Physician
Umass Memorial Medical Group INC
Umass Memorial Medical Group INC was paid $98.44M by Medicaid between Jan 2018 and Dec 2024, across 400 billing codes. Its largest line is 99214, doctor's office visit, returning patient (more involved) — 17% of everything it billed.
33Billing provider infoUMASS MEMORIAL MEDICAL GROUP INC
WORCESTER, MA 01655
WORCESTER, MA 01655
33aNPI1760445373assigned 04/07/2006
33bProvider typeEmergency Medicine Physician
28Total paid$98.44M
24GClaims2,643,419
24DCodes billed400
24AFirst – last monthJan 2018 – Dec 2024
Compared with peers
Next to other Emergency Medicine Physician providers in Massachusetts
Rank by total paid#1 of 618
Median peer was paid$8K
This provider vs. median11,906×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 306,845 | $12.22M | |
| 2019 | 340,973 | $13.98M | |
| 2020 | 285,483 | $12.51M | |
| 2021 | 431,982 | $16.77M | |
| 2022 | 500,371 | $18.82M | |
| 2023 | 412,697 | $13.40M | |
| 2024incomplete | 365,068 | $10.72M |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| 99214 | Doctor's office visit, returning patient (more involved)Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity | 17% | 356,010 | 341,527 | $17.01M |
| 99284 | Emergency room visit (serious)Emergency department visit for the evaluation and management, high severity | 14% | 188,573 | 186,838 | $13.51M |
| 99213 | Doctor's office visit, returning patient (routine)Office or other outpatient visit for the evaluation and management of an established patient, low complexity | 11% | 292,407 | 279,533 | $10.55M |
| 99285 | Emergency room visit (most serious)Emergency department visit for the evaluation and management, high severity with immediate threat to life | 6.8% | 82,403 | 81,438 | $6.67M |
| 99233 | Hospital visit by a doctor, follow-up day (complex)Prolong inpt eval add15 m | 5.9% | 150,838 | 69,892 | $5.76M |
| 99232 | Hospital visit by a doctor, follow-up daySubsequent hospital care, per day, moderate complexity | 2.7% | 105,618 | 48,305 | $2.62M |
| 99291 | Critical care, evaluation and management of the critically ill patient, first 30-74 minutes | 2.4% | 28,889 | 11,906 | $2.40M |
| 99469 | Subsequent inpatient neonatal critical care, per day, 28 days or younger | 2.4% | 8,493 | 2,848 | $2.36M |
| 99215 | Doctor's office visit, returning patient (complex)Prolong outpt/office vis | 2.0% | 31,150 | 29,652 | $1.95M |
| 99203 | Doctor's office visit, new patient (routine)Office or other outpatient visit for the evaluation and management of a new patient, low complexity | 1.7% | 33,425 | 33,343 | $1.71M |
| 99283 | Emergency room visit (moderate)Emergency department visit for the evaluation and management, moderate severity | 1.6% | 37,264 | 36,954 | $1.57M |
| 90834 | Psychotherapy session, about 45 minutesPsychotherapy, 45 minutes with patient | 1.5% | 20,320 | 12,658 | $1.50M |
388 more codes
| 74177 | Computed tomography, abdomen and pelvis; with contrast material | 1.5% | 33,823 | $1.50M |
| 99223 | Prolong inpt eval add15 m | 1.5% | 17,811 | $1.46M |
| 99204 | Doctor's office visit, new patient (more involved) | 1.4% | 17,543 | $1.39M |
| 88305 | Level IV - Surgical pathology, gross and microscopic examination | 1.3% | 38,297 | $1.23M |
| 92014 | Ophthalmological services: medical examination and evaluation, comprehensive, established patient | 1.1% | 20,567 | $1.11M |
| 99239 | Hospital discharge day management, more than 30 minutes | 1.0% | 23,157 | $1.02M |
| 93010 | Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only | <1% | 232,237 | $901K |
| 93306 | Echocardiography, transthoracic, real-time with image documentation, with and without Doppler, complete | <1% | 30,826 | $874K |
| 99479 | Subsequent intensive care, per day, very low birth weight infant | <1% | 7,988 | $715K |
| 92004 | Ophthalmological services: medical examination and evaluation, comprehensive, new patient | <1% | 10,033 | $656K |
| 99282 | Emergency department visit for the evaluation and management, low to moderate severity | <1% | 18,547 | $541K |
| 76816 | Ultrasound, pregnant uterus, real time with image documentation, follow-up | <1% | 14,994 | $522K |
| 99222 | Initial hospital care, per day, moderate complexity | <1% | 10,274 | $519K |
| 99460 | <1% | 5,505 | $518K | |
| 70450 | Computed tomography, head or brain; without contrast material | <1% | 28,213 | $490K |
| 99393 | Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) | <1% | 6,186 | $484K |
| 90832 | Psychotherapy session, about 30 minutes | <1% | 10,855 | $481K |
| 99392 | Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) | <1% | 6,271 | $480K |
| 76819 | Fetal biophysical profile; without non-stress testing | <1% | 15,290 | $443K |
| 77067 | Screening mammography, bilateral, including computer-aided detection | <1% | 19,609 | $438K |
| 71260 | Computed tomography, thorax, diagnostic; with contrast material | <1% | 16,417 | $436K |
| 99391 | Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) | <1% | 5,965 | $421K |
| 96110 | Developmental screening, with scoring and documentation, per standardized instrument | <1% | 37,052 | $380K |
| 99212 | Office or other outpatient visit for the evaluation and management of an established patient, straightforward | <1% | 16,301 | $375K |
| 90460 | Immunization administration through 18 years of age via any route, first or only component | <1% | 14,579 | $363K |
| 90791 | Psychiatric diagnostic evaluation | <1% | 2,609 | $350K |
| 71045 | Radiologic examination, chest; single view | <1% | 79,767 | $331K |
| 71046 | Radiologic examination, chest; 2 views | <1% | 57,077 | $321K |
| 99480 | Subsequent intensive care, per day, low birth weight infant | <1% | 3,687 | $314K |
| 01967 | Neuraxial labor analgesia/anesthesia for planned vaginal delivery | <1% | 503 | $314K |
| 99205 | Prolong outpt/office vis | <1% | 2,632 | $311K |
| 99238 | Hospital discharge day management, 30 minutes or less | <1% | 6,139 | $309K |
| 90792 | Psychiatric diagnostic evaluation with medical services | <1% | 2,717 | $308K |
| 88307 | <1% | 4,792 | $294K | |
| 90960 | End-stage renal disease related services monthly, for patients 20 years and older, with 4 or more face-to-face visits | <1% | 4,210 | $272K |
| 99309 | Subsequent nursing facility care, per day, low to moderate complexity | <1% | 10,035 | $253K |
| 76811 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation, detailed | <1% | 3,394 | $246K |
| 67028 | Intravitreal injection of a pharmacologic agent | <1% | 5,784 | $241K |
| 99394 | Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) | <1% | 2,689 | $236K |
| 70553 | Magnetic resonance imaging, brain; without contrast material, followed by contrast material and further sequences | <1% | 4,311 | $228K |
| 99308 | Subsequent nursing facility care, per day, straightforward | <1% | 11,398 | $226K |
| 92134 | <1% | 14,592 | $207K | |
| S0302 | Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | <1% | 20,442 | $194K |
| 99231 | Subsequent hospital care, per day, straightforward or low complexity | <1% | 15,735 | $189K |
| 99462 | <1% | 4,606 | $186K | |
| 93971 | <1% | 10,765 | $177K | |
| 99202 | Office or other outpatient visit for the evaluation and management of a new patient, straightforward | <1% | 5,741 | $175K |
| 72125 | Computed tomography, cervical spine; without contrast material | <1% | 8,547 | $174K |
| 77063 | Screening digital breast tomosynthesis, bilateral | <1% | 13,819 | $172K |
| 99236 | Prolong inpt eval add15 m | <1% | 1,233 | $165K |
| 76830 | Ultrasound, transvaginal | <1% | 6,648 | $159K |
| 76705 | Ultrasound, abdominal, real time with image documentation; limited | <1% | 9,639 | $153K |
| 90471 | Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine | <1% | 8,155 | $150K |
| 31575 | <1% | 3,303 | $130K | |
| 92015 | Determination of refractive state | <1% | 9,166 | $124K |
| 31231 | <1% | 2,123 | $121K | |
| 99396 | Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years | <1% | 1,122 | $121K |
| 90853 | Group psychotherapy (other than of a multiple-family group) | <1% | 3,862 | $120K |
| 71250 | <1% | 6,102 | $112K | |
| 70551 | Magnetic resonance imaging, brain; without contrast material | <1% | 3,339 | $111K |
| 70498 | <1% | 2,930 | $105K | |
| 00170 | Anesthesia for intraoral procedures, including biopsy | <1% | 835 | $102K |
| 99221 | <1% | 2,462 | $100K | |
| 88342 | <1% | 4,689 | $96K | |
| 76770 | <1% | 4,983 | $96K | |
| 00731 | <1% | 1,954 | $95K | |
| 70496 | <1% | 2,696 | $95K | |
| 88189 | <1% | 2,229 | $94K | |
| 92012 | Ophthalmological services: medical examination and evaluation, intermediate, established patient | <1% | 1,993 | $90K |
| 90847 | Family psychotherapy with the patient present, 50 minutes | <1% | 981 | $90K |
| 20611 | <1% | 3,249 | $90K | |
| 20610 | <1% | 4,754 | $89K | |
| 76642 | <1% | 4,077 | $83K | |
| 76856 | Ultrasound, pelvic (nonobstetric), real time with image documentation; complete | <1% | 3,229 | $81K |
| 99395 | Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years | <1% | 794 | $80K |
| 95720 | <1% | 699 | $70K | |
| 72148 | Magnetic resonance imaging, lumbar spine; without contrast material | <1% | 1,927 | $70K |
| 95806 | <1% | 1,391 | $69K | |
| 76817 | Ultrasound, pregnant uterus, real time with image documentation, transvaginal | <1% | 2,418 | $68K |
| 74176 | Computed tomography, abdomen and pelvis; without contrast material | <1% | 2,148 | $68K |
| 99292 | <1% | 1,191 | $68K | |
| 42820 | Tonsillectomy and adenoidectomy; younger than age 12 | <1% | 309 | $68K |
| 95951 | <1% | 498 | $66K | |
| 76805 | Ultrasound, pregnant uterus, real time with image documentation, fetal and maternal evaluation | <1% | 1,392 | $65K |
| 69436 | Tympanostomy (requiring insertion of ventilating tube), general anesthesia | <1% | 434 | $64K |
| 62323 | <1% | 1,298 | $63K | |
| 88341 | <1% | 1,641 | $63K | |
| 88112 | <1% | 5,053 | $63K | |
| 99305 | <1% | 1,073 | $62K | |
| 88173 | <1% | 1,673 | $62K | |
| 99217 | <1% | 2,438 | $61K | |
| 90688 | <1% | 4,945 | $60K | |
| 95886 | <1% | 1,970 | $60K | |
| 90461 | <1% | 3,762 | $58K | |
| 93970 | <1% | 3,794 | $58K | |
| G0279 | Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) | <1% | 3,635 | $58K |
| 72141 | <1% | 1,590 | $57K | |
| 88304 | <1% | 6,629 | $54K | |
| 54150 | <1% | 736 | $54K | |
| 86077 | <1% | 1,991 | $53K | |
| 99442 | <1% | 4,286 | $52K | |
| 11042 | Debridement, subcutaneous tissue (includes epidermis, dermis, and subcutaneous tissue); first 20 sq cm | <1% | 2,953 | $51K |
| 90961 | <1% | 780 | $49K | |
| 99252 | <1% | 441 | $49K | |
| 73630 | <1% | 10,902 | $49K | |
| 76801 | <1% | 1,259 | $48K | |
| 78815 | Positron emission tomography (PET) for limited area imaging | <1% | 1,327 | $48K |
| 76813 | <1% | 982 | $45K | |
| 93308 | <1% | 3,603 | $44K | |
| 71271 | <1% | 2,784 | $43K | |
| 01810 | <1% | 936 | $43K | |
| 96133 | <1% | 157 | $42K | |
| 74183 | <1% | 976 | $41K | |
| 73564 | <1% | 6,818 | $41K | |
| 93975 | <1% | 1,127 | $40K | |
| 73610 | <1% | 7,696 | $38K | |
| 95810 | Polysomnography; sleep staging with 4 or more additional parameters | <1% | 514 | $35K |
| 95816 | <1% | 1,260 | $35K | |
| 73030 | <1% | 7,553 | $34K | |
| 74018 | <1% | 7,917 | $34K | |
| 66982 | <1% | 133 | $34K | |
| 59025 | Fetal non-stress test | <1% | 1,166 | $34K |
| 73721 | Magnetic resonance imaging, any joint of lower extremity; without contrast material | <1% | 968 | $33K |
| 93272 | <1% | 2,589 | $33K | |
| 73130 | <1% | 6,436 | $33K | |
| 99220 | <1% | 288 | $31K | |
| 77427 | <1% | 355 | $31K | |
| 96111 | <1% | 165 | $30K | |
| 78452 | Myocardial perfusion imaging, tomographic (SPECT); multiple studies at rest and/or stress | <1% | 1,025 | $29K |
| 96137 | <1% | 173 | $29K | |
| 90846 | Family psychotherapy without the patient present, 50 minutes | <1% | 312 | $28K |
| 90935 | Hemodialysis procedure with single evaluation by a physician | <1% | 1,552 | $28K |
| 92133 | <1% | 1,972 | $27K | |
| 77066 | Tomosynthesis, mammo | <1% | 1,010 | $27K |
| 77065 | Tomosynthesis, mammo | <1% | 1,329 | $26K |
| 72100 | <1% | 4,969 | $26K | |
| 43239 | Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple | <1% | 379 | $25K |
| 66984 | Extracapsular cataract removal with insertion of intraocular lens prosthesis | <1% | 103 | $25K |
| 00812 | <1% | 513 | $25K | |
| 11721 | <1% | 3,338 | $24K | |
| 73110 | <1% | 4,438 | $24K | |
| 64493 | <1% | 452 | $21K | |
| 88141 | <1% | 1,000 | $21K | |
| 72132 | <1% | 708 | $20K | |
| 92083 | <1% | 1,294 | $20K | |
| 99443 | <1% | 1,753 | $20K | |
| 90715 | <1% | 615 | $20K | |
| 00811 | <1% | 357 | $18K | |
| 87635 | Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe | <1% | 394 | $18K |
| 76536 | <1% | 1,294 | $18K | |
| 95912 | <1% | 210 | $18K | |
| 73502 | <1% | 3,874 | $17K | |
| 76604 | <1% | 1,299 | $17K | |
| 99385 | <1% | 147 | $16K | |
| 90833 | Psychotherapy, 30 minutes with patient when performed with an E&M service (add-on) | <1% | 634 | $16K |
| 96116 | <1% | 134 | $16K | |
| 96136 | <1% | 339 | $16K | |
| 99472 | Subsequent inpatient pediatric critical care, per day, 2-5 years | <1% | 53 | $16K |
| 96132 | <1% | 157 | $16K | |
| 76376 | <1% | 4,068 | $15K | |
| 74019 | <1% | 2,151 | $15K | |
| 93295 | <1% | 909 | $15K | |
| 93016 | <1% | 1,837 | $14K | |
| 90472 | Immunization administration, each additional vaccine (list separately) | <1% | 891 | $14K |
| 93298 | <1% | 1,359 | $14K | |
| 76820 | <1% | 739 | $14K | |
| 64483 | <1% | 318 | $13K | |
| 93303 | Transthoracic echocardiography for congenital cardiac anomalies, follow-up or limited study | <1% | 292 | $13K |
| 93000 | <1% | 2,348 | $13K | |
| 45385 | Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) | <1% | 98 | $13K |
| 92504 | <1% | 1,477 | $12K | |
| 72129 | <1% | 462 | $12K | |
| 94729 | <1% | 3,103 | $12K | |
| 93880 | <1% | 931 | $12K | |
| 94060 | <1% | 2,049 | $12K | |
| 96112 | <1% | 146 | $12K | |
| 90732 | <1% | 119 | $12K | |
| 87880 | Infectious agent antigen detection by immunoassay; Streptococcus, group A | <1% | 962 | $12K |
| 94010 | <1% | 2,472 | $11K | |
| 00142 | <1% | 332 | $11K | |
| 72197 | <1% | 202 | $11K | |
| 64494 | <1% | 454 | $11K | |
| 64495 | <1% | 446 | $11K | |
| 87502 | Infectious agent detection by nucleic acid, influenza virus, for multiple types or subtypes, includes all targets | <1% | 144 | $11K |
| 94727 | <1% | 1,971 | $11K | |
| 99404 | <1% | 60 | $10K | |
| 77080 | <1% | 4,090 | $10K | |
| 96130 | <1% | 101 | $10K | |
| 51701 | <1% | 767 | $10K | |
| 88311 | <1% | 1,704 | $10K | |
| 93294 | <1% | 1,226 | $10K | |
| 73221 | <1% | 262 | $10K | |
| 96127 | <1% | 1,086 | $10K | |
| 92250 | <1% | 1,795 | $10K | |
| 93018 | <1% | 1,853 | $10K | |
| 93922 | <1% | 1,749 | $9K | |
| 72131 | <1% | 448 | $9K | |
| 43235 | <1% | 154 | $9K | |
| 99468 | <1% | 14 | $9K | |
| 99219 | <1% | 100 | $9K | |
| G6002 | Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | <1% | 863 | $8K |
| 74230 | <1% | 1,085 | $8K | |
| 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 single, serious condition or a complex condition. (add-on code, list separately in addition to office/outpatient evaluation and management visit, new or established) | <1% | 2,786 | $8K |
| 45380 | Colonoscopy, flexible; with biopsy, single or multiple | <1% | 87 | $7K |
| 95251 | <1% | 546 | $7K | |
| 95811 | <1% | 129 | $7K | |
| 94070 | <1% | 403 | $7K | |
| 88312 | <1% | 260 | $7K | |
| 01922 | <1% | 60 | $7K | |
| 93325 | <1% | 2,812 | $7K | |
| 76700 | Ultrasound, abdominal, real time with image documentation; complete | <1% | 295 | $6K |
| 36573 | <1% | 206 | $6K | |
| 95819 | <1% | 204 | $6K | |
| 72128 | <1% | 303 | $6K | |
| 69210 | <1% | 524 | $6K | |
| 99464 | <1% | 134 | $6K | |
| 78451 | <1% | 245 | $6K | |
| 73590 | <1% | 1,238 | $6K | |
| 93227 | <1% | 372 | $6K | |
| G2212 | Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional, with or without direct patient contact (list separately in addition to cpt codes 99205, 99215, 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358, 99359, 99415, 99416). (do not report g2212 for any time unit less than 15 minutes) | <1% | 389 | $6K |
| 99441 | <1% | 849 | $5K | |
| 99235 | <1% | 51 | $5K | |
| 73562 | <1% | 1,197 | $5K | |
| 72050 | <1% | 723 | $5K | |
| 76775 | <1% | 285 | $5K | |
| 69200 | <1% | 132 | $5K | |
| 52000 | <1% | 106 | $5K | |
| 77002 | <1% | 446 | $5K | |
| 74174 | <1% | 133 | $5K | |
| 43264 | <1% | 42 | $4K | |
| 76815 | Ultrasound, pregnant uterus, real time with image documentation, limited | <1% | 178 | $4K |
| 90750 | <1% | 32 | $4K | |
| 72040 | <1% | 863 | $4K | |
| 73090 | <1% | 661 | $4K | |
| 91120 | <1% | 20 | $4K | |
| 94760 | <1% | 2,164 | $4K | |
| 73140 | <1% | 952 | $4K | |
| 95813 | <1% | 63 | $4K | |
| 93320 | <1% | 292 | $4K | |
| 81002 | <1% | 1,780 | $4K | |
| J9035 | Injection, bevacizumab, 10 mg | <1% | 90 | $4K |
| G0399 | Home sleep test (hst) with type iii portable monitor, unattended; minimum of 4 channels: 2 respiratory movement/airflow, 1 ecg/heart rate and 1 oxygen saturation | <1% | 82 | $4K |
| 72082 | <1% | 324 | $4K | |
| 99253 | <1% | 25 | $4K | |
| 92020 | <1% | 302 | $3K | |
| 95911 | <1% | 39 | $3K | |
| 93458 | <1% | 28 | $3K | |
| 71101 | <1% | 520 | $3K | |
| 43237 | <1% | 43 | $3K | |
| 73560 | <1% | 888 | $3K | |
| 31600 | <1% | 14 | $3K | |
| 99457 | <1% | 127 | $3K | |
| 93280 | <1% | 244 | $3K | |
| 11056 | <1% | 359 | $3K | |
| 76882 | <1% | 180 | $2K | |
| 88302 | <1% | 273 | $2K | |
| 92285 | <1% | 1,227 | $2K | |
| 73080 | <1% | 490 | $2K | |
| 73552 | <1% | 612 | $2K | |
| 72170 | <1% | 452 | $2K | |
| G0250 | Physician review, interpretation, and patient management of home inr testing for patient with either mechanical heart valve(s), chronic atrial fibrillation, or venous thromboembolism who meets medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests | <1% | 1,099 | $2K |
| 99243 | <1% | 27 | $2K | |
| 99335 | <1% | 76 | $2K | |
| 72081 | <1% | 195 | $2K | |
| 72110 | <1% | 311 | $2K | |
| 71275 | Computed tomographic angiography, chest, with contrast material | <1% | 67 | $2K |
| 99383 | <1% | 27 | $2K | |
| 99218 | <1% | 29 | $2K | |
| 99397 | <1% | 31 | $2K | |
| 99381 | <1% | 33 | $2K | |
| 87634 | <1% | 32 | $2K | |
| 74178 | <1% | 37 | $2K | |
| 72156 | <1% | 28 | $2K | |
| 77092 | <1% | 1,500 | $2K | |
| 93793 | <1% | 1,101 | $2K | |
| 72070 | <1% | 414 | $2K | |
| 99306 | Prolong nursin fac eval 15m | <1% | 43 | $2K |
| 77072 | <1% | 239 | $2K | |
| 99244 | Office or other outpatient consultation, moderate to high complexity | <1% | 13 | $2K |
| 99463 | <1% | 12 | $2K | |
| 99152 | <1% | 741 | $1K | |
| 96131 | <1% | 12 | $1K | |
| 74022 | <1% | 273 | $1K | |
| 74328 | <1% | 86 | $1K | |
| 43775 | <1% | 12 | $1K | |
| 90746 | <1% | 29 | $1K | |
| 77300 | <1% | 27 | $1K | |
| 76519 | <1% | 137 | $1K | |
| 64615 | <1% | 29 | $1K | |
| 73070 | <1% | 203 | $1K | |
| 54160 | <1% | 15 | $1K | |
| 76825 | <1% | 25 | $1K | |
| 70486 | <1% | 54 | $1K | |
| 75574 | <1% | 15 | $1K | |
| 95782 | <1% | 12 | $1K | |
| 11102 | <1% | 55 | $1K | |
| 00910 | <1% | 26 | $1K | |
| 00813 | <1% | 16 | $1K | |
| 88300 | <1% | 444 | $1K | |
| 88360 | <1% | 38 | $1K | |
| 67840 | <1% | 19 | $1K | |
| 70491 | <1% | 38 | $981.78 | |
| J1030 | Injection, methylprednisolone acetate, 40 mg | <1% | 106 | $903.61 |
| 99316 | <1% | 26 | $890.98 | |
| 99382 | <1% | 12 | $863.12 | |
| 17110 | <1% | 14 | $861.96 | |
| 73523 | <1% | 127 | $844.73 | |
| 98926 | <1% | 46 | $843.60 | |
| 99402 | <1% | 25 | $779.79 | |
| 99153 | Mod sedat endo service >5yrs | <1% | 204 | $760.59 |
| 46600 | <1% | 12 | $751.14 | |
| 51784 | <1% | 27 | $708.68 | |
| 00126 | <1% | 12 | $684.31 | |
| G0452 | Molecular pathology procedure; physician interpretation and report | <1% | 63 | $655.22 |
| 76506 | <1% | 26 | $650.17 | |
| 83036 | Hemoglobin; glycosylated (A1C) | <1% | 198 | $543.48 |
| 72146 | <1% | 12 | $535.88 | |
| 88313 | <1% | 39 | $518.59 | |
| 97530 | Therapeutic activities, direct patient contact, each 15 minutes | <1% | 24 | $501.12 |
| 70360 | <1% | 71 | $486.45 | |
| 93351 | <1% | 12 | $462.21 | |
| 31500 | <1% | 14 | $451.19 | |
| 74170 | <1% | 12 | $451.02 | |
| 76827 | <1% | 25 | $450.77 | |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | <1% | 15 | $423.81 |
| 70544 | <1% | 12 | $414.54 | |
| 99310 | Prolong nursin fac eval 15m | <1% | 40 | $392.86 |
| 78306 | <1% | 24 | $384.25 | |
| 90620 | <1% | 12 | $381.02 | |
| 91010 | <1% | 12 | $374.08 | |
| 0042T | <1% | 12 | $349.94 | |
| 93304 | <1% | 13 | $341.40 | |
| 76831 | <1% | 12 | $331.92 | |
| 20552 | <1% | 13 | $326.04 | |
| 99318 | <1% | 21 | $287.88 | |
| 76886 | <1% | 12 | $286.20 | |
| 93321 | <1% | 70 | $278.28 | |
| 95874 | <1% | 50 | $274.98 | |
| 83037 | <1% | 77 | $273.28 | |
| 76870 | <1% | 12 | $255.09 | |
| 31645 | <1% | 13 | $251.91 | |
| 27096 | <1% | 15 | $249.69 | |
| 78264 | <1% | 14 | $238.48 | |
| 11100 | <1% | 12 | $237.79 | |
| J1040 | Injection, methylprednisolone acetate, 80 mg | <1% | 46 | $237.53 |
| 82962 | <1% | 1,148 | $232.78 | |
| 97112 | Therapeutic procedure, each 15 minutes; neuromuscular reeducation of movement, balance, coordination | <1% | 21 | $231.14 |
| 77081 | <1% | 133 | $228.18 | |
| 72190 | <1% | 28 | $191.42 | |
| G2012 | Brief communication technology-based service, e.g. virtual check-in, by a physician or other qualified health care professional who can report evaluation and management services, provided to an established patient, not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | <1% | 29 | $184.50 |
| 94726 | <1% | 27 | $179.25 | |
| 76937 | <1% | 44 | $155.90 | |
| 73060 | <1% | 50 | $150.66 | |
| 87804 | Infectious agent antigen detection by immunoassay; Influenza, each type | <1% | 12 | $146.00 |
| 92025 | <1% | 31 | $145.84 | |
| 20553 | <1% | 14 | $141.18 | |
| 73521 | <1% | 13 | $112.97 | |
| 91200 | <1% | 28 | $112.65 | |
| 93356 | <1% | 143 | $102.90 | |
| 72202 | <1% | 12 | $91.94 | |
| 73100 | <1% | 13 | $91.28 | |
| 85390 | <1% | 22 | $89.92 | |
| 93926 | <1% | 12 | $86.52 | |
| 90785 | <1% | 44 | $83.52 | |
| 85018 | <1% | 39 | $83.33 | |
| 81025 | <1% | 12 | $63.60 | |
| 99406 | <1% | 94 | $57.74 | |
| 51798 | <1% | 25 | $56.04 | |
| 87210 | <1% | 13 | $51.60 | |
| J1010 | Injection, methylprednisolone acetate, 1 mg | <1% | 63 | $49.21 |
| 76514 | <1% | 25 | $47.64 | |
| G0008 | Administration of influenza virus vaccine | <1% | 349 | $18.67 |
| 81000 | <1% | 14 | $13.08 | |
| 36416 | <1% | 14 | $9.60 | |
| Q0091 | Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory | 0% | 121 | $0.00 |
| 97602 | 0% | 28 | $0.00 | |
| 90670 | 0% | 127 | $0.00 | |
| 99499 | 0% | 26 | $0.00 | |
| 99100 | 0% | 64 | $0.00 | |
| 90681 | 0% | 12 | $0.00 | |
| 90633 | 0% | 15 | $0.00 | |
| 99000 | 0% | 1,960 | $0.00 | |
| 90697 | 0% | 65 | $0.00 | |
| 90686 | 0% | 176 | $0.00 | |
| J2001 | Injection, lidocaine hcl for intravenous infusion, 10 mg | 0% | 60 | $0.00 |
| 90619 | 0% | 13 | $0.00 | |
| 99140 | 0% | 15 | $0.00 | |
| 90680 | 0% | 12 | $0.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialBRESEE-FERREIRA, MAUREEN (SVP/COO)