.00	$10.56
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	409	121	$170.00	$79.65
J0696 Injection, ceftriaxone sodium, per 250 mg	392	45	$4.00	$0.54
80305 Testing for presence of drug, read by direct observation	303	125	$20.00	$12.59
80061 Blood test, lipids (cholesterol and triglycerides)	296	211	$29.95	$13.39
36415 Insertion of needle into vein for collection of blood sample	291	185	$6.00	$3.00
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	283	102	$43.99	$13.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	268	155	$210.00	$125.11
82728 Ferritin (blood protein) level	268	197	$29.94	$13.63
86376 Microsomal antibodies (autoantibody) measurement	262	193	$29.94	$14.55
84480 Thyroid hormone, t3 measurement, total	262	193	$29.94	$14.18
84439 Thyroxine (thyroid chemical), free	262	193	$19.96	$9.02
82306 Vitamin d-3 level	262	196	$69.87	$29.60
82607 Cyanocobalamin (vitamin B-12) level	260	197	$29.94	$15.08
82746 Folic acid level	260	196	$39.92	$14.70
J1100 Injection, dexamethasone sodium phosphate, 1 mg	235	31	$2.00	$0.15
84443 Blood test, thyroid stimulating hormone (TSH)	229	169	$50.00	$16.80
94664 Evaluation of use of breathing device	227	95	$29.93	$15.06
81003 Automated urinalysis test	204	123	$5.99	$2.25
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	190	152	$39.89	$18.58
84144 Progesterone (reproductive hormone) level	189	152	$49.87	$20.86
82670 Measurement of total estradiol (hormone)	189	152	$59.84	$27.94
84146 Prolactin (milk producing hormone) level	189	152	$39.89	$19.38
84403 Testosterone (hormone) level, total	189	152	$59.83	$25.81
83002 Gonadotropin, luteinizing (reproductive hormone) level	188	151	$39.89	$18.52
84270 Sex hormone binding globulin (protein) level	188	152	$49.87	$21.73
82962 Blood glucose (sugar) test performed by hand-held instrument	176	77	$10.00	$3.28
99497 Advance care planning, first 30 minutes	169	153	$169.50	$83.07
J1885 Injection, ketorolac tromethamine, per 15 mg	169	36	$1.00	$0.47
83036 Hemoglobin A1C level	160	121	$20.00	$9.71
93000 Routine ekg using at least 12 leads including interpretation and report	151	132	$29.90	$14.04
80307 Testing for presence of drug, by chemistry analyzers	151	63	$130.00	$62.14
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	139	20	$70.00	$30.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	132	17	$3.00	$1.27
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	129	36	$210.00	$102.20
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	119	101	$9.96	$4.27
86200 Measurement of antibody for rheumatoid arthritis assessment	118	99	$29.87	$12.95
82533 Cortisol (hormone) measurement	118	99	$35.85	$16.30
94060 Test to measure expiratory airflow and volume changes before and after medication administration	118	88	$109.53	$41.89
84550 Uric acid level, blood	117	98	$9.96	$4.52
71046 X-ray of chest, 2 views	103	83	$55.88	$21.96
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	88	20	$40.00	$9.96
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	80	58	$150.00	$41.38
87651 Detection test for Strep (Streptococcus, group A)	79	56	$80.00	$35.09
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	74	27	$12.00	$7.27
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	72	42	$230.00	$114.43
95957 Digital analysis of electrical brain wave activity (EEG)	70	69	$480.00	$235.97
95816 Measurement of brain wave activity (eeg), awake and drowsy	70	69	$670.00	$343.32
82043 Urine microalbumin (protein) level	68	63	$20.00	$5.78
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	68	27	$80.00	$38.82
96138 Administration of psychological or neuropsychological test by technician, first 30 minutes	66	65	$70.00	$32.71
96132 Evaluation of neuropsychological test, first hour	65	64	$270.00	$129.18
82570 Creatinine level to test for kidney function or muscle injury	61	56	$10.00	$5.18
81025 Urine pregnancy test	60	26	$20.00	$8.61
70220 X-ray of paranasal sinus, minimum of 3 views	58	45	$66.72	$25.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	56	56	$220.00	$127.08
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	51	34	$4.00	$2.01
87502 Detection test by nucleic acid for multiple types influenza virus	51	38	$190.00	$95.80
70360 X-ray of soft tissue of neck	50	40	$56.52	$20.94
86308 Screening test for mononucleosis (mono)	42	34	$10.00	$5.18
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	39	34	$100.00	$50.30
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	39	32	$30.00	$15.07
0202U Test for detection of respiratory disease-causing organisms from back of nose and throat (nasopharynx) specimen, 22 target organisms including severe acute respiratory syndrome coronavirus 2	39	31	$1330.00	$416.78
82150 Amylase (enzyme) level	37	35	$20.00	$6.48
83690 Lipase (fat enzyme) level	37	35	$20.00	$6.89
95930 Measurement of nerve conduction using visual stimulation testing with report	37	36	$150.00	$61.81
72110 X-ray of lower and sacral spine, minimum of 4 views	36	34	$88.99	$36.37
87631 Detection test for multiple types of respiratory virus	34	27	$300.00	$142.63
92652 Evaluation of brain response to sound for determination of hearing threshold with interpretation and report	34	33	$250.00	$112.43
83880 Natriuretic peptide (heart and blood vessel protein) level	34	32	$80.00	$39.26
G0008 Administration of influenza virus vaccine	33	33	$30.00	$15.82
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	32	32	$40.00	$29.90
84153 Psa (prostate specific antigen) measurement, total	31	28	$40.00	$18.39
86318 Test for detection of infectious agent antibody, qualitative or semiquantitative	31	29	$40.00	$18.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$314.48	$163.17
71250 Ct scan of chest without contrast	29	27	$228.85	$83.96
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	27	27	$330.00	$161.46
73564 X-ray of knee, 4 or more views	27	20	$73.47	$32.00
G0103 Prostate cancer screening; prostate specific antigen test (psa)	22	22	$40.00	$19.31
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	20	17	$40.00	$21.04
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	20	19	$390.00	$148.87
74176 Ct scan of abdomen and pelvis without contrast	20	16	$311.12	$108.66
73130 X-ray of hand, minimum of 3 views	18	13	$67.47	$25.75
74022 Complete x-ray study of abdomen with single x-ray of chest	18	18	$70.10	$33.97
87634 Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique	18	17	$210.60	$70.20
87661 Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique	18	15	$80.00	$35.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	17	$90.00	$53.48
93880 Ultrasound of both sides of head and neck blood flow	16	14	$385.67	$158.84
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	15	15	$58.00	$28.09
72202 X-ray of joint between lower spine and hip bone, 3 or more views	15	15	$57.02	$27.28
92250 Photography of the retina	15	15	$100.00	$36.78
72050 X-ray of upper spine, 4 or 5 views	14	14	$86.24	$39.87
77080 Dxa bone density measurement of hip, pelvis, spine	12	12	$68.44	$26.21
73610 X-ray of ankle, minimum of 3 views	12	11	$52.50	$27.94
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$30.00	$14.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	530	232	$140.00	$71.95
J0696 Injection, ceftriaxone sodium, per 250 mg	502	47	$2.84	$0.57
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	375	48	$70.00	$29.24
97032 Application of electrical stimulation with therapist present, each 15 minutes	347	43	$30.00	$11.95
83735 Magnesium level	326	220	$20.00	$6.66
84100 Phosphate level	325	220	$10.00	$4.71
80053 Blood test, comprehensive group of blood chemicals	320	218	$20.75	$10.50
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	320	218	$20.75	$7.72
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	291	105	$30.00	$13.52
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	268	78	$80.00	$40.12
36415 Insertion of needle into vein for collection of blood sample	264	189	$6.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	255	156	$210.00	$104.48
80061 Blood test, lipids (cholesterol and triglycerides)	213	170	$30.00	$13.31
82306 Vitamin d-3 level	192	154	$70.00	$29.39
82728 Ferritin (blood protein) level	192	153	$30.00	$13.54
80305 Testing for presence of drug, read by direct observation	189	111	$20.00	$12.50
82746 Folic acid level	187	150	$40.00	$14.60
82607 Cyanocobalamin (vitamin B-12) level	185	148	$30.00	$14.98
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	177	66	$170.00	$81.46
84439 Thyroxine (thyroid chemical), free	174	144	$20.00	$8.96
86376 Microsomal antibodies (autoantibody) measurement	173	143	$30.00	$14.45
84480 Thyroid hormone, t3 measurement, total	173	144	$30.00	$14.08
84443 Blood test, thyroid stimulating hormone (TSH)	169	139	$40.89	$16.68
80307 Testing for presence of drug, by chemistry analyzers	167	72	$130.00	$61.91
J1100 Injection, dexamethasone sodium phosphate, 1 mg	162	20	$2.00	$0.12
99497 Advance care planning, first 30 minutes	158	141	$170.00	$83.98
82962 Blood glucose (sugar) test performed by hand-held instrument	158	87	$10.00	$3.26
94664 Evaluation of use of breathing device	155	87	$30.00	$15.01
83036 Hemoglobin A1C level	152	137	$20.00	$9.63
94060 Test to measure expiratory airflow and volume changes before and after medication administration	148	111	$110.00	$53.74
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	146	124	$10.00	$4.24
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	144	19	$3.00	$1.44
84550 Uric acid level, blood	138	118	$10.00	$4.49
86200 Measurement of antibody for rheumatoid arthritis assessment	137	117	$30.00	$12.85
82533 Cortisol (hormone) measurement	136	116	$36.00	$16.17
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	126	33	$210.00	$104.17
84403 Testosterone (hormone) level, total	120	104	$60.00	$25.63
82670 Measurement of total estradiol (hormone)	119	103	$60.00	$27.74
83002 Gonadotropin, luteinizing (reproductive hormone) level	119	103	$40.00	$18.39
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	119	103	$40.00	$18.45
84270 Sex hormone binding globulin (protein) level	118	102	$50.00	$21.58
J1885 Injection, ketorolac tromethamine, per 15 mg	117	27	$1.00	$0.57
84144 Progesterone (reproductive hormone) level	116	102	$50.00	$20.71
71046 X-ray of chest, 2 views	111	87	$59.46	$29.81
93000 Routine ekg using at least 12 leads including interpretation and report	102	95	$30.00	$16.08
84146 Prolactin (milk producing hormone) level	102	87	$40.00	$19.26
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	100	56	$30.00	$14.86
87798 Detection test for organism	100	64	$80.00	$34.88
87581 Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique	87	64	$80.00	$34.85
87486 Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique	87	64	$80.00	$34.85
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	87	52	$230.00	$113.35
87502 Detection test by nucleic acid for multiple types influenza virus	86	61	$190.00	$95.13
81003 Automated urinalysis test	82	69	$6.00	$2.24
87651 Detection test for Strep (Streptococcus, group A)	76	54	$80.00	$34.78
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	66	31	$12.00	$6.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	61	61	$220.00	$110.39
70220 X-ray of paranasal sinus, minimum of 3 views	59	50	$68.81	$32.83
87633 Detection test for multiple types of respiratory virus	54	40	$930.00	$412.15
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	52	22	$80.00	$38.66
82043 Urine microalbumin (protein) level	50	48	$20.00	$5.73
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	49	21	$4.00	$1.95
0202U Test for detection of respiratory disease-causing organisms from back of nose and throat (nasopharynx) specimen, 22 target organisms including severe acute respiratory syndrome coronavirus 2	49	38	$1321.84	$416.78
70360 X-ray of soft tissue of neck	45	41	$59.33	$27.64
84153 Psa (prostate specific antigen) measurement, total	42	39	$40.00	$18.19
82570 Creatinine level to test for kidney function or muscle injury	37	37	$10.00	$5.15
83880 Natriuretic peptide (heart and blood vessel protein) level	35	33	$80.00	$38.92
G0008 Administration of influenza virus vaccine	34	32	$30.00	$15.83
94640 Inhalation treatment for airway obstruction or sputum production	34	25	$30.00	$15.89
71250 Ct scan of chest without contrast	34	31	$291.18	$140.13
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	34	34	$30.00	$16.22
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	32	31	$40.00	$29.23
81025 Urine pregnancy test	28	17	$20.00	$8.56
20610 Aspiration and/or injection of fluid from large joint	26	14	$124.62	$61.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$320.00	$159.85
87661 Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique	23	22	$80.00	$34.60
73564 X-ray of knee, 4 or more views	22	17	$80.00	$40.11
86308 Screening test for mononucleosis (mono)	22	21	$10.00	$5.18
92250 Photography of the retina	21	21	$100.00	$39.96
96132 Evaluation of neuropsychological test, first hour	20	19	$270.00	$131.89
95816 Measurement of brain wave activity (eeg), awake and drowsy	19	19	$670.00	$331.70
95957 Digital analysis of electrical brain wave activity (EEG)	19	19	$480.00	$239.33
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	18	18	$390.00	$175.21
72110 X-ray of lower and sacral spine, minimum of 4 views	18	18	$100.00	$44.31
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	18	18	$80.00	$16.53
73630 X-ray of foot, minimum of 3 views	18	14	$50.00	$30.05
77080 Dxa bone density measurement of hip, pelvis, spine	17	17	$70.00	$36.19
83690 Lipase (fat enzyme) level	17	16	$20.00	$6.87
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$320.00	$156.16
96138 Administration of psychological or neuropsychological test by technician, first 30 minutes	16	15	$70.00	$33.94
86318 Test for detection of infectious agent antibody, qualitative or semiquantitative	16	16	$40.00	$18.00
82150 Amylase (enzyme) level	16	15	$20.00	$6.46
95930 Measurement of nerve conduction using visual stimulation testing with report	15	15	$125.00	$61.24
G0283 Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care	15	12	$40.00	$10.12
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	14	14	$100.00	$50.89
92585 Placement of scalp electrodes for assessment and recording of responses from several areas of the nerve-brain hearing system	14	14	$250.00	$123.48
76706 Ultrasound scan of abdominal aorta	13	13	$201.92	$102.33
72202 X-ray of joint between lower spine and hip bone, 3 or more views	13	13	$60.00	$35.11
93880 Ultrasound of both sides of head and neck blood flow	13	13	$370.00	$177.75
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$330.00	$163.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$210.00	$104.08
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	11	11	$60.00	$28.66

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97032 Application of electrical stimulation with therapist present, each 15 minutes	603	81	$28.74	$11.82
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	601	81	$47.80	$28.48
J0696 Injection, ceftriaxone sodium, per 250 mg	480	47	$3.70	$0.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	418	197	$162.63	$103.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	416	139	$34.34	$15.60
94664 Evaluation of use of breathing device	410	193	$32.75	$15.23
99213 Established patient office or other outpatient visit, typically 15 minutes	387	207	$109.77	$70.55
84100 Phosphate level	357	225	$14.25	$5.16
83735 Magnesium level	356	225	$21.05	$7.29
36415 Insertion of needle into vein for collection of blood sample	353	225	$9.54	$2.94
80053 Blood test, comprehensive group of blood chemicals	352	223	$27.37	$11.51
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	348	217	$23.92	$8.46
81003 Automated urinalysis test	346	161	$5.37	$2.44
80305 Testing for presence of drug, read by direct observation	317	136	$46.59	$12.35
82728 Ferritin (blood protein) level	255	198	$38.67	$14.85
84480 Thyroid hormone, t3 measurement, total	242	191	$72.93	$15.43
80061 Blood test, lipids (cholesterol and triglycerides)	241	188	$47.34	$14.58
84439 Thyroxine (thyroid chemical), free	241	190	$31.38	$9.82
86376 Microsomal antibodies (autoantibody) measurement	238	188	$64.96	$15.85
84443 Blood test, thyroid stimulating hormone (TSH)	233	186	$39.82	$18.30
82607 Cyanocobalamin (vitamin B-12) level	231	187	$48.42	$16.41
82746 Folic acid level	230	187	$49.54	$16.01
82306 Vitamin d-3 level	225	183	$78.89	$32.23
J1885 Injection, ketorolac tromethamine, per 15 mg	224	41	$4.36	$0.51
94060 Test to measure expiratory airflow and volume changes before and after medication administration	211	159	$127.25	$53.44
83036 Hemoglobin A1C level	203	162	$37.24	$10.57
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	195	90	$22.57	$14.36
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	190	77	$182.30	$112.14
82962 Blood glucose (sugar) test performed by hand-held instrument	179	86	$11.12	$3.21
99497 Advance care planning, first 30 minutes	179	154	$170.00	$82.68
86200 Measurement of antibody for rheumatoid arthritis assessment	160	138	$31.79	$14.10
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	159	137	$14.50	$4.18
82533 Cortisol (hormone) measurement	158	136	$38.70	$17.75
84550 Uric acid level, blood	156	133	$12.69	$4.92
84403 Testosterone (hormone) level, total	146	132	$65.78	$28.11
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	143	130	$48.36	$20.24
84270 Sex hormone binding globulin (protein) level	143	130	$56.64	$23.67
83002 Gonadotropin, luteinizing (reproductive hormone) level	143	130	$40.24	$20.16
82670 Measurement of total estradiol (hormone)	143	130	$90.31	$30.42
84144 Progesterone (reproductive hormone) level	141	129	$54.71	$22.72
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	139	47	$174.54	$103.98
J1100 Injection, dexamethasone sodium phosphate, 1 mg	131	18	$1.12	$0.11
93000 Routine ekg using at least 12 leads including interpretation and report	125	112	$56.35	$15.87
83880 Natriuretic peptide (heart and blood vessel protein) level	124	108	$87.70	$38.47
71046 X-ray of chest, 2 views	117	92	$51.28	$29.17
94640 Inhalation treatment for airway obstruction or sputum production	94	55	$34.47	$16.18
84146 Prolactin (milk producing hormone) level	89	85	$67.64	$21.10
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	88	63	$9.52	$1.78
87651 Detection test for Strep (Streptococcus, group A)	87	70	$69.14	$37.67
87581 Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique	83	66	$78.07	$38.21
87486 Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique	82	65	$78.05	$38.21
87798 Detection test for organism	82	65	$78.05	$38.21
87633 Detection test for multiple types of respiratory virus	82	65	$770.98	$453.83
87804 Detection test by immunoassay with direct visual observation for influenza virus	74	62	$36.22	$16.22
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	72	42	$10.57	$6.79
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	67	11	$3.99	$1.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	66	66	$175.08	$109.97
86141 Measurement c-reactive protein for detection of infection or inflammation, high sensitivity	61	59	$35.00	$14.10
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	60	36	$80.00	$39.72
G0008 Administration of influenza virus vaccine	55	54	$46.82	$15.51
70220 X-ray of paranasal sinus, minimum of 3 views	54	42	$53.81	$35.91
92250 Photography of the retina	54	54	$90.56	$46.87
82043 Urine microalbumin (protein) level	53	51	$17.28	$6.29
81025 Urine pregnancy test	50	33	$18.08	$8.44
90756 Vaccine for influenza for injection into muscle	49	48	$41.71	$25.74
82570 Creatinine level to test for kidney function or muscle injury	48	46	$14.90	$5.63
86318 Test for detection of infectious agent antibody, qualitative or semiquantitative	36	35	$27.72	$17.73
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	31	21	$60.13	$38.66
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	29	29	$41.38	$27.53
70360 X-ray of soft tissue of neck	28	25	$58.36	$27.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$251.00	$158.18
83690 Lipase (fat enzyme) level	26	25	$20.00	$7.50
82150 Amylase (enzyme) level	26	25	$18.08	$7.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	21	$67.60	$42.38
86308 Screening test for mononucleosis (mono)	24	24	$15.50	$5.63
84153 Psa (prostate specific antigen) measurement, total	24	22	$44.38	$20.03
72202 X-ray of joint between lower spine and hip bone, 3 or more views	22	22	$58.64	$30.78
72110 X-ray of lower and sacral spine, minimum of 4 views	22	22	$134.91	$45.37
82248 Bilirubin level, direct	21	21	$7.00	$5.46
73030 X-ray of shoulder, minimum of 2 views	20	17	$94.50	$27.77
G0103 Prostate cancer screening; prostate specific antigen test (psa)	20	20	$47.00	$20.03
20610 Aspiration and/or injection of fluid from large joint	20	17	$182.00	$67.09
71250 Ct scan of chest without contrast	19	19	$350.00	$146.29
20552 Injections of trigger points in 1 or 2 muscles	18	14	$111.67	$50.00
73564 X-ray of knee, 4 or more views	18	13	$91.94	$37.97
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	17	17	$79.71	$50.47
87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique	17	17	$69.12	$38.21
87591 Detection test for Neisseria gonorrhoeae (gonorrhoeae bacteria)	17	17	$69.12	$38.21
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	17	17	$24.71	$16.06
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$253.13	$163.28
72220 X-ray of sacrum and tailbone, minimum of 2 views	16	16	$49.75	$26.69
J3490 Unclassified drugs	16	13	$80.00	$4.20
73630 X-ray of foot, minimum of 3 views	15	12	$86.00	$27.18
70450 Ct scan head or brain without contrast	14	14	$245.71	$99.57
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$239.64	$151.63
72131 CT scan of lower spine	13	13	$315.38	$137.98
72050 X-ray of upper spine, 4 or 5 views	13	13	$64.15	$46.29
82140 Ammonia level	13	13	$40.00	$15.87
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	13	13	$413.08	$179.27
77080 Dxa bone density measurement of hip, pelvis, spine	11	11	$100.00	$34.06
87661 Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique	11	11	$116.36	$38.21
74019 X-ray of abdomen, 2 views	11	11	$47.27	$32.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0696 Injection, ceftriaxone sodium, per 250 mg	112	12	$4.00	$0.58
81003 Automated urinalysis test	108	88	$5.00	$2.71
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	106	50	$35.00	$19.01
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	96	25	$42.00	$28.41
97032 Application of electrical stimulation with therapist present, each 15 minutes	96	25	$27.00	$12.11
36415 Insertion of needle into vein for collection of blood sample	94	82	$10.00	$2.94
84100 Phosphate level	93	82	$14.00	$5.73
80053 Blood test, comprehensive group of blood chemicals	93	81	$22.00	$12.78
83735 Magnesium level	92	81	$20.00	$8.10
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	90	79	$16.00	$9.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	73	61	$155.00	$102.64
80305 Testing for presence of drug, read by direct observation	73	58	$50.00	$13.19
J1885 Injection, ketorolac tromethamine, per 15 mg	64	15	$5.00	$0.60
94664 Evaluation of use of breathing device	62	51	$33.00	$15.51
82728 Ferritin (blood protein) level	62	62	$40.00	$16.49
80061 Blood test, lipids (cholesterol and triglycerides)	58	58	$50.00	$16.20
86376 Microsomal antibodies (autoantibody) measurement	56	55	$70.00	$17.60
82746 Folic acid level	56	56	$35.00	$17.79
84480 Thyroid hormone, t3 measurement, total	56	55	$79.00	$17.16
82306 Vitamin d-3 level	55	55	$80.00	$35.82
84439 Thyroxine (thyroid chemical), free	55	54	$33.00	$10.91
82607 Cyanocobalamin (vitamin B-12) level	55	55	$36.00	$18.24
84443 Blood test, thyroid stimulating hormone (TSH)	52	51	$34.00	$20.33
83036 Hemoglobin A1C level	52	52	$40.00	$11.75
99213 Established patient office or other outpatient visit, typically 15 minutes	50	49	$104.00	$69.40
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	49	47	$15.00	$4.29
86200 Measurement of antibody for rheumatoid arthritis assessment	43	43	$32.00	$15.66
82533 Cortisol (hormone) measurement	41	41	$39.00	$19.72
99284 Emergency department visit with moderate level of medical decision making	40	39	$392.10	$113.33
86141 Measurement c-reactive protein for detection of infection or inflammation, high sensitivity	39	39	$35.00	$15.66
84550 Uric acid level, blood	39	39	$13.00	$5.47
83880 Natriuretic peptide (heart and blood vessel protein) level	38	36	$75.00	$41.06
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms	38	31	$177.00	$112.14
84403 Testosterone (hormone) level, total	35	35	$58.00	$31.23
84270 Sex hormone binding globulin (protein) level	35	35	$50.00	$26.29
84144 Progesterone (reproductive hormone) level	34	34	$48.00	$25.24
82670 Measurement of total estradiol (hormone)	34	34	$65.00	$33.80
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	34	34	$43.00	$22.48
83002 Gonadotropin, luteinizing (reproductive hormone) level	34	34	$35.00	$22.40
94060 Test to measure expiratory airflow and volume changes before and after medication administration	29	28	$130.00	$55.35
99283 Emergency department visit with low level of medical decision making	29	29	$273.93	$59.57
99497 Advance care planning, first 30 minutes	28	28	$170.00	$82.12
87486 Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique	28	27	$70.00	$42.46
87633 Detection test for multiple types of respiratory virus	28	27	$700.00	$504.26
87581 Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique	28	27	$70.00	$42.46
87798 Detection test for organism	28	27	$70.00	$42.46
87491 Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique	25	24	$65.00	$42.46
87651 Detection test for Strep (Streptococcus, group A)	25	24	$31.00	$30.38
82962 Blood glucose (sugar) test performed by hand-held instrument	25	24	$10.00	$3.21
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	24	24	$10.00	$1.93
87591 Detection test for Neisseria gonorrhoeae (gonorrhoeae bacteria)	24	23	$65.00	$42.46
G0008 Administration of influenza virus vaccine	23	23	$49.35	$18.93
82248 Bilirubin level, direct	20	20	$7.00	$6.07
94640 Inhalation treatment for airway obstruction or sputum production	19	15	$35.00	$16.77
84146 Prolactin (milk producing hormone) level	18	18	$60.00	$23.44
81025 Urine pregnancy test	17	12	$18.00	$8.44
82043 Urine microalbumin (protein) level	16	15	$17.00	$7.00
86318 Test for detection of infectious agent antibody, qualitative or semiquantitative	16	16	$27.00	$17.73
87804 Detection test by immunoassay with direct visual observation for influenza virus	15	14	$25.00	$16.22
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	15	15	$55.00	$8.33
71046 X-ray of chest, 2 views	15	14	$50.00	$28.12
90756 Vaccine for influenza for injection into muscle	14	14	$42.00	$22.33
99285 Emergency department visit for life threatening or functioning severity	14	13	$947.43	$171.00
82570 Creatinine level to test for kidney function or muscle injury	13	12	$15.00	$6.26
93000 Routine ekg using at least 12 leads including interpretation and report	13	13	$60.00	$15.98
J0702 Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg	13	12	$10.00	$6.82
99407 Smoking and tobacco use intensive counseling, more than 10 minutes	12	12	$40.00	$27.16
86308 Screening test for mononucleosis (mono)	12	12	$16.00	$6.26
70360 X-ray of soft tissue of neck	11	11	$58.00	$26.04
70220 X-ray of paranasal sinus, minimum of 3 views	11	11	$51.00	$34.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99283 Emergency department visit with low level of medical decision making	72	64	$115.00	$56.69
99284 Emergency department visit with moderate level of medical decision making	61	55	$150.00	$107.76
99285 Emergency department visit for life threatening or functioning severity	19	16	$200.00	$158.86

Medical Specialties & State Licenses

CMS Verified: 2025-01-14

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License LA MD.014605

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License LA 014605

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1345598 (LA)

Hospital & Practice Group Affiliations

Winn Community Health Center, Inc.

431 W Lafayette St, Winnfield, LA 714833463

Phone: 3186480375

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Robert Watson , MD

Emergency Medicine

NPI 1003834193

Doctor of Medicine (M.D.)

Dr. Craig Frederick , MD

Family Medicine

NPI 1033176185

Doctor of Medicine (M.D.)

Dr. Dave Daigle , MD

Emergency Medicine

NPI 1033382973

Doctor of Medicine (M.D.)

Dr. Michael Strayer , MD

Emergency Medicine

NPI 1043424021

Doctor of Medicine (M.D.)

Javier Rodriguez , PA

Physician Assistant

NPI 1043455348

Physician Assistant

Bonnie Smith , FNP

Nurse Practitioner - Family

NPI 1053385401

Family Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 14, 2025

General Practice (License #MD.014605 in LA)

✅

NPI Profile Active January 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 15, 2008

Registered at 323 WEST WALNUT, BASTROP, LA 71220 (Tel: 8008939698)

📍

Updated Business Mailing Address January 15, 2008

Registered at 200 CORPORATE BLVD, STE 201, LAFAYETTE, LA 705083870 (Tel: 8008939698)

👤

Provider Name / Credentials Updated January 15, 2008

Recorded as GEORGE WATERFALLEN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2008

Emergency Medicine (License #014605 in LA)

🟢

Initial NPI Registration & Enumeration July 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831123132

Entity Type:

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

Enumeration Date: July 10, 2006

Last Update: January 14, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

200 Corporate Blvd, Ste 201

Lafayette, LA 705083870

Phone: 8008939698

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.