
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
*These referrals represent the top 10 that Dr. Hayes has made to other doctors
Publications
None Found