Active NPI 1821064544 Individual Practitioner Male Practitioner

Dr. Pranav H. Parikh , MD

Internal Medicine • Williamsburg, VA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Pranav Parikh, MD is a certified Internal Medicine practicing in Williamsburg, VA. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Parikh delivers high-quality medical care to the local community at 400 SENTARA CIR.

Dr. Parikh is affiliated with Tidewater Physicians Multispecialty Group, Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, blood test, comprehensive group of blood chemicals. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 Sentara Cir
Suite 400

Williamsburg, VA 231885716

Telephone 7576453150

Fax 7576453145

Associated Practice Facility / Clinic

🏢 Bjh Md Pllc Facility NPI 1477582559

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Williamsburg, VA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs -0.5 yrs vs City Avg

City Avg: 26.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

41 Specialists

Practicing in Williamsburg, VA (3758 Statewide)

Telehealth Adoption Rate

17.1% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

57.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Parikh (26 Years) 26 Yrs

Williamsburg Specialty Average (26.5 Years) 26.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,750	634	$251.05	$123.49
36415 Insertion of needle into vein for collection of blood sample	1,018	512	$15.00	$8.65
80053 Blood test, comprehensive group of blood chemicals	993	509	$38.00	$10.35
84443 Blood test, thyroid stimulating hormone (TSH)	891	494	$60.00	$16.46
80061 Blood test, lipids (cholesterol and triglycerides)	889	482	$48.00	$13.12
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	823	487	$28.00	$7.61
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	510	127	$219.00	$103.31
83036 Hemoglobin A1C level	499	250	$35.00	$9.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	427	427	$200.00	$120.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	416	294	$338.00	$173.98
99213 Established patient office or other outpatient visit, typically 15 minutes	314	212	$169.00	$87.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	312	125	$264.35	$112.86
82306 Vitamin d-3 level	222	198	$106.00	$29.01
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	213	100	$166.00	$71.44
G0008 Administration of influenza virus vaccine	206	206	$40.00	$31.41
90662 Influenza vaccine split virus, preservative free	206	206	$175.00	$81.82
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	204	145	$182.97	$75.09
99442 Telephone medical discussion with physician, 11-20 minutes	150	124	$189.00	$87.26
93000 Routine ekg using at least 12 leads including interpretation and report	149	148	$57.00	$13.81
99497 Advance care planning, first 30 minutes	142	122	$120.00	$72.13
85610 Blood test, clotting time	139	12	$14.00	$4.20
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	136	27	$313.00	$122.21
81003 Automated urinalysis test	131	87	$8.00	$2.20
99239 Hospital discharge day management, more than 30 minutes	120	88	$264.00	$109.25
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	112	106	$39.00	$15.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	104	76	$495.00	$162.84
99231 Follow-up hospital inpatient care per day, typically 15 minutes	92	79	$99.00	$47.14
84153 Psa (prostate specific antigen) measurement, total	86	67	$67.00	$18.02
99497 Advance care planning, first 30 minutes	84	81	$120.00	$79.23
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	78	25	$210.00	$73.60
84480 Thyroid hormone, t3 measurement, total	68	55	$51.00	$13.90
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	58	58	$317.00	$128.12
G0103 Prostate cancer screening; prostate specific antigen test (psa)	58	58	$67.00	$18.92
82043 Urine microalbumin (protein) level	53	50	$21.00	$5.66
82570 Creatinine level to test for kidney function or muscle injury	53	50	$19.00	$5.08
87086 Bacterial colony count, urine	52	38	$29.00	$7.91
84436 Thyroxine (thyroid chemical), total	48	40	$25.00	$6.73
82728 Ferritin (blood protein) level	40	32	$49.00	$13.36
82607 Cyanocobalamin (vitamin B-12) level	39	33	$54.00	$14.78
83540 Iron level	38	32	$23.00	$6.34
83735 Magnesium level	35	26	$24.00	$6.57
82746 Folic acid level	34	29	$53.00	$14.41
84550 Uric acid level, blood	33	20	$16.00	$4.43
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	29	29	$317.00	$127.44
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	29	22	$31.00	$8.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$391.00	$161.69
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	25	21	$105.00	$60.49
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	24	15	$13.00	$4.18
99441 Telephone medical discussion with physician, 5-10 minutes	23	23	$114.00	$53.51
86140 Measurement C-reactive protein for detection of infection or inflammation	23	15	$19.00	$5.08
99439 Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month	22	13	$89.00	$46.38
84439 Thyroxine (thyroid chemical), free	20	19	$52.00	$8.84
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	16	16	$670.00	$289.78
G0009 Administration of pneumococcal vaccine	16	16	$40.00	$31.41
99306 Initial nursing facility visit, typically 45 minutes per day	13	13	$406.00	$174.15
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	12	11	$325.00	$146.85
69209 Removal of impacted ear wax by washing	11	11	$32.00	$18.90

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	1,753	627	$251.00	$125.30
36415 Insertion of needle into vein for collection of blood sample	1,050	527	$14.87	$8.37
80053 Blood test, comprehensive group of blood chemicals	995	515	$38.00	$10.34
80061 Blood test, lipids (cholesterol and triglycerides)	835	485	$48.00	$13.11
84443 Blood test, thyroid stimulating hormone (TSH)	822	500	$60.00	$16.46
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	703	451	$28.00	$7.59
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	480	480	$200.00	$128.91
83036 Hemoglobin A1C level	464	234	$35.00	$9.50
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	456	331	$338.00	$177.04
99213 Established patient office or other outpatient visit, typically 15 minutes	429	265	$169.00	$84.64
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	400	166	$254.00	$117.99
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	399	110	$219.00	$105.91
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	221	88	$166.00	$73.85
90662 Influenza vaccine split virus, preservative free	215	215	$175.00	$71.93
G0008 Administration of influenza virus vaccine	215	215	$40.00	$30.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	209	154	$178.00	$77.95
82306 Vitamin d-3 level	159	149	$106.00	$29.01
99497 Advance care planning, first 30 minutes	141	136	$120.00	$82.17
81003 Automated urinalysis test	140	101	$8.00	$2.20
93000 Routine ekg using at least 12 leads including interpretation and report	134	134	$57.00	$14.39
84480 Thyroid hormone, t3 measurement, total	129	94	$51.00	$13.90
85610 Blood test, clotting time	128	12	$14.00	$4.20
99497 Advance care planning, first 30 minutes	126	104	$120.00	$74.95
84436 Thyroxine (thyroid chemical), total	126	91	$25.00	$6.73
99239 Hospital discharge day management, more than 30 minutes	116	91	$258.00	$113.77
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	108	85	$495.00	$170.09
99231 Follow-up hospital inpatient care per day, typically 15 minutes	106	78	$99.00	$48.76
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	91	35	$128.00	$69.89
99349 Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes	87	30	$313.00	$126.65
84153 Psa (prostate specific antigen) measurement, total	81	63	$67.00	$18.02
99348 Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes	78	28	$210.00	$75.72
99442 Telephone medical discussion with physician, 11-20 minutes	74	64	$189.00	$65.76
83735 Magnesium level	64	45	$24.00	$6.57
G0103 Prostate cancer screening; prostate specific antigen test (psa)	57	57	$67.00	$18.92
82570 Creatinine level to test for kidney function or muscle injury	44	44	$19.00	$5.08
82043 Urine microalbumin (protein) level	44	44	$21.00	$5.66
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	40	38	$317.00	$132.34
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	38	38	$254.00	$132.10
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	36	25	$105.00	$62.15
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	34	18	$86.38	$46.94
99306 Initial nursing facility visit, typically 45 minutes per day	33	32	$406.00	$180.88
84550 Uric acid level, blood	30	21	$16.00	$4.43
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	26	15	$13.00	$4.18
82607 Cyanocobalamin (vitamin B-12) level	25	22	$54.00	$14.78
86140 Measurement C-reactive protein for detection of infection or inflammation	25	15	$19.00	$5.08
20610 Aspiration and/or injection of fluid from large joint	24	20	$183.00	$64.49
87086 Bacterial colony count, urine	23	16	$29.00	$7.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$391.00	$165.67
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	23	21	$325.00	$152.22
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	23	23	$317.00	$132.33
J1030 Injection, methylprednisolone acetate, 40 mg	21	17	$17.00	$7.73
82728 Ferritin (blood protein) level	19	16	$49.00	$13.36
82746 Folic acid level	18	17	$53.00	$14.41
83540 Iron level	18	16	$23.00	$6.34
99306 Initial nursing facility visit, typically 45 minutes per day	13	13	$406.00	$180.88
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$100.00	$49.32
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$275.00	$164.11

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	1,751	624	$251.00	$128.31
36415 Insertion of needle into vein for collection of blood sample	986	511	$7.00	$2.96
80053 Blood test, comprehensive group of blood chemicals	954	499	$38.00	$10.42
80061 Blood test, lipids (cholesterol and triglycerides)	861	487	$48.00	$13.22
84443 Blood test, thyroid stimulating hormone (TSH)	845	490	$60.00	$16.58
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	688	446	$28.00	$7.67
99213 Established patient office or other outpatient visit, typically 15 minutes	531	312	$169.00	$89.07
83036 Hemoglobin A1C level	467	246	$35.00	$9.58
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	429	429	$200.00	$132.67
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	374	175	$254.00	$100.95
81003 Automated urinalysis test	255	213	$8.00	$2.23
84480 Thyroid hormone, t3 measurement, total	223	142	$51.00	$14.03
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	223	76	$219.00	$90.43
82306 Vitamin d-3 level	222	203	$106.00	$29.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	221	183	$338.00	$181.87
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	206	152	$178.00	$70.77
84436 Thyroxine (thyroid chemical), total	201	134	$25.00	$6.80
G0008 Administration of influenza virus vaccine	200	200	$40.00	$29.35
90662 Influenza vaccine split virus, preservative free	197	197	$174.88	$68.51
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	195	72	$166.00	$68.65
93000 Routine ekg using at least 12 leads including interpretation and report	169	168	$57.00	$14.48
85610 Blood test, clotting time	164	13	$14.00	$4.23
99497 Advance care planning, first 30 minutes	125	123	$120.00	$85.29
99497 Advance care planning, first 30 minutes	113	92	$120.00	$77.73
99239 Hospital discharge day management, more than 30 minutes	109	87	$258.00	$104.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	98	81	$495.00	$196.12
99336 Established patient assisted living visit, typically 40 minutes	83	28	$329.00	$134.30
99335 Established patient assisted living visit, typically 25 minutes	83	29	$232.00	$95.10
99442 Telephone medical discussion with physician, 11-20 minutes	82	73	$189.00	$70.49
84153 Psa (prostate specific antigen) measurement, total	80	67	$67.00	$18.21
99231 Follow-up hospital inpatient care per day, typically 15 minutes	72	58	$99.00	$38.65
G0103 Prostate cancer screening; prostate specific antigen test (psa)	62	62	$67.00	$19.07
82570 Creatinine level to test for kidney function or muscle injury	48	43	$19.00	$5.12
82043 Urine microalbumin (protein) level	48	43	$21.00	$5.71
99306 Initial nursing facility visit, typically 45 minutes per day	40	40	$406.00	$164.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	31	29	$100.00	$53.21
84550 Uric acid level, blood	31	22	$16.00	$4.46
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	23	$131.00	$53.66
82607 Cyanocobalamin (vitamin B-12) level	27	22	$54.00	$14.90
84439 Thyroxine (thyroid chemical), free	22	22	$52.00	$8.91
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	21	19	$317.00	$127.87
83735 Magnesium level	21	17	$24.00	$6.61
83540 Iron level	20	18	$23.00	$6.42
82728 Ferritin (blood protein) level	19	17	$49.00	$13.50
82746 Folic acid level	17	14	$53.00	$14.50
20610 Aspiration and/or injection of fluid from large joint	17	14	$183.00	$65.96
99443 Telephone medical discussion with physician, 21-30 minutes	16	15	$174.00	$106.60
69209 Removal of impacted ear wax by washing	16	16	$32.00	$15.52
86140 Measurement C-reactive protein for detection of infection or inflammation	15	13	$19.00	$5.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$391.00	$168.62
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	14	12	$13.00	$4.19
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	13	12	$100.00	$34.90
J1030 Injection, methylprednisolone acetate, 40 mg	13	11	$17.00	$6.54

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	1,950	670	$251.00	$131.80
36415 Insertion of needle into vein for collection of blood sample	1,110	574	$7.00	$3.00
80053 Blood test, comprehensive group of blood chemicals	1,099	575	$37.99	$10.56
84443 Blood test, thyroid stimulating hormone (TSH)	1,031	556	$59.98	$16.79
80061 Blood test, lipids (cholesterol and triglycerides)	1,006	546	$47.98	$13.37
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	738	480	$27.99	$7.77
99213 Established patient office or other outpatient visit, typically 15 minutes	602	349	$169.00	$92.93
83036 Hemoglobin A1C level	545	273	$34.97	$9.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	413	413	$200.00	$134.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	372	146	$254.00	$104.00
84480 Thyroid hormone, t3 measurement, total	346	221	$51.00	$14.18
84436 Thyroxine (thyroid chemical), total	327	210	$25.00	$6.87
81003 Automated urinalysis test	316	253	$8.00	$2.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	298	246	$338.00	$183.15
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	230	61	$219.00	$91.73
G0008 Administration of influenza virus vaccine	223	223	$40.00	$17.01
93000 Routine ekg using at least 12 leads including interpretation and report	219	219	$57.00	$15.06
90662 Influenza vaccine split virus, preservative free	218	218	$163.00	$65.26
82306 Vitamin d-3 level	203	188	$106.00	$29.60
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	194	55	$166.00	$69.53
85610 Blood test, clotting time	167	14	$14.00	$4.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	158	126	$178.00	$72.37
99497 Advance care planning, first 30 minutes	156	154	$119.90	$86.57
0011A Adm sarscov2 100mcg/0.5ml1st	112	112	$42.00	$23.97
0012A Adm sarscov2 100mcg/0.5ml2nd	109	109	$71.00	$39.93
84153 Psa (prostate specific antigen) measurement, total	104	78	$67.00	$18.39
99239 Hospital discharge day management, more than 30 minutes	98	79	$258.00	$107.18
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	93	77	$495.00	$201.61
99442 Telephone medical discussion with physician, 11-20 minutes	86	67	$189.00	$92.22
99335 Established patient assisted living visit, typically 25 minutes	84	26	$232.00	$96.29
99497 Advance care planning, first 30 minutes	81	65	$120.00	$79.07
99231 Follow-up hospital inpatient care per day, typically 15 minutes	78	71	$99.00	$38.66
G0103 Prostate cancer screening; prostate specific antigen test (psa)	74	74	$67.00	$19.31
99336 Established patient assisted living visit, typically 40 minutes	64	24	$329.00	$136.35
87086 Bacterial colony count, urine	61	44	$29.00	$8.07
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	61	30	$49.00	$23.12
84550 Uric acid level, blood	48	28	$16.00	$4.52
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	36	$131.00	$53.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	40	$100.00	$57.14
99443 Telephone medical discussion with physician, 21-30 minutes	31	29	$174.00	$132.42
99306 Initial nursing facility visit, typically 45 minutes per day	30	29	$406.00	$167.66
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	29	23	$31.00	$8.65
82728 Ferritin (blood protein) level	29	23	$49.00	$13.63
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	29	19	$93.00	$41.78
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	28	19	$13.00	$4.27
83540 Iron level	28	22	$23.00	$6.47
69209 Removal of impacted ear wax by washing	27	24	$32.00	$17.71
86140 Measurement C-reactive protein for detection of infection or inflammation	25	18	$19.00	$5.18
82043 Urine microalbumin (protein) level	25	25	$21.00	$5.78
82570 Creatinine level to test for kidney function or muscle injury	25	25	$19.00	$5.18
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	24	19	$325.00	$136.04
82607 Cyanocobalamin (vitamin B-12) level	19	18	$52.89	$15.08
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	19	14	$147.00	$60.49
83735 Magnesium level	19	12	$24.00	$6.70
82746 Folic acid level	18	17	$51.83	$14.70
99496 Transitional care management services for problem of high complexity	16	15	$567.00	$283.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$391.00	$170.62
99495 Transitional care management services for problem of at least moderate complexity	13	13	$402.00	$209.58
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	12	11	$317.00	$130.41
20610 Aspiration and/or injection of fluid from large joint	12	11	$183.00	$65.82
84439 Thyroxine (thyroid chemical), free	11	11	$52.00	$9.02
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	11	11	$100.00	$35.33

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	2,285	698	$251.00	$110.16
36415 Insertion of needle into vein for collection of blood sample	1,096	571	$7.00	$2.98
80053 Blood test, comprehensive group of blood chemicals	1,059	561	$38.00	$10.50
84443 Blood test, thyroid stimulating hormone (TSH)	968	548	$60.00	$16.71
80061 Blood test, lipids (cholesterol and triglycerides)	960	537	$48.00	$13.31
99213 Established patient office or other outpatient visit, typically 15 minutes	766	390	$169.00	$76.11
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	623	424	$28.00	$7.73
83036 Hemoglobin A1C level	522	264	$35.00	$9.65
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	419	184	$254.00	$105.24
84480 Thyroid hormone, t3 measurement, total	392	250	$51.00	$14.11
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	376	376	$200.00	$117.32
81003 Automated urinalysis test	341	282	$8.00	$2.24
84436 Thyroxine (thyroid chemical), total	336	231	$25.00	$6.84
G0008 Administration of influenza virus vaccine	298	297	$40.00	$16.76
90662 Influenza vaccine split virus, preservative free	288	287	$140.00	$60.96
85610 Blood test, clotting time	255	19	$14.00	$4.26
93000 Routine ekg using at least 12 leads including interpretation and report	246	240	$57.00	$17.31
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	236	172	$178.00	$73.76
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	233	65	$219.00	$92.74
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	192	69	$166.00	$70.36
82306 Vitamin d-3 level	190	180	$106.00	$29.47
99497 Advance care planning, first 30 minutes	145	143	$120.00	$87.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	123	87	$99.00	$40.07
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	119	101	$495.00	$202.73
99239 Hospital discharge day management, more than 30 minutes	115	98	$258.00	$108.42
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	107	86	$131.00	$54.17
84153 Psa (prostate specific antigen) measurement, total	100	74	$67.00	$18.29
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	99	38	$49.00	$23.43
99335 Established patient assisted living visit, typically 25 minutes	87	29	$232.00	$97.37
99336 Established patient assisted living visit, typically 40 minutes	83	29	$329.00	$137.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	76	69	$100.00	$46.22
99442 Telephone medical discussion with physician, 11-20 minutes	68	55	$189.00	$76.50
G0103 Prostate cancer screening; prostate specific antigen test (psa)	66	66	$67.00	$19.19
99497 Advance care planning, first 30 minutes	54	52	$120.00	$80.45
87086 Bacterial colony count, urine	53	38	$29.00	$8.01
84439 Thyroxine (thyroid chemical), free	50	47	$52.00	$8.82
82043 Urine microalbumin (protein) level	40	38	$21.00	$5.75
82570 Creatinine level to test for kidney function or muscle injury	39	37	$19.00	$5.15
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	36	28	$31.00	$8.59
99306 Initial nursing facility visit, typically 45 minutes per day	34	34	$406.00	$170.30
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	31	23	$93.00	$41.56
J1030 Injection, methylprednisolone acetate, 40 mg	28	20	$17.00	$6.02
G0009 Administration of pneumococcal vaccine	27	27	$40.00	$16.66
82728 Ferritin (blood protein) level	27	21	$49.00	$13.55
83540 Iron level	27	21	$23.00	$6.43
84550 Uric acid level, blood	27	22	$16.00	$4.50
87804 Detection test by immunoassay with direct visual observation for influenza virus	24	12	$43.00	$16.22
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	23	15	$13.00	$4.25
86140 Measurement C-reactive protein for detection of infection or inflammation	21	13	$19.00	$5.17
20610 Aspiration and/or injection of fluid from large joint	20	18	$183.00	$63.93
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	20	19	$317.00	$131.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$251.00	$109.63
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$167.35	$117.10
83721 Ldl cholesterol level	15	11	$34.00	$10.40
82607 Cyanocobalamin (vitamin B-12) level	15	14	$54.00	$14.96
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	14	11	$147.00	$61.43
82746 Folic acid level	14	13	$53.00	$14.58
99496 Transitional care management services for problem of high complexity	14	14	$567.00	$247.42
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$338.00	$149.18
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$173.00	$77.00

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	1,972	696	$250.95	$108.58
36415 Insertion of needle into vein for collection of blood sample	1,336	635	$7.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	1,281	621	$37.96	$11.50
80061 Blood test, lipids (cholesterol and triglycerides)	1,150	601	$47.95	$14.56
84443 Blood test, thyroid stimulating hormone (TSH)	1,060	599	$59.95	$18.29
99213 Established patient office or other outpatient visit, typically 15 minutes	1,030	551	$169.00	$74.39
83036 Hemoglobin A1C level	563	270	$34.98	$10.57
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	520	375	$27.98	$8.46
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	458	458	$200.00	$116.37
81003 Automated urinalysis test	365	294	$7.99	$2.44
84480 Thyroid hormone, t3 measurement, total	350	213	$50.94	$15.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	322	166	$254.00	$104.60
G0008 Administration of influenza virus vaccine	315	314	$40.00	$16.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	313	216	$178.00	$73.18
85610 Blood test, clotting time	305	25	$13.98	$4.28
90662 Influenza vaccine split virus, preservative free	294	293	$123.10	$54.87
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	278	101	$219.00	$92.04
93000 Routine ekg using at least 12 leads including interpretation and report	276	267	$56.77	$17.07
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	245	93	$166.00	$69.21
84439 Thyroxine (thyroid chemical), free	242	162	$52.00	$9.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	183	102	$99.00	$39.61
82306 Vitamin d-3 level	177	159	$106.00	$32.08
99497 Advance care planning, first 30 minutes	164	164	$120.00	$85.63
99239 Hospital discharge day management, more than 30 minutes	160	134	$258.00	$107.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	129	107	$495.00	$202.60
84153 Psa (prostate specific antigen) measurement, total	114	82	$67.00	$20.03
84436 Thyroxine (thyroid chemical), total	102	94	$24.90	$7.48
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	98	39	$49.00	$22.77
99335 Established patient assisted living visit, typically 25 minutes	83	29	$232.00	$95.68
87086 Bacterial colony count, urine	83	57	$29.00	$8.79
G0103 Prostate cancer screening; prostate specific antigen test (psa)	83	83	$67.00	$20.03
G0009 Administration of pneumococcal vaccine	76	76	$40.00	$16.42
99336 Established patient assisted living visit, typically 40 minutes	72	26	$329.00	$136.34
99497 Advance care planning, first 30 minutes	62	60	$120.00	$79.62
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	59	57	$317.00	$130.98
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	58	50	$131.00	$53.43
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	50	$100.00	$45.21
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	52	52	$135.00	$109.25
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	50	33	$108.00	$44.26
99306 Initial nursing facility visit, typically 45 minutes per day	50	50	$406.00	$167.81
82043 Urine microalbumin (protein) level	50	48	$21.00	$6.29
82570 Creatinine level to test for kidney function or muscle injury	49	47	$19.00	$5.63
84550 Uric acid level, blood	41	29	$16.00	$4.92
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	37	25	$31.00	$9.42
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	29	14	$147.00	$60.67
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	28	16	$93.00	$41.31
99315 Nursing facility discharge day management, 30 minutes or less	27	27	$157.00	$73.85
90670 Pneumococcal vaccine for injection into muscle	24	24	$250.00	$208.93
83540 Iron level	24	15	$23.00	$7.05
82728 Ferritin (blood protein) level	23	14	$49.00	$14.85
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	22	15	$13.00	$4.18
99496 Transitional care management services for problem of high complexity	21	20	$567.00	$223.68
90682 Influenza vaccine, quadrivalent derived from recombinant dna	20	20	$140.00	$54.89
82607 Cyanocobalamin (vitamin B-12) level	19	15	$54.00	$16.41
86140 Measurement C-reactive protein for detection of infection or inflammation	18	12	$19.00	$5.63
82746 Folic acid level	18	16	$53.00	$16.01
99495 Transitional care management services for problem of at least moderate complexity	16	14	$402.00	$164.66
20610 Aspiration and/or injection of fluid from large joint	14	13	$183.00	$60.75
J1030 Injection, methylprednisolone acetate, 40 mg	14	11	$17.00	$6.26
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$275.00	$163.26
96136 Administration of psychological or neuropsychological test, first 30 minutes	12	12	$125.00	$47.40
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$173.00	$76.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$251.00	$108.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	1,527	701	$168.96	$72.23
36415 Insertion of needle into vein for collection of blood sample	1,256	638	$6.78	$2.94
80053 Blood test, comprehensive group of blood chemicals	1,232	631	$37.93	$12.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	1,214	586	$250.93	$106.59
80061 Blood test, lipids (cholesterol and triglycerides)	1,096	605	$47.91	$16.20
84443 Blood test, thyroid stimulating hormone (TSH)	1,009	603	$59.88	$20.33
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	535	405	$27.98	$9.40
83036 Hemoglobin A1C level	520	262	$34.89	$11.73
G0008 Administration of influenza virus vaccine	376	372	$40.00	$20.24
90662 Influenza vaccine split virus, preservative free	374	370	$70.00	$52.20
84480 Thyroid hormone, t3 measurement, total	358	230	$50.94	$17.16
84439 Thyroxine (thyroid chemical), free	357	230	$51.89	$10.91
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	353	226	$177.80	$72.36
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	344	344	$200.00	$115.09
81003 Automated urinalysis test	336	275	$7.98	$2.71
85610 Blood test, clotting time	308	23	$14.00	$4.75
93000 Routine ekg using at least 12 leads including interpretation and report	244	241	$56.87	$16.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	211	181	$100.00	$43.52
83721 Ldl cholesterol level	208	204	$34.00	$11.54
G0009 Administration of pneumococcal vaccine	203	197	$40.00	$20.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	196	114	$253.51	$103.64
82306 Vitamin d-3 level	181	170	$105.54	$35.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	139	73	$99.00	$38.98
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	132	30	$49.00	$21.39
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	123	123	$135.00	$105.59
99239 Hospital discharge day management, more than 30 minutes	116	94	$258.00	$107.13
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	115	97	$495.00	$201.60
84153 Psa (prostate specific antigen) measurement, total	111	85	$67.00	$22.26
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	107	34	$166.00	$68.84
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	85	31	$219.00	$91.02
90670 Pneumococcal vaccine for injection into muscle	80	80	$250.00	$194.75
G0103 Prostate cancer screening; prostate specific antigen test (psa)	75	75	$67.00	$22.26
87086 Bacterial colony count, urine	72	52	$29.00	$9.76
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	$131.00	$53.31
99497 Advance care planning, first 30 minutes	54	54	$120.00	$83.88
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	47	47	$23.00	$7.82
85007 Microscopic examination for white blood cells with manual cell count	46	46	$12.00	$4.16
99335 Established patient assisted living visit, typically 25 minutes	43	18	$232.00	$94.24
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	40	32	$31.00	$10.46
99334 Established patient custodial care facility, group care, or assisted living visit, typically 15 minutes	39	14	$147.00	$59.74
84550 Uric acid level, blood	38	29	$16.00	$5.47
82570 Creatinine level to test for kidney function or muscle injury	37	35	$18.62	$6.26
82043 Urine microalbumin (protein) level	37	35	$20.57	$7.00
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	34	20	$108.00	$44.27
99336 Established patient assisted living visit, typically 40 minutes	27	14	$329.00	$134.82
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	27	15	$93.00	$41.38
99315 Nursing facility discharge day management, 30 minutes or less	24	22	$157.00	$69.49
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	23	15	$13.00	$4.29
87804 Detection test by immunoassay with direct visual observation for influenza virus	23	12	$43.00	$16.22
86140 Measurement C-reactive protein for detection of infection or inflammation	21	14	$19.00	$6.26
99306 Initial nursing facility visit, typically 45 minutes per day	19	19	$406.00	$165.80
96103 Psychological testing with interpretation and report by computer	16	16	$143.00	$27.40
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	13	$317.00	$129.63
81002 Urinalysis, manual test	15	15	$9.00	$3.41
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$275.00	$163.58
82607 Cyanocobalamin (vitamin B-12) level	11	11	$54.00	$18.24

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	2,557	850	$251.00	$105.83
36415 Insertion of needle into vein for collection of blood sample	1,442	682	$6.00	$2.94
80053 Blood test, comprehensive group of blood chemicals	1,395	672	$38.00	$11.54
80061 Blood test, lipids (cholesterol and triglycerides)	1,188	634	$48.00	$13.98
84443 Blood test, thyroid stimulating hormone (TSH)	1,144	649	$60.00	$22.56
99213 Established patient office or other outpatient visit, typically 15 minutes	1,064	593	$169.00	$72.04
83721 Ldl cholesterol level	1,018	585	$34.00	$12.81
83036 Hemoglobin A1C level	537	260	$35.00	$13.01
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	537	368	$28.00	$10.45
81003 Automated urinalysis test	480	385	$8.00	$3.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	447	447	$170.72	$113.84
G0008 Administration of influenza virus vaccine	414	409	$39.83	$24.80
90662 Influenza vaccine split virus, preservative free	412	407	$70.00	$47.96
84439 Thyroxine (thyroid chemical), free	410	252	$52.00	$12.09
84480 Thyroid hormone, t3 measurement, total	406	250	$51.00	$19.06
85610 Blood test, clotting time	388	29	$14.00	$5.28
93000 Routine ekg using at least 12 leads including interpretation and report	347	342	$57.00	$16.75
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	329	183	$178.00	$70.83
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	296	143	$254.00	$102.81
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	282	36	$49.00	$19.91
82306 Vitamin d-3 level	204	198	$106.00	$39.80
G0009 Administration of pneumococcal vaccine	137	137	$38.58	$24.99
99239 Hospital discharge day management, more than 30 minutes	123	92	$258.00	$105.40
90670 Pneumococcal vaccine for injection into muscle	122	122	$249.80	$184.79
99231 Follow-up hospital inpatient care per day, typically 15 minutes	122	68	$99.00	$38.51
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	120	91	$495.00	$199.32
84153 Psa (prostate specific antigen) measurement, total	107	82	$67.00	$24.73
85027 Complete blood cell count (red cells, white blood cell, platelets), automated test	106	96	$23.00	$8.69
85007 Microscopic examination for white blood cells with manual cell count	105	96	$12.00	$4.62
G0103 Prostate cancer screening; prostate specific antigen test (psa)	96	96	$67.00	$24.73
87086 Bacterial colony count, urine	93	69	$29.00	$10.85
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	89	24	$219.00	$90.16
G0328 Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous	82	82	$57.00	$21.38
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	82	24	$166.00	$68.14
99335 Established patient assisted living visit, typically 25 minutes	68	13	$232.00	$93.68
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	62	55	$131.00	$53.03
99336 Established patient assisted living visit, typically 40 minutes	57	14	$329.00	$133.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	51	46	$100.00	$43.04
84550 Uric acid level, blood	43	24	$16.00	$4.05
87186 Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution	42	33	$31.00	$11.62
82570 Creatinine level to test for kidney function or muscle injury	40	39	$19.00	$6.96
82043 Urine microalbumin (protein) level	40	39	$21.00	$7.77
20610 Aspiration and/or injection of fluid from large joint	38	34	$183.00	$59.04
96103 Psychological testing with interpretation and report by computer	32	31	$143.00	$27.27
99497 Advance care planning, first 30 minutes	28	28	$136.43	$80.66
85651 Red blood cell sedimentation rate, to detect inflammation, non-automated	27	21	$13.00	$4.77
86140 Measurement C-reactive protein for detection of infection or inflammation	24	19	$19.00	$6.96
83540 Iron level	23	19	$23.00	$8.70
J1040 Injection, methylprednisolone acetate, 80 mg	21	20	$12.00	$10.81
81001 Manual urinalysis test with examination using microscope, automated	21	21	$11.00	$4.26
82728 Ferritin (blood protein) level	21	18	$49.00	$18.33
J1030 Injection, methylprednisolone acetate, 40 mg	20	17	$7.00	$5.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$251.00	$106.39
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	18	18	$123.33	$91.34
82607 Cyanocobalamin (vitamin B-12) level	17	16	$54.00	$20.27
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	16	14	$93.00	$40.81
99306 Initial nursing facility visit, typically 45 minutes per day	15	14	$406.00	$164.66
69210 Removal of impacted ear wax	14	12	$121.00	$46.65
82746 Folic acid level	13	13	$53.00	$19.77
99217 Hospital observation care on day of discharge	12	12	$176.00	$71.96
90471 Administration of 1 vaccine	11	11	$55.00	$25.16

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License VA 0101235946

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

010058023 (VA)

Commercial Insurance / Payer ID Rr/medicare

P00316366

Commercial Insurance / Payer ID Cigna Healthcare

8552596001 (VA)

Commercial Insurance / Payer ID Sentara/optima

72902 (VA)

Commercial Insurance / Payer ID Anthem Blue Cross Blue Sh

104924 (VA)

Commercial Insurance / Payer ID United Healthcare

0417846 (VA)

Hospital & Practice Group Affiliations

Tidewater Physicians Multispecialty Group, Pc

132 Professional Cir, Williamsburg, VA 231853374

Phone: 7572328764

Tidewater Physicians Multispecialty Group, Pc

4125 Ironbound Rd, Williamsburg, VA 231882666

Phone: 7573452829

Tidewater Physicians Multispecialty Group, Pc

400 Sentara Cir, Williamsburg, VA 231885716

Phone: 7576453150

Tidewater Physicians Multispecialty Group, Pc

860 Omni Blvd, Newport News, VA 236064430

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Robert Dunne , PA-C, DC

Physician Assistant - Medical

NPI 1043240484

Physician Assistant (Certified), Doctor of Chiropractic

Dr. Patricia Marcuson , MD

Internal Medicine

NPI 1609841485

Doctor of Medicine (M.D.)

Dr. Sanford Marcuson , MD

Internal Medicine

NPI 1710952676

Doctor of Medicine (M.D.)

Dr. Julia Myers , MD

Internal Medicine

NPI 1932150489

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 January 31, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 31, 2014

Registered at 400 SENTARA CIR, SUITE 400, WILLIAMSBURG, VA 231885716 (Tel: 7576453150)

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Updated Business Mailing Address January 31, 2014

Registered at 860 OMNI BLVD, SUITE 303, NEWPORT NEWS, VA 236064430 (Tel: 7572328769)

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Provider Name / Credentials Updated January 31, 2014

Recorded as PRANAV PARIKH, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2014

Internal Medicine (License #0101235946 in VA)

🟢

Initial NPI Registration & Enumeration February 23, 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: 1821064544

Entity Type:

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

Enumeration Date: February 23, 2006

Last Update: January 31, 2014

Sole Proprietor: No

Update or Correct Profile

Mailing Address

860 Omni Blvd, Suite 303

Newport News, VA 236064430

Phone: 7572328769

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.