Dr. Paul Andre Pradel Md

1001 Towson Ave

Fort Smith AR 72901

479 414-4000

Internal Medicine

Medical School: Tulane University School Of Medicine - 1971

Accepts Medicare: Yes

Participates In eRX: No

Participates In PQRS: No

Participates In EHR: No

License #: R2414

NPI: 1083602353

Taxonomy Codes:

207R00000X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Paul Andre Pradel is associated with these group practices

Mercy Clinic Fort Smith Communities

Procedure Pricing

HCPCS Code	Description	Average Price	Average Price Allowed By Medicare
HCPCS Code:99291	Description:Critical care first hour	Average Price:$385.00	Average Price Allowed By Medicare:$203.72
HCPCS Code:99225	Description:Subsequent observation care	Average Price:$196.00	Average Price Allowed By Medicare:$66.05
HCPCS Code:99223	Description:Initial hospital care	Average Price:$260.00	Average Price Allowed By Medicare:$181.50
HCPCS Code:99220	Description:Initial observation care	Average Price:$240.00	Average Price Allowed By Medicare:$166.95
HCPCS Code:99222	Description:Initial hospital care	Average Price:$195.00	Average Price Allowed By Medicare:$123.17
HCPCS Code:99219	Description:Initial observation care	Average Price:$185.00	Average Price Allowed By Medicare:$121.72
HCPCS Code:99233	Description:Subsequent hospital care	Average Price:$150.00	Average Price Allowed By Medicare:$93.21
HCPCS Code:99239	Description:Hospital discharge day	Average Price:$150.00	Average Price Allowed By Medicare:$96.39
HCPCS Code:99238	Description:Hospital discharge day	Average Price:$115.00	Average Price Allowed By Medicare:$65.25
HCPCS Code:99217	Description:Observation care discharge	Average Price:$115.00	Average Price Allowed By Medicare:$65.40
HCPCS Code:99231	Description:Subsequent hospital care	Average Price:$77.00	Average Price Allowed By Medicare:$35.76
HCPCS Code:99232	Description:Subsequent hospital care	Average Price:$100.19	Average Price Allowed By Medicare:$65.61

HCPCS Code Definitions

99217: Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from "observation status" if the discharge is on other than the initial date of "observation status." To report services to a patient designated as "observation status" or "inpatient status" and discharged on the same date, use the codes for Observation or Inpatient Care Services [including Admission and Discharge Services, 99234-99236 as appropriate.])
99219: Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to "observation status" are of moderate severity. Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit.
99220: Initial observation care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission to "observation status" are of high severity. Typically, 70 minutes are spent at the bedside and on the patient's hospital floor or unit.
99222: Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of moderate severity. Typically, 50 minutes are spent at the bedside and on the patient's hospital floor or unit.
99223: Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A comprehensive history; A comprehensive examination; and Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the problem(s) requiring admission are of high severity. Typically, 70 minutes are spent at the bedside and on the patient's hospital floor or unit.
99225: Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 25 minutes are spent at the bedside and on the patient's hospital floor or unit.
99231: Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A problem focused interval history; A problem focused examination; Medical decision making that is straightforward or of low complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is stable, recovering or improving. Typically, 15 minutes are spent at the bedside and on the patient's hospital floor or unit.
99232: Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: An expanded problem focused interval history; An expanded problem focused examination; Medical decision making of moderate complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is responding inadequately to therapy or has developed a minor complication. Typically, 25 minutes are spent at the bedside and on the patient's hospital floor or unit.
99233: Subsequent hospital care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A detailed interval history; A detailed examination; Medical decision making of high complexity. Counseling and/or coordination of care with other physicians, other qualified health care professionals, or agencies are provided consistent with the nature of the problem(s) and the patient's and/or family's needs. Usually, the patient is unstable or has developed a significant complication or a significant new problem. Typically, 35 minutes are spent at the bedside and on the patient's hospital floor or unit.
99238: Hospital discharge day management; 30 minutes or less
99239: Hospital discharge day management; more than 30 minutes
99291: Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes