Active NPI 1790780955 Individual Practitioner Female Practitioner

Dr. Ann Madeline Domask , MD

Internal Medicine • Houston, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Ann Domask, MD is a certified Internal Medicine practicing in Houston, TX. With approximately 39 years of clinical experience since graduating from University Of Texas Medical Branch At Galveston in 1987, Dr. Domask delivers high-quality medical care to the local community at 9055 KATY FWY.

Dr. Domask is affiliated with Villagemd Of Southeast Texas Pa and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

9055 Katy Fwy
Ste 200

Houston, TX 770241629

Telephone 7134612915

Fax 7134615307

Associated Practice Facility / Clinic

🏢 Spring Branch Podiatry Pllc Facility NPI 1851361679

Medicare Profile & Education

Medical School

University Of Texas Medical Branch At Galveston

Graduation Year

1987

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

39 Yrs +17.8 yrs vs City Avg

City Avg: 21.2 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

1569 Specialists

Practicing in Houston, TX (9538 Statewide)

Telehealth Adoption Rate

20.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

52.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Domask (39 Years) 39 Yrs

Houston Specialty Average (21.2 Years) 21.2 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	607	325	$292.00	$128.18
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	348	219	$32.00	$16.43
80053 Blood test, comprehensive group of blood chemicals	309	240	$31.00	$10.34
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	293	293	$298.00	$129.63
80061 Blood test, lipids (cholesterol and triglycerides)	251	201	$40.00	$13.03
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	193	164	$20.00	$7.61
84443 Blood test, thyroid stimulating hormone (TSH)	186	150	$50.00	$16.46
83036 Hemoglobin A1C level	170	127	$25.00	$9.47
81003 Automated urinalysis test	154	130	$5.00	$2.20
84439 Thyroxine (thyroid chemical), free	126	102	$20.00	$8.79
99442 Telephone medical discussion with physician, 11-20 minutes	102	76	$207.00	$90.95
G0008 Administration of influenza virus vaccine	86	84	$50.00	$32.75
90662 Influenza vaccine split virus, preservative free	81	79	$122.00	$80.72
99213 Established patient office or other outpatient visit, typically 15 minutes	72	64	$206.00	$91.43
82043 Urine microalbumin (protein) level	72	62	$12.00	$5.59
82570 Creatinine level to test for kidney function or muscle injury	72	62	$11.00	$5.01
80048 Blood test, basic group of blood chemicals (calcium, total)	68	58	$23.00	$8.29
84481 Thyroid hormone, t3 measurement, free	49	40	$35.00	$16.35
77080 Dxa bone density measurement of hip, pelvis, spine	47	47	$90.00	$38.51
G0009 Administration of pneumococcal vaccine	37	37	$50.00	$32.75
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	36	36	$450.00	$289.02
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	32	32	$376.00	$165.29
99443 Telephone medical discussion with physician, 21-30 minutes	30	24	$293.00	$128.67
82306 Vitamin d-3 level	26	25	$60.00	$29.01
86803 Hepatitis c antibody measurement	22	22	$29.00	$13.98
84466 Transferrin (iron binding protein) level	22	17	$26.00	$12.50
83540 Iron level	22	17	$25.00	$6.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	13	$32.00	$14.30
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$34.00	$14.38
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$377.00	$165.31
82550 Creatine kinase (cardiac enzyme) level, total	20	17	$13.00	$6.38
84153 Psa (prostate specific antigen) measurement, total	19	18	$40.00	$18.02
82728 Ferritin (blood protein) level	18	14	$28.00	$13.36
36415 Insertion of needle into vein for collection of blood sample	16	16	$17.00	$8.65
82607 Cyanocobalamin (vitamin B-12) level	14	14	$60.00	$14.78
82746 Folic acid level	14	14	$30.00	$14.41
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	12	12	$36.00	$17.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	580	312	$292.00	$128.79
80053 Blood test, comprehensive group of blood chemicals	315	249	$31.00	$10.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	285	285	$298.00	$130.56
80061 Blood test, lipids (cholesterol and triglycerides)	263	209	$40.00	$13.12
84443 Blood test, thyroid stimulating hormone (TSH)	179	146	$50.00	$16.46
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	169	144	$20.00	$7.61
83036 Hemoglobin A1C level	165	121	$25.00	$9.52
81003 Automated urinalysis test	142	116	$5.00	$2.20
84439 Thyroxine (thyroid chemical), free	114	100	$20.00	$8.84
99213 Established patient office or other outpatient visit, typically 15 minutes	105	88	$206.00	$91.69
99442 Telephone medical discussion with physician, 11-20 minutes	94	71	$207.00	$91.76
G0009 Administration of pneumococcal vaccine	85	85	$50.00	$31.28
G0008 Administration of influenza virus vaccine	80	80	$50.00	$31.28
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	77	77	$450.00	$281.82
90662 Influenza vaccine split virus, preservative free	74	74	$122.00	$71.88
80048 Blood test, basic group of blood chemicals (calcium, total)	74	56	$23.00	$8.29
82570 Creatinine level to test for kidney function or muscle injury	72	65	$11.00	$5.08
82043 Urine microalbumin (protein) level	72	65	$12.00	$5.66
77080 Dxa bone density measurement of hip, pelvis, spine	56	56	$90.00	$37.91
G0444 Annual depression screening, 5 to 15 minutes	47	47	$43.00	$18.65
90471 Administration of 1 vaccine	46	45	$39.00	$20.44
84481 Thyroid hormone, t3 measurement, free	46	39	$35.00	$16.45
82306 Vitamin d-3 level	40	37	$60.00	$29.01
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	32	32	$376.00	$167.10
82550 Creatine kinase (cardiac enzyme) level, total	30	25	$13.00	$6.38
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	28	28	$36.00	$17.69
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	26	26	$377.00	$167.43
84466 Transferrin (iron binding protein) level	23	19	$26.00	$12.50
83540 Iron level	23	19	$25.00	$6.34
82728 Ferritin (blood protein) level	22	18	$28.00	$13.36
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	16	$32.00	$14.33
71046 X-ray of chest, 2 views	19	19	$79.00	$34.36
84153 Psa (prostate specific antigen) measurement, total	18	18	$40.00	$18.02
93000 Routine ekg using at least 12 leads including interpretation and report	17	17	$34.00	$14.71
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	12	12	$131.00	$54.65
84550 Uric acid level, blood	12	12	$13.00	$4.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$128.00	$57.53
99443 Telephone medical discussion with physician, 21-30 minutes	11	11	$293.00	$128.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	631	323	$292.00	$131.33
80053 Blood test, comprehensive group of blood chemicals	348	259	$31.00	$10.42
80061 Blood test, lipids (cholesterol and triglycerides)	287	219	$40.00	$13.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	240	240	$298.00	$133.57
84443 Blood test, thyroid stimulating hormone (TSH)	194	150	$50.00	$16.60
83036 Hemoglobin A1C level	186	126	$25.00	$9.59
81003 Automated urinalysis test	183	144	$5.00	$2.22
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	182	161	$20.00	$7.67
84439 Thyroxine (thyroid chemical), free	143	110	$20.00	$8.91
G0444 Annual depression screening, 5 to 15 minutes	116	116	$43.00	$18.88
99442 Telephone medical discussion with physician, 11-20 minutes	103	80	$207.00	$91.43
G0008 Administration of influenza virus vaccine	98	97	$50.00	$30.32
G0009 Administration of pneumococcal vaccine	87	87	$50.00	$30.36
90662 Influenza vaccine split virus, preservative free	85	85	$122.00	$68.46
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	79	79	$450.00	$277.41
99213 Established patient office or other outpatient visit, typically 15 minutes	78	72	$206.00	$93.48
82043 Urine microalbumin (protein) level	75	69	$12.00	$5.71
82570 Creatinine level to test for kidney function or muscle injury	75	69	$11.00	$5.13
77080 Dxa bone density measurement of hip, pelvis, spine	70	70	$90.00	$38.56
84481 Thyroid hormone, t3 measurement, free	63	54	$35.00	$16.64
80048 Blood test, basic group of blood chemicals (calcium, total)	62	49	$23.00	$8.34
82306 Vitamin d-3 level	48	45	$60.00	$29.17
99443 Telephone medical discussion with physician, 21-30 minutes	42	33	$293.00	$131.49
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	38	38	$376.00	$171.94
84466 Transferrin (iron binding protein) level	24	22	$26.00	$12.59
83540 Iron level	24	22	$25.00	$6.39
82728 Ferritin (blood protein) level	23	21	$28.00	$13.45
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	23	23	$36.00	$17.80
71046 X-ray of chest, 2 views	22	21	$79.00	$35.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	21	19	$32.00	$14.78
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	21	21	$377.00	$166.98
G0442 Annual alcohol misuse screening, 5 to 15 minutes	20	20	$43.00	$19.30
99497 Advance care planning, first 30 minutes	19	19	$188.00	$86.64
84153 Psa (prostate specific antigen) measurement, total	18	18	$40.00	$18.12
84550 Uric acid level, blood	17	13	$13.00	$4.46
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$34.00	$14.74
36415 Insertion of needle into vein for collection of blood sample	14	14	$6.00	$2.99
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	14	12	$20.00	$1.67
82550 Creatine kinase (cardiac enzyme) level, total	13	11	$13.00	$6.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	545	312	$272.66	$134.57
80053 Blood test, comprehensive group of blood chemicals	316	251	$33.57	$10.56
80061 Blood test, lipids (cholesterol and triglycerides)	265	214	$43.25	$13.34
81003 Automated urinalysis test	242	201	$6.01	$2.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	242	242	$280.28	$137.13
84443 Blood test, thyroid stimulating hormone (TSH)	191	164	$55.61	$16.80
83036 Hemoglobin A1C level	181	127	$29.55	$9.71
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	179	155	$23.50	$7.77
99442 Telephone medical discussion with physician, 11-20 minutes	137	108	$190.23	$93.47
G0008 Administration of influenza virus vaccine	98	97	$49.90	$17.57
84439 Thyroxine (thyroid chemical), free	97	86	$25.71	$9.02
90662 Influenza vaccine split virus, preservative free	95	94	$122.00	$65.21
82570 Creatinine level to test for kidney function or muscle injury	86	68	$11.36	$5.18
82043 Urine microalbumin (protein) level	86	68	$17.73	$5.78
99213 Established patient office or other outpatient visit, typically 15 minutes	72	70	$194.26	$94.83
77080 Dxa bone density measurement of hip, pelvis, spine	58	58	$83.59	$39.10
99443 Telephone medical discussion with physician, 21-30 minutes	50	39	$269.00	$134.89
82306 Vitamin d-3 level	48	46	$83.00	$29.60
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	43	43	$36.12	$17.63
80048 Blood test, basic group of blood chemicals (calcium, total)	39	31	$25.85	$8.46
G0444 Annual depression screening, 5 to 15 minutes	39	39	$38.46	$19.36
84481 Thyroid hormone, t3 measurement, free	38	34	$39.34	$16.94
84466 Transferrin (iron binding protein) level	30	17	$27.60	$12.76
83540 Iron level	29	16	$25.21	$6.47
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	28	$121.55	$58.37
82728 Ferritin (blood protein) level	29	16	$38.55	$13.63
G0009 Administration of pneumococcal vaccine	29	29	$49.66	$17.51
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	28	28	$351.57	$174.10
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$224.88	$125.44
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	15	$29.64	$14.69
84153 Psa (prostate specific antigen) measurement, total	22	22	$47.86	$18.39
99441 Telephone medical discussion with physician, 5-10 minutes	19	18	$119.21	$58.37
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	18	18	$365.06	$173.74
84550 Uric acid level, blood	16	14	$15.50	$4.52
0011A Adm sarscov2 100mcg/0.5ml1st	16	16	$34.00	$17.57
86803 Hepatitis c antibody measurement	15	15	$28.57	$14.27
71046 X-ray of chest, 2 views	12	12	$69.08	$35.12
G0442 Annual alcohol misuse screening, 5 to 15 minutes	12	12	$38.42	$19.36
0012A Adm sarscov2 100mcg/0.5ml2nd	12	12	$62.75	$32.08
93000 Routine ekg using at least 12 leads including interpretation and report	11	11	$32.18	$15.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	439	274	$225.12	$112.13
80053 Blood test, comprehensive group of blood chemicals	300	250	$23.48	$10.44
80061 Blood test, lipids (cholesterol and triglycerides)	254	217	$29.76	$13.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	242	242	$239.26	$119.11
G0444 Annual depression screening, 5 to 15 minutes	189	189	$37.56	$18.71
84443 Blood test, thyroid stimulating hormone (TSH)	188	161	$37.34	$16.70
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	166	149	$17.26	$7.73
83036 Hemoglobin A1C level	152	118	$21.58	$9.64
99213 Established patient office or other outpatient visit, typically 15 minutes	149	126	$155.18	$76.88
81003 Automated urinalysis test	116	111	$4.98	$2.23
G0008 Administration of influenza virus vaccine	85	82	$40.00	$17.14
90662 Influenza vaccine split virus, preservative free	82	80	$121.27	$60.68
99442 Telephone medical discussion with physician, 11-20 minutes	73	59	$155.00	$76.94
82570 Creatinine level to test for kidney function or muscle injury	61	55	$11.50	$5.16
82043 Urine microalbumin (protein) level	61	55	$12.84	$5.75
82306 Vitamin d-3 level	59	56	$65.78	$29.51
84439 Thyroxine (thyroid chemical), free	58	47	$20.04	$8.98
G0442 Annual alcohol misuse screening, 5 to 15 minutes	53	53	$37.56	$18.71
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	51	51	$36.10	$17.94
84481 Thyroid hormone, t3 measurement, free	46	34	$37.64	$16.84
G0009 Administration of pneumococcal vaccine	45	45	$40.00	$17.08
77080 Dxa bone density measurement of hip, pelvis, spine	35	35	$81.66	$40.67
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	32	32	$150.00	$118.10
99443 Telephone medical discussion with physician, 21-30 minutes	32	29	$225.00	$112.56
80048 Blood test, basic group of blood chemicals (calcium, total)	32	29	$18.80	$8.43
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$352.74	$176.12
83540 Iron level	26	21	$14.38	$6.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	26	18	$29.44	$14.66
84466 Transferrin (iron binding protein) level	26	21	$28.36	$12.69
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	24	24	$343.92	$171.10
99441 Telephone medical discussion with physician, 5-10 minutes	23	23	$155.00	$47.04
82728 Ferritin (blood protein) level	22	17	$30.30	$13.56
82607 Cyanocobalamin (vitamin B-12) level	20	20	$33.50	$14.95
84550 Uric acid level, blood	19	16	$10.04	$4.49
82746 Folic acid level	19	19	$32.68	$14.58
36415 Insertion of needle into vein for collection of blood sample	15	13	$6.00	$2.98
93000 Routine ekg using at least 12 leads including interpretation and report	15	15	$35.26	$17.56
84153 Psa (prostate specific antigen) measurement, total	15	14	$40.88	$18.32
90670 Pneumococcal vaccine for injection into muscle	14	14	$410.00	$227.31
99495 Transitional care management services for problem of at least moderate complexity	13	11	$382.90	$190.51
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	12	12	$145.00	$42.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	685	335	$218.88	$108.97
80053 Blood test, comprehensive group of blood chemicals	319	239	$24.15	$11.44
80061 Blood test, lipids (cholesterol and triglycerides)	276	217	$30.25	$14.54
81003 Automated urinalysis test	244	182	$5.53	$2.44
84443 Blood test, thyroid stimulating hormone (TSH)	241	189	$37.19	$18.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	203	203	$238.38	$117.39
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	194	168	$17.19	$8.46
83036 Hemoglobin A1C level	150	113	$21.83	$10.51
G0444 Annual depression screening, 5 to 15 minutes	112	112	$37.00	$18.26
G0008 Administration of influenza virus vaccine	109	105	$40.00	$16.82
90662 Influenza vaccine split virus, preservative free	102	98	$105.11	$54.64
99213 Established patient office or other outpatient visit, typically 15 minutes	92	84	$150.17	$75.30
G0442 Annual alcohol misuse screening, 5 to 15 minutes	80	80	$36.83	$18.26
82306 Vitamin d-3 level	54	49	$71.44	$32.23
G0009 Administration of pneumococcal vaccine	48	48	$40.00	$16.82
80048 Blood test, basic group of blood chemicals (calcium, total)	48	40	$19.86	$9.21
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	48	12	$3.03	$1.64
77080 Dxa bone density measurement of hip, pelvis, spine	48	48	$89.11	$39.56
84439 Thyroxine (thyroid chemical), free	45	36	$20.00	$9.82
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	30	$34.70	$16.95
84481 Thyroid hormone, t3 measurement, free	45	34	$37.98	$18.44
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	40	40	$54.88	$17.69
36415 Insertion of needle into vein for collection of blood sample	39	38	$8.08	$2.88
82570 Creatinine level to test for kidney function or muscle injury	38	37	$12.37	$5.50
82043 Urine microalbumin (protein) level	38	37	$13.25	$6.14
82746 Folic acid level	36	34	$34.47	$16.01
82607 Cyanocobalamin (vitamin B-12) level	36	34	$35.40	$16.41
84466 Transferrin (iron binding protein) level	31	25	$27.84	$13.90
83540 Iron level	31	25	$14.42	$7.05
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	28	28	$332.75	$167.91
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	25	16	$3.32	$1.80
90670 Pneumococcal vaccine for injection into muscle	24	24	$405.02	$208.93
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$150.00	$111.10
93000 Routine ekg using at least 12 leads including interpretation and report	22	22	$36.36	$17.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	21	20	$281.49	$148.24
82728 Ferritin (blood protein) level	20	18	$30.00	$14.85
84550 Uric acid level, blood	19	15	$11.58	$4.92
71046 X-ray of chest, 2 views	16	15	$60.30	$32.02
84153 Psa (prostate specific antigen) measurement, total	16	16	$41.56	$20.03
90471 Administration of 1 vaccine	15	15	$34.02	$16.89
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	14	14	$36.07	$17.24
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	14	14	$60.96	$31.69
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	13	12	$14.24	$7.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	683	312	$165.00	$108.52
80053 Blood test, comprehensive group of blood chemicals	271	202	$45.00	$12.71
80061 Blood test, lipids (cholesterol and triglycerides)	229	178	$35.00	$16.20
81003 Automated urinalysis test	224	161	$15.00	$2.70
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	210	210	$200.00	$117.77
84443 Blood test, thyroid stimulating hormone (TSH)	202	153	$40.00	$20.33
83036 Hemoglobin A1C level	130	91	$20.00	$11.71
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	126	109	$20.00	$9.40
G0008 Administration of influenza virus vaccine	95	93	$40.00	$20.73
90662 Influenza vaccine split virus, preservative free	92	90	$74.46	$52.07
99213 Established patient office or other outpatient visit, typically 15 minutes	80	68	$110.00	$72.54
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	72	15	$3.00	$1.80
J1100 Injection, dexamethasone sodium phosphate, 1 mg	69	15	$4.09	$0.12
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	68	14	$70.00	$42.77
82306 Vitamin d-3 level	56	55	$125.00	$35.82
80048 Blood test, basic group of blood chemicals (calcium, total)	55	43	$25.00	$10.04
G0009 Administration of pneumococcal vaccine	50	50	$40.00	$20.73
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	49	49	$50.00	$19.25
77080 Dxa bone density measurement of hip, pelvis, spine	41	41	$150.00	$42.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	39	29	$225.00	$147.38
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	28	$40.00	$20.84
82607 Cyanocobalamin (vitamin B-12) level	38	36	$60.00	$18.24
82746 Folic acid level	36	35	$60.00	$17.79
84481 Thyroid hormone, t3 measurement, free	30	22	$75.00	$20.50
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$150.00	$105.59
84439 Thyroxine (thyroid chemical), free	28	22	$40.00	$10.91
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	27	21	$13.22	$7.10
82570 Creatinine level to test for kidney function or muscle injury	26	25	$15.00	$6.26
36415 Insertion of needle into vein for collection of blood sample	25	25	$15.00	$2.94
82043 Urine microalbumin (protein) level	22	22	$15.00	$7.00
71046 X-ray of chest, 2 views	21	17	$40.00	$30.89
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	20	20	$200.00	$167.94
90670 Pneumococcal vaccine for injection into muscle	19	19	$290.00	$199.08
83540 Iron level	18	14	$20.00	$7.83
84466 Transferrin (iron binding protein) level	18	14	$25.00	$15.44
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	17	17	$60.00	$38.55
84550 Uric acid level, blood	16	12	$20.00	$5.47
93000 Routine ekg using at least 12 leads including interpretation and report	16	16	$50.00	$17.25
84153 Psa (prostate specific antigen) measurement, total	13	13	$50.00	$22.26
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	12	12	$55.00	$30.86
82728 Ferritin (blood protein) level	12	11	$30.00	$16.49
90471 Administration of 1 vaccine	12	12	$40.00	$20.87
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	11	11	$50.00	$44.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	687	321	$160.23	$107.07
36415 Insertion of needle into vein for collection of blood sample	390	254	$15.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	286	220	$45.00	$14.18
80061 Blood test, lipids (cholesterol and triglycerides)	244	190	$33.85	$11.09
84443 Blood test, thyroid stimulating hormone (TSH)	236	179	$40.00	$22.52
99213 Established patient office or other outpatient visit, typically 15 minutes	233	179	$106.91	$73.72
81003 Automated urinalysis test	168	120	$15.00	$3.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	168	168	$200.00	$116.76
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	161	137	$20.00	$10.32
83036 Hemoglobin A1C level	147	103	$20.00	$13.05
G0008 Administration of influenza virus vaccine	122	115	$39.47	$25.60
90662 Influenza vaccine split virus, preservative free	110	106	$64.45	$47.83
82306 Vitamin d-3 level	108	99	$125.00	$36.53
G0009 Administration of pneumococcal vaccine	85	85	$37.41	$25.60
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	71	19	$70.00	$40.67
G0444 Annual depression screening, 5 to 15 minutes	66	66	$25.00	$18.15
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	63	63	$135.63	$94.24
77080 Dxa bone density measurement of hip, pelvis, spine	60	60	$150.00	$41.20
80048 Blood test, basic group of blood chemicals (calcium, total)	51	38	$25.00	$10.81
84481 Thyroid hormone, t3 measurement, free	49	38	$75.00	$22.78
J1100 Injection, dexamethasone sodium phosphate, 1 mg	48	11	$2.00	$0.12
84439 Thyroxine (thyroid chemical), free	48	38	$40.00	$12.12
71020 X-ray of chest, 2 views, front and side	39	33	$75.00	$28.27
82570 Creatinine level to test for kidney function or muscle injury	36	31	$15.00	$6.96
82044 Urine microalbumin (protein) analysis	36	31	$30.00	$6.15
90471 Administration of 1 vaccine	33	33	$38.64	$25.74
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	33	33	$55.00	$30.77
82607 Cyanocobalamin (vitamin B-12) level	32	27	$60.00	$20.27
93000 Routine ekg using at least 12 leads including interpretation and report	25	24	$50.00	$17.18
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	24	24	$50.00	$21.38
82746 Folic acid level	23	21	$60.00	$19.77
90670 Pneumococcal vaccine for injection into muscle	22	22	$269.55	$186.73
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	17	$218.18	$146.19
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	19	17	$38.95	$25.72
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$200.00	$167.40
84153 Psa (prostate specific antigen) measurement, total	12	12	$50.00	$24.73
99496 Transitional care management services for problem of high complexity	11	11	$353.64	$233.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$65.00	$44.06

Medical Specialties & State Licenses

CMS Verified: 2023-03-20

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX H4289

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

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Medicare Id #

8433K2 (TX)

Hospital & Practice Group Affiliations

Villagemd Of Southeast Texas Pa

9055 Katy Fwy, Houston, TX 770241629

Phone: 3466464954

Practice Associates & Co-Workers

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

40 Associated Practitioners

Sarah Backof

Nurse Practitioner

NPI 1003413121

Dr. Robert Mcclendon , MD

Family Medicine

NPI 1003841867

Doctor of Medicine (M.D.)

Dr. Brent Reed , MD

Family Medicine

NPI 1013201615

Doctor of Medicine (M.D.)

Dr. Jyothi Achi , MD

Family Medicine

NPI 1023029287

Doctor of Medicine (M.D.)

Dr. Michael Mgerian , MD

Family Medicine

NPI 1023674231

Doctor of Medicine (M.D.)

Kim Anh Vu , PA-C

Physician Assistant

NPI 1033524327

Physician Assistant (Certified)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Business Mailing Address March 20, 2023

Registered at PO BOX 392929 STE 200, PITTSBURGH, PA 152510001 (Tel: 7134612915)

👤

Provider Name / Credentials Updated September 08, 2021

Recorded as ANN DOMASK, M.D.

✅

NPI Profile Active August 02, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 02, 2016

Registered at 9055 KATY FWY, STE 200, HOUSTON, TX 770241629 (Tel: 7134612915)

📍

Updated Business Mailing Address August 02, 2016

Registered at 9055 KATY FWY, STE 200, HOUSTON, TX 770241629 (Tel: 7134612915)

👤

Provider Name / Credentials Updated August 02, 2016

Recorded as A DOMASK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 02, 2016

Internal Medicine (License #H4289 in TX)

🟢

Initial NPI Registration & Enumeration June 15, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790780955

Entity Type:

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

Enumeration Date: June 15, 2005

Last Update: March 20, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 392929 Ste 200

Pittsburgh, PA 152510001

Phone: 7134612915

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.