Docality.com Logo
 
Dr. Melkon  Hacobian  Md image

Dr. Melkon Hacobian Md

246 Pleasant St Suite 103
Concord NH 03301
603 246-6070
Medical School: Other - 1994
Accepts Medicare: Yes
Participates In eRX: No
Participates In PQRS: Yes
Participates In EHR: Yes
License #:
NPI: 1174539415
Taxonomy Codes:
207R00000X

Request Appointment Information

Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Melkon Hacobian is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:93351 Description:Stress tte complete Average Price:$773.78 Average Price Allowed
By Medicare:
$88.39
HCPCS Code:99291 Description:Critical care first hour Average Price:$726.27 Average Price Allowed
By Medicare:
$217.85
HCPCS Code:99223 Description:Initial hospital care Average Price:$546.18 Average Price Allowed
By Medicare:
$196.38
HCPCS Code:99222 Description:Initial hospital care Average Price:$480.11 Average Price Allowed
By Medicare:
$133.66
HCPCS Code:93306 Description:Tte w/doppler complete Average Price:$356.09 Average Price Allowed
By Medicare:
$65.32
HCPCS Code:93312 Description:Echo transesophageal Average Price:$338.29 Average Price Allowed
By Medicare:
$107.14
HCPCS Code:99215 Description:Office/outpatient visit est Average Price:$311.33 Average Price Allowed
By Medicare:
$107.90
HCPCS Code:99233 Description:Subsequent hospital care Average Price:$252.08 Average Price Allowed
By Medicare:
$100.73
HCPCS Code:99204 Description:Office/outpatient visit new Average Price:$278.75 Average Price Allowed
By Medicare:
$127.47
HCPCS Code:78452 Description:Ht muscle image spect mult Average Price:$226.50 Average Price Allowed
By Medicare:
$77.21
HCPCS Code:93308 Description:Tte f-up or lmtd Average Price:$142.75 Average Price Allowed
By Medicare:
$26.15
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$175.65 Average Price Allowed
By Medicare:
$70.26
HCPCS Code:93227 Description:Ecg monit/reprt up to 48 hrs Average Price:$101.55 Average Price Allowed
By Medicare:
$26.88
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$125.65 Average Price Allowed
By Medicare:
$76.73
HCPCS Code:93010 Description:Electrocardiogram report Average Price:$46.68 Average Price Allowed
By Medicare:
$8.57
HCPCS Code:93321 Description:Doppler echo exam heart Average Price:$41.95 Average Price Allowed
By Medicare:
$7.53
HCPCS Code:93325 Description:Doppler color flow add-on Average Price:$29.60 Average Price Allowed
By Medicare:
$3.74
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$63.13 Average Price Allowed
By Medicare:
$49.99

HCPCS Code Definitions

99291
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes
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.
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.
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.
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.
93321
Doppler echocardiography, pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging)
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.
93312
Echocardiography, transesophageal, real-time with image documentation (2D) (with or without M-mode recording); including probe placement, image acquisition, interpretation and report
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.
93325
Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography)
93351
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, during rest and cardiovascular stress test using treadmill, bicycle exercise and/or pharmacologically induced stress, with interpretation and report; including performance of continuous electrocardiographic monitoring, with supervision by a physician or other qualified health care professional
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.
93010
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
93227
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional
78452
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection
93308
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, follow-up or limited study
93306
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1821030511
Internal Medicine
1,916
1891736609
Internal Medicine
1,427
1548282569
Cardiovascular Disease (Cardiology)
1,261
1588692941
Cardiovascular Disease (Cardiology)
1,019
1437192002
Family Practice
972
1396758827
Internal Medicine
960
1407800253
Diagnostic Radiology
942
1144266594
Family Practice
911
1003889759
Diagnostic Radiology
893
1548293061
Cardiovascular Disease (Cardiology)
885
*These referrals represent the top 10 that Dr. Hacobian has made to other doctors

Publications

Geriatric experience following cardiac arrest at six interventional cardiology centers in the United States 2006-2011: interplay of age, do-not-resuscitate order, and outcomes. - Critical care medicine
It is not known if aggressive postresuscitation care, including therapeutic hypothermia and percutaneous coronary intervention, benefits cardiac arrest survivors more than 75 years old. We compared treatments and outcomes of patients at six regional percutaneous coronary intervention centers in the United States to determine if aggressive care of elderly patients was warranted.Retrospective evaluation of registry data.Six interventional cardiology centers in the United States.Six hundred and twenty-five unresponsive cardiac arrest survivors aged 18-75 were compared with 129 similar patients aged more than 75.None.Cardiac arrest survivors aged more than 75 had more comorbidities (3.0 ± 1.6 vs 2.0 ± 1.6, p < 0.001), but were matched to younger patients in initial heart rhythm, witnessed arrests, bystander cardiopulmonary resuscitation, and total ischemic time. Patients aged more than 75 frequently underwent therapeutic hypothermia (97.7%), urgent coronary angiography (44.2%), and urgent percutaneous coronary intervention (24%). They had more sustained hyperglycemia (70.5% vs 59%, p = 0.015), less postcooling fever (25.2% vs 35.2%, p = 0.03), were more likely to have do-not-resuscitate orders (65.9% vs 48.2%, p < 0.001), and undergo withdrawal of life support (61.2% vs 47.5%, p = 0.005). Good functional outcome at 6 months (Cerebral Performance Category 1-2) was seen in 27.9% elderly versus 40.4% younger patients overall (p = 0.01) and in 44% versus 55% (p = 0.13) of patients with an initial shockable rhythm. Of 35 survivors more than 75 years old, 33 (94.8%) were classified as Cerebral Performance Category 1 or 2 at (mean) 6.5-month follow-up. In multivariable logistic regression modeling, age more than 75 was significantly associated with outcome only when the presence of a do-not-resuscitate order was excluded from the model.Elderly patients were more likely to have do-not-resuscitate orders and to undergo withdrawal of life support. Age was independently associated with outcome only when correction for do-not-resuscitate status was excluded, and functional outcomes of elderly survivors were similar to younger patients. Exclusion of patients more than 75 years old from aggressive care is not warranted on the basis of age alone.
Once daily enoxaparin for outpatient treatment of acute venous thromboembolism: a case-control study. - Clinical and applied thrombosis/hemostasis : official journal of the International Academy of Clinical and Applied Thrombosis/Hemostasis
We studied the efficacy and safety of an investigational enoxaparin regimen, 1.5 mg/kg once daily, as a bridge to warfarin for the outpatient treatment of acute venous thromboembolism. We undertook a case-control design. We enrolled 40 acute venous thromboembolism cases prospectively and matched them by age, gender, and location of venous thromboembolism to 80 previously treated controls. All controls had received enoxaparin 1 mg/kg twice daily. The primary end point was recurrent venous thromboembolism. We followed the cases for 30 days. We discontinued enoxaparin after we achieved the target international normalized ratio between 2.0 and 3.0. One case (2.9%) and three controls (3.8%) had recurrent venous thromboembolic events (P = 1.00). There were no major bleeding complications in the case group, compared to 3 (3.8%) in the control group (P = .55). Once daily enoxaparin, 1.5 mg/kg, as a bridge to warfarin was as effective with a similar safety profile as twice daily enoxaparin, 1mg/kg, for initial treatment of acute venous thromboembolism in the outpatient setting. This case-control study provides the rationale for undertaking a randomized controlled trial comparing enoxaparin 1.5 mg/kg once daily versus enoxaparin 1.0 mg/kg twice daily as a bridge to warfarin in outpatients with acute venous thromboembolism.

Map & Directions

246 Pleasant St Suite 103 Concord, NH 03301
View Directions In Google Maps

Nearby Doctors

143 Airport Road In Care Of Grace Family Dentistry
Concord, NH 03301
603 256-6650
3 Pleasant St Ste 10
Concord, NH 03301
323 563-3277
253 Pleasant St
Concord, NH 03301
603 262-2200
2 Pillsbury St Ste 100
Concord, NH 03301
603 281-1104
250 Pleasant St
Concord, NH 03301
603 277-7000
264 Pleasant St
Concord, NH 03301
603 243-3368
35 West Street
Concord, NH 03301
603 243-3883
189 N Main St
Concord, NH 03301
603 281-1111
250 Pleasant St
Concord, NH 03301
603 277-7000
250 Pleasant St Suite 6073
Concord, NH 03301
603 277-7000