Active NPI 1528045416 Individual Practitioner Male Practitioner

Dr. David Schwalb , MD

Internal Medicine • Ferndale, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. David Schwalb, MD is a certified Internal Medicine practicing in Ferndale, NY. With approximately 38 years of clinical experience since graduating from Baylor College Of Medicine in 1988, Dr. Schwalb delivers high-quality medical care to the local community at 111 SULLIVAN AVE.

Dr. Schwalb is affiliated with Middletown Medical Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml, established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

111 Sullivan Ave
Liberty Medical Group

Ferndale, NY 127344315

Telephone 8452926630

Fax 8452928460

Associated Practice Facility / Clinic

🏢 Excel Physical Therapy & Wellness, Pc Facility NPI 1265482954

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Ferndale, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs Matches City Avg

City Avg: 38.0 Yrs

State Avg: 29.4 Yrs

Regional Practice Density

1 Specialists

Practicing in Ferndale, NY (12979 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

12.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Schwalb (38 Years) 38 Yrs

Ferndale Specialty Average (38.0 Years) 38.0 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
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,380	34	$0.13	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,768	636	$142.15	$111.37
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	1,106	530	$17.29	$16.84
36415 Insertion of needle into vein for collection of blood sample	1,050	592	$8.82	$8.35
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	943	569	$8.03	$7.57
80053 Blood test, comprehensive group of blood chemicals	889	559	$10.99	$10.35
83036 Hemoglobin A1C level	783	526	$9.96	$9.50
J1010 Injection, methylprednisolone acetate, 1 mg	570	14	$0.16	$0.13
84443 Blood test, thyroid stimulating hormone (TSH)	519	467	$17.08	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	517	471	$13.65	$13.09
84439 Thyroxine (thyroid chemical), free	504	460	$9.12	$8.84
99497 Advance care planning, first 30 minutes	436	434	$91.34	$72.80
93000 Routine ekg using at least 12 leads including interpretation and report	428	407	$16.06	$15.32
G0444 Annual depression screening, 5 to 15 minutes	418	418	$20.80	$19.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	386	386	$143.03	$112.27
G0008 Administration of influenza virus vaccine	273	271	$30.00	$29.40
85610 Blood test, clotting time	186	31	$4.35	$4.20
99213 Established patient office or other outpatient visit, typically 15 minutes	148	133	$101.54	$81.29
90662 Influenza vaccine split virus, preservative free	140	140	$83.35	$81.68
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	128	19	$25.89	$20.70
90653 Vaccine for influenza for injection into muscle	117	117	$83.49	$81.82
71046 X-ray of chest, 2 views	101	87	$28.42	$24.75
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	98	12	$52.78	$43.18
81002 Urinalysis, manual test	94	69	$3.58	$3.41
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	89	12	$54.49	$42.68
G0103 Prostate cancer screening; prostate specific antigen test (psa)	85	85	$19.31	$18.92
90480 Admn sarscov2 vacc 1 dose	83	83	$41.20	$38.73
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	78	16	$16.43	$15.18
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	75	14	$1.35	$1.22
99498 Advance care planning by the physician or other qualified health care professional	75	75	$82.12	$67.25
86618 Analysis for antibody borrelia burgdorferi (lyme disease bacteria)	60	28	$18.46	$16.69
84153 Psa (prostate specific antigen) measurement, total	59	56	$18.39	$18.02
82306 Vitamin d-3 level	52	51	$29.60	$29.01
82607 Cyanocobalamin (vitamin B-12) level	51	49	$15.08	$14.78
91322 Sarscov2 vac 50 mcg/0.5ml im	51	51	$161.65	$158.42
99496 Transitional care management services for problem of high complexity	49	46	$315.23	$289.39
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	46	40	$225.75	$156.61
85045 Red blood count, automated test	40	15	$4.77	$3.91
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	37	37	$1.31	$1.29
96127 Assessment of emotional or behavioral problems	32	28	$5.28	$5.10
91320 Sarscv2 vac 30mcg trs-suc im	32	32	$159.95	$142.69
69210 Removal of impacted ear wax	32	30	$52.20	$51.21
G0442 Annual alcohol misuse screening, 5 to 15 minutes	29	29	$20.30	$19.89
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	28	28	$44.19	$40.55
73030 X-ray of shoulder, minimum of 2 views	25	22	$27.26	$26.73
73562 X-ray of knee, 3 views	25	22	$35.80	$35.12
82570 Creatinine level to test for kidney function or muscle injury	25	24	$6.17	$5.08
82043 Urine microalbumin (protein) level	25	23	$7.08	$5.66
73502 X-ray of hip, 2-3 views	22	21	$44.09	$38.91
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	22	19	$4.27	$4.18
72100 X-ray of lower and sacral spine, 2-3 views	20	18	$34.82	$29.81
73610 X-ray of ankle, minimum of 3 views	20	15	$30.13	$25.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$180.49	$177.42
74177 Ct scan of abdomen and pelvis with contrast	18	18	$254.63	$245.00
73130 X-ray of hand, minimum of 3 views	18	14	$30.89	$30.30
86140 Measurement C-reactive protein for detection of infection or inflammation	18	15	$5.18	$5.08
87502 Detection test by nucleic acid for multiple types influenza virus	17	17	$95.80	$93.88
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	17	17	$132.53	$100.51
85730 Coagulation assessment blood test, plasma or whole blood	17	16	$6.01	$5.89
20610 Aspiration and/or injection of fluid from large joint	17	15	$71.35	$69.88
80048 Blood test, basic group of blood chemicals (calcium, total)	16	16	$10.27	$8.29
71250 Ct scan of chest without contrast	16	16	$96.12	$92.78
71271 Low dose ct scan of chest for lung cancer screening	16	16	$156.10	$94.42
87634 Detection test by nucleic acid for respiratory syncytial virus, amplified probe technique	15	15	$70.20	$68.80
90661 Influenza vaccine, trivalent derived from cell cultures	15	15	$36.85	$36.11
84550 Uric acid level, blood	15	13	$4.52	$4.43
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$212.56	$175.29
74176 Ct scan of abdomen and pelvis without contrast	14	14	$119.75	$115.42
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$61.53	$51.10
76536 Ultrasound of head and neck	13	13	$94.33	$91.32
82746 Folic acid level	12	12	$14.70	$14.41
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg	12	11	$0.03	$0.03
70450 Ct scan head or brain without contrast	12	12	$77.82	$62.33
77063 Screening digital tomography of both breasts	11	11	$57.99	$25.90
77067 Screening mammography	11	11	$103.52	$99.69
70551 Mri scan of brain without contrast	11	11	$149.21	$143.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,137	24	$0.12	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,777	642	$141.16	$136.77
36415 Insertion of needle into vein for collection of blood sample	1,034	602	$7.54	$7.19
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	938	587	$8.02	$7.56
80053 Blood test, comprehensive group of blood chemicals	922	586	$11.04	$10.32
83036 Hemoglobin A1C level	787	542	$9.95	$9.51
80061 Blood test, lipids (cholesterol and triglycerides)	580	521	$13.60	$13.12
84443 Blood test, thyroid stimulating hormone (TSH)	541	496	$17.06	$16.46
84439 Thyroxine (thyroid chemical), free	534	491	$9.16	$8.84
99497 Advance care planning, first 30 minutes	487	481	$90.89	$87.70
93000 Routine ekg using at least 12 leads including interpretation and report	479	458	$16.51	$15.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	473	473	$141.25	$137.91
G0444 Annual depression screening, 5 to 15 minutes	430	430	$20.50	$19.88
G0008 Administration of influenza virus vaccine	257	253	$30.00	$29.40
85610 Blood test, clotting time	208	35	$4.47	$4.20
99213 Established patient office or other outpatient visit, typically 15 minutes	208	185	$99.33	$97.14
93793 Anticoagulant management of patient taking warfarin	162	12	$12.53	$12.27
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	154	150	$75.85	$74.33
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	122	19	$26.09	$25.17
G0103 Prostate cancer screening; prostate specific antigen test (psa)	100	100	$19.89	$18.92
90662 Influenza vaccine split virus, preservative free	88	88	$75.35	$71.11
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	88	18	$15.45	$15.21
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	87	17	$1.71	$1.50
99496 Transitional care management services for problem of high complexity	72	62	$314.73	$292.67
81002 Urinalysis, manual test	70	57	$3.48	$3.41
71046 X-ray of chest, 2 views	68	67	$27.91	$26.11
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	62	57	$69.22	$40.29
84153 Psa (prostate specific antigen) measurement, total	59	54	$18.39	$18.02
99442 Telephone medical discussion with physician, 11-20 minutes	54	39	$98.82	$97.08
86618 Analysis for antibody borrelia burgdorferi (lyme disease bacteria)	50	25	$17.03	$16.69
82607 Cyanocobalamin (vitamin B-12) level	34	33	$15.08	$14.78
96127 Assessment of emotional or behavioral problems	33	30	$5.36	$5.27
99457 Management using the results of remote vital sign monitoring per calendar month, first 20 minutes	31	12	$52.97	$52.12
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	29	20	$4.27	$4.18
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	28	28	$1.29	$1.27
82306 Vitamin d-3 level	28	27	$29.60	$29.01
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	27	27	$65.61	$50.28
82044 Urine microalbumin (protein) analysis	26	21	$6.23	$6.11
69210 Removal of impacted ear wax	26	22	$55.39	$51.92
87502 Detection test by nucleic acid for multiple types influenza virus	23	22	$106.24	$93.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$189.06	$179.77
70551 Mri scan of brain without contrast	22	21	$150.40	$148.12
83970 Parathormone (parathyroid hormone) level	21	12	$41.28	$40.45
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$196.48	$175.33
83735 Magnesium level	21	14	$6.70	$6.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	19	$219.21	$182.29
86140 Measurement C-reactive protein for detection of infection or inflammation	19	13	$5.18	$5.08
83880 Natriuretic peptide (heart and blood vessel protein) level	18	13	$44.75	$37.15
82746 Folic acid level	16	16	$14.70	$14.41
74177 Ct scan of abdomen and pelvis with contrast	16	16	$259.71	$255.69
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	16	16	$33.70	$33.02
G0009 Administration of pneumococcal vaccine	16	16	$30.00	$29.40
84550 Uric acid level, blood	15	13	$4.52	$4.43
73502 X-ray of hip, 2-3 views	15	15	$40.94	$40.41
76705 Limited ultrasound scan of abdomen	14	14	$67.98	$66.82
76536 Ultrasound of head and neck	14	14	$94.90	$93.53
99453 Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment	14	11	$21.58	$21.23
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	14	14	$25.00	$24.50
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	14	14	$75.00	$73.50
80048 Blood test, basic group of blood chemicals (calcium, total)	14	13	$8.46	$8.29
77067 Screening mammography	14	14	$103.84	$101.76
77063 Screening digital tomography of both breasts	14	14	$56.01	$26.42
85730 Coagulation assessment blood test, plasma or whole blood	13	13	$4.85	$4.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$62.06	$61.30
71250 Ct scan of chest without contrast	13	12	$106.02	$96.62
70450 Ct scan head or brain without contrast	12	12	$78.38	$67.51
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	12	12	$177.03	$116.86
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	11	11	$288.21	$282.45
73030 X-ray of shoulder, minimum of 2 views	11	11	$28.95	$28.57
71271 Low dose ct scan of chest for lung cancer screening	11	11	$157.85	$100.67
99495 Transitional care management services for problem of at least moderate complexity	11	11	$222.97	$219.01
76700 Ultrasound of abdomen	11	11	$89.12	$87.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,231	24	$0.12	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,986	672	$141.43	$94.57
36415 Insertion of needle into vein for collection of blood sample	1,101	617	$3.20	$2.96
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,014	593	$8.01	$7.63
80053 Blood test, comprehensive group of blood chemicals	968	592	$11.15	$10.42
83036 Hemoglobin A1C level	787	546	$10.04	$9.56
80061 Blood test, lipids (cholesterol and triglycerides)	562	509	$13.53	$13.20
84443 Blood test, thyroid stimulating hormone (TSH)	551	498	$16.97	$16.58
84439 Thyroxine (thyroid chemical), free	547	495	$9.12	$8.89
93000 Routine ekg using at least 12 leads including interpretation and report	504	463	$16.60	$15.79
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	503	503	$144.16	$18.27
99497 Advance care planning, first 30 minutes	494	490	$93.35	$17.52
G0444 Annual depression screening, 5 to 15 minutes	429	429	$20.44	$20.09
G0008 Administration of influenza virus vaccine	346	342	$30.05	$29.44
85610 Blood test, clotting time	241	40	$4.89	$4.24
93793 Anticoagulant management of patient taking warfarin	198	11	$12.41	$12.21
90662 Influenza vaccine split virus, preservative free	179	179	$69.88	$67.87
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	154	31	$27.26	$46.52
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	142	139	$69.43	$67.73
99213 Established patient office or other outpatient visit, typically 15 minutes	120	94	$101.45	$86.86
81002 Urinalysis, manual test	99	81	$3.56	$3.44
G0103 Prostate cancer screening; prostate specific antigen test (psa)	97	97	$19.31	$19.06
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	96	13	$16.59	$15.65
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	96	13	$1.78	$1.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	65	$200.10	$113.70
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	72	66	$87.85	$73.10
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	72	66	$30.56	$24.36
99496 Transitional care management services for problem of high complexity	66	57	$311.16	$155.26
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	64	57	$120.00	$40.26
71046 X-ray of chest, 2 views	53	49	$27.00	$26.26
0134A Fee covid-19 vac 14 res	50	50	$43.20	$39.26
86618 Analysis for antibody borrelia burgdorferi (lyme disease bacteria)	40	19	$17.03	$16.83
84153 Psa (prostate specific antigen) measurement, total	39	35	$18.39	$18.10
82044 Urine microalbumin (protein) analysis	32	32	$6.72	$6.17
82607 Cyanocobalamin (vitamin B-12) level	32	29	$17.57	$14.88
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	31	29	$1.34	$1.33
69210 Removal of impacted ear wax	29	26	$53.57	$51.23
82306 Vitamin d-3 level	26	21	$33.27	$29.16
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	25	25	$32.44	$30.95
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	23	17	$4.27	$4.23
0124A Fee covid-19 vac 13 res	23	23	$40.00	$39.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$192.12	$183.50
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$191.10	$162.59
0013A Adm sarscov2 100mcg/0.5ml3rd	22	21	$40.00	$39.67
83615 Lactate dehydrogenase (enzyme) level	21	18	$6.04	$5.95
80048 Blood test, basic group of blood chemicals (calcium, total)	21	17	$8.46	$8.33
82977 Glutamyltransferase (liver enzyme) level	19	16	$8.14	$7.10
84550 Uric acid level, blood	19	16	$4.52	$4.45
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	19	17	$16.93	$16.74
99498 Advance care planning by the physician or other qualified health care professional	18	18	$79.74	$28.35
99442 Telephone medical discussion with physician, 11-20 minutes	17	15	$99.51	$98.53
76536 Ultrasound of head and neck	16	15	$99.97	$96.81
73560 X-ray of knee, 1-2 views	16	11	$30.01	$29.62
73030 X-ray of shoulder, minimum of 2 views	16	12	$29.88	$29.00
82746 Folic acid level	15	15	$17.39	$13.59
83970 Parathormone (parathyroid hormone) level	15	11	$41.28	$40.70
77067 Screening mammography	14	14	$105.73	$103.92
77063 Screening digital tomography of both breasts	14	14	$58.78	$26.31
86140 Measurement C-reactive protein for detection of infection or inflammation	14	12	$5.18	$5.13
20610 Aspiration and/or injection of fluid from large joint	14	13	$73.53	$72.73
73562 X-ray of knee, 3 views	13	11	$39.33	$36.23
74177 Ct scan of abdomen and pelvis with contrast	13	13	$270.35	$268.02
71250 Ct scan of chest without contrast	13	13	$103.55	$90.72
G0009 Administration of pneumococcal vaccine	12	12	$29.96	$29.56
71271 Low dose ct scan of chest for lung cancer screening	11	11	$160.73	$99.07
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$33.46	$33.11
70551 Mri scan of brain without contrast	11	11	$154.86	$153.57

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	2,131	717	$142.96	$106.61
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,000	20	$0.11	$0.11
36415 Insertion of needle into vein for collection of blood sample	1,364	685	$3.12	$2.99
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,202	666	$7.88	$7.74
80053 Blood test, comprehensive group of blood chemicals	1,171	676	$10.84	$10.55
83036 Hemoglobin A1C level	935	616	$9.91	$9.66
80061 Blood test, lipids (cholesterol and triglycerides)	695	583	$13.58	$13.29
84439 Thyroxine (thyroid chemical), free	639	559	$9.22	$8.95
84443 Blood test, thyroid stimulating hormone (TSH)	638	557	$17.18	$16.80
93000 Routine ekg using at least 12 leads including interpretation and report	616	551	$16.80	$16.43
99497 Advance care planning, first 30 minutes	551	544	$93.44	$92.13
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	522	522	$145.06	$144.87
G0444 Annual depression screening, 5 to 15 minutes	483	483	$20.59	$20.52
G0008 Administration of influenza virus vaccine	440	439	$29.56	$18.58
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	361	330	$82.53	$75.00
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within	357	328	$27.03	$25.00
85610 Blood test, clotting time	297	53	$5.00	$4.29
99213 Established patient office or other outpatient visit, typically 15 minutes	281	213	$100.59	$79.36
93793 Anticoagulant management of patient taking warfarin	232	12	$12.50	$12.42
81002 Urinalysis, manual test	231	198	$3.58	$3.46
90662 Influenza vaccine split virus, preservative free	211	211	$64.69	$64.22
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	197	196	$64.78	$64.78
0011A Adm sarscov2 100mcg/0.5ml1st	195	195	$45.13	$40.24
0012A Adm sarscov2 100mcg/0.5ml2nd	187	187	$45.13	$40.12
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	160	31	$27.96	$19.82
0013A Adm sarscov2 100mcg/0.5ml3rd	129	129	$51.16	$40.25
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	120	19	$15.52	$15.52
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	115	17	$1.99	$1.99
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	100	85	$198.66	$148.50
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	90	85	$120.00	$41.38
86618 Analysis for antibody borrelia burgdorferi (lyme disease bacteria)	88	44	$17.89	$16.93
99496 Transitional care management services for problem of high complexity	76	63	$312.31	$297.54
82044 Urine microalbumin (protein) analysis	67	67	$6.23	$6.23
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	65	63	$113.18	$51.31
71046 X-ray of chest, 2 views	59	54	$26.90	$25.22
99442 Telephone medical discussion with physician, 11-20 minutes	45	35	$100.83	$100.83
99498 Advance care planning by the physician or other qualified health care professional	39	39	$80.01	$80.01
82607 Cyanocobalamin (vitamin B-12) level	38	37	$16.13	$14.68
69210 Removal of impacted ear wax	37	34	$53.55	$52.10
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	33	33	$30.57	$28.90
0031A Adm sarscov2 vac ad26 .5ml	33	33	$43.64	$40.33
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	30	25	$18.17	$16.95
86617 Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria)	28	14	$17.95	$14.38
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	27	21	$4.27	$4.27
83880 Natriuretic peptide (heart and blood vessel protein) level	27	13	$39.26	$39.26
99441 Telephone medical discussion with physician, 5-10 minutes	26	23	$64.25	$60.71
82746 Folic acid level	23	22	$16.45	$14.42
86140 Measurement C-reactive protein for detection of infection or inflammation	23	19	$5.18	$5.18
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	22	22	$1.38	$1.38
84550 Uric acid level, blood	21	20	$4.93	$4.30
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$182.83	$182.83
82150 Amylase (enzyme) level	21	20	$6.48	$6.48
80048 Blood test, basic group of blood chemicals (calcium, total)	21	19	$8.46	$8.46
74177 Ct scan of abdomen and pelvis with contrast	17	17	$265.46	$265.46
82306 Vitamin d-3 level	17	16	$29.60	$29.60
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$195.47	$185.04
85045 Red blood count, automated test	16	11	$3.99	$3.99
76536 Ultrasound of head and neck	15	15	$100.82	$100.82
87502 Detection test by nucleic acid for multiple types influenza virus	15	15	$101.75	$95.80
83690 Lipase (fat enzyme) level	15	14	$6.89	$6.89
73502 X-ray of hip, 2-3 views	14	13	$40.76	$37.40
73560 X-ray of knee, 1-2 views	14	14	$30.78	$28.61
83615 Lactate dehydrogenase (enzyme) level	14	11	$6.04	$6.04
87651 Detection test for Strep (Streptococcus, group A)	13	13	$38.16	$35.09
83550 Iron binding capacity	12	11	$8.74	$8.74
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$32.58	$32.39
83540 Iron level	12	11	$6.47	$6.47
76700 Ultrasound of abdomen	11	11	$93.88	$93.88

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	2,056	744	$120.12	$91.37
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,575	15	$0.12	$0.11
36415 Insertion of needle into vein for collection of blood sample	1,267	690	$3.24	$2.95
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,132	673	$8.05	$7.64
80053 Blood test, comprehensive group of blood chemicals	1,067	674	$10.91	$10.47
83036 Hemoglobin A1C level	861	603	$9.98	$9.62
80061 Blood test, lipids (cholesterol and triglycerides)	668	585	$13.55	$13.28
84439 Thyroxine (thyroid chemical), free	602	547	$9.15	$8.94
84443 Blood test, thyroid stimulating hormone (TSH)	598	540	$17.04	$16.64
G0008 Administration of influenza virus vaccine	541	533	$29.57	$17.80
93000 Routine ekg using at least 12 leads including interpretation and report	540	490	$19.65	$18.56
99497 Advance care planning, first 30 minutes	494	490	$93.65	$91.50
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	449	449	$125.52	$124.37
G0444 Annual depression screening, 5 to 15 minutes	447	447	$19.82	$19.59
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	396	396	$61.65	$60.38
85610 Blood test, clotting time	365	61	$5.02	$4.08
81002 Urinalysis, manual test	290	238	$3.66	$3.42
99213 Established patient office or other outpatient visit, typically 15 minutes	265	184	$82.26	$65.04
93793 Anticoagulant management of patient taking warfarin	250	13	$12.66	$12.62
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	237	47	$27.42	$18.92
82044 Urine microalbumin (protein) analysis	107	104	$6.67	$6.13
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	101	19	$15.43	$15.38
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	97	17	$2.00	$1.99
99496 Transitional care management services for problem of high complexity	88	66	$265.20	$263.93
90662 Influenza vaccine split virus, preservative free	86	86	$60.98	$60.98
71046 X-ray of chest, 2 views	79	71	$29.29	$23.69
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	74	64	$160.43	$121.57
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	66	60	$159.09	$51.31
86618 Analysis for antibody borrelia burgdorferi (lyme disease bacteria)	64	31	$17.06	$16.99
G0103 Prostate cancer screening; prostate specific antigen test (psa)	62	62	$19.31	$19.17
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	52	50	$100.00	$42.10
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	50	50	$30.75	$27.44
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	48	27	$16.59	$16.47
82607 Cyanocobalamin (vitamin B-12) level	44	42	$15.99	$14.69
69210 Removal of impacted ear wax	43	36	$53.19	$53.00
99442 Telephone medical discussion with physician, 11-20 minutes	42	37	$81.84	$79.47
83880 Natriuretic peptide (heart and blood vessel protein) level	39	22	$39.26	$39.00
99441 Telephone medical discussion with physician, 5-10 minutes	39	32	$53.15	$49.77
87804 Detection test by immunoassay with direct visual observation for influenza virus	38	18	$17.52	$16.22
G0009 Administration of pneumococcal vaccine	37	37	$29.55	$17.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	36	36	$188.65	$178.80
80048 Blood test, basic group of blood chemicals (calcium, total)	34	28	$9.31	$8.40
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	31	27	$4.27	$4.25
86617 Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria)	30	15	$15.49	$15.49
82306 Vitamin d-3 level	28	27	$33.01	$29.29
84550 Uric acid level, blood	28	22	$4.83	$4.33
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	28	28	$197.95	$178.70
90670 Pneumococcal vaccine for injection into muscle	25	25	$226.42	$225.39
J1040 Injection, methylprednisolone acetate, 80 mg	25	19	$11.54	$11.49
20610 Aspiration and/or injection of fluid from large joint	25	19	$74.82	$67.07
73030 X-ray of shoulder, minimum of 2 views	25	23	$30.98	$26.80
82150 Amylase (enzyme) level	24	23	$6.48	$6.45
82746 Folic acid level	24	23	$14.70	$14.66
82977 Glutamyltransferase (liver enzyme) level	23	19	$7.20	$7.18
86140 Measurement C-reactive protein for detection of infection or inflammation	20	18	$5.18	$5.16
83615 Lactate dehydrogenase (enzyme) level	20	18	$6.04	$6.02
84153 Psa (prostate specific antigen) measurement, total	19	19	$24.56	$18.23
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	17	16	$1.28	$1.28
82962 Blood glucose (sugar) test performed by hand-held instrument	17	15	$3.28	$3.26
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	17	16	$17.32	$15.66
73502 X-ray of hip, 2-3 views	15	15	$47.60	$36.62
73560 X-ray of knee, 1-2 views	14	13	$43.31	$27.82
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$118.70	$118.21
90653 Vaccine for influenza for injection into muscle	14	14	$59.53	$58.34
86141 Measurement c-reactive protein for detection of infection or inflammation, high sensitivity	13	12	$12.95	$12.93
94010 Test to measure expiratory airflow and volume	13	13	$39.11	$39.01
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r	12	12	$100.00	$100.00
96127 Assessment of emotional or behavioral problems	12	12	$25.68	$4.21
74177 Ct scan of abdomen and pelvis with contrast	11	11	$259.98	$258.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,375	27	$0.12	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,253	781	$118.01	$86.42
36415 Insertion of needle into vein for collection of blood sample	1,490	731	$3.15	$2.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,226	675	$8.84	$8.40
80053 Blood test, comprehensive group of blood chemicals	1,223	709	$11.98	$11.49
83036 Hemoglobin A1C level	922	611	$11.05	$10.54
80061 Blood test, lipids (cholesterol and triglycerides)	744	599	$15.04	$14.54
84443 Blood test, thyroid stimulating hormone (TSH)	634	549	$18.89	$18.30
84439 Thyroxine (thyroid chemical), free	608	530	$10.18	$9.79
85610 Blood test, clotting time	540	84	$4.62	$4.27
G0008 Administration of influenza virus vaccine	495	489	$29.57	$17.48
93000 Routine ekg using at least 12 leads including interpretation and report	479	446	$19.12	$17.97
99213 Established patient office or other outpatient visit, typically 15 minutes	474	312	$80.76	$61.59
99497 Advance care planning, first 30 minutes	440	432	$91.94	$88.48
81002 Urinalysis, manual test	400	326	$3.69	$3.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	374	374	$124.44	$121.95
G0444 Annual depression screening, 5 to 15 minutes	372	372	$19.40	$19.01
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	344	51	$24.94	$18.18
90653 Vaccine for influenza for injection into muscle	304	304	$59.53	$58.34
93793 Anticoagulant management of patient taking warfarin	230	17	$12.85	$12.68
82044 Urine microalbumin (protein) analysis	178	174	$6.67	$6.05
90662 Influenza vaccine split virus, preservative free	151	151	$55.55	$53.32
71046 X-ray of chest, 2 views	137	113	$27.00	$21.76
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	110	18	$17.88	$17.62
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	103	16	$1.82	$1.79
99496 Transitional care management services for problem of high complexity	102	86	$247.24	$243.40
86618 Analysis for antibody borrelia burgdorferi (lyme disease bacteria)	101	51	$18.97	$18.50
G0103 Prostate cancer screening; prostate specific antigen test (psa)	84	84	$25.23	$20.03
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	79	62	$161.11	$110.29
87804 Detection test by immunoassay with direct visual observation for influenza virus	78	38	$17.49	$15.90
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	67	37	$19.46	$14.88
82607 Cyanocobalamin (vitamin B-12) level	50	47	$16.80	$16.38
80048 Blood test, basic group of blood chemicals (calcium, total)	46	41	$10.06	$9.21
G0009 Administration of pneumococcal vaccine	44	44	$29.55	$17.52
69210 Removal of impacted ear wax	42	35	$51.10	$50.41
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	40	35	$4.27	$4.18
82150 Amylase (enzyme) level	38	31	$7.49	$6.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$180.69	$173.44
83615 Lactate dehydrogenase (enzyme) level	35	33	$6.75	$6.58
84550 Uric acid level, blood	34	30	$5.26	$4.92
82306 Vitamin d-3 level	34	33	$32.79	$32.14
90670 Pneumococcal vaccine for injection into muscle	33	33	$212.19	$206.47
82977 Glutamyltransferase (liver enzyme) level	32	30	$8.06	$7.84
83880 Natriuretic peptide (heart and blood vessel protein) level	31	17	$39.50	$38.47
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	31	30	$1.24	$1.22
73560 X-ray of knee, 1-2 views	30	26	$33.54	$25.87
86617 Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria)	28	14	$17.21	$16.87
73030 X-ray of shoulder, minimum of 2 views	27	26	$26.59	$22.50
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	27	27	$30.49	$29.88
J1040 Injection, methylprednisolone acetate, 80 mg	24	20	$13.83	$11.70
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	24	24	$17.08	$16.19
84436 Thyroxine (thyroid chemical), total	24	24	$7.63	$7.48
20610 Aspiration and/or injection of fluid from large joint	24	20	$74.39	$61.93
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	23	23	$29.12	$26.20
86735 Analysis for antibody to mumps virus	23	23	$31.72	$14.21
86762 Analysis for antibody to rubella (german measles virus)	23	23	$22.65	$15.67
86765 Analysis for antibody to rubeola (measles virus)	23	23	$20.45	$14.02
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	22	$17.84	$17.48
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	22	22	$201.47	$173.89
82746 Folic acid level	21	19	$16.52	$16.01
84153 Psa (prostate specific antigen) measurement, total	21	20	$23.13	$20.03
72100 X-ray of lower and sacral spine, 2-3 views	19	19	$32.52	$27.05
83690 Lipase (fat enzyme) level	19	12	$9.57	$7.27
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$183.31	$179.64
83735 Magnesium level	16	12	$7.44	$7.29
72148 MRI scan of lower spinal canal	16	15	$158.58	$156.05
17000 Destruction of skin growth	15	14	$70.85	$69.81
82962 Blood glucose (sugar) test performed by hand-held instrument	15	12	$3.28	$3.21
86140 Measurement C-reactive protein for detection of infection or inflammation	15	15	$5.75	$5.63
83540 Iron level	14	12	$7.19	$7.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	13	$48.39	$39.63
70450 Ct scan head or brain without contrast	13	13	$82.64	$71.88
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$113.71	$111.44
99495 Transitional care management services for problem of at least moderate complexity	13	13	$175.19	$172.61
83550 Iron binding capacity	13	11	$9.71	$9.52
73502 X-ray of hip, 2-3 views	11	11	$47.37	$30.83

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	2,275	857	$116.85	$96.73
36415 Insertion of needle into vein for collection of blood sample	1,680	845	$3.17	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,499	818	$10.80	$9.36
80053 Blood test, comprehensive group of blood chemicals	1,433	845	$14.80	$12.75
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	1,139	16	$0.19	$0.11
83036 Hemoglobin A1C level	961	679	$13.55	$11.71
80061 Blood test, lipids (cholesterol and triglycerides)	935	729	$18.58	$16.14
84443 Blood test, thyroid stimulating hormone (TSH)	791	682	$23.47	$20.29
84439 Thyroxine (thyroid chemical), free	729	638	$12.59	$10.88
99213 Established patient office or other outpatient visit, typically 15 minutes	674	435	$79.45	$65.70
93000 Routine ekg using at least 12 leads including interpretation and report	654	584	$18.78	$18.04
85610 Blood test, clotting time	622	70	$5.81	$4.75
99497 Advance care planning, first 30 minutes	527	517	$90.37	$88.33
G0008 Administration of influenza virus vaccine	507	501	$29.56	$21.66
G0444 Annual depression screening, 5 to 15 minutes	487	487	$19.46	$18.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	480	480	$125.46	$122.92
90662 Influenza vaccine split virus, preservative free	456	451	$53.28	$52.05
81002 Urinalysis, manual test	442	352	$3.69	$3.39
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	402	65	$24.60	$19.37
93793 Anticoagulant management of patient taking warfarin	303	20	$13.00	$12.63
G0442 Annual alcohol misuse screening, 5 to 15 minutes	240	240	$20.25	$19.21
71046 X-ray of chest, 2 views	153	128	$27.99	$20.82
82044 Urine microalbumin (protein) analysis	145	143	$6.39	$6.11
86617 Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria)	134	63	$22.11	$18.47
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	117	29	$22.65	$21.40
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit)	113	18	$1.40	$1.14
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	99	20	$2.09	$1.90
82607 Cyanocobalamin (vitamin B-12) level	92	91	$21.43	$18.14
G0103 Prostate cancer screening; prostate specific antigen test (psa)	92	92	$25.79	$22.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	86	67	$160.47	$123.83
G0009 Administration of pneumococcal vaccine	85	85	$29.55	$21.66
99496 Transitional care management services for problem of high complexity	82	69	$248.89	$245.00
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	82	52	$15.92	$15.00
82977 Glutamyltransferase (liver enzyme) level	77	60	$10.08	$8.60
83615 Lactate dehydrogenase (enzyme) level	75	58	$8.39	$7.20
87804 Detection test by immunoassay with direct visual observation for influenza virus	74	34	$16.44	$16.11
82306 Vitamin d-3 level	72	72	$42.95	$35.82
90670 Pneumococcal vaccine for injection into muscle	71	71	$201.53	$195.85
86618 Analysis for antibody borrelia burgdorferi (lyme disease bacteria)	56	27	$25.62	$20.60
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	50	50	$19.77	$16.43
82746 Folic acid level	44	44	$20.17	$17.79
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	44	39	$5.13	$4.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$184.49	$170.52
82962 Blood glucose (sugar) test performed by hand-held instrument	43	27	$3.21	$3.15
83880 Natriuretic peptide (heart and blood vessel protein) level	42	26	$46.56	$41.06
80048 Blood test, basic group of blood chemicals (calcium, total)	41	38	$12.86	$9.98
94640 Inhalation treatment for airway obstruction or sputum production	38	17	$20.50	$20.18
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	38	16	$0.05	$0.04
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	36	32	$17.19	$16.11
82150 Amylase (enzyme) level	36	29	$8.89	$7.84
69210 Removal of impacted ear wax	35	31	$61.59	$51.11
99495 Transitional care management services for problem of at least moderate complexity	32	30	$175.77	$173.01
84436 Thyroxine (thyroid chemical), total	32	29	$10.33	$8.05
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	26	$47.18	$38.41
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	30	30	$184.19	$169.84
84153 Psa (prostate specific antigen) measurement, total	27	27	$25.23	$22.26
J1040 Injection, methylprednisolone acetate, 80 mg	22	18	$13.07	$12.88
84550 Uric acid level, blood	22	21	$6.20	$5.47
73560 X-ray of knee, 1-2 views	22	21	$33.54	$25.23
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	22	12	$50.29	$49.49
86803 Hepatitis c antibody measurement	20	20	$22.44	$17.26
20610 Aspiration and/or injection of fluid from large joint	20	18	$65.77	$64.91
94010 Test to measure expiratory airflow and volume	20	20	$39.13	$38.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$129.04	$114.80
83540 Iron level	17	16	$9.26	$7.37
83550 Iron binding capacity	17	16	$12.51	$10.19
72100 X-ray of lower and sacral spine, 2-3 views	17	17	$33.65	$26.23
G0296 Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making)	17	17	$35.31	$29.84
73502 X-ray of hip, 2-3 views	16	16	$41.07	$32.37
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$107.75	$105.59
73630 X-ray of foot, minimum of 3 views	16	13	$26.19	$22.53
82728 Ferritin (blood protein) level	15	15	$18.70	$16.49
G0447 Face-to-face behavioral counseling for obesity, 15 minutes	15	15	$27.51	$26.96
83690 Lipase (fat enzyme) level	14	12	$9.45	$8.34
94060 Test to measure expiratory airflow and volume changes before and after medication administration	13	12	$65.90	$63.80
93976 Ultrasound limited scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow	13	12	$180.01	$144.47
99415 Prolonged office or other outpatient service by clinical staff - first hour	13	12	$10.87	$10.70
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$184.27	$180.58

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	2,029	728	$116.92	$106.30
36415 Insertion of needle into vein for collection of blood sample	1,409	678	$3.26	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,241	657	$10.89	$10.39
80053 Blood test, comprehensive group of blood chemicals	1,232	702	$14.97	$11.34
83036 Hemoglobin A1C level	895	567	$13.47	$13.01
80061 Blood test, lipids (cholesterol and triglycerides)	761	579	$18.54	$13.32
99213 Established patient office or other outpatient visit, typically 15 minutes	646	409	$79.21	$73.48
84443 Blood test, thyroid stimulating hormone (TSH)	607	510	$23.74	$22.59
85610 Blood test, clotting time	603	81	$5.73	$5.21
84439 Thyroxine (thyroid chemical), free	578	491	$12.76	$12.06
93000 Routine ekg using at least 12 leads including interpretation and report	527	479	$19.04	$17.94
G0008 Administration of influenza virus vaccine	455	452	$29.57	$26.91
99497 Advance care planning, first 30 minutes	427	417	$88.74	$84.81
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	417	63	$22.77	$20.36
90662 Influenza vaccine split virus, preservative free	408	405	$47.64	$46.61
G0444 Annual depression screening, 5 to 15 minutes	374	374	$19.41	$18.97
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	365	365	$125.54	$121.71
81002 Urinalysis, manual test	250	199	$3.59	$3.42
71020 X-ray of chest, 2 views, front and side	120	100	$27.09	$19.92
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	99	78	$155.81	$143.20
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	91	17	$30.38	$24.10
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	86	12	$3.52	$2.70
99496 Transitional care management services for problem of high complexity	79	64	$249.70	$239.87
82044 Urine microalbumin (protein) analysis	75	72	$6.49	$4.08
86617 Confirmation test for antibody to Borrelia burgdorferi (Lyme disease bacteria)	74	34	$22.80	$20.82
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	72	39	$16.46	$14.77
G0009 Administration of pneumococcal vaccine	68	68	$29.55	$26.91
G0103 Prostate cancer screening; prostate specific antigen test (psa)	60	60	$49.39	$24.32
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	56	43	$5.08	$4.77
90670 Pneumococcal vaccine for injection into muscle	52	52	$190.86	$187.04
69210 Removal of impacted ear wax	48	41	$56.32	$51.73
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)	40	40	$32.00	$17.48
83880 Natriuretic peptide (heart and blood vessel protein) level	39	27	$46.56	$45.63
87804 Detection test by immunoassay with direct visual observation for influenza virus	38	19	$17.42	$11.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	37	34	$48.05	$43.90
99495 Transitional care management services for problem of at least moderate complexity	34	29	$184.63	$171.88
80048 Blood test, basic group of blood chemicals (calcium, total)	31	26	$11.60	$8.45
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	30	30	$16.84	$10.66
94640 Inhalation treatment for airway obstruction or sputum production	29	13	$22.15	$19.13
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	26	14	$1.32	$0.05
82150 Amylase (enzyme) level	26	24	$8.89	$8.71
84550 Uric acid level, blood	24	17	$6.49	$4.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$175.57	$173.09
73560 X-ray of knee, 1-2 views	20	18	$30.03	$24.73
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	19	19	$186.68	$168.90
20610 Aspiration and/or injection of fluid from large joint	18	14	$65.91	$64.92
J1040 Injection, methylprednisolone acetate, 80 mg	18	13	$11.03	$10.86
83735 Magnesium level	18	12	$9.19	$9.01
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$95.71	$93.79
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$193.48	$179.16
82607 Cyanocobalamin (vitamin B-12) level	17	16	$20.68	$20.27
94010 Test to measure expiratory airflow and volume	17	17	$41.04	$35.91
73030 X-ray of shoulder, minimum of 2 views	16	14	$26.84	$20.83
96374 Injection of drug or substance into a vein for therapy, diagnosis, or prevention	15	13	$68.58	$57.35
J2920 Injection, methylprednisolone sodium succinate, up to 40 mg	15	13	$8.80	$3.86
72100 X-ray of lower and sacral spine, 2-3 views	14	13	$30.02	$25.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$116.10	$115.10
93925 Ultrasound of leg arteries or artery grafts	13	12	$281.25	$241.79
86580 Skin test for tuberculosis	13	11	$10.40	$8.86
82962 Blood glucose (sugar) test performed by hand-held instrument	13	12	$3.21	$2.92
83550 Iron binding capacity	12	11	$12.73	$10.77
83540 Iron level	12	11	$9.42	$8.70
82306 Vitamin d-3 level	12	12	$47.64	$39.80
94060 Test to measure expiratory airflow and volume changes before and after medication administration	12	12	$72.27	$65.05
96160 Administration and interpretation of patient-focused health risk assessment	12	12	$15.00	$3.39
84153 Psa (prostate specific antigen) measurement, total	11	11	$25.23	$24.73

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NY 181346

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

01234380 (NY)

Hospital & Practice Group Affiliations

Middletown Medical Pc

75 Maltese Dr, Middletown, NY 109402115

Phone: 8453424774

Middletown Medical Pc

653 Harris Rd, Ferndale, NY 127345142

Phone: 8452922283

Middletown Medical Pc

60 Dunning Rd, Middletown, NY 109402215

Phone: 8453424774

Middletown Medical Pc

112 Shoprite Blvd, Ellenville, NY 124285624

Phone: 8456476700

Middletown Medical Pc

47 N Plank Rd, Newburgh, NY 125502114

Phone: 8455612038

Middletown Medical Pc

111 Maltese Dr, Middletown, NY 109402115

Phone: 8453424774

Middletown Medical Pc

95 Maltese Dr, Middletown, NY 109402115

Phone: 8453424774

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dennis Waxman , PA

Physician Assistant

NPI 1902997091

Physician Assistant

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 20, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location September 20, 2011

Registered at 111 SULLIVAN AVE, LIBERTY MEDICAL GROUP, FERNDALE, NY 127344315 (Tel: 8452926630)

📍

Updated Business Mailing Address September 20, 2011

Registered at 111 MALTESE DR, MIDDLETOWN, NY 109402115 (Tel: 8453424774)

👤

Provider Name / Credentials Updated September 20, 2011

Recorded as DAVID SCHWALB, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 20, 2011

Internal Medicine (License #181346 in NY)

🟢

Initial NPI Registration & Enumeration December 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1528045416

Entity Type:

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

Enumeration Date: December 30, 2005

Last Update: September 20, 2011

Sole Proprietor: No

Update or Correct Profile

Mailing Address

111 Maltese Dr

Middletown, NY 109402115

Phone: 8453424774

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.