Dr. Scott J Ratner , MD
Specialist • Franklin Square, NY
Professional Overview & Biography Verified Profile Summary
Dr. Scott Ratner, MD is a certified Specialist practicing in Franklin Square, NY. With approximately 47 years of clinical experience since graduating from State University Of New York Downstate Medical Center in 1979, Dr. Ratner delivers high-quality medical care to the local community at 407 FRANKLIN AVE.
Dr. Ratner accepts Medicare assignment.
Frequently performed procedures and clinical services include routine ekg using at least 12 leads including interpretation and report, established patient outpatient office visit, measurement of heart blood flow and respiration. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.
Practice Location & Contact Primary Location
407 Franklin Ave
Franklin Square, NY 110101227
Medicare Profile & Education
State University Of New York Downstate Medical Center
1979
✓ Accepts Assignment
In-Person Only
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Franklin Square, NY
Practicing in Franklin Square, NY (23296 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Clinical Seniority & Experience Comparison
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
1,445 | 757 | $75.00 | $17.04 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,302 | 681 | $175.00 | $149.77 |
|
93701
Measurement of heart blood flow and respiration
|
1,300 | 761 | $100.00 | $32.47 |
|
J2785
Injection, regadenoson, 0.1 mg
|
892 | 223 | $73.74 | $6.65 |
|
36415
Insertion of needle into vein for collection of blood sample
|
857 | 367 | $3.34 | $3.04 |
|
93922
Ultrasound study of arm and leg arteries
|
599 | 584 | $110.00 | $99.84 |
|
A9500
Technetium tc-99m sestamibi, diagnostic, per study dose
|
482 | 241 | $250.00 | $128.52 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
421 | 417 | $800.00 | $224.07 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
392 | 153 | $100.00 | $101.31 |
|
93356
Heart muscle strain imaging
|
320 | 316 | $75.00 | $44.26 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
309 | 218 | $49.56 | $38.47 |
|
99458
Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute
|
300 | 66 | $150.00 | $45.78 |
|
85610
Blood test, clotting time
|
298 | 39 | $5.49 | $4.20 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
281 | 280 | $450.00 | $227.65 |
|
99457
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
|
265 | 71 | $200.00 | $57.48 |
|
99454
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
|
262 | 53 | $150.00 | $57.69 |
|
93015
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
|
249 | 247 | $300.00 | $80.75 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
245 | 245 | $1400.00 | $519.49 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
166 | 134 | $75.00 | $66.64 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
120 | 120 | $250.00 | $196.64 |
|
G0008
Administration of influenza virus vaccine
|
104 | 104 | $30.00 | $29.40 |
|
90662
Influenza vaccine split virus, preservative free
|
95 | 95 | $124.21 | $81.82 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
95 | 95 | $250.00 | $153.48 |
|
99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
|
81 | 33 | $175.00 | $135.69 |
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
55 | 20 | $150.00 | $90.09 |
|
93279
Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report
|
54 | 30 | $130.00 | $79.02 |
|
93241
Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days
|
53 | 51 | $850.00 | $308.55 |
|
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
49 | 43 | $350.00 | $197.93 |
|
99453
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
|
42 | 37 | $100.00 | $24.76 |
|
93282
Programming of single lead implantable defibrillator system
|
41 | 21 | $175.00 | $92.90 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
38 | 34 | $350.00 | $242.94 |
|
91320
Sarscv2 vac 30mcg trs-suc im
|
31 | 31 | $175.00 | $152.78 |
|
90480
Admn sarscov2 vacc 1 dose
|
31 | 31 | $50.00 | $49.00 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
22 | 13 | $30.00 | $16.82 |
|
93229
Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional
|
20 | 20 | $950.00 | $964.24 |
|
93351
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report
|
19 | 19 | $675.00 | $270.29 |
|
93325
Doppler ultrasound study of color-directed heart blood flow, rate, and valve function
|
18 | 18 | $175.00 | $27.94 |
|
93320
Ultrasound of heart blood flow, valves and chambers
|
18 | 18 | $200.00 | $60.11 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
|
12 | 11 | $125.00 | $66.34 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
1,437 | 745 | $75.00 | $17.52 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,376 | 693 | $175.00 | $150.93 |
|
93701
Measurement of heart blood flow and respiration
|
1,287 | 753 | $100.00 | $32.43 |
|
36415
Insertion of needle into vein for collection of blood sample
|
962 | 379 | $3.27 | $3.03 |
|
J2785
Injection, regadenoson, 0.1 mg
|
877 | 220 | $265.41 | $54.12 |
|
93922
Ultrasound study of arm and leg arteries
|
630 | 615 | $110.00 | $102.04 |
|
99457
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
|
538 | 69 | $199.81 | $57.53 |
|
99458
Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute
|
528 | 64 | $150.00 | $46.42 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
492 | 167 | $100.00 | $100.22 |
|
A9500
Technetium tc-99m sestamibi, diagnostic, per study dose
|
483 | 242 | $250.00 | $122.09 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
451 | 444 | $800.00 | $228.58 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
450 | 313 | $49.56 | $38.47 |
|
85610
Blood test, clotting time
|
412 | 50 | $5.49 | $4.20 |
|
99454
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
|
363 | 60 | $150.00 | $61.29 |
|
93356
Heart muscle strain imaging
|
346 | 342 | $75.00 | $45.16 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
299 | 295 | $450.00 | $235.10 |
|
93015
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
|
248 | 247 | $300.00 | $81.02 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
244 | 244 | $1400.00 | $535.48 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
206 | 139 | $75.00 | $67.66 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
121 | 121 | $250.00 | $198.10 |
|
G0008
Administration of influenza virus vaccine
|
84 | 82 | $30.00 | $29.40 |
|
99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
|
84 | 35 | $175.00 | $138.88 |
|
90662
Influenza vaccine split virus, preservative free
|
81 | 80 | $78.70 | $71.80 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
62 | 62 | $250.00 | $150.85 |
|
93279
Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report
|
59 | 31 | $130.00 | $81.23 |
|
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
58 | 49 | $350.00 | $202.29 |
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
56 | 15 | $150.00 | $92.37 |
|
93282
Programming of single lead implantable defibrillator system
|
40 | 21 | $175.00 | $96.97 |
|
G2012
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic
|
37 | 31 | $150.00 | $16.32 |
|
90480
Admn sarscov2 vacc 1 dose
|
32 | 32 | $75.00 | $47.97 |
|
91322
Sarscov2 vac 50 mcg/0.5ml im
|
32 | 32 | $175.00 | $143.00 |
|
93229
Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional
|
30 | 29 | $950.00 | $952.22 |
|
99453
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
|
27 | 26 | $100.00 | $24.20 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
26 | 25 | $350.00 | $241.42 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
20 | 11 | $30.00 | $16.76 |
|
99442
Telephone medical discussion with physician, 11-20 minutes
|
18 | 17 | $100.00 | $100.18 |
|
93290
Evaluation of implantable heart and blood vessel monitoring system
|
18 | 11 | $75.00 | $63.41 |
|
93351
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report
|
17 | 17 | $675.00 | $279.69 |
|
93325
Doppler ultrasound study of color-directed heart blood flow, rate, and valve function
|
17 | 17 | $175.00 | $28.45 |
|
93320
Ultrasound of heart blood flow, valves and chambers
|
17 | 17 | $200.00 | $60.90 |
|
93241
Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days
|
13 | 13 | $850.00 | $314.42 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
1,375 | 727 | $75.00 | $17.79 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,328 | 677 | $175.00 | $153.28 |
|
93701
Measurement of heart blood flow and respiration
|
1,045 | 688 | $100.00 | $34.40 |
|
36415
Insertion of needle into vein for collection of blood sample
|
961 | 394 | $3.14 | $2.96 |
|
J2785
Injection, regadenoson, 0.1 mg
|
864 | 216 | $528.13 | $60.51 |
|
93922
Ultrasound study of arm and leg arteries
|
604 | 595 | $110.00 | $105.06 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
536 | 360 | $49.56 | $38.75 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
473 | 462 | $800.00 | $234.65 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
443 | 170 | $100.00 | $100.19 |
|
A9500
Technetium tc-99m sestamibi, diagnostic, per study dose
|
434 | 217 | $250.00 | $125.01 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
365 | 362 | $450.00 | $241.16 |
|
85610
Blood test, clotting time
|
332 | 48 | $5.49 | $4.23 |
|
99457
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes
|
243 | 57 | $198.35 | $59.60 |
|
93015
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
|
241 | 238 | $300.00 | $83.82 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
236 | 236 | $1400.00 | $566.80 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
224 | 154 | $75.00 | $69.55 |
|
99454
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days
|
172 | 46 | $150.00 | $68.53 |
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
140 | 37 | $150.00 | $84.32 |
|
99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
|
116 | 46 | $175.00 | $120.84 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
112 | 112 | $250.00 | $204.22 |
|
G0008
Administration of influenza virus vaccine
|
96 | 95 | $30.00 | $29.42 |
|
90662
Influenza vaccine split virus, preservative free
|
88 | 87 | $197.16 | $68.47 |
|
93356
Heart muscle strain imaging
|
88 | 88 | $75.00 | $47.44 |
|
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
81 | 61 | $350.00 | $234.96 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
80 | 80 | $250.00 | $156.93 |
|
A9505
Thallium tl-201 thallous chloride, diagnostic, per millicurie
|
76 | 19 | $75.00 | $61.78 |
|
99458
Remote physiologic monitoring treatment management services, health care professional time in a calendar month requiring interactive communication with the patient/caregiver; each additional 20 minute
|
66 | 30 | $147.73 | $48.25 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
54 | 44 | $350.00 | $249.13 |
|
93279
Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report
|
50 | 28 | $128.66 | $84.12 |
|
G2012
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic
|
47 | 36 | $150.00 | $17.02 |
|
93282
Programming of single lead implantable defibrillator system
|
44 | 23 | $175.00 | $101.09 |
|
99453
Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment
|
43 | 41 | $100.00 | $23.82 |
|
91313
Coronavirus vaccine 14
|
32 | 32 | $75.00 | $0.01 |
|
93229
Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional
|
30 | 30 | $950.00 | $953.34 |
|
93224
Electrocardiogram (ecg) 2-day continuous with review and report by health care professional
|
28 | 27 | $425.00 | $88.01 |
|
0134A
Fee covid-19 vac 14 res
|
28 | 28 | $30.00 | $29.40 |
|
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 | 11 | $200.00 | $125.15 |
|
93228
Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional
|
22 | 22 | $150.00 | $30.99 |
|
93351
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report
|
19 | 19 | $675.00 | $291.07 |
|
93320
Ultrasound of heart blood flow, valves and chambers
|
19 | 19 | $200.00 | $63.61 |
|
93325
Doppler ultrasound study of color-directed heart blood flow, rate, and valve function
|
19 | 19 | $175.00 | $29.70 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
14 | 14 | $175.00 | $138.79 |
|
G0438
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit
|
13 | 13 | $350.00 | $201.39 |
|
82947
Blood glucose (sugar) level
|
12 | 11 | $5.62 | $3.88 |
|
99215
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
|
11 | 11 | $225.00 | $218.38 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
1,364 | 721 | $75.00 | $18.53 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,254 | 651 | $175.00 | $157.42 |
|
93701
Measurement of heart blood flow and respiration
|
1,187 | 712 | $100.00 | $35.05 |
|
36415
Insertion of needle into vein for collection of blood sample
|
1,048 | 408 | $3.23 | $3.00 |
|
J2785
Injection, regadenoson, 0.1 mg
|
836 | 209 | $550.00 | $59.48 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
633 | 397 | $49.56 | $39.26 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
608 | 603 | $750.33 | $235.33 |
|
93922
Ultrasound study of arm and leg arteries
|
582 | 570 | $110.59 | $108.78 |
|
83695
Lipoprotein (a) level
|
475 | 342 | $18.91 | $14.32 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
475 | 342 | $18.72 | $13.39 |
|
83719
Vldl cholesterol level
|
475 | 342 | $16.99 | $12.75 |
|
82150
Amylase (enzyme) level
|
474 | 341 | $9.46 | $6.48 |
|
84550
Uric acid level, blood
|
470 | 344 | $1.56 | $1.56 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
466 | 461 | $450.00 | $238.01 |
|
80076
Liver function blood test panel
|
464 | 334 | $2.77 | $2.77 |
|
83721
Ldl cholesterol level
|
456 | 334 | $13.93 | $10.50 |
|
83735
Magnesium level
|
452 | 332 | $20.00 | $6.70 |
|
A9500
Technetium tc-99m sestamibi, diagnostic, per study dose
|
452 | 226 | $250.00 | $130.04 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
450 | 324 | $25.00 | $7.77 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
448 | 326 | $3.55 | $3.55 |
|
83036
Hemoglobin A1C level
|
436 | 316 | $14.22 | $9.71 |
|
83915
Nucleotidase 5' (enzyme) level
|
420 | 320 | $15.98 | $11.15 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
401 | 172 | $75.00 | $68.54 |
|
85610
Blood test, clotting time
|
398 | 47 | $5.51 | $4.29 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
333 | 164 | $100.00 | $101.15 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
285 | 235 | $24.53 | $16.80 |
|
82652
Dihydroxyvitamin d, 1, 25 level
|
251 | 243 | $56.20 | $38.50 |
|
83090
Homocysteine (amino acid) level
|
247 | 246 | $24.63 | $17.92 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
243 | 242 | $21.35 | $15.08 |
|
82746
Folic acid level
|
242 | 241 | $20.54 | $14.70 |
|
83540
Iron level
|
240 | 239 | $15.00 | $6.47 |
|
82728
Ferritin (blood protein) level
|
240 | 239 | $40.00 | $13.63 |
|
83550
Iron binding capacity
|
239 | 238 | $30.00 | $8.74 |
|
93015
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
|
233 | 231 | $300.00 | $83.53 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
227 | 227 | $1400.00 | $597.15 |
|
86140
Measurement C-reactive protein for detection of infection or inflammation
|
172 | 168 | $7.41 | $5.18 |
|
91301
Sarscov2 vac 100mcg/0.5ml im
|
164 | 105 | $75.00 | $0.01 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
147 | 147 | $250.00 | $205.80 |
|
93356
Heart muscle strain imaging
|
133 | 133 | $86.65 | $50.24 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
120 | 120 | $250.00 | $160.70 |
|
93978
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
|
105 | 104 | $500.00 | $198.89 |
|
G0008
Administration of influenza virus vaccine
|
99 | 98 | $30.00 | $20.37 |
|
90662
Influenza vaccine split virus, preservative free
|
90 | 89 | $174.72 | $65.21 |
|
86431
Rheumatoid factor level
|
88 | 88 | $8.29 | $5.67 |
|
84153
Psa (prostate specific antigen) measurement, total
|
84 | 84 | $26.85 | $18.39 |
|
93890
Ultrasound of within the brain blood flow following medication
|
63 | 63 | $500.00 | $280.78 |
|
93892
Ultrasound of within the brain blood flow for blood clots
|
63 | 63 | $600.00 | $202.70 |
|
93886
Complete ultrasound of within the brain blood flow
|
63 | 63 | $500.00 | $272.76 |
|
93279
Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report
|
60 | 34 | $127.77 | $80.11 |
|
0013A
Adm sarscov2 100mcg/0.5ml3rd
|
60 | 59 | $75.00 | $47.64 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
57 | 57 | $500.00 | $215.74 |
|
0012A
Adm sarscov2 100mcg/0.5ml2nd
|
54 | 54 | $75.00 | $47.64 |
|
93282
Programming of single lead implantable defibrillator system
|
50 | 22 | $175.00 | $97.19 |
|
0011A
Adm sarscov2 100mcg/0.5ml1st
|
50 | 50 | $75.00 | $47.64 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
47 | 43 | $350.00 | $248.89 |
|
93925
Ultrasound of leg arteries or artery grafts
|
46 | 46 | $525.00 | $294.07 |
|
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
|
42 | 19 | $200.00 | $126.64 |
|
84480
Thyroid hormone, t3 measurement, total
|
31 | 31 | $20.70 | $14.18 |
|
84439
Thyroxine (thyroid chemical), free
|
31 | 31 | $13.17 | $9.02 |
|
93229
Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional
|
26 | 25 | $950.00 | $892.32 |
|
93320
Ultrasound of heart blood flow, valves and chambers
|
24 | 24 | $200.00 | $66.05 |
|
93351
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report
|
24 | 24 | $675.00 | $294.69 |
|
93325
Doppler ultrasound study of color-directed heart blood flow, rate, and valve function
|
24 | 24 | $175.00 | $31.09 |
|
93228
Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional
|
20 | 19 | $150.00 | $31.24 |
|
99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
|
20 | 12 | $175.00 | $122.66 |
|
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
17 | 16 | $350.00 | $238.42 |
|
82985
Glycated protein level
|
17 | 17 | $21.59 | $16.76 |
|
93224
Electrocardiogram (ecg) 2-day continuous with review and report by health care professional
|
13 | 13 | $425.00 | $93.00 |
|
93307
Ultrasound of heart
|
12 | 11 | $400.00 | $179.22 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
1,233 | 696 | $75.00 | $21.04 |
|
93701
Measurement of heart blood flow and respiration
|
1,190 | 701 | $100.00 | $32.54 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,182 | 657 | $175.00 | $130.69 |
|
36415
Insertion of needle into vein for collection of blood sample
|
1,084 | 448 | $3.14 | $2.98 |
|
J2785
Injection, regadenoson, 0.1 mg
|
778 | 195 | $549.23 | $58.94 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
653 | 418 | $49.56 | $39.05 |
|
84550
Uric acid level, blood
|
632 | 400 | $1.56 | $1.55 |
|
82150
Amylase (enzyme) level
|
630 | 396 | $9.46 | $6.44 |
|
83695
Lipoprotein (a) level
|
630 | 397 | $18.91 | $14.24 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
630 | 397 | $18.72 | $13.32 |
|
83735
Magnesium level
|
617 | 397 | $20.00 | $6.67 |
|
80076
Liver function blood test panel
|
612 | 384 | $2.77 | $2.75 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
610 | 597 | $732.79 | $238.65 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
605 | 388 | $24.53 | $16.71 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
601 | 385 | $25.00 | $7.73 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
594 | 376 | $3.55 | $3.53 |
|
83036
Hemoglobin A1C level
|
567 | 375 | $14.17 | $9.66 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
490 | 175 | $75.36 | $55.70 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
440 | 437 | $450.00 | $233.88 |
|
85610
Blood test, clotting time
|
406 | 56 | $5.49 | $4.26 |
|
A9500
Technetium tc-99m sestamibi, diagnostic, per study dose
|
398 | 199 | $250.00 | $124.90 |
|
83090
Homocysteine (amino acid) level
|
362 | 354 | $24.63 | $17.79 |
|
93010
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
|
355 | 315 | $44.00 | $10.00 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
355 | 344 | $21.35 | $15.00 |
|
83540
Iron level
|
352 | 342 | $15.00 | $6.43 |
|
82746
Folic acid level
|
352 | 340 | $20.54 | $14.62 |
|
82728
Ferritin (blood protein) level
|
352 | 342 | $40.00 | $13.55 |
|
82652
Dihydroxyvitamin d, 1, 25 level
|
351 | 337 | $56.20 | $38.30 |
|
83550
Iron binding capacity
|
349 | 339 | $30.00 | $8.69 |
|
83719
Vldl cholesterol level
|
331 | 297 | $16.99 | $12.75 |
|
86140
Measurement C-reactive protein for detection of infection or inflammation
|
273 | 259 | $7.41 | $5.16 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
220 | 143 | $100.00 | $90.16 |
|
86431
Rheumatoid factor level
|
208 | 205 | $8.29 | $5.64 |
|
93015
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
|
203 | 202 | $300.00 | $82.41 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
201 | 201 | $1400.00 | $589.57 |
|
93922
Ultrasound study of arm and leg arteries
|
176 | 176 | $110.09 | $106.39 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
150 | 150 | $250.00 | $138.86 |
|
84153
Psa (prostate specific antigen) measurement, total
|
149 | 139 | $26.85 | $18.29 |
|
93978
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
|
114 | 113 | $500.00 | $189.68 |
|
G0008
Administration of influenza virus vaccine
|
108 | 108 | $29.95 | $19.74 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
101 | 101 | $250.00 | $199.47 |
|
93886
Complete ultrasound of within the brain blood flow
|
100 | 98 | $500.00 | $263.65 |
|
93892
Ultrasound of within the brain blood flow for blood clots
|
98 | 96 | $600.00 | $204.96 |
|
90662
Influenza vaccine split virus, preservative free
|
98 | 98 | $106.17 | $60.79 |
|
93890
Ultrasound of within the brain blood flow following medication
|
98 | 96 | $500.00 | $266.31 |
|
83721
Ldl cholesterol level
|
83 | 83 | $13.93 | $10.50 |
|
84439
Thyroxine (thyroid chemical), free
|
73 | 70 | $13.17 | $9.00 |
|
84480
Thyroid hormone, t3 measurement, total
|
73 | 70 | $20.70 | $14.15 |
|
99442
Telephone medical discussion with physician, 11-20 minutes
|
66 | 59 | $100.00 | $90.87 |
|
99422
Online digital evaluation and management service for an established patient for up to 7 days, total time 11-20 minutes
|
59 | 52 | $200.00 | $36.83 |
|
93925
Ultrasound of leg arteries or artery grafts
|
58 | 58 | $525.00 | $282.13 |
|
93279
Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report
|
47 | 24 | $130.00 | $73.04 |
|
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
|
45 | 21 | $200.00 | $127.47 |
|
93282
Programming of single lead implantable defibrillator system
|
45 | 26 | $175.00 | $88.27 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
45 | 45 | $150.00 | $85.03 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
43 | 41 | $350.00 | $216.27 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
42 | 16 | $5.00 | $1.95 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
42 | 16 | $30.00 | $17.07 |
|
86225
Measurement of dna antibody, native or double stranded
|
37 | 37 | $20.06 | $13.57 |
|
86235
Measurement of antibody for assessment of autoimmune disorder, any method
|
36 | 36 | $26.18 | $17.70 |
|
93356
Heart muscle strain imaging
|
33 | 33 | $100.00 | $48.88 |
|
93229
Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional
|
29 | 29 | $950.00 | $879.64 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
28 | 28 | $500.00 | $224.81 |
|
93228
Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional
|
26 | 26 | $155.77 | $32.54 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
22 | 22 | $122.95 | $115.42 |
|
G0009
Administration of pneumococcal vaccine
|
22 | 22 | $24.55 | $19.44 |
|
G2012
Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m servic
|
21 | 15 | $150.00 | $16.48 |
|
93351
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report
|
19 | 19 | $675.00 | $286.03 |
|
93290
Evaluation of implantable heart and blood vessel monitoring system
|
18 | 13 | $75.00 | $53.02 |
|
99441
Telephone medical discussion with physician, 5-10 minutes
|
18 | 16 | $90.28 | $55.96 |
|
93325
Doppler ultrasound study of color-directed heart blood flow, rate, and valve function
|
18 | 18 | $175.00 | $30.51 |
|
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
18 | 18 | $350.00 | $240.65 |
|
93320
Ultrasound of heart blood flow, valves and chambers
|
18 | 18 | $200.00 | $65.28 |
|
83915
Nucleotidase 5' (enzyme) level
|
16 | 16 | $15.98 | $11.14 |
|
93224
Electrocardiogram (ecg) 2-day continuous with review and report by health care professional
|
15 | 14 | $425.00 | $97.99 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
11 | 11 | $175.00 | $130.56 |
|
90688
Vaccine for influenza for administration into muscle, 0.5 ml dosage
|
11 | 11 | $99.55 | $19.17 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
1,509 | 759 | $75.00 | $20.38 |
|
93701
Measurement of heart blood flow and respiration
|
1,440 | 777 | $100.00 | $30.69 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,397 | 684 | $175.00 | $126.60 |
|
36415
Insertion of needle into vein for collection of blood sample
|
1,242 | 449 | $3.15 | $2.94 |
|
J2785
Injection, regadenoson, 0.1 mg
|
929 | 233 | $514.80 | $57.52 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
739 | 731 | $725.03 | $227.49 |
|
84550
Uric acid level, blood
|
696 | 413 | $1.56 | $1.53 |
|
82150
Amylase (enzyme) level
|
689 | 408 | $9.46 | $7.06 |
|
83735
Magnesium level
|
687 | 407 | $20.00 | $7.29 |
|
83695
Lipoprotein (a) level
|
686 | 406 | $18.91 | $14.10 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
682 | 400 | $24.53 | $18.30 |
|
80076
Liver function blood test panel
|
677 | 390 | $2.77 | $2.71 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
668 | 390 | $25.00 | $8.46 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
663 | 406 | $49.56 | $38.47 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
658 | 383 | $3.55 | $3.48 |
|
83036
Hemoglobin A1C level
|
628 | 386 | $14.17 | $10.57 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
594 | 582 | $450.25 | $222.81 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
563 | 212 | $75.00 | $53.29 |
|
85610
Blood test, clotting time
|
510 | 65 | $5.51 | $4.28 |
|
80061
Blood test, lipids (cholesterol and triglycerides)
|
494 | 354 | $18.72 | $14.58 |
|
A9500
Technetium tc-99m sestamibi, diagnostic, per study dose
|
483 | 242 | $250.00 | $122.94 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
364 | 343 | $21.35 | $16.41 |
|
83540
Iron level
|
359 | 339 | $15.00 | $7.05 |
|
82746
Folic acid level
|
359 | 339 | $20.54 | $16.01 |
|
82728
Ferritin (blood protein) level
|
358 | 338 | $40.00 | $14.85 |
|
83550
Iron binding capacity
|
357 | 337 | $30.00 | $9.52 |
|
82652
Dihydroxyvitamin d, 1, 25 level
|
356 | 335 | $56.20 | $41.92 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
339 | 189 | $100.00 | $86.82 |
|
83090
Homocysteine (amino acid) level
|
335 | 325 | $24.63 | $18.37 |
|
86140
Measurement C-reactive protein for detection of infection or inflammation
|
318 | 309 | $7.41 | $5.63 |
|
86431
Rheumatoid factor level
|
280 | 273 | $8.29 | $6.17 |
|
93015
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
|
246 | 243 | $300.00 | $81.46 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
242 | 242 | $1400.00 | $580.86 |
|
93886
Complete ultrasound of within the brain blood flow
|
226 | 224 | $500.00 | $249.00 |
|
93892
Ultrasound of within the brain blood flow for blood clots
|
226 | 224 | $600.00 | $196.48 |
|
93890
Ultrasound of within the brain blood flow following medication
|
226 | 224 | $500.00 | $254.39 |
|
86225
Measurement of dna antibody, native or double stranded
|
214 | 212 | $20.06 | $14.96 |
|
86235
Measurement of antibody for assessment of autoimmune disorder, any method
|
212 | 208 | $26.18 | $19.53 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
143 | 143 | $250.00 | $191.39 |
|
84153
Psa (prostate specific antigen) measurement, total
|
140 | 137 | $26.85 | $20.03 |
|
G0008
Administration of influenza virus vaccine
|
133 | 132 | $30.00 | $19.35 |
|
93978
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
|
125 | 123 | $500.00 | $180.35 |
|
84478
Triglycerides level
|
117 | 117 | $15.00 | $6.25 |
|
83718
Hdl cholesterol level
|
116 | 116 | $11.96 | $8.92 |
|
82465
Cholesterol level
|
115 | 115 | $15.00 | $4.74 |
|
90662
Influenza vaccine split virus, preservative free
|
96 | 96 | $78.75 | $54.89 |
|
93925
Ultrasound of leg arteries or artery grafts
|
76 | 75 | $525.00 | $260.77 |
|
93279
Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report
|
68 | 35 | $130.00 | $64.08 |
|
93282
Programming of single lead implantable defibrillator system
|
58 | 27 | $175.00 | $78.16 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
52 | 50 | $500.00 | $198.35 |
|
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 | 17 | $200.00 | $124.98 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
45 | 45 | $150.00 | $82.55 |
|
93351
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report
|
42 | 42 | $675.00 | $274.61 |
|
93320
Ultrasound of heart blood flow, valves and chambers
|
41 | 41 | $200.00 | $63.21 |
|
93325
Doppler ultrasound study of color-directed heart blood flow, rate, and valve function
|
41 | 41 | $175.00 | $30.20 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
35 | 35 | $350.00 | $191.18 |
|
90682
Influenza vaccine, quadrivalent derived from recombinant dna
|
30 | 30 | $76.33 | $54.89 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
30 | 12 | $30.00 | $19.61 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
29 | 12 | $5.00 | $1.77 |
|
93224
Electrocardiogram (ecg) 2-day continuous with review and report by health care professional
|
26 | 26 | $425.00 | $96.71 |
|
84480
Thyroid hormone, t3 measurement, total
|
22 | 22 | $20.70 | $15.43 |
|
84439
Thyroxine (thyroid chemical), free
|
22 | 22 | $13.17 | $9.82 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
19 | 19 | $175.00 | $128.00 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
15 | 15 | $115.00 | $109.82 |
|
82985
Glycated protein level
|
15 | 14 | $21.59 | $16.42 |
|
93229
Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional
|
13 | 13 | $950.00 | $862.07 |
|
G0009
Administration of pneumococcal vaccine
|
12 | 12 | $25.00 | $19.35 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
1,517 | 774 | $75.00 | $20.20 |
|
93701
Measurement of heart blood flow and respiration
|
1,429 | 792 | $100.00 | $29.52 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,426 | 730 | $175.00 | $124.66 |
|
36415
Insertion of needle into vein for collection of blood sample
|
1,334 | 466 | $3.18 | $2.94 |
|
J2785
Injection, regadenoson, 0.1 mg
|
1,075 | 269 | $399.58 | $55.64 |
|
84478
Triglycerides level
|
745 | 440 | $15.00 | $6.95 |
|
83718
Hdl cholesterol level
|
744 | 440 | $11.96 | $9.92 |
|
82465
Cholesterol level
|
744 | 439 | $15.00 | $5.26 |
|
82150
Amylase (enzyme) level
|
740 | 437 | $9.46 | $7.84 |
|
83695
Lipoprotein (a) level
|
739 | 437 | $18.91 | $15.66 |
|
83735
Magnesium level
|
739 | 441 | $20.00 | $8.10 |
|
84550
Uric acid level, blood
|
735 | 437 | $1.56 | $1.53 |
|
80076
Liver function blood test panel
|
729 | 427 | $2.77 | $2.71 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
719 | 420 | $24.53 | $20.33 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
707 | 414 | $25.00 | $9.40 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
700 | 417 | $3.55 | $3.48 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
681 | 669 | $737.44 | $235.34 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
681 | 416 | $49.56 | $41.06 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
669 | 234 | $75.00 | $51.56 |
|
83036
Hemoglobin A1C level
|
666 | 406 | $14.17 | $11.75 |
|
85610
Blood test, clotting time
|
603 | 76 | $5.51 | $4.75 |
|
A9500
Technetium tc-99m sestamibi, diagnostic, per study dose
|
557 | 278 | $250.00 | $121.72 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
521 | 516 | $450.00 | $229.02 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
393 | 382 | $21.35 | $18.24 |
|
83540
Iron level
|
391 | 379 | $15.00 | $7.83 |
|
83090
Homocysteine (amino acid) level
|
390 | 378 | $24.63 | $20.41 |
|
82728
Ferritin (blood protein) level
|
390 | 379 | $40.00 | $16.49 |
|
83550
Iron binding capacity
|
390 | 380 | $30.00 | $10.57 |
|
82746
Folic acid level
|
388 | 378 | $20.54 | $17.79 |
|
82652
Dihydroxyvitamin d, 1, 25 level
|
363 | 342 | $56.20 | $46.58 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
335 | 203 | $100.00 | $84.73 |
|
86140
Measurement C-reactive protein for detection of infection or inflammation
|
330 | 317 | $7.41 | $6.26 |
|
86431
Rheumatoid factor level
|
325 | 315 | $8.29 | $6.86 |
|
86225
Measurement of dna antibody, native or double stranded
|
321 | 313 | $20.06 | $16.63 |
|
86235
Measurement of antibody for assessment of autoimmune disorder, any method
|
318 | 310 | $26.25 | $21.70 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
280 | 279 | $1400.00 | $588.27 |
|
93015
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
|
280 | 278 | $300.00 | $81.23 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
148 | 148 | $250.00 | $192.07 |
|
84153
Psa (prostate specific antigen) measurement, total
|
137 | 128 | $26.85 | $22.26 |
|
93886
Complete ultrasound of within the brain blood flow
|
124 | 122 | $500.00 | $190.25 |
|
93892
Ultrasound of within the brain blood flow for blood clots
|
124 | 122 | $600.00 | $205.55 |
|
93890
Ultrasound of within the brain blood flow following medication
|
124 | 122 | $500.00 | $267.11 |
|
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
|
100 | 30 | $200.00 | $124.68 |
|
99232
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
|
100 | 18 | $150.00 | $83.20 |
|
93279
Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report
|
96 | 51 | $129.30 | $56.90 |
|
G0008
Administration of influenza virus vaccine
|
87 | 87 | $30.00 | $24.01 |
|
93978
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
|
83 | 83 | $500.00 | $189.68 |
|
93925
Ultrasound of leg arteries or artery grafts
|
73 | 73 | $525.00 | $285.05 |
|
93282
Programming of single lead implantable defibrillator system
|
68 | 30 | $175.00 | $70.15 |
|
99233
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
|
65 | 27 | $175.00 | $118.99 |
|
90662
Influenza vaccine split virus, preservative free
|
54 | 54 | $75.00 | $52.30 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
39 | 39 | $150.00 | $81.74 |
|
93290
Evaluation of implantable heart and blood vessel monitoring system
|
36 | 26 | $75.00 | $40.26 |
|
99223
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
|
34 | 32 | $350.00 | $232.31 |
|
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
|
33 | 15 | $5.00 | $1.93 |
|
96372
Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
|
33 | 15 | $30.00 | $24.12 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
31 | 26 | $350.00 | $190.43 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
30 | 29 | $500.00 | $209.94 |
|
90688
Vaccine for influenza for administration into muscle, 0.5 ml dosage
|
29 | 29 | $75.00 | $17.48 |
|
82985
Glycated protein level
|
21 | 20 | $21.59 | $18.24 |
|
71046
X-ray of chest, 2 views
|
20 | 19 | $100.00 | $36.12 |
|
93229
Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional
|
20 | 20 | $950.00 | $883.46 |
|
93228
Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional
|
19 | 19 | $132.89 | $29.57 |
|
84403
Testosterone (hormone) level, total
|
18 | 16 | $36.33 | $31.23 |
|
93224
Electrocardiogram (ecg) 2-day continuous with review and report by health care professional
|
17 | 15 | $425.00 | $100.74 |
|
93320
Ultrasound of heart blood flow, valves and chambers
|
16 | 16 | $200.00 | $63.86 |
|
93351
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report
|
16 | 16 | $675.00 | $276.46 |
|
93325
Doppler ultrasound study of color-directed heart blood flow, rate, and valve function
|
16 | 16 | $175.00 | $30.75 |
|
G0439
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
|
12 | 12 | $175.00 | $131.10 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
11 | 11 | $115.00 | $105.59 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
11 | 11 | $175.00 | $127.16 |
|
93971
Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers
|
11 | 11 | $350.00 | $137.69 |
|
G0009
Administration of pneumococcal vaccine
|
11 | 11 | $25.00 | $24.01 |
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
93000
Routine ekg using at least 12 leads including interpretation and report
|
1,513 | 768 | $75.00 | $20.20 |
|
93701
Measurement of heart blood flow and respiration
|
1,444 | 785 | $100.00 | $29.58 |
|
99214
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
|
1,374 | 689 | $175.00 | $124.21 |
|
36415
Insertion of needle into vein for collection of blood sample
|
1,292 | 440 | $3.16 | $2.94 |
|
J2785
Injection, regadenoson, 0.1 mg
|
1,034 | 258 | $399.71 | $54.45 |
|
83735
Magnesium level
|
746 | 407 | $20.00 | $9.01 |
|
84550
Uric acid level, blood
|
742 | 406 | $1.56 | $0.62 |
|
82465
Cholesterol level
|
738 | 406 | $15.00 | $5.44 |
|
83718
Hdl cholesterol level
|
737 | 405 | $11.96 | $11.02 |
|
84478
Triglycerides level
|
737 | 406 | $15.00 | $5.44 |
|
83695
Lipoprotein (a) level
|
735 | 404 | $18.91 | $17.40 |
|
82150
Amylase (enzyme) level
|
735 | 405 | $9.46 | $8.71 |
|
84443
Blood test, thyroid stimulating hormone (TSH)
|
719 | 401 | $24.53 | $22.59 |
|
80076
Liver function blood test panel
|
709 | 390 | $2.77 | $1.13 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
708 | 394 | $25.00 | $10.45 |
|
99212
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
|
702 | 269 | $75.00 | $51.14 |
|
83036
Hemoglobin A1C level
|
687 | 392 | $14.17 | $13.05 |
|
80048
Blood test, basic group of blood chemicals (calcium, total)
|
682 | 383 | $3.55 | $1.44 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
666 | 391 | $49.56 | $45.63 |
|
85610
Blood test, clotting time
|
620 | 85 | $5.49 | $5.28 |
|
A9500
Technetium tc-99m sestamibi, diagnostic, per study dose
|
550 | 275 | $250.00 | $165.88 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
548 | 529 | $744.89 | $265.69 |
|
93880
Ultrasound of both sides of head and neck blood flow
|
425 | 418 | $450.00 | $225.64 |
|
82607
Cyanocobalamin (vitamin B-12) level
|
368 | 350 | $21.35 | $20.27 |
|
82746
Folic acid level
|
365 | 347 | $20.54 | $19.77 |
|
83540
Iron level
|
364 | 347 | $15.00 | $8.70 |
|
82728
Ferritin (blood protein) level
|
363 | 346 | $40.00 | $18.33 |
|
82652
Dihydroxyvitamin d, 1, 25 level
|
363 | 331 | $56.20 | $51.75 |
|
83550
Iron binding capacity
|
362 | 345 | $30.00 | $11.75 |
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
333 | 200 | $100.00 | $84.72 |
|
86140
Measurement C-reactive protein for detection of infection or inflammation
|
317 | 302 | $7.41 | $6.96 |
|
86431
Rheumatoid factor level
|
317 | 307 | $8.29 | $7.62 |
|
83090
Homocysteine (amino acid) level
|
310 | 302 | $24.63 | $22.68 |
|
86225
Measurement of dna antibody, native or double stranded
|
309 | 299 | $20.06 | $18.47 |
|
86235
Measurement of antibody for assessment of autoimmune disorder, any method
|
307 | 296 | $26.18 | $24.11 |
|
93015
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician
|
285 | 282 | $300.00 | $87.26 |
|
78452
Nuclear medicine studies of heart muscle at rest and with stress and spect
|
276 | 275 | $1400.00 | $582.22 |
|
84153
Psa (prostate specific antigen) measurement, total
|
147 | 137 | $26.85 | $24.73 |
|
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
|
138 | 50 | $200.00 | $124.21 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
138 | 138 | $250.00 | $191.16 |
|
G0008
Administration of influenza virus vaccine
|
134 | 131 | $30.00 | $29.40 |
|
93890
Ultrasound of within the brain blood flow following medication
|
108 | 105 | $500.00 | $269.72 |
|
93886
Complete ultrasound of within the brain blood flow
|
108 | 105 | $500.00 | $261.42 |
|
93892
Ultrasound of within the brain blood flow for blood clots
|
108 | 105 | $600.00 | $203.55 |
|
90674
Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free
|
99 | 99 | $50.51 | $23.57 |
|
93279
Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report
|
95 | 47 | $125.08 | $57.72 |
|
93978
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts
|
70 | 70 | $500.00 | $189.40 |
|
84134
Prealbumin (protein) level
|
68 | 58 | $15.00 | $7.51 |
|
93282
Programming of single lead implantable defibrillator system
|
63 | 32 | $175.00 | $72.74 |
|
99495
Transitional care management services for problem of at least moderate complexity
|
37 | 33 | $350.00 | $188.99 |
|
90662
Influenza vaccine split virus, preservative free
|
33 | 33 | $82.27 | $48.05 |
|
93290
Evaluation of implantable heart and blood vessel monitoring system
|
32 | 23 | $75.00 | $34.86 |
|
93306
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function
|
31 | 31 | $150.00 | $71.39 |
|
93351
Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report
|
27 | 27 | $675.00 | $319.67 |
|
93320
Ultrasound of heart blood flow, valves and chambers
|
26 | 26 | $200.00 | $63.37 |
|
93325
Doppler ultrasound study of color-directed heart blood flow, rate, and valve function
|
26 | 26 | $175.00 | $30.29 |
|
71020
X-ray of chest, 2 views, front and side
|
20 | 20 | $100.00 | $33.09 |
|
84403
Testosterone (hormone) level, total
|
18 | 18 | $36.33 | $34.70 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
18 | 18 | $175.00 | $127.19 |
|
93224
Electrocardiogram (ecg) 2-day continuous with review and report by health care professional
|
17 | 16 | $425.00 | $101.44 |
|
93925
Ultrasound of leg arteries or artery grafts
|
14 | 14 | $525.00 | $291.22 |
|
99202
New patient office or other outpatient visit, typically 20 minutes
|
13 | 13 | $150.00 | $87.35 |
|
93970
Ultrasound study of arm or leg veins with compression and maneuvers
|
12 | 12 | $500.00 | $224.27 |
|
90732
Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older
|
11 | 11 | $115.00 | $95.28 |
|
G0009
Administration of pneumococcal vaccine
|
11 | 11 | $25.00 | $24.50 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
NUCC Taxonomy Code: 207RC0000X
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
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Physician Assistant
RPAC
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NPI status registered as active in NPPES database
Registered at 407 FRANKLIN AVE, FRANKLIN SQUARE, NY 110101227 (Tel: 5166160808)
Registered at 407 FRANKLIN AVE, FRANKLIN SQUARE, NY 110101227 (Tel: 5166160808)
Recorded as SCOTT RATNER, M.D.
Specialist (License #143077 in NY)
First registered as active Individual Practitioner in NPPES Database.
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Mailing Address
407 Franklin Ave
Franklin Square, NY 110101227
Phone: 5166160808
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