Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

PRIME HEALTHCARE SERVICES - ST MICHAELS LLC

NPI: 1568825545 · NEWARK, NJ 07102 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI assigned 03/29/2016

Billing Flags · Automated signals — not evidence of fraud
Entity Proliferation

Authorized official DOAN, CHRISTOPHER controls 20+ related entities in our dataset. Read more

$67.67M
Total Medicaid Paid
1,460,408
Total Claims
1,149,674
Beneficiaries
299
Codes Billed
2018-01
First Month
2024-12
Last Month

Provider Details

Authorized OfficialDOAN, CHRISTOPHER (CHIEF COMPLIANCE COUNSEL)
NPI Enumeration Date03/29/2016

Related Entities

Other providers sharing the same authorized official: DOAN, CHRISTOPHER

ProviderCityStateTotal Paid
DESERT VALLEY HOSPITAL, LLC VICTORVILLE CA $92.81M
PRIME HEALTHCARE CENTINELA, LLC INGLEWOOD CA $50.16M
NORTH VISTA HOSPITAL LLC NORTH LAS VEGAS NV $31.56M
PRIME HEALTHCARE SERVICES - ST FRANCIS LLC LYNWOOD CA $27.65M
PRIME HEALTHCARE SERVICES LANDMARK LLC WOONSOCKET RI $26.18M
PRIME HEALTHCARE FOUNDATION - SOUTHERN REGIONAL, LLC RIVERDALE GA $25.96M
PRIME HEALTHCARE SERVICES - SHASTA LLC REDDING CA $22.75M
THE CITY HOSPITAL ASSOCIATION EAST LIVERPOOL OH $16.46M
PRIME HEALTHCARE SERVICES - RENO LLC RENO NV $15.09M
VERITAS HEALTH SERVICES, LLC CHINO CA $14.93M
PRIME HEALTHCARE PARADISE VALLEY LLC CHULA VISTA CA $13.85M
PRIME HEALTHCARE FOUNDATION - COSHOCTON, LLC COSHOCTON OH $13.32M
PRIME HEALTHCARE PARADISE VALLEY LLC NATIONAL CITY CA $12.56M
ALVARADO HOSPITAL, LLC SAN DIEGO CA $11.46M
PRIME HEALTHCARE SERVICES - MONTCLAIR, LLC MONTCLAIR CA $11.26M
PRIME HEALTHCARE SERVICES BLUE SPRINGS, LLC BLUE SPRINGS MO $10.51M
PRIME HEALTHCARE SERVICES LOWER BUCKS LLC BRISTOL PA $8.71M
PRIME HEALTHCARE SERVICES - GARDEN GROVE LLC GARDEN GROVE CA $6.67M
PRIME HEALTHCARE SERVICES-LEHIGH ACRES LLC LEHIGH ACRES FL $5.64M
PRIME HEALTHCARE SERVICES-SUBURBAN HOSPITAL LLC EAST NORRITON PA $4.49M

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2018 207,622 $13.57M
2019 210,013 $12.39M
2020 150,603 $6.45M
2021 227,041 $10.71M
2022 232,354 $9.01M
2023 253,907 $8.30M
2024 178,868 $7.23M

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99283 Emergency department visit for the evaluation and management, moderate severity 50,749 43,683 $10.20M
99284 Emergency department visit for the evaluation and management, high severity 38,228 35,162 $9.39M
99285 Emergency department visit for the evaluation and management, high severity with immediate threat to life 32,461 29,404 $9.29M
74177 Computed tomography, abdomen and pelvis; with contrast material 5,961 5,539 $2.67M
OP370 11,778 10,200 $2.39M
OP272 61,345 50,307 $2.04M
70450 Computed tomography, head or brain; without contrast material 9,884 9,146 $1.65M
74176 Computed tomography, abdomen and pelvis; without contrast material 3,540 3,275 $1.35M
93005 Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report 29,681 25,265 $1.33M
43239 Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple 2,795 2,510 $1.26M
96361 Intravenous infusion, hydration; each additional hour 13,282 12,041 $946K
96374 Therapeutic, prophylactic, or diagnostic injection; intravenous push, single or initial substance 22,542 18,951 $872K
OP271 67,756 55,756 $811K
45378 Colonoscopy, flexible; diagnostic, including collection of specimen(s) 1,502 1,416 $774K
G0378 Hospital observation service, per hour 2,981 2,207 $704K
G0463 Hospital outpatient clinic visit for assessment and management of a patient 33,173 25,520 $654K
96413 Chemotherapy administration, intravenous infusion; up to 1 hour, single or initial substance 3,780 2,063 $631K
71045 Radiologic examination, chest; single view 20,215 18,258 $618K
Q9967 Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml 10,636 9,281 $616K
45380 Colonoscopy, flexible; with biopsy, single or multiple 1,864 1,694 $603K
93458 670 561 $587K
94640 Pressurized or nonpressurized inhalation treatment for acute airway obstruction 8,748 6,480 $579K
71275 Computed tomographic angiography, chest, with contrast material 1,903 1,774 $557K
77067 Screening mammography, bilateral, including computer-aided detection 7,994 7,939 $515K
96375 Therapeutic injection; each additional sequential IV push 13,398 11,096 $503K
80053 Comprehensive metabolic panel 54,500 42,207 $474K
96372 Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular 20,013 16,291 $462K
72125 Computed tomography, cervical spine; without contrast material 2,025 1,879 $451K
93306 Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete 1,428 1,300 $435K
71046 Radiologic examination, chest; 2 views 10,869 10,415 $422K
OP250 128,850 61,192 $421K
87426 Infectious agent antigen detection, SARS-CoV-2 (COVID-19) 15,815 13,981 $417K
45385 Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) 972 911 $412K
88305 Level IV - Surgical pathology, gross and microscopic examination 7,572 5,108 $408K
66984 Extracapsular cataract removal with insertion of intraocular lens prosthesis 715 565 $398K
99281 Emergency department visit for the evaluation and management, self-limited or minor 3,977 3,524 $387K
96365 Intravenous infusion, for therapy, prophylaxis, or diagnosis; initial, up to 1 hour 4,780 4,046 $384K
85025 Blood count; complete (CBC), automated, and automated differential WBC count 63,661 49,128 $360K
J1756 Injection, iron sucrose, 1 mg 3,364 1,237 $328K
U0003 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, making use of high throughput technologies as described by cms-2020-01-r 6,261 5,621 $325K
77063 Screening digital breast tomosynthesis, bilateral 6,594 6,540 $323K
73630 4,209 3,724 $289K
84484 24,272 20,232 $271K
80307 Drug test(s), presumptive, any number of drug classes; immunoassay 6,911 6,458 $256K
76830 Ultrasound, transvaginal 2,076 1,976 $242K
96360 Intravenous infusion, hydration; initial, 31 minutes to 1 hour 4,630 4,289 $226K
87804 Infectious agent antigen detection by immunoassay; Influenza, each type 13,046 8,927 $226K
73130 2,751 2,538 $210K
70486 1,147 1,086 $210K
73030 3,054 2,790 $209K
76856 Ultrasound, pelvic (nonobstetric), real time with image documentation; complete 1,776 1,699 $209K
72110 2,852 2,738 $203K
OP710 4,107 3,201 $196K
76700 Ultrasound, abdominal, real time with image documentation; complete 1,827 1,764 $195K
83690 24,535 22,332 $186K
99282 Emergency department visit for the evaluation and management, low to moderate severity 1,374 1,305 $183K
78452 Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress 492 453 $181K
83880 6,925 6,208 $177K
C9803 Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), any specimen source 11,353 9,994 $169K
88342 3,266 2,250 $163K
36415 Collection of venous blood by venipuncture 39,405 30,213 $156K
96367 2,194 1,193 $147K
90853 Group psychotherapy (other than of a multiple-family group) 3,782 601 $147K
76642 1,443 1,427 $143K
73564 2,056 1,865 $140K
73610 2,822 2,626 $138K
93970 892 844 $135K
J3490 Unclassified drugs 29,614 16,244 $134K
93017 850 780 $126K
81025 37,056 33,549 $124K
87186 3,400 3,124 $121K
99291 Critical care, evaluation and management of the critically ill patient, first 30-74 minutes 334 304 $112K
93971 1,173 1,109 $104K
87591 Infectious agent detection by nucleic acid; Neisseria gonorrhoeae, amplified probe 1,837 1,716 $104K
J2704 Injection, propofol, 10 mg 10,323 8,242 $97K
87086 Culture, bacterial; quantitative colony count, urine 12,624 11,738 $95K
77066 Tomosynthesis, mammo 841 829 $90K
77065 Tomosynthesis, mammo 1,049 984 $88K
J7030 Infusion, normal saline solution , 1000 cc 30,591 26,038 $87K
C1769 Guide wire 1,255 964 $87K
87491 Infectious agent detection by nucleic acid; Chlamydia trachomatis, amplified probe 1,834 1,716 $82K
71250 586 540 $81K
80320 4,811 4,502 $81K
87880 Infectious agent antigen detection by immunoassay; Streptococcus, group A 8,414 7,885 $79K
72131 353 317 $79K
U0005 Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 4,685 4,133 $79K
73110 1,099 1,028 $79K
77080 1,415 1,387 $78K
OP270 13,355 11,979 $78K
73562 1,953 1,760 $72K
84443 Thyroid stimulating hormone (TSH) 3,609 3,200 $65K
82962 18,431 11,084 $65K
90714 2,079 1,970 $63K
87040 4,455 2,786 $61K
J1885 Injection, ketorolac tromethamine, per 15 mg 22,881 18,246 $56K
V2632 Posterior chamber intraocular lens 808 621 $55K
83605 5,386 4,628 $55K
C1760 Closure device, vascular (implantable/insertable) 503 417 $55K
96366 Intravenous infusion, for therapy, prophylaxis, or diagnosis; each additional hour 381 307 $47K
96417 366 252 $47K
80048 Basic metabolic panel (calcium, ionized) 7,219 6,270 $45K
73502 1,291 1,188 $43K
90837 Psychotherapy, 53 minutes with patient 731 277 $43K
76801 375 353 $42K
87420 3,380 3,072 $41K
71260 Computed tomography, thorax, diagnostic; with contrast material 170 163 $41K
72100 514 489 $40K
81001 22,333 20,313 $39K
99406 6,830 6,066 $39K
86900 3,104 2,691 $39K
72050 637 619 $38K
82550 7,146 6,542 $38K
76641 172 172 $37K
76705 Ultrasound, abdominal, real time with image documentation; limited 374 354 $37K
77062 362 361 $35K
J0696 Injection, ceftriaxone sodium, per 250 mg 3,734 3,240 $34K
C1887 Catheter, guiding (may include infusion/perfusion capability) 949 730 $32K
90471 Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine 2,125 1,937 $32K
85379 3,615 3,352 $32K
86850 2,625 2,184 $32K
99214 Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity 2,090 1,752 $32K
95810 Polysomnography; sleep staging with 4 or more additional parameters 53 53 $30K
C1894 Introducer/sheath, other than guiding, other than intracardiac electrophysiological, non-laser 1,044 813 $29K
83735 10,280 5,148 $29K
84702 2,994 2,345 $28K
82728 2,977 2,420 $28K
73590 429 402 $27K
OP278 182 135 $27K
99213 Office or other outpatient visit for the evaluation and management of an established patient, low complexity 1,881 1,478 $26K
87077 3,144 2,878 $25K
85610 9,101 7,791 $25K
Q9963 High osmolar contrast material, 350-399 mg/ml iodine concentration, per ml 1,738 1,619 $24K
J2405 Injection, ondansetron hydrochloride, per 1 mg 12,041 9,336 $24K
85730 8,008 6,948 $23K
87449 3,049 1,969 $23K
84100 9,457 4,472 $22K
80061 Lipid panel 2,104 1,808 $22K
J1100 Injection, dexamethasone sodium phosphate, 1 mg 6,073 4,375 $22K
76817 Ultrasound, pregnant uterus, real time with image documentation, transvaginal 271 261 $22K
86901 3,153 2,675 $21K
99211 Office or other outpatient visit for the evaluation and management of an established patient, minimal severity 1,909 1,574 $21K
J7050 Infusion, normal saline solution, 250 cc 5,731 2,745 $20K
Q0162 Ondansetron 1 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment, not to exceed a 48 hour dosage regimen 1,605 1,305 $20K
96376 1,035 873 $19K
J1644 Injection, heparin sodium, per 1000 units 4,517 1,902 $18K
74018 442 421 $18K
J3010 Injection, fentanyl citrate, 0.1 mg 10,295 8,837 $18K
94762 755 738 $17K
81003 11,065 10,088 $16K
99203 Office or other outpatient visit for the evaluation and management of a new patient, low complexity 596 554 $15K
84145 812 686 $15K
J7040 Infusion, normal saline solution, sterile (500 ml = 1 unit) 3,501 2,561 $15K
73080 289 269 $14K
J1650 Injection, enoxaparin sodium, 10 mg 1,864 913 $14K
71101 277 263 $13K
82607 1,586 1,301 $13K
71111 210 210 $13K
J2785 Injection, regadenoson, 0.1 mg 73 69 $12K
82947 2,109 1,431 $12K
83036 Hemoglobin; glycosylated (A1C) 2,206 1,897 $12K
83550 2,537 2,085 $11K
77336 204 80 $11K
80329 353 220 $11K
99204 Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity 213 202 $10K
J2930 Injection, methylprednisolone sodium succinate, up to 125 mg 1,701 1,349 $10K
C9113 Injection, pantoprazole sodium, per vial 1,323 980 $10K
J2250 Injection, midazolam hydrochloride, per 1 mg 8,230 4,327 $10K
Q0144 Azithromycin dihydrate, oral, capsules/powder, 1 gram 780 515 $10K
A9500 Technetium tc-99m sestamibi, diagnostic, per study dose 305 267 $10K
76536 90 89 $9K
OP259 289 257 $9K
83540 2,554 2,094 $9K
74022 146 145 $9K
95811 14 14 $9K
83615 3,342 2,598 $8K
J7060 5% dextrose/water (500 ml = 1 unit) 5,708 2,996 $8K
96402 117 105 $8K
82746 767 638 $8K
J1815 Injection, insulin, per 5 units 2,875 1,590 $7K
J1200 Injection, diphenhydramine hcl, up to 50 mg 3,716 2,520 $7K
86140 1,480 1,187 $7K
97110 Therapeutic procedure, each 15 minutes; therapeutic exercises to develop strength and endurance, flexibility and range of motion 638 244 $7K
J0690 Injection, cefazolin sodium, 500 mg 1,728 1,351 $6K
73140 112 109 $6K
88300 905 713 $6K
96415 76 49 $6K
Q5106 Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units 67 25 $6K
J0561 Injection, penicillin g benzathine, 100,000 units 72 43 $6K
A4606 Oxygen probe for use with oximeter device, replacement 498 448 $6K
77061 86 86 $6K
J3370 Injection, vancomycin hcl, 500 mg 1,314 951 $5K
G0279 Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) 140 132 $5K
86703 365 347 $5K
86300 309 234 $5K
J2270 Injection, morphine sulfate, up to 10 mg 2,399 1,665 $5K
J3475 Injection, magnesium sulfate, per 500 mg 804 535 $5K
U0002 2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc 481 467 $4K
97140 Manual therapy techniques, each 15 minutes (e.g., mobilization/manipulation, manual lymphatic drainage) 159 67 $4K
88304 116 103 $4K
73090 55 53 $4K
J7512 Prednisone, immediate release or delayed release, oral, 1 mg 5,237 3,661 $3K
12001 53 51 $3K
73560 51 40 $3K
80047 817 662 $3K
10060 37 36 $3K
J2001 Injection, lidocaine hcl for intravenous infusion, 10 mg 1,391 1,274 $3K
G0480 Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms (any type, single or tandem and excluding immunoassays (e.g., ia, eia, elisa, emit, fpia) and enzymatic methods (e.g., alcohol dehydrogenase)), (2) stable isotope or other universally recognized internal standards in all samples (e.g., to control for matrix effects, interferences and variations in signal strength), and (3) method or drug-specific calibration and matrix-matched quality control material (e.g., to control for instrument variations and mass spectral drift); qualitative or quantitative, all sources, includes specimen validity testing, per day; 1-7 drug class(es), including metabolite(s) if performed 111 93 $3K
82306 Vitamin D; 25 hydroxy, includes fraction(s), if performed 104 92 $3K
J1170 Injection, hydromorphone, up to 4 mg 994 638 $3K
80074 91 79 $3K
J2543 Injection, piperacillin sodium/tazobactam sodium, 1 gram/0.125 grams (1.125 grams) 322 197 $3K
76775 24 24 $3K
M0239 Intravenous infusion, bamlanivimab-xxxx, includes infusion and post administration monitoring 19 18 $3K
97161 57 51 $3K
87502 Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets 50 50 $3K
82010 442 407 $3K
J2765 Injection, metoclopramide hcl, up to 10 mg 1,699 1,454 $2K
72040 63 60 $2K
J2916 Injection, sodium ferric gluconate complex in sucrose injection, 12.5 mg 32 17 $2K
29125 39 38 $2K
85651 814 704 $2K
J2060 Injection, lorazepam, 2 mg 334 289 $2K
77085 21 21 $1K
J2310 Injection, naloxone hydrochloride, per 1 mg 43 40 $1K
85027 474 377 $1K
J0171 Injection, adrenalin, epinephrine, 0.1 mg 877 488 $1K
J1642 Injection, heparin sodium, (heparin lock flush), per 10 units 361 205 $1K
J0360 Injection, hydralazine hcl, up to 20 mg 283 206 $1K
36430 12 12 $1K
Q0163 Diphenhydramine hydrochloride, 50 mg, oral, fda approved prescription anti-emetic, for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen 1,810 1,467 $1K
J2795 Injection, ropivacaine hydrochloride, 1 mg 204 102 $1K
P9016 Red blood cells, leukocytes reduced, each unit 13 12 $1K
90791 Psychiatric diagnostic evaluation 14 13 $975.00
76870 12 12 $968.40
A4223 Infusion supplies not used with external infusion pump, per cassette or bag (list drugs separately) 423 386 $961.66
71271 28 26 $952.35
85044 299 251 $842.33
81005 398 384 $809.50
A6531 Gradient compression stocking, below knee, 30-40 mmhg, used as a surgical dressing, each 99 99 $795.20
99212 Office or other outpatient visit for the evaluation and management of an established patient, straightforward 631 581 $753.89
94760 62 26 $722.17
82378 75 49 $692.85
J2371 Injection, phenylephrine hydrochloride, 20 micrograms 342 189 $686.28
84439 69 50 $659.43
87635 Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe 232 221 $654.30
J2919 Injection, methylprednisolone sodium succinate, 5 mg 160 121 $643.65
J1097 Phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution, 1 ml 14 14 $619.49
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg 222 154 $617.70
J2370 Injection, phenylephrine hcl, up to 1 ml 78 68 $590.16
82805 73 63 $580.03
A6449 Light compression bandage, elastic, knitted/woven, width greater than or equal to three inches and less than five inches, per yard 334 303 $538.78
A9579 Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml 12 12 $532.09
OP274 260 257 $519.08
J0706 Injection, caffeine citrate, 5 mg 30 27 $512.15
S0020 Injection, bupivicaine hydrochloride, 30 ml 229 216 $499.16
73552 15 14 $468.69
J1580 Injection, garamycin, gentamicin, up to 80 mg 683 518 $468.13
J0665 Injection, bupivicaine, not otherwise specified, 0.5 mg 374 235 $461.93
90656 19 19 $459.08
J7120 Ringers lactate infusion, up to 1000 cc 95 78 $419.19
83010 42 38 $403.49
72074 14 14 $355.40
A4556 Electrodes, (e.g., apnea monitor), per pair 353 254 $353.09
82270 60 56 $343.77
J8540 Dexamethasone, oral, 0.25 mg 189 123 $320.33
82784 21 12 $276.34
A4930 Gloves, sterile, per pair 69 63 $257.20
87299 30 29 $257.14
80076 125 108 $236.53
A6402 Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 127 107 $220.61
87070 16 12 $184.10
J2710 Injection, neostigmine methylsulfate, up to 0.5 mg 44 36 $174.70
85007 395 324 $162.72
A6450 Light compression bandage, elastic, knitted/woven, width greater than or equal to five inches, per yard 118 108 $151.84
A4927 Gloves, non-sterile, per 100 54 47 $149.99
J7510 Prednisolone oral, per 5 mg 55 53 $148.26
87340 15 12 $141.84
J2003 Injection, lidocaine hydrochloride, 1 mg 180 164 $140.19
86803 12 12 $137.37
86706 14 12 $121.56
A6257 Transparent film, sterile, 16 sq. in. or less, each dressing 104 90 $117.36
87205 18 13 $91.47
84550 15 14 $84.22
OP255 13 13 $78.65
OP258 14 14 $77.72
J7070 Infusion, d5w, 1000 cc 32 26 $63.08
J1940 Injection, furosemide, up to 20 mg 48 25 $60.16
J1630 Injection, haloperidol, up to 5 mg 48 38 $56.63
J2470 Injection, pantoprazole sodium, 40 mg 35 24 $50.37
A4928 Surgical mask, per 20 31 28 $40.77
A4452 Tape, waterproof, per 18 square inches 13 13 $37.05
A4657 Syringe, with or without needle, each 50 46 $34.88
86592 15 12 $28.80
A6216 Gauze, non-impregnated, non-sterile, pad size 16 sq. in. or less, without adhesive border, each dressing 69 50 $24.76
A6443 Conforming bandage, non-elastic, knitted/woven, non-sterile, width greater than or equal to three inches and less than five inches, per yard 24 21 $16.90
Q0244 Injection, casirivimab and imdevimab, 1200 mg 23 14 $10.00
OP257 22 21 $8.06
99215 Prolong outpt/office vis 130 127 $0.00
99202 Office or other outpatient visit for the evaluation and management of a new patient, straightforward 100 97 $0.00