Active NPI 1578595328 Individual Practitioner Male Practitioner

Dr. Tharun Shetty , MD

Internal Medicine • Babylon, NY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Tharun Shetty, MD is a certified Internal Medicine practicing in Babylon, NY. With approximately 37 years of clinical experience since completing medical education in 1989, Dr. Shetty delivers high-quality medical care to the local community at 28 S CARLL AVE.

Dr. Shetty is affiliated with Island Primary Medical Care Associates Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

28 S Carll Ave

Babylon, NY 117023403

Telephone 6316613245

Fax 6316612219

Associated Practice Facility / Clinic

🏢 Island Primary Medical Care Associates Pc Facility NPI 1487692083

Medicare Profile & Education

Medical School

Other

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Babylon, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +6.4 yrs vs City Avg

City Avg: 30.6 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

11 Specialists

Practicing in Babylon, NY (12979 Statewide)

Telehealth Adoption Rate

54.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

36.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Shetty (37 Years) 37 Yrs

Babylon Specialty Average (30.6 Years) 30.6 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
99213 Established patient office or other outpatient visit, typically 15 minutes	684	206	$127.35	$107.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	452	175	$176.93	$152.66
36415 Insertion of needle into vein for collection of blood sample	420	174	$22.50	$8.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	414	160	$97.01	$91.75
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	384	140	$138.64	$137.99
80076 Liver function blood test panel	357	165	$27.00	$8.01
80048 Blood test, basic group of blood chemicals (calcium, total)	356	165	$27.00	$8.29
84443 Blood test, thyroid stimulating hormone (TSH)	283	159	$135.00	$16.46
84480 Thyroid hormone, t3 measurement, total	209	152	$45.00	$13.90
80061 Blood test, lipids (cholesterol and triglycerides)	208	155	$97.50	$13.12
84439 Thyroxine (thyroid chemical), free	201	148	$75.00	$8.84
83970 Parathormone (parathyroid hormone) level	187	142	$141.00	$40.45
82607 Cyanocobalamin (vitamin B-12) level	184	142	$225.00	$14.78
82306 Vitamin d-3 level	184	145	$99.00	$29.01
82746 Folic acid level	182	143	$40.00	$14.41
99238 Hospital discharge day management, 30 minutes or less	161	142	$99.61	$94.56
83540 Iron level	153	119	$22.00	$6.34
82728 Ferritin (blood protein) level	152	119	$46.00	$13.36
83550 Iron binding capacity	152	118	$30.00	$8.57
83721 Ldl cholesterol level	142	99	$31.00	$10.29
82465 Cholesterol level	141	101	$15.00	$4.26
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	130	13	$87.60	$74.40
84550 Uric acid level, blood	129	101	$15.00	$4.43
83735 Magnesium level	128	101	$23.00	$6.57
99497 Advance care planning, first 30 minutes	122	119	$115.54	$97.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	119	119	$179.37	$156.76
99231 Follow-up hospital inpatient care per day, typically 15 minutes	119	68	$58.92	$54.84
G0444 Annual depression screening, 5 to 15 minutes	119	119	$25.60	$23.08
G0442 Annual alcohol misuse screening, 5 to 15 minutes	118	118	$26.09	$23.08
83036 Hemoglobin A1C level	109	60	$37.50	$9.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	92	27	$50.59	$17.12
G0008 Administration of influenza virus vaccine	88	88	$40.00	$37.09
87804 Detection test by immunoassay with direct visual observation for influenza virus	84	36	$75.00	$16.22
93880 Ultrasound of both sides of head and neck blood flow	80	80	$228.09	$189.68
84403 Testosterone (hormone) level, total	76	57	$88.00	$25.29
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	73	22	$5.00	$1.26
84153 Psa (prostate specific antigen) measurement, total	73	54	$97.50	$18.02
G0136 Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes	70	66	$44.00	$22.96
90480 Admn sarscov2 vacc 1 dose	60	60	$45.00	$44.10
91320 Sarscv2 vac 30mcg trs-suc im	60	60	$200.00	$152.78
90653 Vaccine for influenza for injection into muscle	56	56	$100.00	$81.82
84100 Phosphate level	50	47	$12.00	$4.65
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	48	41	$125.00	$34.62
93922 Ultrasound study of arm and leg arteries	45	45	$120.43	$100.39
94060 Test to measure expiratory airflow and volume changes before and after medication administration	44	43	$59.11	$47.34
94640 Inhalation treatment for airway obstruction or sputum production	44	43	$18.15	$10.06
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	43	41	$192.64	$158.03
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	40	$184.87	$153.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	40	37	$268.77	$201.50
G0009 Administration of pneumococcal vaccine	38	38	$35.39	$34.52
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	38	38	$530.00	$288.69
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	38	24	$143.22	$124.32
80305 Testing for presence of drug, read by direct observation	35	12	$80.00	$12.35
96116 Exam of neurobehavioral status, first hour	35	35	$127.02	$106.93
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	32	22	$79.98	$68.06
90658 Influenza vaccine, trivalent, 0.5 ml dosage	32	32	$52.50	$21.42
99291 Critical care, first 30-74 minutes	31	23	$393.97	$249.39
93000 Routine ekg using at least 12 leads including interpretation and report	30	27	$20.42	$17.08
82043 Urine microalbumin (protein) level	29	22	$35.00	$5.66
82570 Creatinine level to test for kidney function or muscle injury	29	22	$15.00	$5.08
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$255.79	$206.86
93925 Ultrasound of leg arteries or artery grafts	22	21	$355.66	$295.44
81002 Urinalysis, manual test	21	20	$37.50	$3.41
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	19	19	$215.53	$182.25
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	16	15	$47.07	$39.99
82977 Glutamyltransferase (liver enzyme) level	12	12	$25.00	$7.06

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	841	194	$127.28	$106.65
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	449	168	$101.53	$91.92
36415 Insertion of needle into vein for collection of blood sample	428	165	$22.50	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	387	164	$176.69	$150.60
80076 Liver function blood test panel	383	168	$27.00	$8.01
80048 Blood test, basic group of blood chemicals (calcium, total)	376	165	$27.00	$8.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	356	167	$141.40	$138.13
80061 Blood test, lipids (cholesterol and triglycerides)	198	149	$97.50	$13.12
83970 Parathormone (parathyroid hormone) level	197	150	$141.00	$40.30
82306 Vitamin d-3 level	192	145	$99.00	$29.01
82746 Folic acid level	188	139	$40.00	$14.36
82607 Cyanocobalamin (vitamin B-12) level	186	138	$225.00	$14.78
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	162	15	$87.12	$73.23
83721 Ldl cholesterol level	161	104	$31.00	$10.29
82465 Cholesterol level	156	104	$15.00	$4.26
99238 Hospital discharge day management, 30 minutes or less	150	133	$98.37	$94.23
99231 Follow-up hospital inpatient care per day, typically 15 minutes	142	88	$58.95	$53.47
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	129	$181.47	$151.87
83036 Hemoglobin A1C level	127	68	$37.50	$9.52
99497 Advance care planning, first 30 minutes	121	115	$117.48	$96.33
83540 Iron level	113	90	$22.00	$6.34
G0444 Annual depression screening, 5 to 15 minutes	112	112	$26.38	$21.99
G0442 Annual alcohol misuse screening, 5 to 15 minutes	111	111	$26.19	$21.99
83550 Iron binding capacity	110	87	$30.00	$8.57
G0008 Administration of influenza virus vaccine	106	106	$40.00	$35.98
82728 Ferritin (blood protein) level	104	85	$46.00	$13.36
84153 Psa (prostate specific antigen) measurement, total	91	66	$97.50	$18.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	87	19	$49.24	$16.71
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	71	14	$5.00	$1.51
84403 Testosterone (hormone) level, total	71	60	$88.00	$25.29
84550 Uric acid level, blood	67	56	$15.00	$4.43
83735 Magnesium level	67	56	$23.00	$6.57
80305 Testing for presence of drug, read by direct observation	59	22	$80.00	$12.35
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	59	59	$52.50	$20.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	53	32	$79.98	$67.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	50	$275.88	$201.68
82570 Creatinine level to test for kidney function or muscle injury	48	32	$15.00	$5.08
91320 Sarscv2 vac 30mcg trs-suc im	48	48	$183.33	$128.48
90480 Admn sarscov2 vacc 1 dose	48	48	$45.00	$44.10
94060 Test to measure expiratory airflow and volume changes before and after medication administration	48	45	$58.82	$46.78
82043 Urine microalbumin (protein) level	48	32	$35.00	$5.66
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	47	47	$150.00	$75.81
94640 Inhalation treatment for airway obstruction or sputum production	47	44	$18.05	$11.45
99291 Critical care, first 30-74 minutes	46	28	$401.37	$250.76
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	45	44	$530.00	$282.24
G0009 Administration of pneumococcal vaccine	44	43	$35.11	$34.34
93880 Ultrasound of both sides of head and neck blood flow	40	39	$230.13	$190.19
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	39	27	$125.00	$34.62
87804 Detection test by immunoassay with direct visual observation for influenza virus	34	17	$75.00	$16.22
81002 Urinalysis, manual test	29	22	$37.50	$3.41
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	28	17	$143.22	$121.35
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	26	26	$194.03	$157.96
84478 Triglycerides level	21	21	$20.00	$5.63
93922 Ultrasound study of arm and leg arteries	19	19	$120.43	$101.86
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	18	18	$73.67	$61.56
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$257.46	$210.54
93000 Routine ekg using at least 12 leads including interpretation and report	17	15	$20.42	$17.36
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	14	11	$57.59	$49.59
99239 Hospital discharge day management, more than 30 minutes	13	13	$141.65	$134.06
84100 Phosphate level	13	12	$12.00	$4.65
93925 Ultrasound of leg arteries or artery grafts	12	12	$355.66	$294.97
99496 Transitional care management services for problem of high complexity	11	11	$383.62	$326.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	11	11	$202.15	$152.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	818	221	$124.61	$106.54
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	590	196	$98.20	$82.80
36415 Insertion of needle into vein for collection of blood sample	489	190	$22.91	$2.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	468	184	$173.29	$149.60
80076 Liver function blood test panel	445	193	$27.00	$8.07
80048 Blood test, basic group of blood chemicals (calcium, total)	436	193	$27.00	$8.35
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	347	151	$140.77	$119.01
84443 Blood test, thyroid stimulating hormone (TSH)	266	169	$135.00	$16.66
80061 Blood test, lipids (cholesterol and triglycerides)	242	172	$97.50	$13.24
82607 Cyanocobalamin (vitamin B-12) level	225	160	$225.00	$14.91
82306 Vitamin d-3 level	221	164	$99.00	$29.23
82746 Folic acid level	216	154	$40.00	$14.53
83970 Parathormone (parathyroid hormone) level	206	145	$141.00	$40.62
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	202	25	$93.66	$75.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	189	92	$54.78	$45.85
83721 Ldl cholesterol level	184	107	$31.00	$10.36
82465 Cholesterol level	171	100	$15.00	$4.29
99238 Hospital discharge day management, 30 minutes or less	170	148	$101.27	$83.96
83036 Hemoglobin A1C level	157	91	$37.50	$9.58
84480 Thyroid hormone, t3 measurement, total	146	120	$45.00	$14.07
83540 Iron level	134	107	$22.00	$6.39
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	130	130	$206.43	$153.95
84550 Uric acid level, blood	129	109	$15.00	$4.48
83735 Magnesium level	128	109	$23.20	$6.64
82728 Ferritin (blood protein) level	126	98	$46.00	$13.45
83550 Iron binding capacity	124	97	$30.00	$8.62
99497 Advance care planning, first 30 minutes	122	118	$144.37	$99.35
G0444 Annual depression screening, 5 to 15 minutes	121	121	$36.37	$21.97
G0442 Annual alcohol misuse screening, 5 to 15 minutes	121	121	$27.50	$22.40
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	113	113	$52.50	$20.07
G0008 Administration of influenza virus vaccine	110	109	$40.00	$35.30
84153 Psa (prostate specific antigen) measurement, total	90	73	$97.50	$18.18
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	89	65	$125.00	$34.88
84439 Thyroxine (thyroid chemical), free	82	78	$75.00	$8.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	80	59	$78.92	$68.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	77	24	$48.69	$17.06
99291 Critical care, first 30-74 minutes	75	33	$385.54	$259.32
80305 Testing for presence of drug, read by direct observation	66	22	$80.00	$12.45
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	64	18	$4.80	$1.70
81002 Urinalysis, manual test	63	47	$37.50	$3.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	61	59	$274.73	$228.21
93880 Ultrasound of both sides of head and neck blood flow	61	60	$243.34	$192.61
94060 Test to measure expiratory airflow and volume changes before and after medication administration	58	54	$63.01	$47.66
0134A Fee covid-19 vac 14 res	56	56	$50.00	$46.30
91313 Coronavirus vaccine 14	56	56	$0.01	$0.01
94640 Inhalation treatment for airway obstruction or sputum production	53	48	$17.42	$14.39
84403 Testosterone (hormone) level, total	50	44	$88.00	$25.47
82043 Urine microalbumin (protein) level	48	32	$29.96	$5.70
82570 Creatinine level to test for kidney function or muscle injury	48	32	$15.00	$5.11
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	34	33	$223.25	$165.28
84478 Triglycerides level	31	25	$20.00	$5.69
93000 Routine ekg using at least 12 leads including interpretation and report	27	26	$25.73	$17.37
0094A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 50 mcg/0.5 ml dosage, booster dose	25	25	$50.00	$46.78
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	24	15	$144.31	$123.25
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$184.70	$159.40
93925 Ultrasound of leg arteries or artery grafts	17	17	$348.86	$302.64
G0009 Administration of pneumococcal vaccine	16	16	$34.50	$33.91
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	15	11	$46.77	$31.56
84100 Phosphate level	15	12	$12.00	$4.69
99239 Hospital discharge day management, more than 30 minutes	15	15	$152.21	$121.59
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	15	15	$74.26	$63.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	13	13	$250.11	$214.55
0064A Adm sarscov2 50mcg/0.25mlbst	13	13	$50.00	$47.11
91306 Sarscov2 vac 50mcg/0.25ml im	13	13	$0.01	$0.01
96116 Exam of neurobehavioral status, first hour	12	12	$127.02	$109.55
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$217.97	$181.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	860	200	$98.86	$97.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	668	245	$98.67	$84.84
36415 Insertion of needle into vein for collection of blood sample	505	186	$22.50	$3.00
80048 Blood test, basic group of blood chemicals (calcium, total)	473	205	$27.00	$8.45
80076 Liver function blood test panel	467	204	$27.00	$8.16
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	447	189	$147.72	$145.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	443	210	$141.42	$121.71
84443 Blood test, thyroid stimulating hormone (TSH)	426	200	$135.00	$16.80
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	272	29	$150.00	$48.84
84550 Uric acid level, blood	251	155	$15.00	$4.52
83735 Magnesium level	245	152	$23.31	$6.70
84480 Thyroid hormone, t3 measurement, total	238	154	$45.00	$14.18
99231 Follow-up hospital inpatient care per day, typically 15 minutes	224	90	$55.66	$45.03
80061 Blood test, lipids (cholesterol and triglycerides)	222	167	$97.50	$13.34
82607 Cyanocobalamin (vitamin B-12) level	221	153	$225.00	$15.08
83721 Ldl cholesterol level	220	125	$31.00	$10.50
99238 Hospital discharge day management, 30 minutes or less	214	177	$99.21	$85.43
82746 Folic acid level	212	146	$40.00	$14.70
82465 Cholesterol level	187	112	$15.00	$4.35
82306 Vitamin d-3 level	183	154	$99.00	$29.60
83970 Parathormone (parathyroid hormone) level	154	123	$141.00	$41.28
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	146	146	$450.00	$159.16
83036 Hemoglobin A1C level	146	86	$37.50	$9.71
84439 Thyroxine (thyroid chemical), free	130	109	$75.00	$9.02
G0008 Administration of influenza virus vaccine	123	122	$40.00	$20.37
99497 Advance care planning, first 30 minutes	121	120	$350.00	$101.34
G0444 Annual depression screening, 5 to 15 minutes	119	119	$112.50	$22.57
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	118	118	$52.50	$19.91
83540 Iron level	113	105	$22.00	$6.47
82728 Ferritin (blood protein) level	109	99	$46.00	$13.63
83550 Iron binding capacity	101	93	$30.00	$8.74
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	97	81	$37.38	$7.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	94	92	$271.32	$236.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	91	25	$50.92	$17.03
91301 Sarscov2 vac 100mcg/0.5ml im	90	51	$0.01	$0.01
G0442 Annual alcohol misuse screening, 5 to 15 minutes	88	88	$37.50	$22.57
84153 Psa (prostate specific antigen) measurement, total	84	68	$97.50	$18.39
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	83	18	$4.50	$1.96
93880 Ultrasound of both sides of head and neck blood flow	68	68	$304.20	$205.06
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	52	$60.16	$59.19
91306 Sarscov2 vac 50mcg/0.25ml im	66	66	$0.01	$0.01
0064A Adm sarscov2 50mcg/0.25mlbst	66	66	$50.00	$47.64
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	63	46	$125.00	$35.33
99291 Critical care, first 30-74 minutes	55	35	$377.51	$264.60
80305 Testing for presence of drug, read by direct observation	53	20	$80.00	$12.60
81002 Urinalysis, manual test	47	36	$37.50	$3.48
0011A Adm sarscov2 100mcg/0.5ml1st	47	47	$50.00	$47.64
94060 Test to measure expiratory airflow and volume changes before and after medication administration	47	46	$89.90	$57.53
94640 Inhalation treatment for airway obstruction or sputum production	46	46	$22.49	$18.09
0012A Adm sarscov2 100mcg/0.5ml2nd	44	44	$50.00	$47.64
84478 Triglycerides level	39	33	$20.00	$5.74
99496 Transitional care management services for problem of high complexity	34	25	$525.00	$334.30
93000 Routine ekg using at least 12 leads including interpretation and report	31	31	$30.64	$18.19
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	30	19	$148.44	$125.70
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	30	29	$379.96	$166.65
82570 Creatinine level to test for kidney function or muscle injury	27	21	$14.89	$5.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	26	$183.03	$161.85
82043 Urine microalbumin (protein) level	27	21	$24.00	$5.78
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	25	$95.85	$64.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	21	$203.39	$190.14
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	18	16	$73.53	$50.29
93925 Ultrasound of leg arteries or artery grafts	15	14	$297.82	$299.13
84100 Phosphate level	15	14	$12.00	$4.74
99239 Hospital discharge day management, more than 30 minutes	14	14	$164.43	$125.68
G0009 Administration of pneumococcal vaccine	12	12	$33.02	$20.22
84403 Testosterone (hormone) level, total	12	11	$88.00	$25.81
99495 Transitional care management services for problem of at least moderate complexity	11	11	$375.00	$247.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	885	205	$98.09	$89.51
36415 Insertion of needle into vein for collection of blood sample	539	204	$22.50	$2.98
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	501	218	$141.94	$121.63
80048 Blood test, basic group of blood chemicals (calcium, total)	500	219	$27.00	$8.41
80076 Liver function blood test panel	488	218	$27.00	$8.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	485	208	$147.09	$128.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	453	208	$99.26	$84.47
84443 Blood test, thyroid stimulating hormone (TSH)	448	212	$135.00	$16.71
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	374	197	$37.35	$7.73
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	364	54	$91.45	$81.20
84550 Uric acid level, blood	334	191	$15.00	$4.50
83735 Magnesium level	321	187	$23.31	$6.67
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	317	39	$150.00	$49.52
83721 Ldl cholesterol level	313	158	$31.00	$10.44
82465 Cholesterol level	247	144	$15.00	$4.33
84480 Thyroid hormone, t3 measurement, total	227	157	$45.00	$14.11
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	213	70	$122.04	$104.14
82306 Vitamin d-3 level	202	166	$99.00	$29.51
99238 Hospital discharge day management, 30 minutes or less	195	165	$99.47	$85.96
82607 Cyanocobalamin (vitamin B-12) level	185	142	$225.00	$15.02
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	179	48	$58.76	$51.64
83970 Parathormone (parathyroid hormone) level	175	145	$141.00	$41.13
82746 Folic acid level	171	135	$40.00	$14.64
80061 Blood test, lipids (cholesterol and triglycerides)	154	130	$97.50	$13.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	146	146	$448.36	$136.72
99497 Advance care planning, first 30 minutes	134	132	$350.54	$100.15
G0008 Administration of influenza virus vaccine	129	127	$38.70	$19.74
83036 Hemoglobin A1C level	127	76	$37.50	$9.59
G0444 Annual depression screening, 5 to 15 minutes	118	118	$112.50	$21.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	110	107	$269.41	$237.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	103	73	$54.35	$46.27
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	102	99	$52.50	$19.17
G0442 Annual alcohol misuse screening, 5 to 15 minutes	102	102	$37.50	$21.67
99291 Critical care, first 30-74 minutes	89	57	$379.36	$263.35
84153 Psa (prostate specific antigen) measurement, total	88	70	$97.50	$18.29
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	84	24	$50.12	$16.89
94060 Test to measure expiratory airflow and volume changes before and after medication administration	83	73	$91.38	$72.64
94640 Inhalation treatment for airway obstruction or sputum production	77	68	$22.50	$22.25
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	74	18	$4.50	$1.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	67	49	$58.82	$55.13
80305 Testing for presence of drug, read by direct observation	64	31	$54.22	$12.51
83540 Iron level	57	55	$22.00	$6.46
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	53	35	$148.17	$126.22
83550 Iron binding capacity	52	50	$30.00	$8.72
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	51	51	$82.38	$63.68
93880 Ultrasound of both sides of head and neck blood flow	51	51	$300.00	$198.16
82728 Ferritin (blood protein) level	50	48	$46.00	$13.61
G0009 Administration of pneumococcal vaccine	39	38	$32.89	$19.67
99496 Transitional care management services for problem of high complexity	35	27	$525.00	$289.08
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	34	34	$379.96	$170.06
81002 Urinalysis, manual test	31	26	$37.50	$3.45
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	30	29	$127.50	$118.59
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	26	21	$58.95	$48.75
93000 Routine ekg using at least 12 leads including interpretation and report	26	23	$33.84	$20.69
99306 Initial nursing facility visit, typically 45 minutes per day	25	25	$223.45	$194.81
90756 Vaccine for influenza for injection into muscle	24	23	$50.00	$27.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	22	$202.71	$166.67
99315 Nursing facility discharge day management, 30 minutes or less	23	23	$85.36	$84.84
82043 Urine microalbumin (protein) level	16	14	$24.00	$5.74
82570 Creatinine level to test for kidney function or muscle injury	15	13	$14.80	$5.14
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	14	13	$241.49	$186.19
99239 Hospital discharge day management, more than 30 minutes	14	14	$164.43	$125.22
84478 Triglycerides level	14	13	$20.00	$5.71
84439 Thyroxine (thyroid chemical), free	13	12	$75.00	$8.98
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	13	12	$65.89	$42.33
93925 Ultrasound of leg arteries or artery grafts	13	12	$297.82	$296.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$222.13	$197.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	802	228	$97.61	$87.09
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	699	293	$141.18	$119.87
36415 Insertion of needle into vein for collection of blood sample	613	225	$22.50	$2.94
80048 Blood test, basic group of blood chemicals (calcium, total)	526	230	$27.00	$9.21
80076 Liver function blood test panel	509	231	$27.00	$8.90
84443 Blood test, thyroid stimulating hormone (TSH)	497	229	$135.00	$18.30
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	466	100	$91.37	$79.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	427	193	$146.24	$126.93
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	376	58	$150.00	$48.48
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	360	197	$37.47	$8.46
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	352	97	$120.17	$106.36
84550 Uric acid level, blood	349	192	$15.00	$4.92
83735 Magnesium level	335	187	$23.07	$7.29
83721 Ldl cholesterol level	329	181	$31.00	$10.39
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	329	186	$97.98	$84.04
80061 Blood test, lipids (cholesterol and triglycerides)	246	173	$97.50	$14.58
84480 Thyroid hormone, t3 measurement, total	246	169	$45.00	$15.43
99238 Hospital discharge day management, 30 minutes or less	239	211	$97.97	$84.79
82306 Vitamin d-3 level	236	173	$99.00	$32.23
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	222	56	$59.20	$50.96
82465 Cholesterol level	196	135	$15.00	$4.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	172	172	$450.00	$136.63
82607 Cyanocobalamin (vitamin B-12) level	163	127	$225.00	$16.41
83970 Parathormone (parathyroid hormone) level	161	127	$141.00	$44.94
99291 Critical care, first 30-74 minutes	154	86	$378.89	$258.86
82746 Folic acid level	151	120	$40.00	$16.01
G0444 Annual depression screening, 5 to 15 minutes	142	142	$112.50	$21.36
83036 Hemoglobin A1C level	136	76	$37.50	$10.57
99497 Advance care planning, first 30 minutes	134	133	$350.00	$98.57
G0008 Administration of influenza virus vaccine	126	126	$29.87	$19.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	116	110	$272.30	$233.79
84153 Psa (prostate specific antigen) measurement, total	110	79	$97.50	$20.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	97	57	$54.95	$45.65
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	91	61	$58.82	$53.58
94060 Test to measure expiratory airflow and volume changes before and after medication administration	81	77	$89.94	$71.91
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	80	80	$52.50	$17.48
94640 Inhalation treatment for airway obstruction or sputum production	76	72	$22.50	$22.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	76	27	$49.44	$19.71
99306 Initial nursing facility visit, typically 45 minutes per day	71	67	$217.14	$192.11
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	68	44	$148.44	$125.63
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	63	18	$4.50	$1.80
93880 Ultrasound of both sides of head and neck blood flow	62	61	$300.00	$198.29
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	62	62	$81.62	$62.76
G0442 Annual alcohol misuse screening, 5 to 15 minutes	55	55	$37.50	$21.36
80305 Testing for presence of drug, read by direct observation	53	25	$30.00	$12.35
83540 Iron level	46	40	$22.00	$7.05
82043 Urine microalbumin (protein) level	46	32	$24.00	$6.29
90756 Vaccine for influenza for injection into muscle	46	46	$50.00	$26.13
82570 Creatinine level to test for kidney function or muscle injury	46	32	$14.93	$5.63
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	44	30	$59.28	$48.64
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	43	39	$379.96	$161.76
82728 Ferritin (blood protein) level	40	35	$46.00	$14.85
G0009 Administration of pneumococcal vaccine	40	39	$33.00	$19.35
83550 Iron binding capacity	40	36	$30.00	$9.52
99496 Transitional care management services for problem of high complexity	39	29	$525.00	$271.36
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	32	$194.97	$170.37
93000 Routine ekg using at least 12 leads including interpretation and report	33	31	$30.69	$20.16
81002 Urinalysis, manual test	32	26	$37.50	$3.41
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	32	31	$127.50	$111.34
99315 Nursing facility discharge day management, 30 minutes or less	31	31	$85.54	$85.22
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	24	23	$215.21	$185.99
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	24	23	$58.76	$40.99
99239 Hospital discharge day management, more than 30 minutes	23	21	$141.83	$123.75
84110 Urine porphobilinogen (metabolism substance) level	19	14	$29.00	$9.19
99495 Transitional care management services for problem of at least moderate complexity	18	17	$375.00	$192.19
84478 Triglycerides level	18	17	$20.00	$6.25
93925 Ultrasound of leg arteries or artery grafts	16	16	$297.82	$297.22
84439 Thyroxine (thyroid chemical), free	11	11	$75.00	$9.82
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$222.13	$193.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	901	236	$98.10	$82.23
95004 Test for allergy using allergenic extract	862	12	$11.04	$6.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	723	287	$141.53	$115.69
36415 Insertion of needle into vein for collection of blood sample	641	227	$22.50	$2.94
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	622	84	$150.00	$47.26
80048 Blood test, basic group of blood chemicals (calcium, total)	588	241	$27.00	$10.23
80076 Liver function blood test panel	542	235	$27.00	$9.89
84443 Blood test, thyroid stimulating hormone (TSH)	537	232	$135.00	$20.33
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	471	203	$146.21	$120.38
83721 Ldl cholesterol level	443	208	$31.00	$11.54
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	411	210	$37.50	$9.40
84550 Uric acid level, blood	353	194	$15.00	$5.47
83735 Magnesium level	340	189	$23.00	$8.10
84480 Thyroid hormone, t3 measurement, total	337	198	$45.00	$17.16
80061 Blood test, lipids (cholesterol and triglycerides)	329	210	$97.50	$16.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	278	168	$100.76	$80.73
82306 Vitamin d-3 level	238	168	$99.00	$35.82
99238 Hospital discharge day management, 30 minutes or less	226	199	$99.70	$81.66
83970 Parathormone (parathyroid hormone) level	199	149	$141.00	$49.94
82607 Cyanocobalamin (vitamin B-12) level	192	143	$225.00	$18.24
82746 Folic acid level	177	132	$40.00	$17.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	167	167	$449.10	$131.34
99497 Advance care planning, first 30 minutes	162	160	$350.00	$94.20
G0444 Annual depression screening, 5 to 15 minutes	159	159	$112.50	$20.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	158	142	$270.39	$224.75
G0442 Annual alcohol misuse screening, 5 to 15 minutes	146	146	$37.50	$20.76
83036 Hemoglobin A1C level	141	79	$37.50	$11.75
G0008 Administration of influenza virus vaccine	136	136	$28.82	$24.01
82465 Cholesterol level	135	105	$15.00	$5.26
99291 Critical care, first 30-74 minutes	133	79	$382.33	$248.43
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	133	39	$90.58	$77.39
90756 Vaccine for influenza for injection into muscle	122	122	$47.62	$22.33
84153 Psa (prostate specific antigen) measurement, total	112	74	$97.50	$22.26
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	98	50	$120.20	$102.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	94	60	$58.82	$50.14
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	87	28	$34.06	$23.47
94640 Inhalation treatment for airway obstruction or sputum production	81	74	$22.51	$22.03
94060 Test to measure expiratory airflow and volume changes before and after medication administration	81	74	$89.99	$70.84
G0009 Administration of pneumococcal vaccine	79	79	$32.95	$24.01
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	75	20	$4.50	$1.94
80305 Testing for presence of drug, read by direct observation	69	31	$30.00	$13.19
99231 Follow-up hospital inpatient care per day, typically 15 minutes	65	44	$58.59	$43.42
82570 Creatinine level to test for kidney function or muscle injury	62	41	$15.00	$6.26
82043 Urine microalbumin (protein) level	61	41	$24.00	$7.00
G0506 Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)	61	61	$150.49	$71.35
84110 Urine porphobilinogen (metabolism substance) level	61	52	$29.00	$10.21
81002 Urinalysis, manual test	57	50	$37.50	$3.41
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	53	53	$127.50	$105.59
83540 Iron level	53	46	$22.00	$7.83
93880 Ultrasound of both sides of head and neck blood flow	50	48	$300.00	$189.87
82728 Ferritin (blood protein) level	49	41	$46.00	$16.49
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	48	32	$149.51	$121.18
83550 Iron binding capacity	47	40	$30.00	$10.57
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	47	25	$60.73	$49.62
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	43	41	$201.33	$160.06
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	42	41	$78.10	$60.96
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	41	40	$373.29	$164.47
99496 Transitional care management services for problem of high complexity	40	28	$525.00	$261.91
93000 Routine ekg using at least 12 leads including interpretation and report	35	33	$30.69	$19.55
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	32	32	$226.95	$181.82
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	31	31	$61.82	$39.67
90670 Pneumococcal vaccine for injection into muscle	26	26	$245.00	$197.25
99239 Hospital discharge day management, more than 30 minutes	26	24	$147.91	$119.75
93925 Ultrasound of leg arteries or artery grafts	20	20	$297.82	$290.72
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	18	15	$59.28	$47.40
84439 Thyroxine (thyroid chemical), free	15	15	$75.00	$10.91
99306 Initial nursing facility visit, typically 45 minutes per day	14	14	$217.14	$184.77
99495 Transitional care management services for problem of at least moderate complexity	13	12	$375.00	$184.87
83718 Hdl cholesterol level	13	13	$28.00	$9.92
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$241.67	$173.25
84478 Triglycerides level	11	11	$20.00	$6.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	826	228	$98.81	$81.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	680	271	$140.52	$115.52
36415 Insertion of needle into vein for collection of blood sample	572	223	$22.50	$2.94
80048 Blood test, basic group of blood chemicals (calcium, total)	508	241	$27.00	$4.89
84443 Blood test, thyroid stimulating hormone (TSH)	482	239	$135.00	$22.59
80076 Liver function blood test panel	469	236	$27.00	$4.70
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	427	197	$148.33	$118.24
83721 Ldl cholesterol level	424	208	$31.00	$12.83
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	419	209	$97.93	$79.62
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	370	212	$37.44	$10.45
80061 Blood test, lipids (cholesterol and triglycerides)	321	212	$97.50	$15.72
82306 Vitamin d-3 level	266	195	$99.00	$39.80
84480 Thyroid hormone, t3 measurement, total	209	141	$45.14	$19.06
99238 Hospital discharge day management, 30 minutes or less	205	169	$97.40	$80.30
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	198	45	$150.00	$47.16
82746 Folic acid level	198	157	$40.00	$19.77
82607 Cyanocobalamin (vitamin B-12) level	190	156	$225.00	$20.27
84550 Uric acid level, blood	187	134	$15.00	$2.47
83735 Magnesium level	185	134	$23.00	$9.01
99291 Critical care, first 30-74 minutes	180	95	$377.01	$249.26
83036 Hemoglobin A1C level	164	95	$37.50	$13.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	145	130	$269.14	$225.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	138	138	$450.00	$130.06
G0442 Annual alcohol misuse screening, 5 to 15 minutes	136	136	$38.05	$20.33
90661 Influenza vaccine, trivalent derived from cell cultures	127	127	$45.00	$22.48
G0008 Administration of influenza virus vaccine	127	126	$28.85	$28.25
G0444 Annual depression screening, 5 to 15 minutes	127	127	$112.50	$20.33
82465 Cholesterol level	126	94	$15.00	$2.73
83970 Parathormone (parathyroid hormone) level	106	92	$141.00	$55.49
84153 Psa (prostate specific antigen) measurement, total	105	76	$97.50	$24.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	97	61	$58.82	$49.55
99497 Advance care planning, first 30 minutes	93	92	$348.92	$89.69
99231 Follow-up hospital inpatient care per day, typically 15 minutes	87	58	$54.41	$43.70
83540 Iron level	81	72	$22.00	$8.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	79	28	$33.20	$29.17
94060 Test to measure expiratory airflow and volume changes before and after medication administration	78	69	$91.53	$70.44
81002 Urinalysis, manual test	78	58	$37.50	$3.43
82728 Ferritin (blood protein) level	73	64	$46.00	$18.33
94640 Inhalation treatment for airway obstruction or sputum production	71	63	$23.35	$21.87
G0009 Administration of pneumococcal vaccine	67	67	$33.00	$29.93
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	67	17	$4.50	$2.98
83550 Iron binding capacity	66	62	$30.00	$11.75
84439 Thyroxine (thyroid chemical), free	63	51	$75.00	$12.12
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	62	20	$92.07	$76.89
82043 Urine microalbumin (protein) level	58	40	$24.00	$7.77
82570 Creatinine level to test for kidney function or muscle injury	58	40	$15.00	$6.96
80305 Testing for presence of drug, read by direct observation	54	28	$30.00	$14.66
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	53	33	$149.41	$120.75
93880 Ultrasound of both sides of head and neck blood flow	52	50	$305.77	$192.48
93000 Routine ekg using at least 12 leads including interpretation and report	44	37	$30.69	$19.58
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	42	41	$397.70	$194.35
90670 Pneumococcal vaccine for injection into muscle	41	41	$239.15	$182.25
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	40	22	$119.23	$101.35
99239 Hospital discharge day management, more than 30 minutes	38	36	$149.80	$119.12
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	31	30	$77.86	$60.78
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	28	24	$59.18	$46.96
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	26	24	$201.78	$161.92
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$127.50	$96.87
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	25	16	$112.50	$28.56
84110 Urine porphobilinogen (metabolism substance) level	24	23	$29.00	$11.35
93925 Ultrasound of leg arteries or artery grafts	24	22	$297.82	$291.62
99496 Transitional care management services for problem of high complexity	21	18	$525.00	$259.03
95250 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment	20	19	$215.64	$185.33
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$229.06	$185.71
99306 Initial nursing facility visit, typically 45 minutes per day	18	17	$216.57	$184.33
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	14	14	$58.88	$48.20
93922 Ultrasound study of arm and leg arteries	12	12	$189.58	$102.12
69210 Removal of impacted ear wax	11	11	$70.13	$56.40

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 211206

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.

Hospital & Practice Group Affiliations

Island Primary Medical Care Associates Pc

4625 Merrick Rd, Massapequa, NY 117586010

Phone: 5167981116

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Rohit Rai , MD

Internal Medicine

NPI 1538319710

Doctor of Medicine (M.D.)

Dr. Joseph Adiyody , MD

Internal Medicine

NPI 1568491868

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 December 07, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location December 07, 2010

Registered at 28 S CARLL AVE, BABYLON, NY 117023403 (Tel: 6316613245)

📍

Updated Business Mailing Address December 07, 2010

Registered at PO BOX 9461, UNIONDALE, NY 115559461

👤

Provider Name / Credentials Updated December 07, 2010

Recorded as THARUN SHETTY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2010

Internal Medicine (License #211206 in NY)

🟢

Initial NPI Registration & Enumeration July 06, 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: 1578595328

Entity Type:

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

Enumeration Date: July 06, 2006

Last Update: December 07, 2010

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 9461

Uniondale, NY 115559461

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.