Active NPI 1396789152 Individual Practitioner Male Practitioner

Dr. David E Hipp , MD

Internal Medicine • Pinehurst, NC

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. David Hipp, MD is a certified Internal Medicine practicing in Pinehurst, NC. With approximately 35 years of clinical experience since graduating from Northeastern Ohio University College Of Medicine in 1991, Dr. Hipp delivers high-quality medical care to the local community at 15 REGIONAL DR.

Dr. Hipp maintains professional affiliations with Pinehurst Medical Clinic Inc, Legacy Healthcare Services Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include injection, ferric carboxymaltose, 1 mg, injection, denosumab, 1 mg, low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

15 Regional Dr

Pinehurst, NC 283748850

Telephone 9102554400

Fax 9102353448

Associated Practice Facility / Clinic

🏢 Pinehurst Medical Clinic, Inc. Facility NPI 1356421853

Medicare Profile & Education

Medical School

Northeastern Ohio University College Of Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Pinehurst, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +9.3 yrs vs City Avg

City Avg: 25.7 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

32 Specialists

Practicing in Pinehurst, NC (4209 Statewide)

Telehealth Adoption Rate

18.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

74.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hipp (35 Years) 35 Yrs

Pinehurst Specialty Average (25.7 Years) 25.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1439 Injection, ferric carboxymaltose, 1 mg	16,500	18	$2.20	$1.09
J0897 Injection, denosumab, 1 mg	5,100	63	$32.46	$25.84
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,500	28	$1.00	$0.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,439	841	$196.00	$119.87
36415 Insertion of needle into vein for collection of blood sample	1,206	747	$20.00	$8.64
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	1,102	746	$65.00	$15.50
80053 Blood test, comprehensive group of blood chemicals	775	686	$77.00	$10.33
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	712	645	$40.00	$6.33
80061 Blood test, lipids (cholesterol and triglycerides)	655	627	$95.00	$13.08
84443 Blood test, thyroid stimulating hormone (TSH)	555	503	$90.00	$16.43
83036 Hemoglobin A1C level	397	221	$65.00	$9.50
99213 Established patient office or other outpatient visit, typically 15 minutes	360	269	$135.00	$84.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	360	150	$40.00	$13.37
G0008 Administration of influenza virus vaccine	246	243	$37.00	$30.39
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	239	82	$21.00	$1.22
90653 Vaccine for influenza for injection into muscle	230	230	$135.00	$81.46
80048 Blood test, basic group of blood chemicals (calcium, total)	217	181	$59.00	$8.24
93793 Anticoagulant management of patient taking warfarin	203	16	$30.00	$10.66
G0103 Prostate cancer screening; prostate specific antigen test (psa)	177	177	$99.00	$18.92
J3489 Injection, zoledronic acid, 1 mg	175	35	$280.00	$6.40
85610 Blood test, clotting time	131	18	$33.00	$4.20
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	125	125	$45.00	$7.55
82607 Cyanocobalamin (vitamin B-12) level	102	100	$96.00	$14.78
81001 Manual urinalysis test with examination using microscope, automated	97	66	$24.00	$3.11
82043 Urine microalbumin (protein) level	96	84	$72.00	$5.66
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	86	20	$6.00	$0.96
71046 X-ray of chest, 2 views	84	79	$91.00	$21.14
84153 Psa (prostate specific antigen) measurement, total	78	67	$99.00	$17.82
82570 Creatinine level to test for kidney function or muscle injury	68	63	$39.00	$5.08
77080 Dxa bone density measurement of hip, pelvis, spine	65	65	$375.00	$35.55
82728 Ferritin (blood protein) level	64	50	$80.00	$13.36
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	61	57	$175.00	$57.16
84439 Thyroxine (thyroid chemical), free	55	49	$79.00	$8.84
84550 Uric acid level, blood	48	44	$33.00	$4.37
99495 Transitional care management services for problem of at least moderate complexity	47	41	$400.00	$193.21
83540 Iron level	46	39	$46.00	$6.34
82306 Vitamin d-3 level	45	45	$150.00	$29.01
82565 Blood creatinine level	45	38	$35.00	$5.02
83550 Iron binding capacity	43	37	$42.00	$8.57
84403 Testosterone (hormone) level, total	42	35	$128.00	$25.29
82310 Calcium level, total	38	31	$33.00	$5.06
93000 Routine ekg using at least 12 leads including interpretation and report	35	35	$88.00	$13.29
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	34	17	$223.47	$108.50
81003 Automated urinalysis test	32	28	$20.00	$2.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	30	30	$210.00	$117.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	26	$260.00	$169.16
82550 Creatine kinase (cardiac enzyme) level, total	27	23	$35.00	$6.38
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	26	24	$125.00	$49.95
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	26	25	$28.00	$4.18
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	24	24	$605.00	$115.73
G0009 Administration of pneumococcal vaccine	23	23	$37.00	$30.39
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	21	21	$528.00	$290.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	20	17	$40.00	$7.61
83970 Parathormone (parathyroid hormone) level	18	18	$188.00	$40.45
74177 Ct scan of abdomen and pelvis with contrast	18	18	$2050.00	$205.53
86140 Measurement C-reactive protein for detection of infection or inflammation	18	17	$85.00	$5.08
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	17	17	$1770.00	$325.39
20610 Aspiration and/or injection of fluid from large joint	17	15	$175.00	$60.13
83880 Natriuretic peptide (heart and blood vessel protein) level	14	14	$152.00	$38.47
71271 Low dose ct scan of chest for lung cancer screening	13	13	$327.00	$81.38
72100 X-ray of lower and sacral spine, 2-3 views	12	11	$89.00	$26.64
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	11	11	$60.00	$33.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,080	35	$1.00	$0.15
J0897 Injection, denosumab, 1 mg	2,040	25	$30.09	$23.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,537	876	$196.00	$122.57
36415 Insertion of needle into vein for collection of blood sample	1,296	817	$20.00	$8.39
80053 Blood test, comprehensive group of blood chemicals	822	744	$77.00	$10.29
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	748	687	$40.00	$6.31
80061 Blood test, lipids (cholesterol and triglycerides)	664	642	$95.00	$13.05
84443 Blood test, thyroid stimulating hormone (TSH)	550	504	$90.00	$16.37
99213 Established patient office or other outpatient visit, typically 15 minutes	429	325	$135.00	$86.11
83036 Hemoglobin A1C level	407	233	$65.00	$9.51
G0008 Administration of influenza virus vaccine	261	256	$37.00	$29.17
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	252	249	$125.00	$75.35
80048 Blood test, basic group of blood chemicals (calcium, total)	236	186	$59.00	$8.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	204	49	$40.00	$13.58
G0103 Prostate cancer screening; prostate specific antigen test (psa)	188	188	$99.00	$18.92
93793 Anticoagulant management of patient taking warfarin	158	17	$30.00	$11.09
85610 Blood test, clotting time	149	18	$33.00	$4.20
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	147	20	$21.00	$1.53
J3489 Injection, zoledronic acid, 1 mg	125	25	$280.00	$8.68
71046 X-ray of chest, 2 views	116	107	$91.00	$21.83
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	102	102	$45.00	$7.92
81001 Manual urinalysis test with examination using microscope, automated	93	68	$24.00	$3.11
99495 Transitional care management services for problem of at least moderate complexity	89	75	$400.00	$196.55
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	73	18	$6.00	$1.07
84153 Psa (prostate specific antigen) measurement, total	72	63	$99.00	$18.02
82043 Urine microalbumin (protein) level	71	68	$72.00	$5.66
77080 Dxa bone density measurement of hip, pelvis, spine	69	69	$375.00	$36.29
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	67	67	$210.00	$124.99
82607 Cyanocobalamin (vitamin B-12) level	61	61	$96.00	$14.78
93000 Routine ekg using at least 12 leads including interpretation and report	52	50	$88.00	$13.80
81003 Automated urinalysis test	47	40	$20.00	$2.16
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	46	23	$175.00	$110.23
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	44	38	$260.00	$172.87
82728 Ferritin (blood protein) level	43	37	$80.00	$13.36
84550 Uric acid level, blood	41	40	$33.00	$4.35
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	39	39	$605.00	$119.39
82306 Vitamin d-3 level	38	37	$150.00	$28.46
84439 Thyroxine (thyroid chemical), free	38	36	$79.00	$8.64
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	36	32	$175.00	$60.40
99496 Transitional care management services for problem of high complexity	36	34	$575.00	$266.33
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	36	33	$28.00	$4.08
82565 Blood creatinine level	30	26	$35.00	$5.02
82310 Calcium level, total	26	22	$33.00	$5.06
86140 Measurement C-reactive protein for detection of infection or inflammation	25	24	$85.00	$5.08
G0009 Administration of pneumococcal vaccine	25	25	$37.00	$28.00
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	21	$125.00	$50.22
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	23	23	$1770.00	$341.83
84403 Testosterone (hormone) level, total	23	19	$128.00	$25.29
82550 Creatine kinase (cardiac enzyme) level, total	22	21	$35.00	$6.13
83540 Iron level	21	19	$46.00	$6.34
83880 Natriuretic peptide (heart and blood vessel protein) level	20	19	$152.00	$37.24
90480 Admn sarscov2 vacc 1 dose	19	19	$80.00	$38.90
74177 Ct scan of abdomen and pelvis with contrast	19	19	$2050.00	$218.32
91322 Sarscov2 vac 50 mcg/0.5ml im	19	19	$250.00	$143.00
80076 Liver function blood test panel	18	11	$57.00	$8.01
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	18	18	$99.22	$34.62
74176 Ct scan of abdomen and pelvis without contrast	18	18	$1800.00	$100.90
83550 Iron binding capacity	17	16	$42.00	$8.57
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	16	16	$528.00	$264.00
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	13	$40.00	$7.61
20610 Aspiration and/or injection of fluid from large joint	14	13	$175.00	$61.97
73502 X-ray of hip, 2-3 views	14	14	$78.00	$34.25
71271 Low dose ct scan of chest for lung cancer screening	14	14	$327.00	$86.26
93880 Ultrasound of both sides of head and neck blood flow	13	13	$500.00	$144.56
73030 X-ray of shoulder, minimum of 2 views	12	12	$85.00	$24.18
70450 Ct scan head or brain without contrast	12	12	$825.00	$65.75
76770 Complete ultrasound scan behind abdominal cavity	12	11	$231.00	$70.11
76705 Limited ultrasound scan of abdomen	11	11	$170.00	$51.24
76536 Ultrasound of head and neck	11	11	$190.00	$79.89
71275 Ct scan of blood vessels of chest with contrast	11	11	$905.00	$160.93
71250 Ct scan of chest without contrast	11	11	$900.00	$74.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	2,940	32	$1.00	$0.12
J0897 Injection, denosumab, 1 mg	2,160	24	$30.00	$21.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,611	937	$196.02	$124.29
36415 Insertion of needle into vein for collection of blood sample	1,349	877	$20.00	$2.96
80053 Blood test, comprehensive group of blood chemicals	880	804	$77.00	$10.39
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	798	745	$40.00	$6.38
80061 Blood test, lipids (cholesterol and triglycerides)	680	653	$95.00	$13.19
99213 Established patient office or other outpatient visit, typically 15 minutes	464	367	$135.00	$88.17
84443 Blood test, thyroid stimulating hormone (TSH)	426	392	$90.00	$16.53
83036 Hemoglobin A1C level	418	238	$65.00	$9.51
G0008 Administration of influenza virus vaccine	304	304	$37.00	$28.04
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	298	298	$118.38	$70.24
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	231	50	$40.00	$13.92
G0103 Prostate cancer screening; prostate specific antigen test (psa)	217	217	$99.00	$19.06
80048 Blood test, basic group of blood chemicals (calcium, total)	208	178	$59.00	$8.29
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	163	18	$21.00	$1.72
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	152	23	$6.00	$1.13
J3489 Injection, zoledronic acid, 1 mg	150	30	$272.53	$6.94
71046 X-ray of chest, 2 views	149	141	$91.00	$22.20
85610 Blood test, clotting time	144	27	$33.00	$4.23
93793 Anticoagulant management of patient taking warfarin	125	24	$30.00	$11.03
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	116	17	$100.00	$62.00
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	104	103	$45.00	$8.06
99495 Transitional care management services for problem of at least moderate complexity	101	92	$400.00	$198.96
81001 Manual urinalysis test with examination using microscope, automated	93	72	$24.00	$3.07
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	83	78	$92.00	$34.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	79	79	$210.00	$128.80
84153 Psa (prostate specific antigen) measurement, total	78	70	$99.00	$18.14
82043 Urine microalbumin (protein) level	71	69	$72.00	$5.70
77080 Dxa bone density measurement of hip, pelvis, spine	58	58	$375.00	$36.00
82728 Ferritin (blood protein) level	53	44	$80.00	$13.47
93000 Routine ekg using at least 12 leads including interpretation and report	49	47	$88.00	$13.68
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	48	24	$175.00	$100.87
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	42	38	$175.00	$64.96
82607 Cyanocobalamin (vitamin B-12) level	40	39	$96.00	$14.88
81003 Automated urinalysis test	40	38	$20.00	$2.22
84550 Uric acid level, blood	38	38	$33.00	$4.46
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	35	13	$75.00	$46.80
G0009 Administration of pneumococcal vaccine	34	34	$37.00	$28.31
82565 Blood creatinine level	33	32	$35.00	$5.07
70450 Ct scan head or brain without contrast	32	32	$825.00	$64.96
20610 Aspiration and/or injection of fluid from large joint	32	21	$175.00	$59.95
84403 Testosterone (hormone) level, total	31	28	$128.00	$25.55
82306 Vitamin d-3 level	29	29	$150.00	$29.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$195.00	$105.95
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	24	$125.00	$51.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$260.00	$176.60
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$89.00	$27.97
74176 Ct scan of abdomen and pelvis without contrast	24	24	$1800.00	$103.34
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	24	24	$1770.00	$360.45
82310 Calcium level, total	23	23	$33.00	$5.11
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	23	21	$28.00	$4.20
84439 Thyroxine (thyroid chemical), free	22	20	$79.00	$8.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$296.00	$163.68
82550 Creatine kinase (cardiac enzyme) level, total	20	20	$35.00	$6.41
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	19	19	$605.00	$125.22
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	18	18	$370.00	$95.16
0013A Adm sarscov2 100mcg/0.5ml3rd	18	18	$80.00	$37.24
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$305.00	$165.37
0134A Fee covid-19 vac 14 res	17	17	$80.00	$37.09
86140 Measurement C-reactive protein for detection of infection or inflammation	17	17	$85.00	$5.11
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$233.00	$132.14
73630 X-ray of foot, minimum of 3 views	16	16	$79.00	$25.45
74177 Ct scan of abdomen and pelvis with contrast	15	15	$2050.00	$227.97
83540 Iron level	15	14	$46.00	$6.39
80076 Liver function blood test panel	14	12	$57.00	$8.10
73502 X-ray of hip, 2-3 views	14	14	$78.00	$34.76
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	14	11	$95.00	$39.65
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	14	$40.00	$7.67
99496 Transitional care management services for problem of high complexity	13	13	$575.00	$271.11
76705 Limited ultrasound scan of abdomen	13	12	$170.00	$57.82
71250 Ct scan of chest without contrast	13	11	$900.00	$76.34
83550 Iron binding capacity	12	11	$42.00	$8.64
93970 Ultrasound study of arm or leg veins with compression and maneuvers	12	11	$550.00	$150.84
90670 Pneumococcal vaccine for injection into muscle	11	11	$434.09	$247.52
76700 Ultrasound of abdomen	11	11	$230.00	$77.07
73030 X-ray of shoulder, minimum of 2 views	11	11	$85.00	$24.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,935	63	$1.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,762	1,014	$196.22	$126.85
36415 Insertion of needle into vein for collection of blood sample	1,634	1,002	$20.00	$3.00
J0897 Injection, denosumab, 1 mg	1,440	19	$30.00	$20.59
80053 Blood test, comprehensive group of blood chemicals	1,048	945	$77.00	$10.54
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	941	867	$40.00	$6.46
80061 Blood test, lipids (cholesterol and triglycerides)	834	804	$95.00	$13.37
84443 Blood test, thyroid stimulating hormone (TSH)	590	537	$90.00	$16.76
83036 Hemoglobin A1C level	493	275	$65.00	$9.66
99213 Established patient office or other outpatient visit, typically 15 minutes	460	354	$135.00	$89.36
G0008 Administration of influenza virus vaccine	368	368	$37.00	$16.26
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	338	338	$115.72	$66.23
80048 Blood test, basic group of blood chemicals (calcium, total)	284	228	$59.00	$8.41
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	258	50	$40.00	$13.84
G0103 Prostate cancer screening; prostate specific antigen test (psa)	234	234	$99.00	$19.31
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	183	144	$260.00	$176.02
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	180	24	$21.00	$1.99
81001 Manual urinalysis test with examination using microscope, automated	172	136	$24.00	$3.16
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	165	31	$6.00	$1.28
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	162	26	$100.00	$40.11
71046 X-ray of chest, 2 views	158	153	$91.00	$21.93
85610 Blood test, clotting time	157	17	$33.00	$4.29
93793 Anticoagulant management of patient taking warfarin	156	16	$30.00	$11.24
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	129	129	$45.00	$8.18
84153 Psa (prostate specific antigen) measurement, total	93	82	$99.00	$18.39
J3489 Injection, zoledronic acid, 1 mg	90	18	$280.00	$10.51
82043 Urine microalbumin (protein) level	88	83	$72.00	$5.78
99495 Transitional care management services for problem of at least moderate complexity	85	78	$400.00	$202.04
93000 Routine ekg using at least 12 leads including interpretation and report	82	81	$88.00	$14.23
82728 Ferritin (blood protein) level	66	57	$80.00	$13.63
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	64	32	$175.00	$101.47
77080 Dxa bone density measurement of hip, pelvis, spine	61	61	$375.00	$37.01
82306 Vitamin d-3 level	59	59	$150.00	$29.60
82607 Cyanocobalamin (vitamin B-12) level	59	58	$96.00	$15.08
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	54	19	$75.00	$36.68
0011A Adm sarscov2 100mcg/0.5ml1st	54	50	$75.83	$36.14
84550 Uric acid level, blood	52	48	$33.00	$4.52
0002A Intramuscular administration of single severe acute respiratory syndrome coronavirus 2 (covid-19) vaccine, mrna-lnp, spike protein, preservative free, 30 mcg/0.3ml dosage, diluent reconstituted; second dose	49	49	$80.00	$38.17
0064A Adm sarscov2 50mcg/0.25mlbst	47	47	$80.00	$38.17
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$296.00	$165.22
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	38	34	$92.00	$35.33
74177 Ct scan of abdomen and pelvis with contrast	37	36	$2050.00	$234.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	36	36	$195.00	$109.86
83540 Iron level	34	33	$46.00	$6.47
G0009 Administration of pneumococcal vaccine	34	34	$37.00	$16.23
83550 Iron binding capacity	34	33	$42.00	$8.74
84439 Thyroxine (thyroid chemical), free	32	28	$79.00	$8.83
84403 Testosterone (hormone) level, total	32	25	$128.00	$25.81
20610 Aspiration and/or injection of fluid from large joint	32	25	$175.00	$64.17
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	32	32	$1770.00	$384.14
73564 X-ray of knee, 4 or more views	31	27	$110.00	$33.38
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	29	27	$40.00	$7.77
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	29	29	$40.00	$18.98
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	29	29	$210.00	$130.60
87086 Bacterial colony count, urine	28	27	$55.00	$8.07
73030 X-ray of shoulder, minimum of 2 views	27	27	$85.00	$23.89
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	26	26	$605.00	$127.63
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	25	23	$175.00	$69.61
99441 Telephone medical discussion with physician, 5-10 minutes	25	23	$80.00	$54.03
71100 X-ray of ribs of one side of body, 2 views	25	25	$85.00	$24.59
73630 X-ray of foot, minimum of 3 views	23	22	$79.00	$24.91
82565 Blood creatinine level	23	22	$35.00	$5.12
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	22	20	$28.00	$4.27
90670 Pneumococcal vaccine for injection into muscle	22	22	$415.91	$239.85
74176 Ct scan of abdomen and pelvis without contrast	22	22	$1800.00	$107.91
82550 Creatine kinase (cardiac enzyme) level, total	21	21	$35.00	$6.51
93970 Ultrasound study of arm or leg veins with compression and maneuvers	21	21	$550.00	$156.36
76705 Limited ultrasound scan of abdomen	21	21	$170.00	$55.68
73610 X-ray of ankle, minimum of 3 views	20	17	$80.00	$26.83
99496 Transitional care management services for problem of high complexity	19	18	$575.00	$273.68
70450 Ct scan head or brain without contrast	19	18	$825.00	$66.07
72110 X-ray of lower and sacral spine, minimum of 4 views	18	18	$132.00	$36.37
76700 Ultrasound of abdomen	17	17	$230.00	$79.69
73502 X-ray of hip, 2-3 views	17	17	$78.00	$34.05
73130 X-ray of hand, minimum of 3 views	17	17	$70.00	$26.56
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	16	15	$125.00	$51.75
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	15	15	$370.00	$97.63
0012A Adm sarscov2 100mcg/0.5ml2nd	15	15	$80.00	$38.17
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$215.71	$124.63
80076 Liver function blood test panel	14	12	$57.00	$8.17
82310 Calcium level, total	13	13	$33.00	$5.16
86140 Measurement C-reactive protein for detection of infection or inflammation	12	11	$85.00	$5.18
84520 Urea nitrogen level to assess kidney function	12	11	$33.00	$3.95
93880 Ultrasound of both sides of head and neck blood flow	12	12	$500.00	$155.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,675	62	$1.00	$0.11
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,845	1,050	$196.00	$105.87
36415 Insertion of needle into vein for collection of blood sample	1,791	1,126	$20.00	$2.98
J0897 Injection, denosumab, 1 mg	1,740	19	$30.00	$19.59
80053 Blood test, comprehensive group of blood chemicals	1,142	1,028	$77.00	$10.48
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	989	897	$40.00	$6.43
80061 Blood test, lipids (cholesterol and triglycerides)	808	776	$95.00	$13.29
99213 Established patient office or other outpatient visit, typically 15 minutes	661	454	$134.93	$73.11
84443 Blood test, thyroid stimulating hormone (TSH)	643	588	$90.00	$16.68
83036 Hemoglobin A1C level	473	267	$65.00	$9.58
G0008 Administration of influenza virus vaccine	471	467	$37.00	$16.10
90662 Influenza vaccine split virus, preservative free	406	406	$107.56	$60.79
81001 Manual urinalysis test with examination using microscope, automated	357	289	$24.00	$3.15
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	328	53	$40.00	$13.91
80048 Blood test, basic group of blood chemicals (calcium, total)	283	234	$59.00	$8.38
G0103 Prostate cancer screening; prostate specific antigen test (psa)	219	219	$99.00	$19.20
71046 X-ray of chest, 2 views	199	190	$91.00	$20.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	199	35	$6.00	$1.47
85610 Blood test, clotting time	190	31	$33.00	$4.26
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	176	24	$21.00	$1.98
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	174	28	$100.00	$40.85
87086 Bacterial colony count, urine	167	144	$55.00	$8.00
93793 Anticoagulant management of patient taking warfarin	166	22	$30.00	$11.56
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	154	146	$92.00	$35.33
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	140	140	$45.00	$8.46
99495 Transitional care management services for problem of at least moderate complexity	126	103	$400.00	$181.24
87804 Detection test by immunoassay with direct visual observation for influenza virus	118	60	$40.00	$16.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	106	96	$260.00	$140.56
84153 Psa (prostate specific antigen) measurement, total	96	81	$99.00	$18.29
93000 Routine ekg using at least 12 leads including interpretation and report	87	85	$88.00	$16.42
G0009 Administration of pneumococcal vaccine	81	81	$36.47	$16.01
J3489 Injection, zoledronic acid, 1 mg	80	16	$280.00	$11.00
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	72	62	$40.00	$8.57
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	70	69	$40.00	$7.73
99441 Telephone medical discussion with physician, 5-10 minutes	69	61	$80.17	$43.79
82043 Urine microalbumin (protein) level	69	67	$72.00	$5.73
82607 Cyanocobalamin (vitamin B-12) level	67	67	$96.00	$14.97
82728 Ferritin (blood protein) level	65	63	$80.00	$13.56
84550 Uric acid level, blood	62	59	$33.00	$4.49
84439 Thyroxine (thyroid chemical), free	51	45	$79.00	$8.98
82306 Vitamin d-3 level	51	51	$150.00	$29.47
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	49	49	$50.51	$29.23
77080 Dxa bone density measurement of hip, pelvis, spine	44	44	$375.00	$37.90
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	43	43	$210.00	$117.88
83540 Iron level	43	43	$46.00	$6.44
83550 Iron binding capacity	41	41	$42.00	$8.70
90670 Pneumococcal vaccine for injection into muscle	41	41	$387.80	$223.63
20610 Aspiration and/or injection of fluid from large joint	40	31	$179.38	$61.85
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	39	39	$210.00	$113.73
99442 Telephone medical discussion with physician, 11-20 minutes	39	35	$135.54	$72.85
93970 Ultrasound study of arm or leg veins with compression and maneuvers	39	36	$550.00	$153.25
82565 Blood creatinine level	36	34	$35.00	$5.09
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	35	14	$75.00	$36.89
74177 Ct scan of abdomen and pelvis with contrast	31	30	$2050.00	$223.94
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	31	31	$28.00	$4.25
99496 Transitional care management services for problem of high complexity	30	28	$575.00	$239.18
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	28	14	$175.00	$100.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$296.00	$161.40
82550 Creatine kinase (cardiac enzyme) level, total	26	24	$35.00	$6.46
86140 Measurement C-reactive protein for detection of infection or inflammation	25	25	$85.00	$5.16
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	25	21	$125.00	$52.24
72100 X-ray of lower and sacral spine, 2-3 views	24	24	$89.00	$25.23
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	24	24	$605.00	$126.20
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	23	21	$175.00	$68.00
70450 Ct scan head or brain without contrast	23	23	$825.00	$67.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$195.00	$104.74
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	22	22	$82.00	$16.45
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	22	11	$95.00	$39.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	21	$80.00	$44.33
71260 Ct scan of chest with contrast	21	20	$1000.00	$110.92
73502 X-ray of hip, 2-3 views	20	20	$78.00	$32.09
82310 Calcium level, total	20	18	$33.00	$5.13
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	18	18	$40.00	$17.92
73030 X-ray of shoulder, minimum of 2 views	18	17	$85.00	$22.25
83735 Magnesium level	18	16	$35.00	$6.66
83690 Lipase (fat enzyme) level	17	17	$49.00	$6.87
84520 Urea nitrogen level to assess kidney function	16	16	$33.00	$3.93
69209 Removal of impacted ear wax by washing	15	14	$112.00	$13.93
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	14	14	$1688.57	$356.07
76700 Ultrasound of abdomen	14	14	$230.00	$78.03
82150 Amylase (enzyme) level	13	13	$37.00	$5.96
84403 Testosterone (hormone) level, total	13	11	$128.00	$25.69
93880 Ultrasound of both sides of head and neck blood flow	12	12	$500.00	$152.50
73110 X-ray of wrist, minimum of 3 views	11	11	$67.00	$28.36
90471 Administration of 1 vaccine	11	11	$37.00	$13.85
73630 X-ray of foot, minimum of 3 views	11	11	$79.00	$23.01
73610 X-ray of ankle, minimum of 3 views	11	11	$80.00	$24.70
76770 Complete ultrasound scan behind abdominal cavity	11	11	$231.00	$72.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	5,520	58	$1.00	$0.11
J0897 Injection, denosumab, 1 mg	3,120	40	$27.00	$18.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,182	1,152	$195.01	$104.98
36415 Insertion of needle into vein for collection of blood sample	1,930	1,176	$20.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	1,174	1,047	$77.00	$11.49
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	1,002	924	$40.00	$7.02
80061 Blood test, lipids (cholesterol and triglycerides)	859	828	$95.00	$14.57
99213 Established patient office or other outpatient visit, typically 15 minutes	808	538	$135.00	$71.51
84443 Blood test, thyroid stimulating hormone (TSH)	673	602	$90.00	$18.26
83036 Hemoglobin A1C level	518	271	$65.00	$10.54
G0008 Administration of influenza virus vaccine	455	452	$37.00	$15.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	391	82	$40.00	$16.09
81001 Manual urinalysis test with examination using microscope, automated	375	300	$24.00	$3.45
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	355	355	$40.00	$18.65
80048 Blood test, basic group of blood chemicals (calcium, total)	337	267	$59.00	$9.21
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	275	51	$6.00	$1.59
G0103 Prostate cancer screening; prostate specific antigen test (psa)	221	221	$99.00	$20.03
87086 Bacterial colony count, urine	212	173	$55.00	$8.79
71046 X-ray of chest, 2 views	210	194	$91.00	$19.28
85610 Blood test, clotting time	206	35	$33.00	$4.28
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	179	28	$21.00	$1.80
87804 Detection test by immunoassay with direct visual observation for influenza virus	169	85	$40.00	$16.07
93793 Anticoagulant management of patient taking warfarin	143	23	$30.00	$11.76
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	137	136	$45.00	$8.38
J3489 Injection, zoledronic acid, 1 mg	115	23	$280.00	$11.65
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	102	19	$100.00	$40.38
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	98	81	$40.00	$9.42
84153 Psa (prostate specific antigen) measurement, total	98	80	$99.00	$20.03
G0009 Administration of pneumococcal vaccine	88	88	$35.97	$15.79
99495 Transitional care management services for problem of at least moderate complexity	87	77	$400.00	$158.95
77080 Dxa bone density measurement of hip, pelvis, spine	87	87	$375.00	$38.18
82043 Urine microalbumin (protein) level	82	82	$72.00	$6.29
82607 Cyanocobalamin (vitamin B-12) level	76	76	$96.00	$16.41
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	71	71	$45.00	$27.57
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	60	60	$210.00	$112.75
93000 Routine ekg using at least 12 leads including interpretation and report	58	57	$88.00	$16.31
84550 Uric acid level, blood	55	53	$33.00	$4.92
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	54	27	$175.00	$99.94
82728 Ferritin (blood protein) level	54	52	$80.00	$14.85
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	53	51	$40.00	$8.46
20610 Aspiration and/or injection of fluid from large joint	52	39	$175.00	$56.58
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	48	48	$197.63	$109.68
90670 Pneumococcal vaccine for injection into muscle	40	40	$370.50	$208.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	40	38	$260.00	$138.34
82565 Blood creatinine level	36	33	$35.00	$5.58
83540 Iron level	35	35	$46.00	$7.05
83550 Iron binding capacity	34	34	$42.00	$9.52
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	32	31	$28.00	$4.18
82306 Vitamin d-3 level	32	30	$150.00	$32.23
83880 Natriuretic peptide (heart and blood vessel protein) level	32	31	$152.00	$38.47
74177 Ct scan of abdomen and pelvis with contrast	32	32	$2050.00	$208.63
93970 Ultrasound study of arm or leg veins with compression and maneuvers	31	31	$550.00	$151.98
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	29	27	$175.00	$67.88
84439 Thyroxine (thyroid chemical), free	29	28	$79.00	$9.82
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	29	29	$82.00	$16.20
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	28	28	$1770.00	$368.27
99496 Transitional care management services for problem of high complexity	27	27	$575.00	$224.37
86140 Measurement C-reactive protein for detection of infection or inflammation	26	26	$85.00	$5.63
70450 Ct scan head or brain without contrast	25	25	$825.00	$67.25
82310 Calcium level, total	24	21	$33.00	$5.62
71260 Ct scan of chest with contrast	24	22	$1000.00	$108.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$295.57	$159.44
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	23	23	$605.00	$121.73
82550 Creatine kinase (cardiac enzyme) level, total	22	20	$35.00	$7.09
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	22	20	$125.00	$51.51
72100 X-ray of lower and sacral spine, 2-3 views	21	20	$89.00	$23.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$195.00	$104.59
72070 X-ray of middle spine, 2 views	20	18	$82.00	$21.36
90662 Influenza vaccine split virus, preservative free	20	20	$96.75	$54.89
84403 Testosterone (hormone) level, total	20	19	$128.00	$28.11
73560 X-ray of knee, 1-2 views	19	16	$55.00	$22.38
83690 Lipase (fat enzyme) level	19	19	$49.00	$7.50
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$305.00	$166.82
76700 Ultrasound of abdomen	16	16	$230.00	$76.33
90471 Administration of 1 vaccine	16	14	$37.00	$16.09
73630 X-ray of foot, minimum of 3 views	15	14	$79.00	$21.36
71100 X-ray of ribs of one side of body, 2 views	15	15	$85.00	$21.70
74176 Ct scan of abdomen and pelvis without contrast	15	15	$1800.00	$106.16
93880 Ultrasound of both sides of head and neck blood flow	14	14	$500.00	$152.64
82150 Amylase (enzyme) level	13	13	$37.00	$7.06
73130 X-ray of hand, minimum of 3 views	13	13	$70.00	$21.52
76770 Complete ultrasound scan behind abdominal cavity	13	12	$231.00	$71.30
83721 Ldl cholesterol level	13	13	$43.00	$10.39
69209 Removal of impacted ear wax by washing	13	13	$129.23	$14.10
73030 X-ray of shoulder, minimum of 2 views	13	11	$85.00	$19.35
81003 Automated urinalysis test	12	12	$20.00	$2.44
73502 X-ray of hip, 2-3 views	12	12	$78.00	$29.75
72040 X-ray of upper spine, 2-3 views	12	12	$109.00	$23.71
84520 Urea nitrogen level to assess kidney function	12	12	$33.00	$4.30
83735 Magnesium level	11	11	$35.00	$7.29
73610 X-ray of ankle, minimum of 3 views	11	11	$80.00	$23.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	4,195	47	$1.00	$0.12
J0897 Injection, denosumab, 1 mg	2,280	29	$23.00	$17.88
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,144	1,161	$195.00	$102.97
36415 Insertion of needle into vein for collection of blood sample	2,015	1,237	$20.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	1,395	1,131	$77.00	$12.76
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	1,114	1,004	$40.00	$7.81
80061 Blood test, lipids (cholesterol and triglycerides)	888	853	$95.00	$16.17
99213 Established patient office or other outpatient visit, typically 15 minutes	867	577	$135.00	$69.84
84443 Blood test, thyroid stimulating hormone (TSH)	717	652	$90.00	$20.33
G0008 Administration of influenza virus vaccine	538	535	$37.00	$19.38
83036 Hemoglobin A1C level	521	279	$65.00	$11.73
81001 Manual urinalysis test with examination using microscope, automated	416	345	$24.00	$3.84
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	329	327	$40.00	$18.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	288	55	$6.00	$1.81
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	257	70	$40.00	$19.49
71046 X-ray of chest, 2 views	237	230	$91.00	$18.11
85610 Blood test, clotting time	216	30	$33.00	$4.75
G0103 Prostate cancer screening; prostate specific antigen test (psa)	212	212	$99.00	$22.26
80048 Blood test, basic group of blood chemicals (calcium, total)	197	169	$59.00	$10.23
90756 Vaccine for influenza for injection into muscle	191	191	$45.00	$22.33
87804 Detection test by immunoassay with direct visual observation for influenza virus	182	91	$40.00	$16.14
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	144	23	$21.00	$1.95
G0009 Administration of pneumococcal vaccine	142	142	$35.87	$19.38
J3489 Injection, zoledronic acid, 1 mg	105	21	$280.00	$13.77
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	101	99	$45.00	$8.19
84153 Psa (prostate specific antigen) measurement, total	94	70	$99.00	$22.26
99495 Transitional care management services for problem of at least moderate complexity	91	82	$400.00	$152.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	80	76	$40.00	$9.40
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	75	14	$100.00	$40.45
90670 Pneumococcal vaccine for injection into muscle	74	74	$349.57	$197.54
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	68	68	$188.00	$105.59
82043 Urine microalbumin (protein) level	67	66	$72.00	$7.00
77080 Dxa bone density measurement of hip, pelvis, spine	65	60	$341.63	$35.92
82607 Cyanocobalamin (vitamin B-12) level	62	62	$96.00	$18.24
20610 Aspiration and/or injection of fluid from large joint	56	42	$175.00	$55.30
82728 Ferritin (blood protein) level	53	50	$80.00	$16.49
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	52	26	$175.00	$73.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	48	48	$211.98	$109.36
84550 Uric acid level, blood	44	43	$33.00	$5.47
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	43	38	$28.00	$4.29
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	43	43	$305.00	$162.83
87086 Bacterial colony count, urine	38	37	$55.00	$9.76
82306 Vitamin d-3 level	37	36	$150.00	$35.82
70450 Ct scan head or brain without contrast	35	34	$825.00	$66.25
93000 Routine ekg using at least 12 leads including interpretation and report	35	33	$88.00	$16.11
82565 Blood creatinine level	35	32	$35.00	$6.20
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	31	31	$82.00	$16.20
74177 Ct scan of abdomen and pelvis with contrast	31	31	$2050.00	$202.06
72100 X-ray of lower and sacral spine, 2-3 views	29	29	$89.00	$21.28
86140 Measurement C-reactive protein for detection of infection or inflammation	28	24	$85.00	$6.26
83690 Lipase (fat enzyme) level	27	27	$49.00	$8.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$195.00	$100.43
73502 X-ray of hip, 2-3 views	27	27	$78.00	$28.02
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	26	26	$1770.00	$383.71
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	25	14	$95.00	$39.74
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	24	24	$605.00	$127.22
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	24	21	$125.00	$51.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	24	$260.00	$139.68
83550 Iron binding capacity	24	24	$42.00	$10.57
83540 Iron level	24	24	$46.00	$7.83
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	24	24	$175.00	$68.13
84403 Testosterone (hormone) level, total	23	20	$128.00	$31.23
83880 Natriuretic peptide (heart and blood vessel protein) level	23	23	$152.00	$41.06
73560 X-ray of knee, 1-2 views	23	21	$55.00	$21.07
82550 Creatine kinase (cardiac enzyme) level, total	21	17	$35.00	$7.88
73630 X-ray of foot, minimum of 3 views	20	19	$79.00	$19.40
84439 Thyroxine (thyroid chemical), free	19	18	$79.00	$10.91
82310 Calcium level, total	19	16	$33.00	$6.24
90662 Influenza vaccine split virus, preservative free	18	18	$86.00	$52.30
71100 X-ray of ribs of one side of body, 2 views	18	18	$85.00	$20.39
93970 Ultrasound study of arm or leg veins with compression and maneuvers	18	18	$550.00	$153.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$295.00	$158.35
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	16	15	$40.00	$10.46
84520 Urea nitrogen level to assess kidney function	16	16	$33.00	$4.78
69209 Removal of impacted ear wax by washing	16	15	$105.00	$13.15
74176 Ct scan of abdomen and pelvis without contrast	14	14	$1800.00	$105.58
81003 Automated urinalysis test	14	14	$20.00	$2.71
73030 X-ray of shoulder, minimum of 2 views	14	14	$85.00	$18.49
90471 Administration of 1 vaccine	14	11	$37.00	$19.54
72070 X-ray of middle spine, 2 views	13	13	$82.00	$21.03
76700 Ultrasound of abdomen	12	12	$230.00	$77.24
83735 Magnesium level	12	12	$35.00	$8.10
73130 X-ray of hand, minimum of 3 views	11	11	$70.00	$21.38
73610 X-ray of ankle, minimum of 3 views	11	11	$80.00	$21.06
73562 X-ray of knee, 3 views	11	11	$87.00	$24.39
82150 Amylase (enzyme) level	11	11	$37.00	$7.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml	3,365	36	$1.00	$0.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	2,266	1,199	$195.00	$102.26
36415 Insertion of needle into vein for collection of blood sample	2,108	1,256	$20.00	$2.94
J0897 Injection, denosumab, 1 mg	1,500	20	$21.14	$16.71
80053 Blood test, comprehensive group of blood chemicals	1,481	1,129	$77.00	$10.44
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	1,141	997	$40.00	$8.67
99213 Established patient office or other outpatient visit, typically 15 minutes	1,057	730	$135.00	$69.61
80061 Blood test, lipids (cholesterol and triglycerides)	892	847	$95.00	$12.47
84443 Blood test, thyroid stimulating hormone (TSH)	717	639	$90.00	$21.82
G0008 Administration of influenza virus vaccine	560	558	$37.00	$23.88
83036 Hemoglobin A1C level	559	294	$65.00	$12.99
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	539	539	$40.00	$18.62
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	431	80	$6.00	$1.80
81001 Manual urinalysis test with examination using microscope, automated	403	324	$24.00	$4.26
71020 X-ray of chest, 2 views, front and side	304	283	$91.00	$15.71
85610 Blood test, clotting time	271	38	$33.00	$5.28
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	243	71	$40.00	$23.99
G0103 Prostate cancer screening; prostate specific antigen test (psa)	206	206	$99.00	$24.73
87804 Detection test by immunoassay with direct visual observation for influenza virus	166	83	$40.00	$15.24
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	161	161	$45.00	$8.22
80048 Blood test, basic group of blood chemicals (calcium, total)	157	136	$59.00	$10.60
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	138	19	$21.00	$3.01
99495 Transitional care management services for problem of at least moderate complexity	93	81	$400.00	$154.50
G0009 Administration of pneumococcal vaccine	93	93	$35.87	$23.92
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	89	86	$40.00	$10.37
J3489 Injection, zoledronic acid, 1 mg	80	16	$280.00	$13.00
84153 Psa (prostate specific antigen) measurement, total	78	66	$99.00	$24.73
77080 Dxa bone density measurement of hip, pelvis, spine	76	60	$265.38	$30.13
20610 Aspiration and/or injection of fluid from large joint	73	56	$175.00	$55.73
82728 Ferritin (blood protein) level	69	57	$80.00	$18.33
90670 Pneumococcal vaccine for injection into muscle	67	67	$333.43	$186.25
82043 Urine microalbumin (protein) level	60	59	$72.00	$7.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	53	53	$210.00	$110.34
84550 Uric acid level, blood	49	46	$33.00	$3.95
82607 Cyanocobalamin (vitamin B-12) level	48	47	$96.00	$20.27
84439 Thyroxine (thyroid chemical), free	47	42	$79.00	$12.12
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	45	40	$28.00	$4.77
83540 Iron level	42	36	$46.00	$8.70
82306 Vitamin d-3 level	41	40	$150.00	$39.80
93000 Routine ekg using at least 12 leads including interpretation and report	39	38	$88.00	$16.11
83550 Iron binding capacity	38	34	$42.00	$11.75
83880 Natriuretic peptide (heart and blood vessel protein) level	36	35	$152.00	$44.52
82550 Creatine kinase (cardiac enzyme) level, total	35	32	$35.00	$4.39
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	34	17	$175.00	$73.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	33	32	$260.00	$135.25
70450 Ct scan head or brain without contrast	33	32	$825.00	$65.78
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	32	31	$82.00	$15.40
84403 Testosterone (hormone) level, total	32	29	$128.00	$34.70
72100 X-ray of lower and sacral spine, 2-3 views	28	28	$89.00	$22.03
73030 X-ray of shoulder, minimum of 2 views	28	28	$85.00	$18.08
82150 Amylase (enzyme) level	26	26	$37.00	$8.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$175.08	$96.20
83690 Lipase (fat enzyme) level	25	25	$49.00	$9.26
82565 Blood creatinine level	25	22	$35.00	$3.74
86140 Measurement C-reactive protein for detection of infection or inflammation	22	19	$85.00	$6.96
93970 Ultrasound study of arm or leg veins with compression and maneuvers	21	21	$550.00	$150.95
74177 Ct scan of abdomen and pelvis with contrast	20	20	$2050.00	$203.70
73502 X-ray of hip, 2-3 views	20	20	$78.00	$28.03
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	19	19	$605.00	$152.41
96365 Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less	19	19	$175.00	$64.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$295.00	$151.15
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	17	17	$1770.00	$378.99
69209 Removal of impacted ear wax by washing	17	16	$105.00	$12.15
73630 X-ray of foot, minimum of 3 views	16	14	$79.00	$18.49
90471 Administration of 1 vaccine	16	15	$37.00	$24.07
83735 Magnesium level	16	16	$35.00	$8.45
76700 Ultrasound of abdomen	16	16	$230.00	$76.81
73130 X-ray of hand, minimum of 3 views	16	16	$70.00	$20.39
82310 Calcium level, total	15	13	$33.00	$3.40
71100 X-ray of ribs of one side of body, 2 views	15	15	$85.00	$19.98
72070 X-ray of middle spine, 2 views	15	15	$82.00	$21.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$80.00	$41.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	13	13	$305.00	$163.33
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	13	13	$30.00	$15.95
G0444 Annual depression screening, 5 to 15 minutes	13	13	$45.00	$17.06
99496 Transitional care management services for problem of high complexity	13	13	$575.00	$220.46
73560 X-ray of knee, 1-2 views	12	12	$55.00	$20.73
73610 X-ray of ankle, minimum of 3 views	12	12	$80.00	$21.03
J7050 Infusion, normal saline solution, 250 cc	12	12	$25.00	$0.51
80076 Liver function blood test panel	12	11	$57.00	$10.78
81003 Automated urinalysis test	11	11	$20.00	$3.02

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NC 9901202

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Hospital & Practice Group Affiliations

Pinehurst Medical Clinic Inc

200 Pavilion Way, Southern Pines, NC 283874561

Phone: 9102955511

Pinehurst Medical Clinic Inc

555 Carthage St, Sanford, NC 273304104

Phone: 9197746518

Pinehurst Medical Clinic Inc

15 Regional Dr, Pinehurst, NC 283748850

Phone: 9102955511

Pinehurst Medical Clinic Inc

205 Page Rd, Pinehurst, NC 283748749

Phone: 9102955511

Pinehurst Medical Clinic Inc

45 Aviemore Dr, Pinehurst, NC 283749797

Phone: 9102353347

Pinehurst Medical Clinic Inc

4204 Murdocksville Rd, West End, NC 273768871

Phone: 9102550055

Pinehurst Medical Clinic Inc

4208 Murdocksville Rd, West End, NC 273768871

Phone: 9102955511

Legacy Healthcare Services Inc

101 Brucewood Rd, Southern Pines, NC 283875159

Phone: 9109704713

Secondary Practice Locations

15 Regional Dr

Pinehurst, NC 283748850

Phone: 9102554400

Practice Associates & Co-Workers

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

18 Associated Practitioners

Dr. Bobby Maynor , MD

Internal Medicine

NPI 1043255219

Doctor of Medicine (M.D.)

Sarah Weaver , FNP

Nurse Practitioner - Family

NPI 1043803455

Family Nurse Practitioner

Dr. Michael Antil , MD

Internal Medicine

NPI 1174563035

Doctor of Medicine (M.D.)

Stacy Marcum , PA-C

Physician Assistant

NPI 1194719013

Physician Assistant (Certified)

Julie Thomas , PA

Physician Assistant

NPI 1225275662

Physician Assistant

Dr. Philip Mondi , MD

Internal Medicine

NPI 1316982580

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

✅

NPI Profile Active January 24, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2018

Registered at 15 REGIONAL DR, PINEHURST, NC 283748850 (Tel: 9102554400)

📍

Updated Business Mailing Address January 24, 2018

Registered at 205 PAGE RD, PINEHURST, NC 283748798 (Tel: 9102955511)

👤

Provider Name / Credentials Updated January 24, 2018

Recorded as DAVID HIPP, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2018

Internal Medicine (License #9901202 in NC)

✅

NPI Profile Active January 18, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 18, 2016

Registered at 15 REGIONAL DR, PINEHURST, NC 283748850 (Tel: 9102554400)

📍

Updated Business Mailing Address January 18, 2016

Registered at 205 PAGE RD, PINEHURST, NC 283748798 (Tel: 9102955511)

👤

Provider Name / Credentials Updated January 18, 2016

Recorded as DAVID HIPP, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 18, 2016

Internal Medicine (License #9901202 in NC)

🟢

Initial NPI Registration & Enumeration June 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

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NPI Administrative Meta

NPI Number: 1396789152

Entity Type:

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

Enumeration Date: June 15, 2006

Last Update: January 24, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

205 Page Rd

Pinehurst, NC 283748798

Phone: 9102955511

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.