Active NPI 1639174675 Individual Practitioner Male Practitioner

Dr. David Boucher , MD

Internal Medicine • Stephenville, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. David Boucher, MD is a certified Internal Medicine practicing in Stephenville, TX. With approximately 43 years of clinical experience since graduating from Texas A & M University System, Hsc, College Of Medicine in 1983, Dr. Boucher delivers high-quality medical care to the local community at 150 RIVER NORTH BLVD.

Dr. Boucher is affiliated with Texas Health Care Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include chronic care management services, first, established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

150 River North Blvd

Stephenville, TX 764011803

Telephone 2549686051

Fax 2549684204

Associated Practice Facility / Clinic

🏢 Stephenville Medical And Surgical Clinic Pa Facility NPI 1912902826

Medicare Profile & Education

Medical School

Texas A & M University System, Hsc, College Of Medicine

Graduation Year

1983

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Stephenville, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

43 Yrs +14.1 yrs vs City Avg

City Avg: 28.9 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

9 Specialists

Practicing in Stephenville, TX (9538 Statewide)

Telehealth Adoption Rate

22.2% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

64.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Boucher (43 Years) 43 Yrs

Stephenville Specialty Average (28.9 Years) 28.9 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
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	949	106	$135.22	$61.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	874	379	$280.73	$124.87
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	789	117	$12.00	$0.98
36415 Insertion of needle into vein for collection of blood sample	620	347	$17.75	$8.65
99213 Established patient office or other outpatient visit, typically 15 minutes	588	342	$195.90	$88.12
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	551	341	$18.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	527	337	$55.00	$10.34
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	508	250	$36.00	$16.06
80061 Blood test, lipids (cholesterol and triglycerides)	496	329	$51.00	$13.12
84443 Blood test, thyroid stimulating hormone (TSH)	330	305	$46.00	$16.46
83036 Hemoglobin A1C level	259	176	$46.00	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	227	227	$284.23	$127.45
G0444 Annual depression screening, 5 to 15 minutes	220	220	$42.00	$18.40
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	194	50	$163.78	$72.50
81003 Automated urinalysis test	172	165	$13.00	$2.20
84153 Psa (prostate specific antigen) measurement, total	159	141	$67.00	$18.02
77063 Screening digital tomography of both breasts	153	153	$128.00	$22.83
77067 Screening mammography	153	153	$314.00	$87.81
82570 Creatinine level to test for kidney function or muscle injury	112	105	$33.00	$5.08
82043 Urine microalbumin (protein) level	112	105	$32.00	$5.66
G0008 Administration of influenza virus vaccine	105	105	$40.00	$31.03
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	105	41	$229.57	$104.90
90662 Influenza vaccine split virus, preservative free	104	104	$186.37	$81.53
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	102	36	$168.00	$72.85
82306 Vitamin d-3 level	100	98	$179.00	$29.01
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	95	82	$100.00	$68.88
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	81	22	$100.00	$39.17
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	76	33	$239.11	$105.33
71046 X-ray of chest, 2 views	70	61	$76.51	$22.15
77080 Dxa bone density measurement of hip, pelvis, spine	62	62	$177.00	$37.49
81002 Urinalysis, manual test	54	44	$13.00	$3.41
20610 Aspiration and/or injection of fluid from large joint	54	40	$245.83	$66.84
80048 Blood test, basic group of blood chemicals (calcium, total)	44	40	$35.00	$8.29
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	34	14	$94.59	$40.61
72100 X-ray of lower and sacral spine, 2-3 views	32	28	$93.00	$27.88
91320 Sarscv2 vac 30mcg trs-suc im	31	31	$297.00	$152.78
90480 Admn sarscov2 vacc 1 dose	31	31	$100.00	$41.37
93000 Routine ekg using at least 12 leads including interpretation and report	29	26	$86.00	$13.89
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	28	26	$119.04	$52.22
73630 X-ray of foot, minimum of 3 views	25	18	$74.68	$24.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	22	$407.00	$176.98
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	22	18	$100.00	$39.37
85652 Red blood cell sedimentation rate, to detect inflammation, automated	20	18	$8.00	$2.65
84439 Thyroxine (thyroid chemical), free	20	20	$83.00	$8.84
73560 X-ray of knee, 1-2 views	18	17	$77.44	$24.96
76770 Complete ultrasound scan behind abdominal cavity	17	17	$303.00	$69.61
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	17	16	$300.82	$130.09
73502 X-ray of hip, 2-3 views	17	16	$108.06	$35.09
93922 Ultrasound study of arm and leg arteries	16	15	$290.00	$52.45
73030 X-ray of shoulder, minimum of 2 views	15	14	$76.93	$24.53
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	15	14	$347.00	$150.50
84403 Testosterone (hormone) level, total	15	14	$121.00	$25.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$378.00	$163.82
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	13	11	$392.00	$93.50
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	13	12	$36.00	$15.88
93925 Ultrasound of leg arteries or artery grafts	13	13	$714.00	$193.40
69210 Removal of impacted ear wax	13	11	$180.92	$46.78
99306 Initial nursing facility visit, typically 45 minutes per day	12	11	$402.00	$177.20
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$377.00	$162.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,057	133	$97.00	$60.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	962	429	$232.00	$123.86
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	749	140	$13.52	$1.09
99213 Established patient office or other outpatient visit, typically 15 minutes	696	435	$156.00	$87.12
36415 Insertion of needle into vein for collection of blood sample	671	379	$11.00	$8.40
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	603	371	$18.00	$7.60
80053 Blood test, comprehensive group of blood chemicals	437	326	$55.00	$10.33
80061 Blood test, lipids (cholesterol and triglycerides)	407	306	$51.00	$13.12
84443 Blood test, thyroid stimulating hormone (TSH)	282	257	$46.00	$16.46
G0444 Annual depression screening, 5 to 15 minutes	261	261	$42.00	$18.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	259	259	$243.00	$126.47
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	243	59	$147.00	$72.53
77063 Screening digital tomography of both breasts	201	201	$101.13	$23.25
83036 Hemoglobin A1C level	199	144	$46.00	$9.52
77067 Screening mammography	199	199	$279.05	$89.38
J2785 Injection, regadenoson, 0.1 mg	144	36	$40.22	$35.28
G0008 Administration of influenza virus vaccine	118	116	$40.00	$29.52
90662 Influenza vaccine split virus, preservative free	117	115	$163.46	$71.64
84153 Psa (prostate specific antigen) measurement, total	114	107	$67.00	$18.02
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	108	48	$193.00	$104.12
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	103	96	$100.00	$52.18
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	96	33	$100.00	$38.68
71046 X-ray of chest, 2 views	91	88	$66.71	$22.38
77080 Dxa bone density measurement of hip, pelvis, spine	80	80	$177.00	$37.01
82570 Creatinine level to test for kidney function or muscle injury	80	77	$33.00	$5.08
82043 Urine microalbumin (protein) level	80	77	$32.00	$5.66
82306 Vitamin d-3 level	69	69	$179.00	$29.01
81002 Urinalysis, manual test	64	52	$13.00	$3.41
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	49	22	$98.00	$40.19
20610 Aspiration and/or injection of fluid from large joint	43	29	$235.47	$64.65
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	13	$53.00	$13.77
93000 Routine ekg using at least 12 leads including interpretation and report	37	37	$86.00	$13.74
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	37	33	$120.00	$50.90
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	36	36	$159.00	$25.80
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	36	36	$889.28	$350.30
85652 Red blood cell sedimentation rate, to detect inflammation, automated	35	28	$8.00	$2.65
73630 X-ray of foot, minimum of 3 views	35	27	$70.77	$25.42
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	34	34	$171.86	$166.31
80048 Blood test, basic group of blood chemicals (calcium, total)	30	30	$35.00	$8.29
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	30	11	$193.00	$104.09
72100 X-ray of lower and sacral spine, 2-3 views	29	26	$88.03	$28.33
73502 X-ray of hip, 2-3 views	28	21	$91.75	$35.11
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	25	23	$300.00	$130.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	24	23	$311.00	$174.74
73610 X-ray of ankle, minimum of 3 views	22	14	$71.27	$27.69
99306 Initial nursing facility visit, typically 45 minutes per day	21	21	$382.00	$178.10
73562 X-ray of knee, 3 views	21	14	$79.43	$30.58
84439 Thyroxine (thyroid chemical), free	20	18	$83.00	$8.84
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	20	18	$98.60	$23.23
76770 Complete ultrasound scan behind abdominal cavity	19	19	$276.68	$71.85
73560 X-ray of knee, 1-2 views	19	19	$69.37	$25.43
69210 Removal of impacted ear wax	19	17	$162.47	$45.09
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$94.00	$54.99
G0009 Administration of pneumococcal vaccine	18	18	$50.00	$29.51
76642 Limited ultrasound scan of 1 breast	16	12	$169.88	$51.22
77065 Diagnostic mammography of 1 breast	16	12	$263.56	$84.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$358.00	$152.74
73030 X-ray of shoulder, minimum of 2 views	14	13	$70.57	$24.77
73130 X-ray of hand, minimum of 3 views	13	11	$70.23	$27.69
72070 X-ray of middle spine, 2 views	12	12	$88.33	$22.52
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$284.00	$130.80

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	1,001	447	$232.00	$124.87
36415 Insertion of needle into vein for collection of blood sample	719	407	$11.00	$2.96
99213 Established patient office or other outpatient visit, typically 15 minutes	709	435	$156.00	$86.77
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	642	393	$18.00	$7.67
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	627	114	$12.00	$1.13
80053 Blood test, comprehensive group of blood chemicals	597	388	$55.00	$10.42
80061 Blood test, lipids (cholesterol and triglycerides)	534	364	$51.00	$13.22
84443 Blood test, thyroid stimulating hormone (TSH)	375	340	$46.00	$16.58
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	359	99	$97.00	$61.62
83036 Hemoglobin A1C level	260	169	$46.00	$9.59
G0444 Annual depression screening, 5 to 15 minutes	235	235	$42.00	$18.14
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	235	235	$243.00	$129.16
77063 Screening digital tomography of both breasts	179	179	$57.96	$23.26
77067 Screening mammography	179	179	$223.36	$91.62
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	165	150	$100.00	$30.47
84153 Psa (prostate specific antigen) measurement, total	159	144	$67.00	$18.14
82306 Vitamin d-3 level	151	142	$179.00	$29.26
G0008 Administration of influenza virus vaccine	144	143	$40.00	$28.43
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	140	51	$193.00	$88.18
90662 Influenza vaccine split virus, preservative free	137	136	$146.85	$68.42
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	134	44	$147.00	$66.77
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	131	38	$100.00	$42.44
J2785 Injection, regadenoson, 0.1 mg	112	28	$61.34	$58.56
77080 Dxa bone density measurement of hip, pelvis, spine	87	87	$177.00	$36.51
71046 X-ray of chest, 2 views	77	74	$54.68	$22.91
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	77	23	$100.00	$42.12
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	71	24	$147.00	$66.33
20610 Aspiration and/or injection of fluid from large joint	61	38	$250.82	$63.59
81002 Urinalysis, manual test	60	46	$13.00	$3.43
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	56	22	$98.00	$40.00
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	51	46	$120.00	$51.88
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	43	42	$138.00	$43.71
73630 X-ray of foot, minimum of 3 views	40	34	$63.13	$26.03
93000 Routine ekg using at least 12 leads including interpretation and report	39	36	$86.00	$13.93
72100 X-ray of lower and sacral spine, 2-3 views	35	33	$69.29	$28.67
80048 Blood test, basic group of blood chemicals (calcium, total)	34	28	$35.00	$8.35
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	33	20	$193.00	$87.60
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	32	28	$56.38	$23.21
76642 Limited ultrasound scan of 1 breast	29	23	$125.76	$52.32
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	28	28	$890.99	$366.31
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	28	28	$159.00	$25.77
G0009 Administration of pneumococcal vaccine	26	26	$50.00	$28.60
76770 Complete ultrasound scan behind abdominal cavity	26	26	$178.00	$73.82
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	24	24	$158.59	$157.61
77065 Diagnostic mammography of 1 breast	24	21	$211.00	$86.77
84403 Testosterone (hormone) level, total	23	21	$121.00	$25.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	17	$94.00	$55.31
84439 Thyroxine (thyroid chemical), free	20	16	$83.00	$8.90
73560 X-ray of knee, 1-2 views	19	16	$61.37	$24.57
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	14	$300.00	$125.41
77066 Diagnostic mammography of both breasts	15	14	$274.20	$110.60
69210 Removal of impacted ear wax	14	13	$178.50	$42.98
99318 Nursing facility annual assessment, typically 30 minutes	14	14	$145.00	$92.36
17000 Destruction of skin growth	14	14	$180.00	$65.94
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	13	$311.00	$177.15
73030 X-ray of shoulder, minimum of 2 views	13	11	$59.54	$23.38
99306 Initial nursing facility visit, typically 45 minutes per day	12	11	$382.00	$161.22
84550 Uric acid level, blood	12	12	$18.00	$4.47
76705 Limited ultrasound scan of abdomen	11	11	$144.00	$59.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$358.00	$162.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,112	491	$231.89	$127.14
36415 Insertion of needle into vein for collection of blood sample	775	430	$11.00	$3.00
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	770	119	$12.00	$1.26
99213 Established patient office or other outpatient visit, typically 15 minutes	758	463	$156.00	$89.34
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	684	420	$18.00	$7.77
80053 Blood test, comprehensive group of blood chemicals	647	409	$55.00	$10.56
80061 Blood test, lipids (cholesterol and triglycerides)	593	383	$51.00	$13.38
84443 Blood test, thyroid stimulating hormone (TSH)	422	383	$46.00	$16.80
83036 Hemoglobin A1C level	271	177	$46.00	$9.71
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	259	67	$147.00	$67.40
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	205	72	$193.00	$89.12
77067 Screening mammography	203	203	$229.00	$93.61
77063 Screening digital tomography of both breasts	203	203	$58.69	$24.71
J2785 Injection, regadenoson, 0.1 mg	188	47	$61.44	$58.56
G0008 Administration of influenza virus vaccine	186	184	$40.14	$16.48
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	176	176	$243.00	$130.96
90662 Influenza vaccine split virus, preservative free	176	174	$143.65	$65.16
G0444 Annual depression screening, 5 to 15 minutes	173	173	$42.00	$18.43
84153 Psa (prostate specific antigen) measurement, total	160	139	$67.00	$18.39
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	152	40	$100.00	$43.03
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	140	125	$138.00	$45.23
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	111	14	$97.00	$40.22
71046 X-ray of chest, 2 views	93	88	$50.00	$22.46
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	91	27	$98.00	$40.32
77080 Dxa bone density measurement of hip, pelvis, spine	82	82	$113.21	$37.37
20610 Aspiration and/or injection of fluid from large joint	69	50	$238.04	$64.28
81002 Urinalysis, manual test	68	54	$13.00	$3.48
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	47	47	$165.46	$155.75
80048 Blood test, basic group of blood chemicals (calcium, total)	47	40	$35.00	$8.46
72100 X-ray of lower and sacral spine, 2-3 views	46	45	$62.00	$27.78
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	46	46	$159.00	$25.36
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	46	46	$925.00	$395.94
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	45	44	$100.00	$73.49
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	43	40	$58.00	$24.62
73630 X-ray of foot, minimum of 3 views	41	33	$55.07	$25.49
93000 Routine ekg using at least 12 leads including interpretation and report	40	40	$86.00	$14.51
76770 Complete ultrasound scan behind abdominal cavity	39	39	$178.00	$75.10
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	39	37	$300.00	$126.89
82306 Vitamin d-3 level	36	36	$179.00	$29.60
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	36	32	$120.00	$52.01
84439 Thyroxine (thyroid chemical), free	29	26	$83.00	$9.02
G0009 Administration of pneumococcal vaccine	28	28	$50.00	$16.45
77065 Diagnostic mammography of 1 breast	24	23	$217.00	$88.20
77066 Diagnostic mammography of both breasts	24	22	$276.21	$109.85
99318 Nursing facility annual assessment, typically 30 minutes	23	23	$145.00	$93.67
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	23	21	$311.00	$178.65
73560 X-ray of knee, 1-2 views	23	22	$55.48	$25.48
99306 Initial nursing facility visit, typically 45 minutes per day	21	21	$382.00	$163.14
76642 Limited ultrasound scan of 1 breast	21	18	$130.95	$55.13
93880 Ultrasound of both sides of head and neck blood flow	21	21	$385.33	$151.58
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen	19	19	$116.00	$51.31
G0103 Prostate cancer screening; prostate specific antigen test (psa)	19	19	$44.00	$19.31
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$247.56	$124.59
73502 X-ray of hip, 2-3 views	17	17	$78.00	$34.91
78306 Nuclear medicine study of bone and/or joint whole body	17	14	$610.53	$256.21
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$161.00	$71.92
93922 Ultrasound study of arm and leg arteries	17	17	$171.00	$59.04
17000 Destruction of skin growth	17	15	$180.00	$61.57
0012A Adm sarscov2 100mcg/0.5ml2nd	17	17	$67.06	$38.76
0011A Adm sarscov2 100mcg/0.5ml1st	17	17	$61.76	$38.76
84550 Uric acid level, blood	15	12	$18.00	$4.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$358.00	$154.29
73030 X-ray of shoulder, minimum of 2 views	15	15	$54.00	$24.46
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	13	$94.00	$55.35
20605 Aspiration and/or injection of medium joint or joint capsule	13	12	$187.00	$53.15
72070 X-ray of middle spine, 2 views	12	12	$49.00	$22.13
93925 Ultrasound of leg arteries or artery grafts	12	12	$503.00	$213.70
72040 X-ray of upper spine, 2-3 views	12	12	$62.00	$27.82

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	1,198	558	$232.00	$106.76
99213 Established patient office or other outpatient visit, typically 15 minutes	793	449	$156.00	$73.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	704	125	$12.00	$1.48
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	389	68	$147.00	$68.55
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	315	315	$243.00	$113.86
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	310	86	$193.00	$90.58
G0444 Annual depression screening, 5 to 15 minutes	309	309	$42.00	$17.85
G0008 Administration of influenza virus vaccine	251	245	$40.83	$16.22
90662 Influenza vaccine split virus, preservative free	230	225	$82.00	$60.77
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	204	51	$100.00	$43.70
77063 Screening digital tomography of both breasts	204	204	$58.00	$24.10
77067 Screening mammography	202	202	$228.95	$95.32
J2785 Injection, regadenoson, 0.1 mg	176	44	$58.52	$58.31
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	109	99	$115.21	$45.23
71046 X-ray of chest, 2 views	91	84	$50.22	$21.01
77080 Dxa bone density measurement of hip, pelvis, spine	89	89	$70.94	$38.15
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	76	28	$98.00	$40.13
81002 Urinalysis, manual test	68	57	$13.00	$3.45
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	63	14	$53.00	$13.70
G0009 Administration of pneumococcal vaccine	56	56	$50.00	$16.16
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	55	49	$120.00	$52.41
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	48	48	$159.00	$24.98
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	46	46	$925.00	$384.61
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	46	46	$148.32	$147.70
93000 Routine ekg using at least 12 leads including interpretation and report	45	45	$86.00	$16.66
20610 Aspiration and/or injection of fluid from large joint	44	32	$257.95	$62.84
17003 Destruction of precancer skin growth, 2-14 growths	40	12	$33.00	$5.93
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	35	33	$58.00	$24.07
90670 Pneumococcal vaccine for injection into muscle	31	31	$444.00	$227.58
73630 X-ray of foot, minimum of 3 views	31	25	$56.00	$23.30
69210 Removal of impacted ear wax	29	27	$217.97	$46.26
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	29	27	$300.00	$128.59
17000 Destruction of skin growth	27	25	$180.00	$60.30
99306 Initial nursing facility visit, typically 45 minutes per day	27	25	$382.00	$166.25
99201 New patient office or other outpatient visit, typically 10 minutes	27	27	$93.00	$45.10
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	13	$38.00	$16.25
76642 Limited ultrasound scan of 1 breast	26	22	$135.81	$52.81
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	26	26	$120.00	$118.51
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	25	24	$311.00	$143.74
99496 Transitional care management services for problem of high complexity	25	24	$524.00	$240.58
78306 Nuclear medicine study of bone and/or joint whole body	25	17	$617.00	$254.82
72100 X-ray of lower and sacral spine, 2-3 views	24	23	$61.83	$25.74
99318 Nursing facility annual assessment, typically 30 minutes	24	24	$145.00	$95.71
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	21	$94.00	$44.47
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	23	23	$364.00	$168.29
73620 X-ray of foot, 2 views	22	16	$46.82	$19.16
93880 Ultrasound of both sides of head and neck blood flow	22	22	$375.00	$152.94
77066 Diagnostic mammography of both breasts	22	21	$276.00	$106.26
77065 Diagnostic mammography of 1 breast	20	19	$219.80	$89.95
93922 Ultrasound study of arm and leg arteries	20	20	$171.00	$58.80
76770 Complete ultrasound scan behind abdominal cavity	18	18	$178.00	$73.86
72040 X-ray of upper spine, 2-3 views	15	15	$62.00	$25.71
76700 Ultrasound of abdomen	15	15	$189.80	$79.25
73502 X-ray of hip, 2-3 views	15	15	$77.67	$32.54
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$335.00	$163.93
73610 X-ray of ankle, minimum of 3 views	13	11	$59.69	$25.03
73560 X-ray of knee, 1-2 views	12	11	$58.00	$24.05
93925 Ultrasound of leg arteries or artery grafts	12	12	$503.00	$208.28
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$41.00	$17.27
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$358.00	$161.46

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	1,450	611	$177.93	$105.65
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,199	200	$8.49	$1.59
99213 Established patient office or other outpatient visit, typically 15 minutes	769	451	$122.84	$72.19
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	332	332	$212.08	$111.75
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	329	77	$124.89	$67.61
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	268	78	$163.87	$89.89
G0008 Administration of influenza virus vaccine	243	239	$39.78	$15.90
90662 Influenza vaccine split virus, preservative free	228	225	$80.96	$54.73
77067 Screening mammography	196	196	$209.90	$92.94
77063 Screening digital tomography of both breasts	196	196	$58.08	$23.58
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	176	49	$96.78	$43.25
J2785 Injection, regadenoson, 0.1 mg	172	43	$64.96	$56.10
71046 X-ray of chest, 2 views	137	120	$39.42	$19.52
77080 Dxa bone density measurement of hip, pelvis, spine	98	98	$104.55	$38.42
20610 Aspiration and/or injection of fluid from large joint	98	68	$225.41	$63.78
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	93	21	$44.89	$16.18
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	90	33	$95.13	$39.98
81002 Urinalysis, manual test	77	61	$14.19	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	71	66	$79.65	$16.27
G0009 Administration of pneumococcal vaccine	68	68	$45.25	$15.90
J0696 Injection, ceftriaxone sodium, per 250 mg	65	17	$10.85	$0.58
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	59	59	$310.92	$162.30
72100 X-ray of lower and sacral spine, 2-3 views	59	55	$50.17	$23.90
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	55	51	$116.56	$51.81
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	51	51	$108.18	$25.02
87804 Detection test by immunoassay with direct visual observation for influenza virus	50	24	$30.40	$16.22
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	49	48	$211.22	$128.22
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	47	47	$804.32	$382.72
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	45	44	$236.00	$128.17
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	43	37	$59.49	$23.60
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	38	38	$150.39	$110.43
73560 X-ray of knee, 1-2 views	37	33	$48.35	$22.54
99318 Nursing facility annual assessment, typically 30 minutes	36	36	$157.50	$94.30
77065 Diagnostic mammography of 1 breast	32	28	$198.78	$87.97
76770 Complete ultrasound scan behind abdominal cavity	32	31	$169.88	$71.78
73630 X-ray of foot, minimum of 3 views	31	24	$45.39	$21.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	30	$79.29	$43.71
76642 Limited ultrasound scan of 1 breast	30	25	$123.93	$50.53
93880 Ultrasound of both sides of head and neck blood flow	30	30	$317.13	$153.68
69210 Removal of impacted ear wax	30	26	$163.60	$45.43
90670 Pneumococcal vaccine for injection into muscle	29	29	$400.14	$208.26
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	26	$258.66	$142.21
17003 Destruction of precancer skin growth, 2-14 growths	28	11	$25.57	$5.43
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries	28	25	$52.53	$51.60
99496 Transitional care management services for problem of high complexity	27	27	$424.44	$225.61
73030 X-ray of shoulder, minimum of 2 views	26	24	$38.73	$19.53
73502 X-ray of hip, 2-3 views	25	24	$64.20	$29.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$256.13	$160.55
17000 Destruction of skin growth	24	21	$157.08	$60.71
72040 X-ray of upper spine, 2-3 views	21	20	$42.43	$23.91
77066 Diagnostic mammography of both breasts	20	19	$252.25	$112.58
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	19	17	$28.00	$8.42
78306 Nuclear medicine study of bone and/or joint whole body	19	15	$504.47	$253.06
G0444 Annual depression screening, 5 to 15 minutes	18	18	$42.00	$17.53
72070 X-ray of middle spine, 2 views	16	16	$45.13	$21.55
76705 Limited ultrasound scan of abdomen	15	15	$143.47	$58.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$178.14	$105.38
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$281.15	$161.70
93922 Ultrasound study of arm and leg arteries	13	13	$157.08	$57.96
99202 New patient office or other outpatient visit, typically 20 minutes	12	12	$143.75	$74.21
99495 Transitional care management services for problem of at least moderate complexity	11	11	$318.00	$159.81

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	1,409	632	$120.00	$103.90
J0897 Injection, denosumab, 1 mg	1,140	19	$24.00	$17.51
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	932	159	$5.00	$1.79
99213 Established patient office or other outpatient visit, typically 15 minutes	769	439	$81.00	$70.16
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	335	77	$108.00	$67.34
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	331	96	$127.00	$89.02
G0008 Administration of influenza virus vaccine	268	260	$33.00	$19.51
90662 Influenza vaccine split virus, preservative free	259	251	$64.19	$51.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	222	222	$184.00	$110.46
77063 Screening digital tomography of both breasts	166	166	$40.00	$23.50
77067 Screening mammography	166	166	$162.38	$93.49
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	160	160	$277.00	$164.74
J2785 Injection, regadenoson, 0.1 mg	156	39	$75.84	$55.64
71046 X-ray of chest, 2 views	143	128	$31.00	$18.27
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	134	50	$93.00	$43.34
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	128	37	$40.00	$18.42
J0696 Injection, ceftriaxone sodium, per 250 mg	120	22	$5.00	$0.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	105	51	$123.00	$71.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	86	41	$83.00	$38.26
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	85	30	$92.00	$40.12
93000 Routine ekg using at least 12 leads including interpretation and report	80	74	$75.00	$16.12
20610 Aspiration and/or injection of fluid from large joint	76	54	$158.42	$60.62
G0009 Administration of pneumococcal vaccine	75	75	$33.00	$19.51
81002 Urinalysis, manual test	74	60	$17.00	$3.36
99221 Initial hospital inpatient care per day, typically 30 minutes	71	61	$149.00	$98.74
87804 Detection test by immunoassay with direct visual observation for influenza virus	63	32	$28.00	$16.22
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	61	53	$173.00	$140.38
99238 Hospital discharge day management, 30 minutes or less	58	47	$123.00	$71.16
77080 Dxa bone density measurement of hip, pelvis, spine	57	57	$85.00	$39.72
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	54	48	$111.00	$51.78
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	49	48	$134.47	$132.32
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	49	47	$28.00	$8.30
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	48	48	$645.00	$386.80
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	46	46	$63.00	$24.14
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	42	39	$140.00	$127.19
72100 X-ray of lower and sacral spine, 2-3 views	40	37	$37.00	$21.70
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	37	37	$103.70	$92.31
90670 Pneumococcal vaccine for injection into muscle	37	37	$285.00	$198.37
69210 Removal of impacted ear wax	33	28	$129.21	$45.47
99318 Nursing facility annual assessment, typically 30 minutes	33	33	$175.00	$93.76
93880 Ultrasound of both sides of head and neck blood flow	30	30	$285.37	$153.94
17000 Destruction of skin growth	28	24	$130.00	$59.03
76770 Complete ultrasound scan behind abdominal cavity	28	28	$120.00	$72.55
73030 X-ray of shoulder, minimum of 2 views	28	27	$30.00	$18.61
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries	26	24	$49.12	$48.31
78306 Nuclear medicine study of bone and/or joint whole body	25	23	$343.00	$255.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$195.00	$152.71
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	23	22	$40.00	$23.60
73560 X-ray of knee, 1-2 views	23	21	$35.00	$20.32
99306 Initial nursing facility visit, typically 45 minutes per day	23	22	$199.00	$162.60
73502 X-ray of hip, 2-3 views	22	22	$47.00	$26.95
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$56.00	$42.21
76642 Limited ultrasound scan of 1 breast	21	18	$102.38	$56.11
76705 Limited ultrasound scan of abdomen	17	16	$97.00	$57.14
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$160.00	$156.08
99239 Hospital discharge day management, more than 30 minutes	16	16	$140.00	$104.91
77065 Diagnostic mammography of 1 breast	16	16	$153.00	$88.93
72040 X-ray of upper spine, 2-3 views	15	15	$34.00	$20.59
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	14	14	$125.00	$68.71
77066 Diagnostic mammography of both breasts	13	13	$196.00	$113.26
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	11	11	$33.00	$16.37

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,700	28	$24.00	$16.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,584	658	$120.00	$102.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	1,175	175	$5.99	$1.80
99213 Established patient office or other outpatient visit, typically 15 minutes	802	421	$81.00	$69.89
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	464	100	$127.00	$88.19
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	265	235	$41.00	$10.45
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	262	262	$277.00	$158.49
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	262	80	$108.00	$66.65
G0008 Administration of influenza virus vaccine	254	249	$33.00	$23.91
90662 Influenza vaccine split virus, preservative free	244	241	$55.00	$47.82
J2785 Injection, regadenoson, 0.1 mg	240	60	$80.00	$53.74
81001 Manual urinalysis test with examination using microscope, automated	231	216	$25.00	$4.26
J0696 Injection, ceftriaxone sodium, per 250 mg	172	33	$5.00	$0.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	165	67	$123.00	$70.03
71020 X-ray of chest, 2 views, front and side	148	129	$26.00	$15.75
G0202 Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (cad) when performed	142	142	$160.94	$91.69
77063 Screening digital tomography of both breasts	142	141	$40.00	$23.20
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	120	48	$92.00	$39.44
84443 Blood test, thyroid stimulating hormone (TSH)	113	110	$57.00	$22.59
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	107	38	$40.00	$23.36
99221 Initial hospital inpatient care per day, typically 30 minutes	103	81	$149.00	$97.94
G0009 Administration of pneumococcal vaccine	98	98	$33.00	$23.91
36415 Insertion of needle into vein for collection of blood sample	98	63	$5.00	$2.94
20610 Aspiration and/or injection of fluid from large joint	95	60	$147.37	$58.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	88	43	$83.00	$38.07
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	84	45	$93.00	$43.09
99238 Hospital discharge day management, 30 minutes or less	83	67	$123.00	$70.13
81002 Urinalysis, manual test	77	62	$16.87	$3.43
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	75	75	$645.00	$374.18
93017 Exercise or drug-induced heart stress test with electrocardiogram (ecg)	74	74	$73.57	$27.01
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose	73	73	$131.48	$129.38
93000 Routine ekg using at least 12 leads including interpretation and report	69	67	$75.00	$16.09
85610 Blood test, clotting time	65	29	$31.00	$5.21
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	65	59	$111.00	$51.39
90670 Pneumococcal vaccine for injection into muscle	60	60	$285.00	$182.74
82570 Creatinine level to test for kidney function or muscle injury	59	59	$29.00	$6.96
82044 Urine microalbumin (protein) analysis	59	59	$17.00	$6.15
80048 Blood test, basic group of blood chemicals (calcium, total)	58	49	$69.00	$11.13
77080 Dxa bone density measurement of hip, pelvis, spine	52	52	$85.00	$38.32
72100 X-ray of lower and sacral spine, 2-3 views	52	52	$37.00	$22.04
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	52	48	$140.00	$126.06
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	46	44	$27.39	$8.27
99318 Nursing facility annual assessment, typically 30 minutes	39	39	$175.00	$93.35
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	38	38	$93.00	$90.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$195.00	$157.68
93880 Ultrasound of both sides of head and neck blood flow	35	34	$282.00	$149.52
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	34	33	$173.00	$138.94
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066)	30	26	$40.00	$23.88
69210 Removal of impacted ear wax	29	27	$121.59	$46.11
76770 Complete ultrasound scan behind abdominal cavity	26	26	$120.00	$71.27
76642 Limited ultrasound scan of 1 breast	25	17	$92.88	$52.56
99306 Initial nursing facility visit, typically 45 minutes per day	25	25	$199.00	$161.84
73030 X-ray of shoulder, minimum of 2 views	24	24	$30.00	$18.10
73630 X-ray of foot, minimum of 3 views	24	22	$32.00	$19.11
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	22	22	$22.00	$4.77
G0206 Diagnostic mammography, including computer-aided detection (cad) when performed; unilateral	22	20	$149.86	$87.20
17000 Destruction of skin growth	21	20	$130.00	$58.88
99239 Hospital discharge day management, more than 30 minutes	21	17	$140.00	$103.99
73560 X-ray of knee, 1-2 views	21	20	$35.00	$20.80
72040 X-ray of upper spine, 2-3 views	19	18	$34.00	$20.00
73502 X-ray of hip, 2-3 views	18	18	$47.00	$27.93
78306 Nuclear medicine study of bone and/or joint whole body	17	15	$343.00	$201.64
A9503 Technetium tc-99m medronate, diagnostic, per study dose, up to 30 millicuries	16	14	$45.00	$44.28
76705 Limited ultrasound scan of abdomen	15	15	$97.00	$57.89
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	14	14	$179.21	$72.69
71100 X-ray of ribs of one side of body, 2 views	14	14	$34.00	$20.08
73130 X-ray of hand, minimum of 3 views	13	12	$34.00	$20.33
20605 Aspiration and/or injection of medium joint or joint capsule	13	11	$120.00	$46.50
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	12	12	$228.00	$90.84
73610 X-ray of ankle, minimum of 3 views	12	11	$35.00	$21.06
72070 X-ray of middle spine, 2 views	12	12	$35.00	$21.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$137.00	$103.27
G0204 Diagnostic mammography, including computer-aided detection (cad) when performed; bilateral	12	12	$192.00	$111.32
G0103 Prostate cancer screening; prostate specific antigen test (psa)	11	11	$83.00	$24.73

Medical Specialties & State Licenses

CMS Verified: 2022-10-06

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX G4848

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

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

123772901 (TX)

Commercial Insurance / Payer ID Railroad Medicare Prov No

010016274 (TX)

Commercial Insurance / Payer ID Cigna Provider Number

2060508001 (TX)

Commercial Insurance / Payer ID United Healthcare Prov No

72486303 (TX)

Commercial Insurance / Payer ID Bcbs Provider Number

814765 (TX)

Commercial Insurance / Payer ID Aetna Provider Number

72486303 (TX)

Hospital & Practice Group Affiliations

Texas Health Care Pllc

920 Santa Fe Dr, Weatherford, TX 760865865

Phone: 8173398855

Texas Health Care Pllc

6700 Buenos Aires Dr, N Richland Hills, TX 761806566

Phone: 8172818245

Texas Health Care Pllc

160 River N Blvd, Stephenville, TX 764011803

Phone: 2549686051

Texas Health Care Pllc

150 River N Blvd, Stephenville, TX 764011860

Phone: 2549686051

Practice Associates & Co-Workers

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

30 Associated Practitioners

Dr. Jeffrey Moore , MD

Internal Medicine

NPI 1023014008

Doctor of Medicine (M.D.)

Dr. Christy Kerr , MD

Family Medicine

NPI 1023274024

Doctor of Medicine (M.D.)

Dr. Sreenivas Gudimetla , MD

Internal Medicine - Cardiovascular Disease

NPI 1053316547

Doctor of Medicine (M.D.)

Anita Butler , RD, LD

Nutritionist - Nutrition, Education

NPI 1063417038

Registered Dietitian, Licensed Dietitian

Dr. Kenneth Ratajczak , MD

Radiology - Diagnostic Radiology

NPI 1063418929

Doctor of Medicine (M.D.)

Dr. Janie Mcmillion , MD

Obstetrics & Gynecology

NPI 1073519427

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 27, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location September 27, 2012

Registered at 150 RIVER NORTH BLVD, STEPHENVILLE, TX 764011803 (Tel: 2549686051)

📍

Updated Business Mailing Address September 27, 2012

Registered at 150 RIVER NORTH BLVD, STEPHENVILLE, TX 764011803 (Tel: 2549686051)

👤

Provider Name / Credentials Updated September 27, 2012

Recorded as DAVID BOUCHER, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 27, 2012

Internal Medicine (License #G4848 in TX)

🟢

Initial NPI Registration & Enumeration June 16, 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: 1639174675

Entity Type:

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

Enumeration Date: June 16, 2005

Last Update: October 06, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

150 River North Blvd

Stephenville, TX 764011803

Phone: 2549686051

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.