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Dr. John M Dalena  Md image

Dr. John M Dalena Md

65 Ridgedale Ave
Cedar Knolls NJ 07927
973 010-0500
Medical School: Umdnj-New Jersey Medical School - 1985
Accepts Medicare: Yes
Participates In eRX: No
Participates In PQRS: No
Participates In EHR: No
License #: MA049037
NPI: 1215944582
Taxonomy Codes:
174400000X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. John M Dalena is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:43246 Description:Place gastrostomy tube Average Price:$1,150.00 Average Price Allowed
By Medicare:
$273.31
HCPCS Code:45385 Description:Lesion removal colonoscopy Average Price:$1,200.00 Average Price Allowed
By Medicare:
$341.53
HCPCS Code:45380 Description:Colonoscopy and biopsy Average Price:$1,000.00 Average Price Allowed
By Medicare:
$211.75
HCPCS Code:45378 Description:Diagnostic colonoscopy Average Price:$894.45 Average Price Allowed
By Medicare:
$238.26
HCPCS Code:43239 Description:Upper gi endoscopy biopsy Average Price:$745.78 Average Price Allowed
By Medicare:
$147.37
HCPCS Code:43235 Description:Uppr gi endoscopy diagnosis Average Price:$638.08 Average Price Allowed
By Medicare:
$149.80
HCPCS Code:G0121 Description:Colon ca scrn not hi rsk ind Average Price:$502.73 Average Price Allowed
By Medicare:
$240.92
HCPCS Code:G0105 Description:Colorectal scrn; hi risk ind Average Price:$502.73 Average Price Allowed
By Medicare:
$240.92
HCPCS Code:99205 Description:Office/outpatient visit new Average Price:$370.00 Average Price Allowed
By Medicare:
$219.94
HCPCS Code:99204 Description:Office/outpatient visit new Average Price:$292.83 Average Price Allowed
By Medicare:
$177.69
HCPCS Code:99223 Description:Initial hospital care Average Price:$325.00 Average Price Allowed
By Medicare:
$211.67
HCPCS Code:99215 Description:Office/outpatient visit est Average Price:$260.00 Average Price Allowed
By Medicare:
$155.04
HCPCS Code:99222 Description:Initial hospital care Average Price:$235.00 Average Price Allowed
By Medicare:
$144.17
HCPCS Code:99203 Description:Office/outpatient visit new Average Price:$206.62 Average Price Allowed
By Medicare:
$117.20
HCPCS Code:99202 Description:Office/outpatient visit new Average Price:$140.00 Average Price Allowed
By Medicare:
$81.15
HCPCS Code:99233 Description:Subsequent hospital care Average Price:$165.00 Average Price Allowed
By Medicare:
$108.44
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$165.00 Average Price Allowed
By Medicare:
$115.80
HCPCS Code:99231 Description:Subsequent hospital care Average Price:$85.00 Average Price Allowed
By Medicare:
$41.30
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$115.00 Average Price Allowed
By Medicare:
$75.65
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$115.08 Average Price Allowed
By Medicare:
$78.54
HCPCS Code:99212 Description:Office/outpatient visit est Average Price:$79.48 Average Price Allowed
By Medicare:
$47.86

HCPCS Code Definitions

99202
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded 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 of low to moderate severity. Typically, 20 minutes are spent face-to-face with the patient and/or family.
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.
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.
45380
Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple
45378
Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression (separate procedure)
45385
Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
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.
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.
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.
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.
G0121
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk
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.
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.
G0105
Colorectal cancer screening; colonoscopy on individual at high risk
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.
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.
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.
43246
Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube
43239
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple
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.
43235
Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1699751388
Cardiovascular Disease (Cardiology)
699
1114942075
Internal Medicine
691
1245230804
Cardiovascular Disease (Cardiology)
584
1699872788
Diagnostic Radiology
566
1710077573
Diagnostic Radiology
556
1194815068
Diagnostic Radiology
532
1194866194
Internal Medicine
505
1437146560
Ophthalmology
406
1598862617
Diagnostic Radiology
405
1700862919
Cardiovascular Disease (Cardiology)
374
*These referrals represent the top 10 that Dr. Dalena has made to other doctors

Publications

None Found

Map & Directions

65 Ridgedale Ave Cedar Knolls, NJ 07927
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