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Dr. Lawrence  Tkach  Md image

Dr. Lawrence Tkach Md

770 Mason St
Vacaville CA 95688
707 545-5800
Medical School: Northwestern University Medical School - 1977
Accepts Medicare: No
Participates In eRX: No
Participates In PQRS: Yes
Participates In EHR: Yes
License #: G46691
NPI: 1164502035
Taxonomy Codes:
207X00000X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Lawrence Tkach is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:99204 Description:Office/outpatient visit new Average Price:$552.00 Average Price Allowed
By Medicare:
$178.01
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$366.40 Average Price Allowed
By Medicare:
$117.23
HCPCS Code:99203 Description:Office/outpatient visit new Average Price:$362.00 Average Price Allowed
By Medicare:
$117.96
HCPCS Code:20610 Description:Drain/inject joint/bursa Average Price:$321.66 Average Price Allowed
By Medicare:
$82.31
HCPCS Code:20550 Description:Inj tendon sheath/ligament Average Price:$236.00 Average Price Allowed
By Medicare:
$64.18
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$244.00 Average Price Allowed
By Medicare:
$79.54
HCPCS Code:99212 Description:Office/outpatient visit est Average Price:$147.00 Average Price Allowed
By Medicare:
$48.80
HCPCS Code:J3303 Description:Triamcinolone hexacetonl inj Average Price:$6.00 Average Price Allowed
By Medicare:
$1.58

HCPCS Code Definitions

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.
99213
Office or other outpatient visit for the evaluation and management of an established patient, which requires at least 2 of these 3 key components: An expanded problem focused history; An expanded problem focused examination; Medical decision making of low complexity. Counseling and 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 low to moderate severity. Typically, 15 minutes are spent face-to-face with the patient and/or family.
99212
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 problem focused history; A problem focused examination; Straightforward medical decision making. 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 self limited or minor. Typically, 10 minutes are spent face-to-face with the patient and/or family.
J3303
Injection, triamcinolone hexacetonide, per 5mg
99204
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 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, 45 minutes are spent face-to-face with the patient and/or family.
20610
Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)
20550
Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")
99203
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making 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 presenting problem(s) are of moderate severity. Typically, 30 minutes are spent face-to-face with the patient and/or family.

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1780691287
Diagnostic Radiology
1,334
1104914019
Internal Medicine
876
1033299912
Internal Medicine
635
1952346728
Diagnostic Radiology
615
1265529549
Medical Oncology
579
1457446957
Cardiovascular Disease (Cardiology)
314
1073554465
Diagnostic Radiology
295
1417960071
Cardiovascular Disease (Cardiology)
286
1265468094
Diagnostic Radiology
272
1295787455
Diagnostic Radiology
269
*These referrals represent the top 10 that Dr. Tkach has made to other doctors

Publications

Ajuga turkestanica increases Notch and Wnt signaling in aged skeletal muscle. - European review for medical and pharmacological sciences
The declining myogenic potential of aged skeletal muscle is multifactorial. Insufficient satellite cell activity is one factor in this process. Notch and Wnt signaling are involved in various biological processes including orchestrating satellite cell activity within skeletal muscle. These pathways become dysfunctional during the aging process and may contribute to the poor skeletal muscle competency. Phytoecdysteroids are natural adaptogenic compounds with demonstrated benefit on skeletal muscle.To determine the extent to which a phytoecdysteroid enriched extract from Ajuga turkestanica (ATE) affects Notch and Wnt signaling in aged skeletal muscle.Male C57BL/6 mice (20 months) were randomly assigned to Control (CT) or ATE treatment groups. Chow was supplemented with either vehicle (CT) or ATE (50 mg/kg/day) for 28 days. Following supplementation, the triceps brachii muscles were harvested and immunohistochemical analyses performed. Components of Notch or Wnt signaling were co-labelled with Pax7, a quiescent satellite cell marker.ATE supplementation significantly increased the percent of active Notch/Pax7+ nuclei (p = 0.005), Hes1/Pax7+ nuclei (p = 0.038), active B-catenin/Pax7+ nuclei (p = 0.011), and Lef1/Pax7+ nuclei (p = 0.022), compared to CT. ATE supplementation did not change the resting satellite cell number.ATE supplementation in aged mice increases Notch and Wnt signaling in triceps brachii muscle. If Notch and Wnt benefit skeletal muscle, then phytoecdysteroids may provide a protective effect and maintain the integrity of aged skeletal muscle.

Map & Directions

770 Mason St Vacaville, CA 95688
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