Active NPI 1346349289 Individual Practitioner Female Practitioner

Dr. Amy Katherine Simpson , MD

Internal Medicine • Tyler, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Amy Simpson, MD is a certified Internal Medicine practicing in Tyler, TX. With approximately 37 years of clinical experience since graduating from University Of Texas Southwestern Medical School At Dallas in 1989, Dr. Simpson delivers high-quality medical care to the local community at 1910 ROSELAND BLVD.

Dr. Simpson is affiliated with Tyler Internal Medicine Associates, P.A and accepts Medicare assignment.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample, blood test, comprehensive group of blood chemicals, complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1910 Roseland Blvd

Tyler, TX 75701

Telephone 9035330644

Fax 9035330441

Associated Practice Facility / Clinic

🏢 Tyler Internal Medicine Associates, P.a. Facility NPI 1770695850

Medicare Profile & Education

Medical School

University Of Texas Southwestern Medical School At Dallas

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Tyler, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +15.9 yrs vs City Avg

City Avg: 21.1 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

148 Specialists

Practicing in Tyler, TX (9538 Statewide)

Telehealth Adoption Rate

9.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

55.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Simpson (37 Years) 37 Yrs

Tyler Specialty Average (21.1 Years) 21.1 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
36415 Insertion of needle into vein for collection of blood sample	1,386	545	$10.00	$8.64
80053 Blood test, comprehensive group of blood chemicals	1,372	540	$34.48	$10.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,351	535	$25.86	$7.60
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,337	266	$79.45	$59.66
80061 Blood test, lipids (cholesterol and triglycerides)	1,310	541	$32.20	$13.09
99213 Established patient office or other outpatient visit, typically 15 minutes	1,245	509	$138.09	$86.39
82550 Creatine kinase (cardiac enzyme) level, total	1,066	429	$19.46	$6.37
83036 Hemoglobin A1C level	805	314	$26.48	$9.50
82043 Urine microalbumin (protein) level	735	297	$18.70	$5.64
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	728	424	$25.39	$15.73
84443 Blood test, thyroid stimulating hormone (TSH)	685	298	$41.61	$16.46
84439 Thyroxine (thyroid chemical), free	672	289	$24.42	$8.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	404	398	$194.00	$122.54
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	377	377	$172.87	$123.51
82306 Vitamin d-3 level	369	219	$70.85	$29.01
81000 Manual urinalysis test with examination using microscope, non-automated	267	174	$13.96	$3.93
82607 Cyanocobalamin (vitamin B-12) level	214	119	$34.62	$14.78
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	210	40	$8.00	$0.98
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	208	208	$483.61	$184.31
84481 Thyroid hormone, t3 measurement, free	203	89	$38.89	$16.53
83540 Iron level	194	104	$20.74	$6.34
83550 Iron binding capacity	194	104	$23.69	$8.57
82570 Creatinine level to test for kidney function or muscle injury	178	152	$18.46	$5.06
82728 Ferritin (blood protein) level	176	101	$33.75	$13.36
G0008 Administration of influenza virus vaccine	166	164	$42.77	$31.03
90653 Vaccine for influenza for injection into muscle	157	157	$112.94	$81.82
93000 Routine ekg using at least 12 leads including interpretation and report	149	145	$42.83	$13.54
77067 Screening mammography	147	147	$238.67	$119.45
77063 Screening digital tomography of both breasts	147	147	$141.33	$49.04
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	142	112	$39.79	$21.75
93880 Ultrasound of both sides of head and neck blood flow	137	137	$473.43	$177.25
80307 Testing for presence of drug, by chemistry analyzers	136	99	$101.80	$60.08
83970 Parathormone (parathyroid hormone) level	132	55	$82.27	$40.45
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	130	110	$72.00	$40.11
87804 Detection test by immunoassay with direct visual observation for influenza virus	121	57	$30.29	$16.03
84550 Uric acid level, blood	94	42	$17.23	$4.43
77085 Bone density measurement using dedicated x-ray machine	78	78	$200.00	$49.85
84403 Testosterone (hormone) level, total	76	43	$54.03	$25.29
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	74	74	$29.42	$17.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	71	24	$49.31	$13.60
77080 Dxa bone density measurement of hip, pelvis, spine	69	69	$180.00	$36.15
J2785 Injection, regadenoson, 0.1 mg	68	17	$75.00	$7.88
83880 Natriuretic peptide (heart and blood vessel protein) level	61	40	$68.69	$38.47
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	59	54	$30.81	$15.81
G0103 Prostate cancer screening; prostate specific antigen test (psa)	57	57	$49.05	$18.92
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	53	24	$58.40	$39.78
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	39	39	$447.82	$286.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$172.37	$106.50
71046 X-ray of chest, 2 views	37	34	$51.57	$31.63
G0009 Administration of pneumococcal vaccine	37	37	$37.97	$31.03
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	33	31	$58.55	$45.81
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	32	30	$70.38	$50.89
99496 Transitional care management services for problem of high complexity	31	30	$352.52	$266.19
93241 Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days	24	23	$650.67	$237.50
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	23	20	$42.22	$18.21
82670 Measurement of total estradiol (hormone)	23	20	$58.91	$27.38
80048 Blood test, basic group of blood chemicals (calcium, total)	22	17	$24.09	$7.91
72100 X-ray of lower and sacral spine, 2-3 views	21	21	$62.38	$37.53
73564 X-ray of knee, 4 or more views	20	19	$75.00	$44.34
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	19	18	$14.74	$4.18
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	19	17	$356.05	$139.68
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	18	18	$203.22	$59.18
86140 Measurement C-reactive protein for detection of infection or inflammation	18	17	$18.11	$5.08
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	18	18	$706.67	$403.28
73030 X-ray of shoulder, minimum of 2 views	17	16	$59.24	$31.15
95938 Placement of skin electrodes and measurement of stimulated sites on arms and legs	17	17	$633.53	$348.88
70551 Mri scan of brain without contrast	14	14	$827.86	$190.01
72148 MRI scan of lower spinal canal	14	14	$789.29	$185.09
99495 Transitional care management services for problem of at least moderate complexity	13	13	$257.62	$196.91
94729 Test to examine how well the lungs exchange gases	12	11	$121.50	$52.81
94060 Test to measure expiratory airflow and volume changes before and after medication administration	12	11	$121.50	$36.50
76700 Ultrasound of abdomen	12	11	$432.50	$109.46
72050 X-ray of upper spine, 4 or 5 views	12	12	$95.00	$50.38
94727 Determination of lung volumes using gas dilution or washout	12	11	$98.00	$41.83
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$323.64	$111.33
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	11	11	$81.00	$37.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,431	555	$10.00	$8.39
80053 Blood test, comprehensive group of blood chemicals	1,397	554	$38.00	$10.34
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,343	550	$28.00	$7.60
80061 Blood test, lipids (cholesterol and triglycerides)	1,325	553	$33.00	$13.10
99213 Established patient office or other outpatient visit, typically 15 minutes	1,201	521	$135.00	$86.37
82550 Creatine kinase (cardiac enzyme) level, total	1,114	449	$21.00	$6.37
83036 Hemoglobin A1C level	789	317	$27.00	$9.50
82043 Urine microalbumin (protein) level	716	291	$20.00	$5.65
84443 Blood test, thyroid stimulating hormone (TSH)	658	297	$44.00	$16.46
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	658	240	$70.00	$59.89
84439 Thyroxine (thyroid chemical), free	639	287	$26.00	$8.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	435	409	$190.00	$122.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	371	371	$160.00	$123.35
82306 Vitamin d-3 level	347	229	$75.00	$28.96
80307 Testing for presence of drug, by chemistry analyzers	267	160	$100.00	$60.54
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	234	233	$485.00	$187.30
93000 Routine ekg using at least 12 leads including interpretation and report	201	194	$42.00	$13.75
81000 Manual urinalysis test with examination using microscope, non-automated	195	128	$15.00	$3.94
84481 Thyroid hormone, t3 measurement, free	190	93	$40.00	$16.60
G0008 Administration of influenza virus vaccine	181	178	$35.00	$29.51
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	175	172	$99.66	$75.68
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	172	134	$56.00	$45.28
82607 Cyanocobalamin (vitamin B-12) level	162	105	$36.00	$14.78
87804 Detection test by immunoassay with direct visual observation for influenza virus	149	69	$35.00	$16.22
99491 Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month	146	121	$100.00	$81.39
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	145	118	$75.00	$40.55
93880 Ultrasound of both sides of head and neck blood flow	144	143	$476.00	$182.57
77067 Screening mammography	141	141	$230.00	$122.41
77063 Screening digital tomography of both breasts	141	141	$150.00	$50.59
77080 Dxa bone density measurement of hip, pelvis, spine	140	140	$180.00	$35.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	138	28	$8.00	$1.07
83970 Parathormone (parathyroid hormone) level	134	60	$83.00	$40.45
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	129	129	$28.00	$17.69
83550 Iron binding capacity	127	82	$25.00	$8.57
83540 Iron level	126	82	$21.00	$6.34
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	125	97	$41.00	$22.18
82728 Ferritin (blood protein) level	120	77	$35.00	$13.36
84550 Uric acid level, blood	100	48	$18.00	$4.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	82	22	$49.00	$13.55
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	73	32	$55.00	$39.51
G0103 Prostate cancer screening; prostate specific antigen test (psa)	67	67	$52.00	$18.92
84403 Testosterone (hormone) level, total	65	36	$56.00	$25.29
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	57	53	$150.00	$125.24
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	51	47	$32.00	$16.20
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	48	43	$61.00	$50.00
J2785 Injection, regadenoson, 0.1 mg	44	11	$75.00	$51.16
G0181 Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow	43	20	$160.00	$99.77
84402 Testosterone (hormone) level, free	43	29	$55.00	$24.96
83880 Natriuretic peptide (heart and blood vessel protein) level	43	31	$70.00	$38.47
71046 X-ray of chest, 2 views	41	38	$48.00	$32.28
G0009 Administration of pneumococcal vaccine	40	40	$35.00	$29.51
99496 Transitional care management services for problem of high complexity	39	32	$300.00	$259.02
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	32	32	$609.38	$282.89
72100 X-ray of lower and sacral spine, 2-3 views	27	26	$60.00	$38.30
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	22	21	$16.00	$4.18
99495 Transitional care management services for problem of at least moderate complexity	21	19	$225.00	$195.60
86140 Measurement C-reactive protein for detection of infection or inflammation	19	18	$19.00	$5.08
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	17	17	$410.00	$172.38
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	17	17	$194.00	$59.08
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	17	17	$665.00	$417.19
93241 Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days	16	16	$700.00	$247.96
73030 X-ray of shoulder, minimum of 2 views	15	14	$61.00	$33.16
73502 X-ray of hip, 2-3 views	15	15	$75.00	$45.01
80048 Blood test, basic group of blood chemicals (calcium, total)	14	13	$25.00	$8.29
70551 Mri scan of brain without contrast	13	13	$793.15	$195.41
73564 X-ray of knee, 4 or more views	13	13	$75.00	$44.70
94729 Test to examine how well the lungs exchange gases	12	12	$122.00	$53.73
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	12	11	$43.00	$18.21
94060 Test to measure expiratory airflow and volume changes before and after medication administration	12	12	$122.00	$36.67
94727 Determination of lung volumes using gas dilution or washout	12	12	$99.00	$41.49
82670 Measurement of total estradiol (hormone)	12	11	$60.00	$27.38
72148 MRI scan of lower spinal canal	12	11	$772.92	$185.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$170.00	$107.70
95938 Placement of skin electrodes and measurement of stimulated sites on arms and legs	11	11	$634.00	$346.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,623	651	$10.00	$2.96
80053 Blood test, comprehensive group of blood chemicals	1,618	660	$38.00	$10.40
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,569	651	$28.00	$7.65
80061 Blood test, lipids (cholesterol and triglycerides)	1,564	657	$33.00	$13.18
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,433	322	$70.00	$60.97
99213 Established patient office or other outpatient visit, typically 15 minutes	1,297	596	$135.00	$87.40
82550 Creatine kinase (cardiac enzyme) level, total	1,217	491	$21.00	$6.40
83036 Hemoglobin A1C level	900	364	$27.00	$9.52
84443 Blood test, thyroid stimulating hormone (TSH)	832	395	$44.00	$16.58
84439 Thyroxine (thyroid chemical), free	801	375	$26.00	$8.88
82043 Urine microalbumin (protein) level	794	327	$20.00	$5.68
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	502	472	$190.00	$123.79
82306 Vitamin d-3 level	460	287	$75.00	$29.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	434	434	$160.00	$126.50
81000 Manual urinalysis test with examination using microscope, non-automated	308	203	$15.00	$3.97
93000 Routine ekg using at least 12 leads including interpretation and report	278	264	$42.00	$13.75
80307 Testing for presence of drug, by chemistry analyzers	277	170	$100.00	$60.99
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	242	241	$485.00	$194.21
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	228	38	$8.00	$1.14
82607 Cyanocobalamin (vitamin B-12) level	222	127	$36.00	$14.89
G0444 Annual depression screening, 5 to 15 minutes	220	220	$22.00	$17.90
83540 Iron level	201	118	$21.00	$6.36
83550 Iron binding capacity	201	118	$25.00	$8.60
82728 Ferritin (blood protein) level	198	119	$35.00	$13.41
84481 Thyroid hormone, t3 measurement, free	195	96	$40.00	$16.72
G0008 Administration of influenza virus vaccine	188	187	$34.68	$28.24
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	180	178	$84.67	$70.17
83970 Parathormone (parathyroid hormone) level	166	75	$83.00	$40.78
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	160	160	$28.00	$17.83
77063 Screening digital tomography of both breasts	155	155	$150.00	$51.31
77067 Screening mammography	154	154	$197.66	$125.48
77080 Dxa bone density measurement of hip, pelvis, spine	154	154	$180.00	$35.99
93880 Ultrasound of both sides of head and neck blood flow	138	137	$476.00	$188.42
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	135	117	$75.00	$40.66
87804 Detection test by immunoassay with direct visual observation for influenza virus	134	60	$35.00	$16.26
84550 Uric acid level, blood	121	51	$18.00	$4.46
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	96	72	$16.00	$4.21
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	83	22	$49.00	$13.89
99441 Telephone medical discussion with physician, 5-10 minutes	82	77	$40.00	$34.54
84403 Testosterone (hormone) level, total	76	37	$56.00	$25.46
84402 Testosterone (hormone) level, free	74	35	$55.00	$25.13
83880 Natriuretic peptide (heart and blood vessel protein) level	66	50	$70.00	$38.73
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	64	62	$32.00	$16.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	63	43	$41.00	$22.38
G0103 Prostate cancer screening; prostate specific antigen test (psa)	58	58	$52.00	$19.09
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	57	49	$56.00	$45.70
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	55	27	$55.00	$39.41
71046 X-ray of chest, 2 views	49	49	$48.00	$32.85
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	48	45	$75.00	$43.80
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	47	21	$50.00	$41.88
J2785 Injection, regadenoson, 0.1 mg	44	11	$75.00	$60.72
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose	44	22	$30.00	$9.88
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	42	36	$61.00	$51.18
G0009 Administration of pneumococcal vaccine	33	33	$31.00	$26.50
82670 Measurement of total estradiol (hormone)	31	24	$60.00	$27.55
99496 Transitional care management services for problem of high complexity	31	26	$300.00	$268.82
73564 X-ray of knee, 4 or more views	30	28	$75.00	$45.27
72100 X-ray of lower and sacral spine, 2-3 views	30	30	$60.00	$39.04
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	28	23	$43.00	$18.31
86140 Measurement C-reactive protein for detection of infection or inflammation	26	25	$19.00	$5.12
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	24	22	$375.83	$157.59
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	22	22	$665.00	$363.72
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	21	21	$194.00	$60.33
90670 Pneumococcal vaccine for injection into muscle	21	21	$300.00	$253.02
99495 Transitional care management services for problem of at least moderate complexity	21	17	$225.00	$199.36
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$170.00	$108.06
20610 Aspiration and/or injection of fluid from large joint	19	12	$400.00	$62.55
80048 Blood test, basic group of blood chemicals (calcium, total)	18	17	$25.00	$8.39
73030 X-ray of shoulder, minimum of 2 views	17	15	$61.00	$33.79
93241 Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days	17	16	$700.00	$231.49
76536 Ultrasound of head and neck	16	15	$225.00	$83.85
84153 Psa (prostate specific antigen) measurement, total	15	14	$52.00	$18.17
94060 Test to measure expiratory airflow and volume changes before and after medication administration	15	15	$122.00	$37.66
73502 X-ray of hip, 2-3 views	15	15	$75.00	$45.83
76700 Ultrasound of abdomen	15	15	$180.00	$78.19
94727 Determination of lung volumes using gas dilution or washout	15	15	$99.00	$42.30
94729 Test to examine how well the lungs exchange gases	15	15	$122.00	$56.57
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	13	13	$85.00	$37.72
72050 X-ray of upper spine, 4 or 5 views	13	13	$75.00	$52.32
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	13	13	$50.00	$41.71
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	12	12	$500.00	$193.06
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$250.00	$131.02
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	12	12	$100.00	$18.29
93320 Ultrasound of heart blood flow, valves and chambers	12	12	$145.00	$42.25
95938 Placement of skin electrodes and measurement of stimulated sites on arms and legs	11	11	$634.00	$354.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,673	645	$10.00	$3.00
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,609	375	$45.00	$39.73
80053 Blood test, comprehensive group of blood chemicals	1,605	645	$38.00	$10.55
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,602	644	$28.00	$7.76
80061 Blood test, lipids (cholesterol and triglycerides)	1,548	641	$33.00	$13.38
99213 Established patient office or other outpatient visit, typically 15 minutes	1,479	618	$128.41	$88.72
82550 Creatine kinase (cardiac enzyme) level, total	1,292	529	$21.00	$6.51
83036 Hemoglobin A1C level	884	353	$27.00	$9.70
84443 Blood test, thyroid stimulating hormone (TSH)	793	366	$44.00	$16.80
82043 Urine microalbumin (protein) level	776	323	$20.00	$5.78
84439 Thyroxine (thyroid chemical), free	741	340	$26.00	$9.02
82306 Vitamin d-3 level	494	296	$75.00	$29.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	487	454	$181.74	$126.74
G0444 Annual depression screening, 5 to 15 minutes	430	430	$22.00	$18.25
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	421	421	$155.72	$128.68
80307 Testing for presence of drug, by chemistry analyzers	262	166	$100.00	$62.14
81000 Manual urinalysis test with examination using microscope, non-automated	249	175	$15.00	$4.02
83550 Iron binding capacity	238	129	$25.00	$8.74
83540 Iron level	238	129	$21.00	$6.47
82728 Ferritin (blood protein) level	230	130	$35.00	$13.63
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	214	214	$485.00	$200.18
82607 Cyanocobalamin (vitamin B-12) level	210	144	$36.00	$15.08
G0008 Administration of influenza virus vaccine	199	199	$23.00	$16.47
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	198	198	$70.00	$66.43
77080 Dxa bone density measurement of hip, pelvis, spine	195	195	$180.00	$37.24
93000 Routine ekg using at least 12 leads including interpretation and report	188	178	$42.00	$14.28
84481 Thyroid hormone, t3 measurement, free	173	93	$40.00	$16.94
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	171	171	$28.00	$18.05
83970 Parathormone (parathyroid hormone) level	150	74	$83.00	$41.28
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	144	114	$75.00	$45.23
86769 Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody	137	60	$50.00	$42.13
93880 Ultrasound of both sides of head and neck blood flow	135	135	$476.00	$195.61
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	131	114	$40.00	$36.44
84550 Uric acid level, blood	130	62	$18.00	$4.52
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	95	32	$49.00	$13.85
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	82	47	$41.00	$22.04
84403 Testosterone (hormone) level, total	73	33	$56.00	$25.81
84402 Testosterone (hormone) level, free	73	33	$55.00	$25.47
71046 X-ray of chest, 2 views	66	58	$48.00	$32.10
G0103 Prostate cancer screening; prostate specific antigen test (psa)	62	62	$58.97	$19.31
J2785 Injection, regadenoson, 0.1 mg	60	15	$75.00	$59.47
99442 Telephone medical discussion with physician, 11-20 minutes	58	54	$65.00	$65.22
83880 Natriuretic peptide (heart and blood vessel protein) level	50	38	$70.00	$39.26
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	48	32	$54.42	$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	38	36	$61.00	$51.59
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose	38	19	$30.00	$10.00
72100 X-ray of lower and sacral spine, 2-3 views	33	32	$60.00	$38.89
86140 Measurement C-reactive protein for detection of infection or inflammation	33	30	$19.00	$5.18
J1040 Injection, methylprednisolone acetate, 80 mg	33	28	$30.00	$10.66
94060 Test to measure expiratory airflow and volume changes before and after medication administration	32	32	$122.00	$44.15
94729 Test to examine how well the lungs exchange gases	32	32	$122.00	$56.80
94727 Determination of lung volumes using gas dilution or washout	32	32	$99.00	$42.17
87804 Detection test by immunoassay with direct visual observation for influenza virus	32	16	$35.00	$16.55
82670 Measurement of total estradiol (hormone)	31	25	$60.00	$27.94
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	30	25	$43.00	$18.58
G0009 Administration of pneumococcal vaccine	29	29	$23.00	$16.50
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	29	29	$16.00	$4.27
J1030 Injection, methylprednisolone acetate, 40 mg	29	22	$15.00	$5.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$170.00	$109.58
99496 Transitional care management services for problem of high complexity	27	24	$300.00	$273.01
73030 X-ray of shoulder, minimum of 2 views	25	22	$61.00	$33.47
20610 Aspiration and/or injection of fluid from large joint	25	20	$412.00	$64.95
95938 Placement of skin electrodes and measurement of stimulated sites on arms and legs	23	22	$634.00	$354.33
77063 Screening digital tomography of both breasts	22	22	$150.00	$53.69
73564 X-ray of knee, 4 or more views	21	18	$75.00	$44.91
90670 Pneumococcal vaccine for injection into muscle	21	21	$300.00	$240.31
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	21	20	$32.00	$16.53
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	20	20	$85.00	$38.12
77067 Screening mammography	20	20	$150.00	$129.52
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	19	19	$410.00	$169.42
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	19	19	$665.00	$399.13
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	19	19	$194.00	$61.09
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	19	19	$50.00	$42.27
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	17	17	$120.00	$73.49
80048 Blood test, basic group of blood chemicals (calcium, total)	16	13	$25.00	$8.46
72050 X-ray of upper spine, 4 or 5 views	15	15	$75.00	$51.69
73502 X-ray of hip, 2-3 views	15	15	$75.00	$43.23
93241 Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days	12	12	$700.00	$129.55
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	12	12	$95.00	$88.91
76700 Ultrasound of abdomen	12	12	$180.00	$84.43
99495 Transitional care management services for problem of at least moderate complexity	11	11	$225.00	$201.61

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,633	689	$10.00	$2.99
99213 Established patient office or other outpatient visit, typically 15 minutes	1,588	654	$113.00	$72.62
80053 Blood test, comprehensive group of blood chemicals	1,560	688	$38.00	$10.49
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,529	673	$28.00	$7.70
80061 Blood test, lipids (cholesterol and triglycerides)	1,496	680	$33.00	$13.29
82550 Creatine kinase (cardiac enzyme) level, total	1,171	524	$21.00	$6.46
83036 Hemoglobin A1C level	816	350	$27.00	$9.64
84443 Blood test, thyroid stimulating hormone (TSH)	792	416	$44.00	$16.73
84439 Thyroxine (thyroid chemical), free	746	380	$26.00	$8.97
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	706	361	$45.00	$40.46
82043 Urine microalbumin (protein) level	698	322	$20.00	$5.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	476	442	$165.00	$106.59
82306 Vitamin d-3 level	456	291	$75.00	$29.39
G0444 Annual depression screening, 5 to 15 minutes	405	405	$22.00	$17.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	393	393	$120.00	$113.38
81000 Manual urinalysis test with examination using microscope, non-automated	345	253	$15.00	$4.00
80307 Testing for presence of drug, by chemistry analyzers	238	154	$100.00	$61.78
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	238	238	$485.00	$203.04
83540 Iron level	230	128	$21.00	$6.42
83550 Iron binding capacity	229	128	$25.00	$8.67
93000 Routine ekg using at least 12 leads including interpretation and report	225	214	$42.00	$16.41
G0008 Administration of influenza virus vaccine	223	223	$23.00	$16.22
82728 Ferritin (blood protein) level	212	122	$35.00	$13.52
90653 Vaccine for influenza for injection into muscle	204	204	$70.00	$59.52
82607 Cyanocobalamin (vitamin B-12) level	189	126	$36.00	$15.02
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	174	129	$40.00	$36.92
77080 Dxa bone density measurement of hip, pelvis, spine	173	173	$180.00	$38.33
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	150	150	$28.00	$17.95
J2785 Injection, regadenoson, 0.1 mg	148	37	$75.00	$58.87
93880 Ultrasound of both sides of head and neck blood flow	134	134	$476.00	$194.50
84550 Uric acid level, blood	114	56	$18.00	$4.49
83970 Parathormone (parathyroid hormone) level	108	62	$83.00	$41.10
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	100	46	$41.00	$22.56
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose	94	47	$30.00	$9.94
83880 Natriuretic peptide (heart and blood vessel protein) level	74	52	$70.00	$39.11
87804 Detection test by immunoassay with direct visual observation for influenza virus	73	35	$35.00	$16.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	69	20	$49.00	$13.95
84481 Thyroid hormone, t3 measurement, free	69	56	$40.00	$16.92
84402 Testosterone (hormone) level, free	68	34	$55.00	$25.32
84403 Testosterone (hormone) level, total	67	34	$56.00	$25.65
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	65	35	$48.00	$40.00
71046 X-ray of chest, 2 views	58	52	$48.00	$31.65
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	56	56	$95.00	$89.49
G0103 Prostate cancer screening; prostate specific antigen test (psa)	51	51	$42.00	$19.23
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	49	48	$411.02	$169.48
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	48	48	$194.00	$61.44
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	48	48	$665.00	$382.53
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	47	45	$71.49	$45.23
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	46	40	$61.00	$52.17
20610 Aspiration and/or injection of fluid from large joint	44	25	$300.00	$61.58
J1030 Injection, methylprednisolone acetate, 40 mg	42	25	$12.98	$5.83
72100 X-ray of lower and sacral spine, 2-3 views	35	34	$61.46	$36.98
82670 Measurement of total estradiol (hormone)	29	23	$60.00	$27.73
J1040 Injection, methylprednisolone acetate, 80 mg	28	21	$28.39	$11.59
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	27	22	$43.00	$18.44
94060 Test to measure expiratory airflow and volume changes before and after medication administration	27	27	$122.00	$57.42
94727 Determination of lung volumes using gas dilution or washout	25	25	$99.00	$42.43
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	24	24	$190.00	$118.82
99442 Telephone medical discussion with physician, 11-20 minutes	24	24	$65.00	$63.69
86140 Measurement C-reactive protein for detection of infection or inflammation	24	22	$19.00	$5.16
G0009 Administration of pneumococcal vaccine	24	24	$24.25	$16.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$170.00	$105.26
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	22	20	$16.00	$4.10
99496 Transitional care management services for problem of high complexity	22	19	$300.00	$239.01
94729 Test to examine how well the lungs exchange gases	20	20	$122.00	$54.70
73502 X-ray of hip, 2-3 views	19	17	$75.00	$43.84
73564 X-ray of knee, 4 or more views	19	17	$75.00	$40.74
73030 X-ray of shoulder, minimum of 2 views	19	18	$61.00	$32.02
90674 Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free	19	19	$35.00	$29.23
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	18	18	$32.00	$16.29
80048 Blood test, basic group of blood chemicals (calcium, total)	18	16	$25.00	$8.39
77085 Bone density measurement using dedicated x-ray machine	18	18	$100.00	$52.14
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	17	17	$85.00	$38.87
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	17	17	$49.41	$41.92
74021 X-ray of abdomen, minimum of 3 views	16	16	$55.94	$40.40
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	16	16	$45.00	$15.88
70551 Mri scan of brain without contrast	13	13	$771.00	$142.87
72148 MRI scan of lower spinal canal	11	11	$695.00	$137.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,513	508	$113.00	$71.88
36415 Insertion of needle into vein for collection of blood sample	1,501	515	$10.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	1,429	513	$38.00	$11.47
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,413	511	$28.00	$8.44
80061 Blood test, lipids (cholesterol and triglycerides)	1,324	509	$33.00	$14.53
82550 Creatine kinase (cardiac enzyme) level, total	1,145	433	$21.00	$7.07
83036 Hemoglobin A1C level	724	267	$27.00	$10.51
82043 Urine microalbumin (protein) level	672	257	$20.00	$6.26
84443 Blood test, thyroid stimulating hormone (TSH)	596	252	$44.00	$18.23
84439 Thyroxine (thyroid chemical), free	584	242	$26.00	$9.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	446	373	$165.00	$105.99
82306 Vitamin d-3 level	350	213	$75.00	$32.08
G0444 Annual depression screening, 5 to 15 minutes	325	325	$22.00	$17.56
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	320	320	$120.00	$113.21
93000 Routine ekg using at least 12 leads including interpretation and report	259	241	$42.00	$16.36
83550 Iron binding capacity	224	104	$25.00	$9.52
83540 Iron level	224	104	$21.00	$7.05
82728 Ferritin (blood protein) level	223	104	$35.00	$14.85
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	207	207	$485.00	$199.66
81000 Manual urinalysis test with examination using microscope, non-automated	202	123	$15.00	$3.94
80307 Testing for presence of drug, by chemistry analyzers	198	113	$100.00	$63.15
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	174	174	$45.00	$40.49
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	168	168	$28.00	$17.69
G0008 Administration of influenza virus vaccine	151	151	$23.00	$15.90
90653 Vaccine for influenza for injection into muscle	148	148	$70.00	$58.34
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	146	44	$41.00	$21.96
77080 Dxa bone density measurement of hip, pelvis, spine	144	144	$180.00	$38.27
82607 Cyanocobalamin (vitamin B-12) level	144	92	$36.00	$16.41
71046 X-ray of chest, 2 views	137	117	$36.42	$30.28
J2785 Injection, regadenoson, 0.1 mg	136	34	$72.79	$57.77
84550 Uric acid level, blood	120	50	$18.00	$4.89
85610 Blood test, clotting time	118	12	$17.00	$4.28
93880 Ultrasound of both sides of head and neck blood flow	107	107	$476.00	$192.43
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose	90	45	$30.00	$9.84
J0696 Injection, ceftriaxone sodium, per 250 mg	80	17	$2.90	$0.56
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	76	24	$49.00	$16.20
83880 Natriuretic peptide (heart and blood vessel protein) level	63	36	$70.00	$38.01
J1040 Injection, methylprednisolone acetate, 80 mg	63	49	$25.00	$11.92
84403 Testosterone (hormone) level, total	56	28	$56.00	$28.11
84402 Testosterone (hormone) level, free	54	27	$55.00	$27.73
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	51	27	$48.00	$40.03
G0103 Prostate cancer screening; prostate specific antigen test (psa)	47	47	$42.00	$20.03
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	45	45	$194.00	$61.24
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	45	38	$61.00	$51.88
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	45	45	$410.00	$169.32
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	45	45	$665.00	$385.00
83970 Parathormone (parathyroid hormone) level	43	27	$83.00	$44.94
J1030 Injection, methylprednisolone acetate, 40 mg	43	32	$10.00	$6.26
99496 Transitional care management services for problem of high complexity	40	38	$300.00	$225.91
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	37	34	$16.00	$4.09
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	36	22	$43.00	$20.24
86140 Measurement C-reactive protein for detection of infection or inflammation	36	33	$19.00	$5.51
72100 X-ray of lower and sacral spine, 2-3 views	36	36	$77.00	$35.18
82670 Measurement of total estradiol (hormone)	34	21	$60.00	$30.42
73564 X-ray of knee, 4 or more views	32	30	$75.00	$39.90
20610 Aspiration and/or injection of fluid from large joint	31	24	$283.45	$61.26
94727 Determination of lung volumes using gas dilution or washout	30	30	$99.00	$41.17
94060 Test to measure expiratory airflow and volume changes before and after medication administration	30	30	$122.00	$56.13
94729 Test to examine how well the lungs exchange gases	30	30	$122.00	$51.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$170.00	$105.45
73030 X-ray of shoulder, minimum of 2 views	28	25	$61.00	$28.22
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	12	$42.85	$16.22
95938 Placement of skin electrodes and measurement of stimulated sites on arms and legs	24	24	$634.00	$332.04
74021 X-ray of abdomen, minimum of 3 views	21	21	$47.00	$38.61
G0009 Administration of pneumococcal vaccine	18	18	$28.00	$15.90
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$181.11	$111.58
73502 X-ray of hip, 2-3 views	16	16	$75.00	$41.24
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	16	16	$48.00	$42.13
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	16	16	$85.00	$37.87
83690 Lipase (fat enzyme) level	15	11	$24.00	$7.50
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	15	15	$220.00	$79.57
99495 Transitional care management services for problem of at least moderate complexity	15	15	$225.00	$160.04
80048 Blood test, basic group of blood chemicals (calcium, total)	15	15	$25.00	$9.21
72050 X-ray of upper spine, 4 or 5 views	14	14	$100.00	$48.49
72148 MRI scan of lower spinal canal	14	14	$695.00	$138.75
73221 Mri scan of arm joint without contrast	13	12	$732.00	$156.22
73721 Mri scan of leg joint without contrast	12	12	$745.00	$156.21
73630 X-ray of foot, minimum of 3 views	12	11	$65.00	$30.00
73130 X-ray of hand, minimum of 3 views	12	11	$63.00	$32.01
70551 Mri scan of brain without contrast	12	12	$771.00	$144.12
93320 Ultrasound of heart blood flow, valves and chambers	11	11	$145.00	$51.77
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$325.00	$102.33
93351 Ultrasound of heart with continuous electrocardiogram (ecg) during rest, exercise and/or drug induced stress with review and report	11	11	$500.00	$225.35
93325 Doppler ultrasound study of color-directed heart blood flow, rate, and valve function	11	11	$85.00	$24.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,633	538	$113.00	$69.87
36415 Insertion of needle into vein for collection of blood sample	1,516	546	$10.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	1,439	549	$38.00	$12.74
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,409	538	$28.00	$9.38
80061 Blood test, lipids (cholesterol and triglycerides)	1,402	544	$33.00	$16.15
82550 Creatine kinase (cardiac enzyme) level, total	1,159	437	$21.00	$7.85
83036 Hemoglobin A1C level	710	265	$27.00	$11.67
82043 Urine microalbumin (protein) level	649	247	$20.00	$6.96
84443 Blood test, thyroid stimulating hormone (TSH)	591	243	$44.00	$20.28
84439 Thyroxine (thyroid chemical), free	583	233	$26.00	$10.84
82306 Vitamin d-3 level	453	231	$75.00	$35.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	351	330	$165.00	$103.67
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	308	225	$45.00	$40.52
G0444 Annual depression screening, 5 to 15 minutes	302	302	$22.00	$17.22
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	296	296	$120.00	$112.32
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	229	228	$485.00	$199.86
93000 Routine ekg using at least 12 leads including interpretation and report	207	193	$42.00	$16.09
80307 Testing for presence of drug, by chemistry analyzers	195	121	$100.00	$70.37
83540 Iron level	184	87	$21.00	$7.80
83550 Iron binding capacity	184	87	$25.00	$10.53
82728 Ferritin (blood protein) level	174	84	$35.00	$16.42
85610 Blood test, clotting time	168	17	$17.00	$4.69
G0008 Administration of influenza virus vaccine	165	160	$23.24	$19.51
81000 Manual urinalysis test with examination using microscope, non-automated	164	109	$15.00	$3.92
77080 Dxa bone density measurement of hip, pelvis, spine	162	162	$180.00	$39.72
90662 Influenza vaccine split virus, preservative free	162	158	$51.91	$50.83
82607 Cyanocobalamin (vitamin B-12) level	159	88	$36.00	$18.15
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	144	144	$28.00	$19.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	142	21	$41.00	$20.64
J2785 Injection, regadenoson, 0.1 mg	136	34	$70.00	$55.64
93880 Ultrasound of both sides of head and neck blood flow	127	127	$476.00	$194.51
71046 X-ray of chest, 2 views	126	106	$35.00	$29.02
84550 Uric acid level, blood	109	45	$18.00	$5.38
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	89	33	$48.00	$40.09
J0696 Injection, ceftriaxone sodium, per 250 mg	88	14	$2.00	$0.60
Q9969 Tc-99m from non-highly enriched uranium source, full cost recovery add-on, per study dose	78	39	$30.00	$9.84
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	72	70	$95.00	$89.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	69	20	$49.00	$19.64
J1040 Injection, methylprednisolone acetate, 80 mg	67	57	$25.00	$12.98
87804 Detection test by immunoassay with direct visual observation for influenza virus	64	30	$52.00	$16.22
84402 Testosterone (hormone) level, free	54	28	$55.00	$30.82
84403 Testosterone (hormone) level, total	54	28	$56.00	$31.23
94727 Determination of lung volumes using gas dilution or washout	48	47	$99.00	$41.36
94060 Test to measure expiratory airflow and volume changes before and after medication administration	48	47	$122.00	$57.68
94729 Test to examine how well the lungs exchange gases	48	47	$122.00	$51.19
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	46	46	$410.00	$169.36
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	46	46	$665.00	$386.53
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	46	46	$194.00	$60.53
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	43	39	$61.00	$51.75
83880 Natriuretic peptide (heart and blood vessel protein) level	39	23	$70.00	$41.06
99496 Transitional care management services for problem of high complexity	35	34	$300.00	$224.05
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	32	23	$43.00	$22.43
G0103 Prostate cancer screening; prostate specific antigen test (psa)	31	31	$42.00	$22.26
82670 Measurement of total estradiol (hormone)	29	21	$60.00	$33.80
83970 Parathormone (parathyroid hormone) level	29	20	$83.00	$49.94
86140 Measurement C-reactive protein for detection of infection or inflammation	27	26	$19.00	$6.26
72100 X-ray of lower and sacral spine, 2-3 views	27	26	$77.00	$33.38
20610 Aspiration and/or injection of fluid from large joint	26	12	$146.42	$55.91
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	25	24	$16.00	$4.29
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$170.00	$103.93
73564 X-ray of knee, 4 or more views	21	19	$75.00	$37.73
J1030 Injection, methylprednisolone acetate, 40 mg	21	15	$10.00	$6.38
73030 X-ray of shoulder, minimum of 2 views	18	16	$61.00	$27.98
80048 Blood test, basic group of blood chemicals (calcium, total)	17	16	$25.00	$10.23
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	16	16	$32.00	$16.20
76700 Ultrasound of abdomen	14	14	$180.00	$77.80
72148 MRI scan of lower spinal canal	13	13	$695.00	$130.48
73502 X-ray of hip, 2-3 views	13	13	$75.00	$37.10
72050 X-ray of upper spine, 4 or 5 views	13	13	$100.00	$43.11
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$125.00	$105.59
95938 Placement of skin electrodes and measurement of stimulated sites on arms and legs	11	11	$634.00	$327.11
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	11	11	$325.00	$113.07
G0009 Administration of pneumococcal vaccine	11	11	$28.00	$19.51

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,650	509	$113.00	$69.53
36415 Insertion of needle into vein for collection of blood sample	1,508	520	$10.00	$2.93
80053 Blood test, comprehensive group of blood chemicals	1,429	526	$38.00	$10.95
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	1,392	521	$28.00	$10.43
80061 Blood test, lipids (cholesterol and triglycerides)	1,386	524	$33.00	$9.56
82550 Creatine kinase (cardiac enzyme) level, total	1,137	429	$21.00	$5.70
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	1,077	390	$44.31	$40.51
83036 Hemoglobin A1C level	666	242	$27.00	$13.00
82043 Urine microalbumin (protein) level	632	231	$20.00	$7.46
84443 Blood test, thyroid stimulating hormone (TSH)	571	235	$44.00	$22.59
84439 Thyroxine (thyroid chemical), free	561	224	$26.00	$12.08
82306 Vitamin d-3 level	477	223	$75.00	$36.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	377	348	$165.00	$102.89
G0444 Annual depression screening, 5 to 15 minutes	306	306	$22.00	$17.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	303	303	$120.00	$110.49
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	238	238	$485.00	$214.11
80307 Testing for presence of drug, by chemistry analyzers	203	141	$98.57	$59.78
93000 Routine ekg using at least 12 leads including interpretation and report	199	190	$42.00	$15.99
81000 Manual urinalysis test with examination using microscope, non-automated	191	118	$15.00	$4.19
77080 Dxa bone density measurement of hip, pelvis, spine	186	186	$180.00	$38.32
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	177	177	$28.00	$21.38
83550 Iron binding capacity	175	89	$25.00	$11.75
83540 Iron level	172	87	$21.00	$8.70
82728 Ferritin (blood protein) level	169	86	$35.00	$18.33
G0008 Administration of influenza virus vaccine	166	165	$28.00	$23.91
90662 Influenza vaccine split virus, preservative free	163	162	$49.88	$47.86
85610 Blood test, clotting time	154	16	$17.00	$5.28
82607 Cyanocobalamin (vitamin B-12) level	150	71	$36.00	$20.27
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	146	25	$41.00	$19.02
J2785 Injection, regadenoson, 0.1 mg	136	34	$70.00	$54.45
71020 X-ray of chest, 2 views, front and side	132	108	$64.00	$26.44
93880 Ultrasound of both sides of head and neck blood flow	128	125	$476.00	$189.90
84550 Uric acid level, blood	98	42	$18.00	$4.32
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	83	17	$49.00	$24.05
99487 Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month	83	81	$95.00	$87.88
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	79	33	$48.00	$39.41
J0696 Injection, ceftriaxone sodium, per 250 mg	76	13	$2.00	$0.65
94729 Test to examine how well the lungs exchange gases	65	64	$122.00	$50.95
94727 Determination of lung volumes using gas dilution or washout	65	64	$99.00	$39.23
94060 Test to measure expiratory airflow and volume changes before and after medication administration	64	63	$122.00	$56.38
J1040 Injection, methylprednisolone acetate, 80 mg	60	46	$25.00	$11.08
87804 Detection test by immunoassay with direct visual observation for influenza virus	58	27	$52.00	$16.11
A9502 Technetium tc-99m tetrofosmin, diagnostic, per study dose	47	45	$402.34	$163.93
93015 Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician	45	45	$194.00	$61.91
78452 Nuclear medicine studies of heart muscle at rest and with stress and spect	45	45	$665.00	$378.46
82670 Measurement of total estradiol (hormone)	37	23	$60.00	$37.55
82575 Creatinine clearance measurement to test for kidney function	37	36	$30.00	$12.71
83001 Gonadotropin, follicle stimulating (reproductive hormone) level	37	23	$43.00	$24.98
72100 X-ray of lower and sacral spine, 2-3 views	34	34	$77.00	$32.97
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	32	29	$61.00	$51.37
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	29	25	$16.00	$4.77
G0103 Prostate cancer screening; prostate specific antigen test (psa)	27	27	$42.00	$24.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$170.00	$100.39
72148 MRI scan of lower spinal canal	25	25	$695.00	$126.61
86140 Measurement C-reactive protein for detection of infection or inflammation	24	21	$19.00	$6.96
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	23	20	$32.00	$16.11
84402 Testosterone (hormone) level, free	22	17	$55.00	$34.24
84403 Testosterone (hormone) level, total	22	17	$56.00	$34.70
83880 Natriuretic peptide (heart and blood vessel protein) level	21	15	$70.00	$45.63
73564 X-ray of knee, 4 or more views	21	19	$75.00	$37.33
73030 X-ray of shoulder, minimum of 2 views	21	17	$61.00	$27.29
95938 Placement of skin electrodes and measurement of stimulated sites on arms and legs	21	21	$634.00	$319.72
70551 Mri scan of brain without contrast	20	20	$771.00	$144.75
99489 Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month	18	17	$48.00	$44.10
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	17	17	$175.00	$163.57
73502 X-ray of hip, 2-3 views	17	15	$75.00	$38.92
74022 Complete x-ray study of abdomen with single x-ray of chest	16	16	$92.00	$40.08
93224 Electrocardiogram (ecg) 2-day continuous with review and report by health care professional	16	12	$220.00	$79.79
Q0091 Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory	14	14	$48.00	$42.25
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	14	14	$48.79	$36.52
20610 Aspiration and/or injection of fluid from large joint	13	11	$151.85	$60.13
73630 X-ray of foot, minimum of 3 views	12	11	$65.00	$27.29
73721 Mri scan of leg joint without contrast	11	11	$745.00	$155.99
73221 Mri scan of arm joint without contrast	11	11	$732.00	$155.75

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX H9481

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 Bcbs

88734Y (TX)

Hospital & Practice Group Affiliations

Tyler Internal Medicine Associates, P.a

1910 Roseland Blvd, Tyler, TX 757014246

Phone: 9035330644

Practice Associates & Co-Workers

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

19 Associated Practitioners

Jeffrey Pilette , FNP

Nurse Practitioner - Family

NPI 1033155270

Family Nurse Practitioner

William Williams , PA-C

Physician Assistant

NPI 1093814949

Physician Assistant (Certified)

Carolyn Johnson , MSN, APRN, FNP-C

Nurse Practitioner - Family

NPI 1114482569

Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Blaise Davis , FNP-C, FNP-BC

Nurse Practitioner - Family

NPI 1114671500

Family Nurse Practitioner (Certified), Family Nurse Practitioner (Board Certified)

Dr. Ramiro Villena , MD

Internal Medicine

NPI 1184690968

Doctor of Medicine (M.D.)

Dr. C. Branch , DO

Family Medicine

NPI 1205814753

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 20, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location January 20, 2015

Registered at 1910 ROSELAND BLVD, TYLER, TX 75701 (Tel: 9035330644)

📍

Updated Business Mailing Address January 20, 2015

Registered at 1910 ROSELAND BLVD, TYLER, TX 75701 (Tel: 9035330644)

👤

Provider Name / Credentials Updated January 20, 2015

Recorded as AMY SIMPSON, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 20, 2015

Internal Medicine (License #H9481 in TX)

🟢

Initial NPI Registration & Enumeration September 21, 2006

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: 1346349289

Entity Type:

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

Enumeration Date: September 21, 2006

Last Update: January 20, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1910 Roseland Blvd

Tyler, TX 75701

Phone: 9035330644

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.