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Dr. Payam  Aghassi  Md image

Dr. Payam Aghassi Md

50 Memorial Drive Suite 113
Leominster MA 01453
978 662-2692
Medical School: Other - 1996
Accepts Medicare: Yes
Participates In eRX: No
Participates In PQRS: Yes
Participates In EHR: No
License #: 216511
NPI: 1093704298
Taxonomy Codes:
207R00000X 207RA0201X 207RC0200X 207RP1001X 207RS0012X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Payam Aghassi is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:95811 Description:Polysomnography w/cpap Average Price:$974.59 Average Price Allowed
By Medicare:
$397.65
HCPCS Code:95810 Description:Polysomnography 4 or more Average Price:$932.50 Average Price Allowed
By Medicare:
$382.57
HCPCS Code:99291 Description:Critical care first hour Average Price:$552.03 Average Price Allowed
By Medicare:
$220.42
HCPCS Code:32422 Description:Thoracentesis w/tube insert Average Price:$380.00 Average Price Allowed
By Medicare:
$124.80
HCPCS Code:31623 Description:Dx bronchoscope/brush Average Price:$226.00 Average Price Allowed
By Medicare:
$0.21
HCPCS Code:95811 Description:Polysomnography w/cpap Average Price:$325.00 Average Price Allowed
By Medicare:
$129.12
HCPCS Code:99205 Description:Office/outpatient visit new Average Price:$388.69 Average Price Allowed
By Medicare:
$204.04
HCPCS Code:99223 Description:Initial hospital care Average Price:$375.75 Average Price Allowed
By Medicare:
$198.43
HCPCS Code:99233 Description:Subsequent hospital care Average Price:$279.00 Average Price Allowed
By Medicare:
$101.90
HCPCS Code:95810 Description:Polysomnography 4 or more Average Price:$300.00 Average Price Allowed
By Medicare:
$123.95
HCPCS Code:99215 Description:Office/outpatient visit est Average Price:$282.69 Average Price Allowed
By Medicare:
$143.75
HCPCS Code:99292 Description:Critical care addl 30 min Average Price:$243.00 Average Price Allowed
By Medicare:
$110.46
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$206.86 Average Price Allowed
By Medicare:
$107.19
HCPCS Code:76942 Description:Echo guide for biopsy Average Price:$100.00 Average Price Allowed
By Medicare:
$33.58
HCPCS Code:99306 Description:Nursing facility care init Average Price:$221.00 Average Price Allowed
By Medicare:
$163.75
HCPCS Code:99310 Description:Nursing fac care subseq Average Price:$183.00 Average Price Allowed
By Medicare:
$131.79
HCPCS Code:99310 Description:Nursing fac care subseq Average Price:$183.00 Average Price Allowed
By Medicare:
$131.79
HCPCS Code:94070 Description:Evaluation of wheezing Average Price:$75.00 Average Price Allowed
By Medicare:
$29.09
HCPCS Code:94664 Description:Evaluate pt use of inhaler Average Price:$55.00 Average Price Allowed
By Medicare:
$17.98
HCPCS Code:Q2038 Description:Fluzone vacc, 3 yrs & >, im Average Price:$45.00 Average Price Allowed
By Medicare:
$12.72
HCPCS Code:94010 Description:Breathing capacity test Average Price:$36.74 Average Price Allowed
By Medicare:
$8.30
HCPCS Code:94010 Description:Breathing capacity test Average Price:$47.62 Average Price Allowed
By Medicare:
$19.23
HCPCS Code:94060 Description:Evaluation of wheezing Average Price:$39.49 Average Price Allowed
By Medicare:
$12.85
HCPCS Code:G0008 Description:Admin influenza virus vac Average Price:$48.00 Average Price Allowed
By Medicare:
$26.86
HCPCS Code:G0009 Description:Admin pneumococcal vaccine Average Price:$46.83 Average Price Allowed
By Medicare:
$26.86
HCPCS Code:90732 Description:Pneumococcal vaccine Average Price:$78.27 Average Price Allowed
By Medicare:
$65.77
HCPCS Code:94727 Description:Pulm function test by gas Average Price:$24.04 Average Price Allowed
By Medicare:
$12.49
HCPCS Code:94726 Description:Pulm funct tst plethysmograp Average Price:$23.99 Average Price Allowed
By Medicare:
$12.49
HCPCS Code:94729 Description:C02/membane diffuse capacity Average Price:$19.05 Average Price Allowed
By Medicare:
$8.30
HCPCS Code:99406 Description:Behav chng smoking 3-10 min Average Price:$21.00 Average Price Allowed
By Medicare:
$13.97

HCPCS Code Definitions

31623
Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed; with brushing or protected brushings
76942
Ultrasonic guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation
94010
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation
94010
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation
94060
Bronchodilation responsiveness, spirometry as in 94010, pre- and post-bronchodilator administration
94070
Bronchospasm provocation evaluation, multiple spirometric determinations as in 94010, with administered agents (eg, antigen[s], cold air, methacholine)
94664
Demonstration and/or evaluation of patient utilization of an aerosol generator, nebulizer, metered dose inhaler or IPPB device
94726
Plethysmography for determination of lung volumes and, when performed, airway resistance
94727
Gas dilution or washout for determination of lung volumes and, when performed, distribution of ventilation and closing volumes
94729
Diffusing capacity (eg, carbon monoxide, membrane) (List separately in addition to code for primary procedure)
95810
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
95810
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
95811
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist
95811
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist
99205
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A comprehensive history; A comprehensive 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 presenting problem(s) are of moderate to high severity. Typically, 60 minutes are spent face-to-face with the patient and/or family.
99214
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A detailed history; A detailed 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 presenting problem(s) are of moderate to high severity. Typically, 25 minutes are spent face-to-face with the patient and/or family.
99215
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: A comprehensive history; A comprehensive 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 presenting problem(s) are of moderate to high severity. Typically, 40 minutes are spent face-to-face with the patient and/or family.
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.
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.
99291
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes
99292
Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service)
99306
Initial nursing facility 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, 45 minutes are spent at the bedside and on the patient's facility floor or unit.
99310
Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive 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. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 35 minutes are spent at the bedside and on the patient's facility floor or unit.
99310
Subsequent nursing facility care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: A comprehensive interval history; A comprehensive 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. The patient may be unstable or may have developed a significant new problem requiring immediate physician attention. Typically, 35 minutes are spent at the bedside and on the patient's facility floor or unit.
99406
Smoking and tobacco use cessation counseling visit; intermediate, greater than 3 minutes up to 10 minutes
G0008
Administration of influenza virus vaccine
G0009
Administration of pneumococcal vaccine
Q2038
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1871567149
Pulmonary Disease
9,784
1538272539
Internal Medicine
7,544
1932190691
Internal Medicine
4,689
1083646368
Diagnostic Radiology
4,016
1457341794
Diagnostic Radiology
4,013
1558351494
Diagnostic Radiology
3,945
1518915784
Cardiovascular Disease (Cardiology)
3,938
1821005943
Cardiovascular Disease (Cardiology)
3,925
1427096213
Diagnostic Radiology
3,614
1073501557
Physical Medicine And Rehabilitation
3,494
*These referrals represent the top 10 that Dr. Aghassi has made to other doctors

Publications

Catheterization-Doppler discrepancies in nonsimultaneous evaluations of aortic stenosis. - Echocardiography (Mount Kisco, N.Y.)
Prior validation studies have established that simultaneously measured catheter (cath) and Doppler mean pressure gradients (MPG) correlate closely in evaluation of aortic stenosis (AS). In clinical practice, however, cath and Doppler are rarely performed simultaneously; which may lead to discrepant results. Accordingly, our aim was to ascertain agreement between these methods and investigate factors associated with discrepant results. We reviewed findings in 100 consecutive evaluations for AS performed in 97 patients (mean age 72 +/- 10 yr) in which cath and Doppler were performed within 6 weeks. We recorded MPG, aortic valve area (AVA), cardiac output, and ejection fraction (EF) by both methods. Aortic root diameter, left ventricular end-diastolic dimension (LVIDd) and posterior wall thickness (PWT) were measured by echocardiography and gender, heart rate, and heart rhythm were also recorded. An MPG discrepancy was defined as an intrapatient difference > 10 mmHg. Mean pressure gradients by cath and Doppler were 36 +/- 22 mmHg and 37 +/- 20 mmHg, respectively (P = 0.73). Linear regression showed good correlation (r = 0.82) between the techniques. An MPG discrepancy was found in 36 (36%) of 100 evaluations; in 19 (53%) of 36 evaluations MPG by Doppler was higher than cath, and in 17 (47%) of 36, it was lower. In 33 evaluations, EF differed by >10% between techniques. Linear regression analyses revealed that EF difference between studies was a significant predictor of MPG discrepancy (P = 0.004). Women had significantly higher MPG than men by both cath and Doppler (43 +/- 25 mmHg versus 29 +/- 15 mmHg [P = 0.001]; 42 +/- 23 mmHg versus 32 +/- 15 mmHg [P = 0.014], respectively). Women exhibited discrepant results in 23 (47%) of 49 evaluations versus 13 (25%) of 51 evaluations in men (P = 0.037). After adjustment for women's higher MPG, there was no statistically significant difference in MPG discrepancy between genders (P = 0.22). No significant interactions between MPG and aortic root diameter, relative wall thickness (RWT), heart rate, heart rhythm, cardiac output, and time interval between studies were found. In clinical practice, significant discrepancies in MPG were common when cath and Doppler are performed nonsimultaneously. No systematic bias was observed and Doppler results were as likely yield lower as higher MPGs than cath. EF difference was a significant predictor of discrepant MPG. Aortic root diameter, relative wall thickness, heart rate, heart rhythm, cardiac output, presence or severity of coronary artery disease, and time interval between studies were not predictors of discrepant results.

Map & Directions

50 Memorial Drive Suite 113 Leominster, MA 01453
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