Active NPI 1356352256 Individual Practitioner Male Practitioner

Dr. Michael A Pace , MD

Internal Medicine • Lincoln, NE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Pace, MD is a certified Internal Medicine practicing in Lincoln, NE. With approximately 33 years of clinical experience since completing medical education in 1993, Dr. Pace delivers high-quality medical care to the local community at 3901 PINE LAKE RD.

Dr. Pace maintains professional affiliations with Lincoln Internal Medicine Associates, Pc, Inpatient Physician Associates, Llc, Chi Health Clinic Specialty Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include injection, methylprednisolone acetate, 1 mg, injection, denosumab, 1 mg, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3901 Pine Lake Rd
Suite 220

Lincoln, NE 685165497

Telephone 4024213240

Fax 4024230739

Associated Practice Facility / Clinic

🏢 Arthritis Center Of Nebraska Facility NPI 1164492641

Medicare Profile & Education

Medical School

Other

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Lincoln, NE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +9.3 yrs vs City Avg

City Avg: 23.7 Yrs

State Avg: 21.4 Yrs

Regional Practice Density

88 Specialists

Practicing in Lincoln, NE (834 Statewide)

Telehealth Adoption Rate

14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pace (33 Years) 33 Yrs

Lincoln Specialty Average (23.7 Years) 23.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1010 Injection, methylprednisolone acetate, 1 mg	4,720	57	$0.30	$0.13
J0897 Injection, denosumab, 1 mg	1,500	14	$27.72	$25.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,037	446	$313.94	$67.33
36415 Insertion of needle into vein for collection of blood sample	944	450	$12.65	$8.52
80053 Blood test, comprehensive group of blood chemicals	785	443	$92.00	$10.29
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	772	442	$21.00	$7.57
81001 Manual urinalysis test with examination using microscope, automated	655	425	$11.06	$3.08
80061 Blood test, lipids (cholesterol and triglycerides)	536	411	$45.87	$12.98
84443 Blood test, thyroid stimulating hormone (TSH)	506	400	$57.09	$16.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	381	381	$300.16	$41.50
G0444 Annual depression screening, 5 to 15 minutes	369	369	$44.26	$17.13
83036 Hemoglobin A1C level	293	205	$36.00	$9.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	231	75	$58.39	$13.17
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	205	198	$359.56	$118.29
G0008 Administration of influenza virus vaccine	203	203	$62.90	$29.78
90662 Influenza vaccine split virus, preservative free	200	200	$118.66	$80.08
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	118	116	$466.62	$158.43
71046 X-ray of chest, 2 views	114	98	$48.04	$20.87
82043 Urine microalbumin (protein) level	100	83	$19.29	$5.60
82570 Creatinine level to test for kidney function or muscle injury	99	82	$19.00	$5.03
84153 Psa (prostate specific antigen) measurement, total	88	85	$67.00	$18.02
93000 Routine ekg using at least 12 leads including interpretation and report	86	84	$50.14	$12.80
86140 Measurement C-reactive protein for detection of infection or inflammation	81	70	$17.07	$5.02
G0103 Prostate cancer screening; prostate specific antigen test (psa)	80	80	$62.60	$18.92
99213 Established patient office or other outpatient visit, typically 15 minutes	78	70	$216.72	$63.68
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	74	63	$11.76	$4.12
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	62	$447.05	$95.37
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	69	69	$330.00	$284.38
G0009 Administration of pneumococcal vaccine	69	69	$58.51	$29.78
20610 Aspiration and/or injection of fluid from large joint	56	38	$179.14	$67.56
82607 Cyanocobalamin (vitamin B-12) level	45	37	$50.40	$14.78
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	38	11	$4.00	$1.24
77080 Dxa bone density measurement of hip, pelvis, spine	33	33	$106.67	$34.96
87798 Detection test for organism	32	17	$64.19	$34.39
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	30	24	$100.00	$48.60
80048 Blood test, basic group of blood chemicals (calcium, total)	29	17	$27.97	$8.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	20	$55.11	$42.05
J1030 Injection, methylprednisolone acetate, 40 mg	27	21	$10.00	$6.36
G0442 Annual alcohol misuse screening, 5 to 15 minutes	26	26	$44.77	$17.27
87651 Detection test for Strep (Streptococcus, group A)	26	25	$117.00	$33.07
99495 Transitional care management services for problem of at least moderate complexity	24	23	$467.00	$85.42
69210 Removal of impacted ear wax	24	24	$120.67	$43.34
84439 Thyroxine (thyroid chemical), free	22	16	$29.05	$8.44
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$405.14	$135.68
99291 Critical care, first 30-74 minutes	20	20	$695.50	$192.87
J1040 Injection, methylprednisolone acetate, 80 mg	20	16	$25.00	$9.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	19	14	$165.00	$71.39
82306 Vitamin d-3 level	19	18	$100.42	$29.01
82310 Calcium level, total	19	14	$16.37	$5.06
87631 Detection test for multiple types of respiratory virus	19	17	$186.84	$139.78
87486 Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique	18	17	$67.44	$34.39
87581 Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique	18	17	$67.44	$34.39
83880 Natriuretic peptide (heart and blood vessel protein) level	18	16	$111.89	$38.47
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	$121.47	$49.07
72100 X-ray of lower and sacral spine, 2-3 views	16	16	$78.50	$26.15
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	15	15	$60.00	$38.31
90471 Administration of 1 vaccine	15	15	$57.00	$18.96
84550 Uric acid level, blood	14	11	$15.93	$4.43
83540 Iron level	13	11	$22.15	$6.34
73502 X-ray of hip, 2-3 views	12	12	$90.25	$33.18
87502 Detection test by nucleic acid for multiple types influenza virus	12	12	$260.00	$86.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,440	14	$24.34	$22.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,112	461	$262.63	$67.55
36415 Insertion of needle into vein for collection of blood sample	1,027	469	$8.10	$7.69
80053 Blood test, comprehensive group of blood chemicals	889	462	$92.00	$10.34
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	850	460	$21.00	$7.60
81001 Manual urinalysis test with examination using microscope, automated	661	440	$10.00	$3.11
84443 Blood test, thyroid stimulating hormone (TSH)	581	421	$52.00	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	551	412	$42.00	$13.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	417	417	$248.00	$40.76
G0444 Annual depression screening, 5 to 15 minutes	386	386	$38.00	$16.98
83036 Hemoglobin A1C level	276	179	$33.11	$9.49
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	265	260	$503.75	$160.98
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	224	83	$55.00	$13.06
G0008 Administration of influenza virus vaccine	205	203	$53.00	$28.38
90662 Influenza vaccine split virus, preservative free	194	192	$85.00	$71.49
71046 X-ray of chest, 2 views	130	106	$46.00	$21.13
99213 Established patient office or other outpatient visit, typically 15 minutes	126	103	$185.68	$61.79
J1030 Injection, methylprednisolone acetate, 40 mg	118	57	$10.00	$7.70
G0009 Administration of pneumococcal vaccine	115	114	$53.00	$28.38
82043 Urine microalbumin (protein) level	114	93	$18.00	$5.66
82570 Creatinine level to test for kidney function or muscle injury	112	92	$17.31	$5.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	111	109	$355.57	$120.06
93000 Routine ekg using at least 12 leads including interpretation and report	97	90	$39.63	$13.18
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	93	93	$329.41	$282.75
84153 Psa (prostate specific antigen) measurement, total	89	81	$62.92	$18.02
86140 Measurement C-reactive protein for detection of infection or inflammation	86	77	$16.00	$5.08
G0103 Prostate cancer screening; prostate specific antigen test (psa)	79	79	$56.00	$18.92
20610 Aspiration and/or injection of fluid from large joint	78	38	$169.03	$63.00
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	76	67	$11.00	$4.18
82607 Cyanocobalamin (vitamin B-12) level	70	56	$46.00	$14.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	66	61	$355.55	$100.42
J1040 Injection, methylprednisolone acetate, 80 mg	65	44	$22.78	$11.61
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	46	42	$237.00	$110.29
69210 Removal of impacted ear wax	42	37	$108.00	$41.28
77080 Dxa bone density measurement of hip, pelvis, spine	41	41	$101.00	$34.71
84439 Thyroxine (thyroid chemical), free	39	28	$27.00	$8.84
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	37	36	$165.00	$73.31
G0442 Annual alcohol misuse screening, 5 to 15 minutes	35	35	$39.00	$16.98
87502 Detection test by nucleic acid for multiple types influenza virus	33	31	$260.00	$93.88
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	32	28	$100.00	$50.28
99291 Critical care, first 30-74 minutes	31	30	$716.90	$196.14
83880 Natriuretic peptide (heart and blood vessel protein) level	29	27	$103.00	$38.47
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	27	15	$88.00	$38.07
99495 Transitional care management services for problem of at least moderate complexity	27	20	$385.56	$83.93
80048 Blood test, basic group of blood chemicals (calcium, total)	26	15	$27.00	$8.29
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	24	$113.00	$48.33
84481 Thyroid hormone, t3 measurement, free	24	21	$45.00	$16.60
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	18	18	$355.00	$139.99
99221 Initial hospital inpatient care per day, typically 30 minutes	18	18	$231.72	$75.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	17	$90.00	$45.55
82306 Vitamin d-3 level	18	16	$90.00	$29.01
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$180.00	$130.80
82310 Calcium level, total	17	11	$14.00	$4.76
84550 Uric acid level, blood	17	16	$14.00	$4.43
73562 X-ray of knee, 3 views	15	14	$62.00	$32.59
87651 Detection test for Strep (Streptococcus, group A)	14	14	$107.00	$34.39
82550 Creatine kinase (cardiac enzyme) level, total	14	11	$20.00	$6.38
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$362.00	$153.70
83540 Iron level	14	13	$20.00	$6.34
90471 Administration of 1 vaccine	12	12	$53.00	$18.57
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	12	12	$69.00	$21.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1071 Injection, testosterone cypionate, 1 mg	24,450	12	$0.04	$0.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,051	459	$233.00	$67.89
36415 Insertion of needle into vein for collection of blood sample	966	475	$7.00	$2.95
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	818	466	$21.00	$7.66
80053 Blood test, comprehensive group of blood chemicals	690	422	$92.00	$10.43
81001 Manual urinalysis test with examination using microscope, automated	668	440	$10.00	$3.12
80061 Blood test, lipids (cholesterol and triglycerides)	540	413	$42.00	$13.19
84443 Blood test, thyroid stimulating hormone (TSH)	512	395	$52.00	$16.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	418	418	$248.00	$42.11
G0444 Annual depression screening, 5 to 15 minutes	295	295	$38.00	$17.20
99213 Established patient office or other outpatient visit, typically 15 minutes	250	183	$158.00	$69.52
83036 Hemoglobin A1C level	239	149	$30.00	$9.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	209	65	$55.00	$13.44
G0008 Administration of influenza virus vaccine	203	202	$53.00	$27.28
J1030 Injection, methylprednisolone acetate, 40 mg	201	57	$10.00	$6.26
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	198	195	$450.03	$185.79
90662 Influenza vaccine split virus, preservative free	194	194	$85.00	$68.52
80048 Blood test, basic group of blood chemicals (calcium, total)	161	139	$27.00	$8.32
84460 Liver enzyme (sgpt), level	140	129	$16.50	$5.21
84075 Phosphatase (enzyme) level, alkaline	140	129	$14.00	$5.10
84155 Total protein level, blood	139	128	$15.00	$3.61
82040 Albumin (protein) level	139	128	$13.00	$4.87
71046 X-ray of chest, 2 views	133	110	$46.00	$21.18
93000 Routine ekg using at least 12 leads including interpretation and report	112	101	$36.00	$13.21
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	108	13	$3.00	$1.26
84450 Liver enzyme (sgot), level	101	97	$14.00	$5.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	98	86	$165.00	$66.22
82607 Cyanocobalamin (vitamin B-12) level	88	80	$46.00	$14.53
G0103 Prostate cancer screening; prostate specific antigen test (psa)	87	87	$56.00	$19.07
86140 Measurement C-reactive protein for detection of infection or inflammation	86	70	$16.00	$4.99
99220 Hospital observation care, typically 70 minutes	77	76	$413.77	$168.08
84153 Psa (prostate specific antigen) measurement, total	74	70	$56.00	$18.10
82043 Urine microalbumin (protein) level	72	65	$18.00	$5.71
82570 Creatinine level to test for kidney function or muscle injury	72	65	$16.00	$5.13
20610 Aspiration and/or injection of fluid from large joint	65	38	$166.89	$65.25
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	62	15	$4.00	$1.70
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	60	53	$11.00	$4.15
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	52	47	$100.00	$50.89
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	49	42	$313.00	$98.52
87502 Detection test by nucleic acid for multiple types influenza virus	43	42	$260.00	$94.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	41	39	$237.00	$93.15
69210 Removal of impacted ear wax	39	35	$108.00	$41.85
82247 Bilirubin level	39	38	$30.00	$4.92
83880 Natriuretic peptide (heart and blood vessel protein) level	33	31	$103.00	$38.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	31	$90.00	$35.11
77080 Dxa bone density measurement of hip, pelvis, spine	29	29	$101.00	$33.38
99291 Critical care, first 30-74 minutes	26	26	$612.58	$204.04
99495 Transitional care management services for problem of at least moderate complexity	25	23	$354.00	$81.17
82306 Vitamin d-3 level	22	21	$90.00	$29.17
84550 Uric acid level, blood	21	18	$14.00	$4.46
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	20	$113.00	$49.56
84439 Thyroxine (thyroid chemical), free	20	18	$27.00	$8.91
99238 Hospital discharge day management, 30 minutes or less	18	18	$165.00	$67.30
83540 Iron level	16	12	$20.00	$6.37
87651 Detection test for Strep (Streptococcus, group A)	16	16	$107.00	$34.61
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	14	11	$47.00	$45.26
G0009 Administration of pneumococcal vaccine	13	13	$53.00	$27.49
73562 X-ray of knee, 3 views	12	12	$62.50	$34.42
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$75.00	$26.95
90471 Administration of 1 vaccine	12	12	$53.00	$15.63
82550 Creatine kinase (cardiac enzyme) level, total	12	11	$20.00	$6.42
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$355.00	$145.00
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	11	11	$45.00	$27.76
84481 Thyroid hormone, t3 measurement, free	11	11	$45.00	$16.72

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,224	497	$233.00	$121.61
36415 Insertion of needle into vein for collection of blood sample	1,110	519	$7.00	$2.98
80053 Blood test, comprehensive group of blood chemicals	938	511	$92.00	$10.52
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	921	512	$21.00	$7.74
81001 Manual urinalysis test with examination using microscope, automated	750	485	$10.00	$3.14
80061 Blood test, lipids (cholesterol and triglycerides)	600	441	$42.00	$13.37
84443 Blood test, thyroid stimulating hormone (TSH)	580	424	$52.00	$16.78
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	427	427	$248.00	$124.46
J1030 Injection, methylprednisolone acetate, 40 mg	350	77	$10.00	$5.67
G0444 Annual depression screening, 5 to 15 minutes	298	298	$38.00	$17.45
83036 Hemoglobin A1C level	268	158	$30.00	$9.71
G0008 Administration of influenza virus vaccine	234	233	$53.00	$15.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	227	222	$444.20	$187.16
90662 Influenza vaccine split virus, preservative free	222	222	$85.00	$64.95
99213 Established patient office or other outpatient visit, typically 15 minutes	215	169	$158.00	$85.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	170	72	$55.00	$13.26
71046 X-ray of chest, 2 views	149	131	$46.00	$20.82
93000 Routine ekg using at least 12 leads including interpretation and report	128	117	$36.00	$13.65
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	123	102	$11.00	$4.22
86140 Measurement C-reactive protein for detection of infection or inflammation	121	100	$16.00	$5.12
82043 Urine microalbumin (protein) level	106	92	$18.00	$5.78
G0103 Prostate cancer screening; prostate specific antigen test (psa)	102	102	$56.00	$19.31
82570 Creatinine level to test for kidney function or muscle injury	99	87	$16.00	$5.18
82607 Cyanocobalamin (vitamin B-12) level	92	83	$46.00	$15.08
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	78	57	$164.27	$66.86
99220 Hospital observation care, typically 70 minutes	77	74	$407.01	$169.98
20610 Aspiration and/or injection of fluid from large joint	69	41	$168.46	$66.11
84153 Psa (prostate specific antigen) measurement, total	65	61	$56.00	$18.39
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	48	17	$4.00	$2.00
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	44	38	$100.00	$48.98
99495 Transitional care management services for problem of at least moderate complexity	42	38	$354.00	$193.76
77080 Dxa bone density measurement of hip, pelvis, spine	42	42	$101.00	$34.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	33	$90.00	$36.12
99291 Critical care, first 30-74 minutes	36	36	$602.00	$205.37
83880 Natriuretic peptide (heart and blood vessel protein) level	33	31	$103.00	$39.26
69210 Removal of impacted ear wax	32	29	$108.00	$41.82
G0009 Administration of pneumococcal vaccine	31	31	$53.00	$15.83
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	31	29	$313.00	$170.39
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$180.00	$125.48
84550 Uric acid level, blood	26	24	$14.00	$4.52
0004A Fee covid-19 vac 1 res	26	26	$45.00	$37.25
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	25	25	$355.00	$158.80
82306 Vitamin d-3 level	21	18	$90.00	$29.60
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	18	$113.00	$49.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	20	$236.35	$96.91
84439 Thyroxine (thyroid chemical), free	19	12	$27.00	$9.02
80048 Blood test, basic group of blood chemicals (calcium, total)	17	16	$27.00	$8.46
83540 Iron level	16	14	$20.00	$6.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$353.00	$157.24
73502 X-ray of hip, 2-3 views	14	14	$99.00	$34.24
73562 X-ray of knee, 3 views	13	13	$74.31	$35.88
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$75.00	$26.38
99238 Hospital discharge day management, 30 minutes or less	11	11	$165.00	$67.58
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$375.00	$158.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,175	516	$233.00	$103.11
36415 Insertion of needle into vein for collection of blood sample	1,072	528	$7.00	$2.96
80053 Blood test, comprehensive group of blood chemicals	915	527	$68.92	$10.47
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	890	522	$21.00	$7.70
81001 Manual urinalysis test with examination using microscope, automated	725	483	$9.33	$3.13
80061 Blood test, lipids (cholesterol and triglycerides)	585	439	$39.33	$13.28
84443 Blood test, thyroid stimulating hormone (TSH)	567	424	$49.10	$16.71
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	443	443	$213.98	$110.72
J1030 Injection, methylprednisolone acetate, 40 mg	383	89	$10.00	$6.04
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	351	341	$442.32	$194.44
G0444 Annual depression screening, 5 to 15 minutes	333	333	$34.00	$17.31
G0008 Administration of influenza virus vaccine	268	267	$52.94	$15.75
83036 Hemoglobin A1C level	255	149	$28.33	$9.61
90662 Influenza vaccine split virus, preservative free	238	237	$84.80	$60.90
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	185	73	$55.00	$13.50
99213 Established patient office or other outpatient visit, typically 15 minutes	178	149	$158.00	$70.99
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	153	101	$164.16	$69.32
71046 X-ray of chest, 2 views	147	139	$46.55	$19.96
82570 Creatinine level to test for kidney function or muscle injury	126	101	$15.14	$5.14
82043 Urine microalbumin (protein) level	126	101	$16.69	$5.73
93000 Routine ekg using at least 12 leads including interpretation and report	113	109	$36.00	$15.71
G0103 Prostate cancer screening; prostate specific antigen test (psa)	113	113	$53.53	$19.20
99220 Hospital observation care, typically 70 minutes	106	105	$406.42	$177.37
86140 Measurement C-reactive protein for detection of infection or inflammation	102	88	$15.22	$5.15
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	84	76	$10.52	$4.26
20610 Aspiration and/or injection of fluid from large joint	73	43	$147.12	$59.26
82607 Cyanocobalamin (vitamin B-12) level	72	64	$42.99	$14.98
84153 Psa (prostate specific antigen) measurement, total	69	62	$54.09	$18.30
99495 Transitional care management services for problem of at least moderate complexity	56	46	$354.00	$176.66
G0009 Administration of pneumococcal vaccine	55	55	$51.98	$15.68
G0442 Annual alcohol misuse screening, 5 to 15 minutes	55	55	$27.22	$17.18
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	54	11	$4.00	$2.05
77080 Dxa bone density measurement of hip, pelvis, spine	44	44	$101.00	$36.21
99291 Critical care, first 30-74 minutes	44	42	$603.00	$213.65
69210 Removal of impacted ear wax	43	40	$108.00	$43.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	41	$313.00	$139.42
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	40	40	$174.20	$118.46
83880 Natriuretic peptide (heart and blood vessel protein) level	37	36	$96.35	$38.98
85610 Blood test, clotting time	30	12	$11.40	$4.27
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	27	27	$96.33	$50.66
87651 Detection test for Strep (Streptococcus, group A)	25	25	$97.72	$34.64
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$288.58	$159.60
69209 Removal of impacted ear wax by washing	23	20	$49.30	$15.36
87798 Detection test for organism	22	11	$60.00	$35.09
84439 Thyroxine (thyroid chemical), free	22	19	$25.23	$8.92
99238 Hospital discharge day management, 30 minutes or less	22	22	$164.27	$70.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$353.00	$156.20
82306 Vitamin d-3 level	19	17	$86.95	$28.33
84550 Uric acid level, blood	19	18	$13.58	$4.52
80048 Blood test, basic group of blood chemicals (calcium, total)	18	16	$23.94	$8.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	17	$234.83	$101.12
90471 Administration of 1 vaccine	17	17	$52.24	$13.61
90714 Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older	16	16	$41.63	$26.54
90670 Pneumococcal vaccine for injection into muscle	15	15	$325.60	$224.86
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	15	15	$85.00	$61.00
87502 Detection test by nucleic acid for multiple types influenza virus	15	15	$229.67	$94.39
83735 Magnesium level	12	11	$19.92	$6.67
84481 Thyroid hormone, t3 measurement, free	12	12	$45.00	$16.77
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$70.25	$24.61
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	12	12	$100.00	$47.03
87581 Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique	11	11	$60.00	$35.09
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$69.00	$17.80
87486 Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique	11	11	$60.00	$35.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,441	528	$233.00	$101.87
36415 Insertion of needle into vein for collection of blood sample	1,148	538	$7.00	$2.92
80053 Blood test, comprehensive group of blood chemicals	941	531	$28.00	$11.46
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	910	524	$21.00	$8.43
81001 Manual urinalysis test with examination using microscope, automated	736	488	$8.00	$3.43
80061 Blood test, lipids (cholesterol and triglycerides)	611	459	$35.00	$14.46
84443 Blood test, thyroid stimulating hormone (TSH)	566	404	$44.00	$18.30
J1030 Injection, methylprednisolone acetate, 40 mg	502	129	$9.93	$6.26
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	430	430	$138.00	$108.58
G0008 Administration of influenza virus vaccine	289	289	$49.00	$15.38
G0444 Annual depression screening, 5 to 15 minutes	289	289	$21.00	$16.91
83036 Hemoglobin A1C level	269	153	$26.00	$10.57
90662 Influenza vaccine split virus, preservative free	258	258	$69.00	$54.67
G0442 Annual alcohol misuse screening, 5 to 15 minutes	219	219	$21.00	$16.91
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	206	203	$421.72	$192.01
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	202	103	$55.00	$15.63
71046 X-ray of chest, 2 views	168	142	$50.82	$20.43
G0103 Prostate cancer screening; prostate specific antigen test (psa)	124	124	$49.00	$20.03
93000 Routine ekg using at least 12 leads including interpretation and report	123	113	$36.00	$15.66
86140 Measurement C-reactive protein for detection of infection or inflammation	119	97	$14.00	$5.63
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	119	96	$9.00	$4.18
82570 Creatinine level to test for kidney function or muscle injury	107	87	$14.00	$5.63
82043 Urine microalbumin (protein) level	106	86	$15.00	$6.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	99	81	$313.00	$137.02
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	91	77	$151.37	$69.45
82607 Cyanocobalamin (vitamin B-12) level	84	71	$40.00	$16.41
20610 Aspiration and/or injection of fluid from large joint	78	59	$152.31	$55.51
85610 Blood test, clotting time	78	17	$10.00	$4.28
99220 Hospital observation care, typically 70 minutes	77	77	$383.27	$177.33
83880 Natriuretic peptide (heart and blood vessel protein) level	56	48	$90.00	$38.47
99495 Transitional care management services for problem of at least moderate complexity	53	49	$354.00	$154.25
99213 Established patient office or other outpatient visit, typically 15 minutes	51	49	$158.00	$69.75
J1040 Injection, methylprednisolone acetate, 80 mg	49	21	$19.11	$11.51
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	42	12	$4.03	$1.80
G0009 Administration of pneumococcal vaccine	42	42	$49.00	$15.06
84153 Psa (prostate specific antigen) measurement, total	40	39	$49.00	$19.53
69210 Removal of impacted ear wax	39	38	$108.00	$41.02
87651 Detection test for Strep (Streptococcus, group A)	36	34	$93.00	$38.21
87502 Detection test by nucleic acid for multiple types influenza virus	32	31	$225.00	$93.88
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	31	31	$59.97	$17.45
80048 Blood test, basic group of blood chemicals (calcium, total)	30	25	$22.00	$9.21
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	27	27	$42.00	$17.32
77080 Dxa bone density measurement of hip, pelvis, spine	26	26	$100.88	$36.87
82306 Vitamin d-3 level	25	23	$78.00	$32.23
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$152.00	$110.87
84550 Uric acid level, blood	22	20	$12.00	$4.92
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	21	21	$63.00	$49.88
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$198.00	$156.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	19	$214.00	$99.36
90670 Pneumococcal vaccine for injection into muscle	18	18	$290.00	$195.40
82550 Creatine kinase (cardiac enzyme) level, total	17	16	$17.00	$7.09
84439 Thyroxine (thyroid chemical), free	16	14	$24.00	$9.82
82150 Amylase (enzyme) level	16	14	$17.00	$7.06
72100 X-ray of lower and sacral spine, 2-3 views	15	15	$56.00	$22.87
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	14	14	$330.57	$137.63
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	12	11	$97.00	$34.26
99238 Hospital discharge day management, 30 minutes or less	11	11	$150.64	$69.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,542	544	$237.00	$104.33
36415 Insertion of needle into vein for collection of blood sample	1,178	552	$7.00	$2.91
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	947	539	$13.00	$9.37
80053 Blood test, comprehensive group of blood chemicals	946	542	$29.00	$12.73
81001 Manual urinalysis test with examination using microscope, automated	727	494	$9.00	$3.80
80061 Blood test, lipids (cholesterol and triglycerides)	555	439	$37.00	$16.11
84443 Blood test, thyroid stimulating hormone (TSH)	512	370	$47.00	$20.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	423	423	$137.00	$115.50
J1030 Injection, methylprednisolone acetate, 40 mg	385	102	$9.00	$6.68
G0008 Administration of influenza virus vaccine	338	336	$48.00	$18.95
90662 Influenza vaccine split virus, preservative free	316	314	$69.00	$51.87
83036 Hemoglobin A1C level	257	152	$27.00	$11.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	236	157	$139.65	$68.53
71046 X-ray of chest, 2 views	183	160	$66.90	$24.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	140	117	$320.00	$139.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	139	72	$55.00	$19.46
G0444 Annual depression screening, 5 to 15 minutes	137	137	$23.00	$17.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	134	131	$387.00	$188.71
93000 Routine ekg using at least 12 leads including interpretation and report	134	126	$58.00	$16.36
G0103 Prostate cancer screening; prostate specific antigen test (psa)	121	121	$51.00	$22.26
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	103	92	$10.00	$4.13
86140 Measurement C-reactive protein for detection of infection or inflammation	100	90	$14.00	$6.02
82607 Cyanocobalamin (vitamin B-12) level	95	88	$42.00	$17.86
G0009 Administration of pneumococcal vaccine	93	93	$48.00	$18.95
20610 Aspiration and/or injection of fluid from large joint	89	55	$158.97	$60.76
82043 Urine microalbumin (protein) level	85	69	$16.00	$7.00
82570 Creatinine level to test for kidney function or muscle injury	84	68	$14.00	$6.26
83880 Natriuretic peptide (heart and blood vessel protein) level	77	63	$94.00	$39.99
99495 Transitional care management services for problem of at least moderate complexity	76	63	$362.00	$152.85
85610 Blood test, clotting time	69	15	$11.00	$4.75
87651 Detection test for Strep (Streptococcus, group A)	66	59	$96.00	$41.26
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	63	63	$151.49	$105.59
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	61	60	$44.00	$19.25
87502 Detection test by nucleic acid for multiple types influenza virus	57	51	$236.00	$101.15
J1040 Injection, methylprednisolone acetate, 80 mg	49	15	$17.82	$12.38
99213 Established patient office or other outpatient visit, typically 15 minutes	45	41	$160.00	$71.27
99220 Hospital observation care, typically 70 minutes	45	45	$356.00	$175.88
84439 Thyroxine (thyroid chemical), free	44	34	$24.00	$10.91
82306 Vitamin d-3 level	44	37	$82.00	$35.82
99238 Hospital discharge day management, 30 minutes or less	42	42	$140.64	$69.11
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	41	15	$4.00	$1.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	35	$75.00	$36.87
77080 Dxa bone density measurement of hip, pelvis, spine	37	37	$98.00	$39.84
84153 Psa (prostate specific antigen) measurement, total	35	35	$51.00	$22.26
90670 Pneumococcal vaccine for injection into muscle	29	29	$289.00	$198.90
69210 Removal of impacted ear wax	28	26	$108.00	$44.47
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	27	27	$29.00	$16.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$261.00	$124.73
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$198.00	$166.46
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	22	21	$87.00	$52.59
80048 Blood test, basic group of blood chemicals (calcium, total)	17	14	$23.00	$10.23
84550 Uric acid level, blood	16	15	$13.00	$5.47
99225 Subsequent observation care, typically 25 minutes per day	16	14	$140.00	$69.18
82150 Amylase (enzyme) level	15	14	$18.00	$7.32
82550 Creatine kinase (cardiac enzyme) level, total	14	12	$18.00	$7.39
83540 Iron level	14	11	$18.00	$7.27
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	13	13	$200.00	$98.76
69209 Removal of impacted ear wax by washing	12	12	$36.00	$15.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$362.00	$160.34
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$58.55	$23.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,706	538	$205.00	$99.78
36415 Insertion of needle into vein for collection of blood sample	1,238	543	$13.00	$2.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	981	529	$29.00	$6.24
80053 Blood test, comprehensive group of blood chemicals	979	529	$31.00	$11.93
81001 Manual urinalysis test with examination using microscope, automated	681	454	$17.00	$4.24
J1030 Injection, methylprednisolone acetate, 40 mg	565	139	$12.00	$5.77
80061 Blood test, lipids (cholesterol and triglycerides)	545	428	$44.00	$14.85
84443 Blood test, thyroid stimulating hormone (TSH)	528	375	$54.00	$22.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	391	391	$214.00	$107.66
G0008 Administration of influenza virus vaccine	318	317	$45.00	$23.36
83036 Hemoglobin A1C level	253	150	$34.00	$12.98
90662 Influenza vaccine split virus, preservative free	246	245	$61.78	$47.78
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	235	192	$229.77	$134.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	222	164	$74.59	$36.69
71020 X-ray of chest, 2 views, front and side	208	169	$82.00	$23.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	202	101	$41.00	$22.84
86140 Measurement C-reactive protein for detection of infection or inflammation	152	124	$23.00	$6.83
93000 Routine ekg using at least 12 leads including interpretation and report	149	126	$55.00	$15.42
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	146	118	$17.00	$4.68
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	142	95	$136.15	$68.14
82607 Cyanocobalamin (vitamin B-12) level	126	111	$39.00	$19.43
20610 Aspiration and/or injection of fluid from large joint	108	76	$164.58	$57.50
G0103 Prostate cancer screening; prostate specific antigen test (psa)	107	107	$59.00	$24.50
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	102	98	$44.00	$21.38
99213 Established patient office or other outpatient visit, typically 15 minutes	101	85	$127.00	$67.72
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	101	101	$259.51	$127.59
84439 Thyroxine (thyroid chemical), free	93	73	$36.00	$11.64
85610 Blood test, clotting time	91	20	$20.00	$5.28
83880 Natriuretic peptide (heart and blood vessel protein) level	89	69	$103.00	$44.77
J1040 Injection, methylprednisolone acetate, 80 mg	74	26	$20.00	$11.19
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	71	20	$16.00	$2.66
99221 Initial hospital inpatient care per day, typically 30 minutes	66	65	$191.45	$94.53
82043 Urine microalbumin (protein) level	65	56	$15.18	$7.69
82570 Creatinine level to test for kidney function or muscle injury	64	55	$19.00	$6.89
82306 Vitamin d-3 level	61	45	$76.00	$38.91
69210 Removal of impacted ear wax	57	55	$102.00	$42.70
G0009 Administration of pneumococcal vaccine	51	51	$45.00	$23.36
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	49	11	$37.00	$18.74
90653 Vaccine for influenza for injection into muscle	44	44	$63.00	$49.22
77080 Dxa bone density measurement of hip, pelvis, spine	43	43	$232.00	$37.33
99238 Hospital discharge day management, 30 minutes or less	43	42	$138.07	$67.28
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	40	38	$107.00	$50.00
99495 Transitional care management services for problem of at least moderate complexity	38	34	$276.00	$148.16
84153 Psa (prostate specific antigen) measurement, total	35	32	$59.00	$24.73
82550 Creatine kinase (cardiac enzyme) level, total	34	31	$23.00	$5.96
87502 Detection test by nucleic acid for multiple types influenza virus	33	32	$221.00	$114.40
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	33	15	$89.00	$38.52
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	32	30	$32.00	$15.77
99219 Hospital observation care, typically 50 minutes	31	31	$257.42	$128.11
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	30	$27.00	$18.03
20552 Injections of trigger points in 1 or 2 muscles	30	24	$97.00	$46.88
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$383.45	$186.16
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$117.00	$96.57
99218 Hospital observation care typically 30 minutes	28	28	$189.29	$93.73
90670 Pneumococcal vaccine for injection into muscle	22	22	$231.00	$186.21
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$308.00	$155.04
80048 Blood test, basic group of blood chemicals (calcium, total)	17	15	$29.00	$11.23
82150 Amylase (enzyme) level	16	16	$25.00	$8.71
84550 Uric acid level, blood	14	14	$17.00	$4.69
83540 Iron level	14	11	$18.00	$8.70
99224 Subsequent observation care, typically 15 minutes per day	14	12	$75.36	$37.64
99217 Hospital observation care on day of discharge	13	13	$138.08	$68.45
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$92.00	$25.29

Medical Specialties & State Licenses

CMS Verified: 2021-03-02

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NE 21148

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

0726315 (IA)

Medicaid State Provider ID

91182900813 (NE)

Commercial Insurance / Payer ID Uhc

04-00765 (NE)

Commercial Insurance / Payer ID Bcbs

04203 (NE)

Commercial Insurance / Payer ID Bcbs

35448 (NE)

Commercial Insurance / Payer ID Midland's Choice

11244 (NE)

Hospital & Practice Group Affiliations

Lincoln Internal Medicine Associates, Pc

3901 Pine Lake Rd, Lincoln, NE 685165497

Phone: 4024213240

Chi Health Clinic Specialty Llc

555 S 70th St, Lincoln, NE 685102462

Phone: 4022198000

Inpatient Physician Associates, Llc

2300 S 16th St, Lincoln, NE 685023704

Phone: 4024751011

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Scott Rasmussen , MD

Internal Medicine

NPI 1013920180

Doctor of Medicine (M.D.)

Dr. Lewis Plachy , MD

Internal Medicine

NPI 1083622450

Doctor of Medicine (M.D.)

Dr. Jason Potts , MD

Internal Medicine

NPI 1215940358

Doctor of Medicine (M.D.)

Dr. Gerold Stark , MD

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NPI 1235142316

Doctor of Medicine (M.D.)

Dr. Shawn Semin , MD

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Doctor of Medicine (M.D.)

Dr. Mark Reida , MD

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NPI 1356354419

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active March 01, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location March 01, 2011

Registered at 3901 PINE LAKE RD, SUITE 220, LINCOLN, NE 685165497 (Tel: 4024213240)

📍

Updated Business Mailing Address March 01, 2011

Registered at PO BOX 6971, LINCOLN, NE 685060971 (Tel: 4024213240)

👤

Provider Name / Credentials Updated March 01, 2011

Recorded as MICHAEL PACE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 01, 2011

Internal Medicine (License #21148 in NE)

🟢

Initial NPI Registration & Enumeration August 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: 1356352256

Entity Type:

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

Enumeration Date: August 10, 2006

Last Update: March 02, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 6971

Lincoln, NE 685060971

Phone: 4024213240

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.