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Dr. Michael James Hayes  Md image

Dr. Michael James Hayes Md

980 S Prospect St Suite 1
Marion OH 43302
740 876-6400
Medical School: Michigan State University College Of Human Medicine - 1980
Accepts Medicare: Yes
Participates In eRX: Yes
Participates In PQRS: No
Participates In EHR: No
License #: 35049227H
NPI: 1174587943
Taxonomy Codes:
207R00000X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Michael James Hayes is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:99231 Description:Subsequent hospital care Average Price:$76.00 Average Price Allowed
By Medicare:
$37.76
HCPCS Code:99222 Description:Initial hospital care Average Price:$162.37 Average Price Allowed
By Medicare:
$131.48
HCPCS Code:99238 Description:Hospital discharge day Average Price:$89.21 Average Price Allowed
By Medicare:
$68.61
HCPCS Code:93017 Description:Cardiovascular stress test Average Price:$67.53 Average Price Allowed
By Medicare:
$47.75
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$86.81 Average Price Allowed
By Medicare:
$68.99
HCPCS Code:99219 Description:Initial observation care Average Price:$142.86 Average Price Allowed
By Medicare:
$125.73
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$115.00 Average Price Allowed
By Medicare:
$101.34
HCPCS Code:99218 Description:Initial observation care Average Price:$102.64 Average Price Allowed
By Medicare:
$90.17
HCPCS Code:99217 Description:Observation care discharge Average Price:$81.49 Average Price Allowed
By Medicare:
$69.03
HCPCS Code:99221 Description:Initial hospital care Average Price:$110.27 Average Price Allowed
By Medicare:
$97.88
HCPCS Code:93018 Description:Cardiovascular stress test Average Price:$24.87 Average Price Allowed
By Medicare:
$14.74
HCPCS Code:93016 Description:Cardiovascular stress test Average Price:$31.33 Average Price Allowed
By Medicare:
$21.73
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$77.26 Average Price Allowed
By Medicare:
$68.47
HCPCS Code:93005 Description:Electrocardiogram tracing Average Price:$18.59 Average Price Allowed
By Medicare:
$9.89
HCPCS Code:99212 Description:Office/outpatient visit est Average Price:$46.26 Average Price Allowed
By Medicare:
$41.06
HCPCS Code:99307 Description:Nursing fac care subseq Average Price:$46.86 Average Price Allowed
By Medicare:
$41.76
HCPCS Code:99224 Description:Subsequent observation care Average Price:$40.74 Average Price Allowed
By Medicare:
$37.05
HCPCS Code:96372 Description:Ther/proph/diag inj sc/im Average Price:$26.34 Average Price Allowed
By Medicare:
$22.93
HCPCS Code:J1030 Description:Methylprednisolone 40 MG inj Average Price:$6.97 Average Price Allowed
By Medicare:
$3.59
HCPCS Code:93010 Description:Electrocardiogram report Average Price:$11.67 Average Price Allowed
By Medicare:
$8.42
HCPCS Code:Q2038 Description:Fluzone vacc, 3 yrs & >, im Average Price:$13.13 Average Price Allowed
By Medicare:
$12.05
HCPCS Code:J3420 Description:Vitamin b12 injection Average Price:$1.07 Average Price Allowed
By Medicare:
$0.51
HCPCS Code:90732 Description:Pneumococcal vaccine Average Price:$62.31 Average Price Allowed
By Medicare:
$62.18
HCPCS Code:90471 Description:Immunization admin Average Price:$23.00 Average Price Allowed
By Medicare:
$22.93
HCPCS Code:G0009 Description:Admin pneumococcal vaccine Average Price:$23.00 Average Price Allowed
By Medicare:
$22.93
HCPCS Code:G0008 Description:Admin influenza virus vac Average Price:$23.00 Average Price Allowed
By Medicare:
$22.93

HCPCS Code Definitions

93010
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
93005
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report
93016
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; supervision only, without interpretation and report
93017
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; tracing only, without interpretation and report
93018
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report only
96372
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); subcutaneous or intramuscular
J3420
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
Q2038
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone)
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.
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.
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.
99218
Initial observation care, per day, for the evaluation and management of a patient which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and 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 problem(s) requiring admission to "observation status" are of low severity. Typically, 30 minutes are spent at the bedside and on the patient's hospital floor or unit.
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.
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.])
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.
99221
Initial hospital care, per day, for the evaluation and management of a patient, which requires these 3 key components: A detailed or comprehensive history; A detailed or comprehensive examination; and 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 problem(s) requiring admission are of low severity. Typically, 30 minutes are spent at the bedside and on the patient's hospital floor or unit.
J1030
Injection, methylprednisolone acetate, 40 mg
90471
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid)
99238
Hospital discharge day management; 30 minutes or less
G0009
Administration of pneumococcal vaccine
99307
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 problem focused interval 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 patient is stable, recovering, or improving. Typically, 10 minutes are spent at the bedside and on the patient's facility floor or unit.
G0008
Administration of influenza virus vaccine
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.
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.
99224
Subsequent observation care, per day, for the evaluation and management of a patient, which requires at least 2 of these 3 key components: Problem focused interval history; 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.

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1851343321
Pulmonary Disease
18,970
1376591875
Diagnostic Radiology
14,721
1013965532
Internal Medicine
14,470
1891737714
Diagnostic Radiology
13,720
1316987605
Medical Oncology
12,601
1699727313
Diagnostic Radiology
12,550
1235197799
General Surgery
9,151
1942268214
Nephrology
7,250
1881645315
Nephrology
7,236
1306804349
Cardiovascular Disease (Cardiology)
6,657
*These referrals represent the top 10 that Dr. Hayes has made to other doctors

Publications

None Found

Map & Directions

980 S Prospect St Suite 1 Marion, OH 43302
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