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Dr. Jose  Vale  Md image

Dr. Jose Vale Md

1040 Delaware Avenue
Marion OH 43301
740 837-7950
Medical School: Other - 1987
Accepts Medicare: Yes
Participates In eRX: Yes
Participates In PQRS: No
Participates In EHR: Yes
License #: 35064214V
NPI: 1235197799
Taxonomy Codes:
208600000X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Jose Vale is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:35476 Description:Repair venous blockage Average Price:$1,686.85 Average Price Allowed
By Medicare:
$298.16
HCPCS Code:36005 Description:Injection ext venography Average Price:$324.30 Average Price Allowed
By Medicare:
$62.83
HCPCS Code:45380 Description:Colonoscopy and biopsy Average Price:$461.16 Average Price Allowed
By Medicare:
$236.29
HCPCS Code:45385 Description:Lesion removal colonoscopy Average Price:$531.23 Average Price Allowed
By Medicare:
$311.66
HCPCS Code:43235 Description:Uppr gi endoscopy diagnosis Average Price:$309.79 Average Price Allowed
By Medicare:
$123.34
HCPCS Code:43239 Description:Upper gi endoscopy biopsy Average Price:$333.06 Average Price Allowed
By Medicare:
$148.27
HCPCS Code:45378 Description:Diagnostic colonoscopy Average Price:$391.84 Average Price Allowed
By Medicare:
$213.54
HCPCS Code:36147 Description:Access av dial grft for eval Average Price:$291.37 Average Price Allowed
By Medicare:
$122.95
HCPCS Code:36558 Description:Insert tunneled cv cath Average Price:$381.38 Average Price Allowed
By Medicare:
$278.80
HCPCS Code:36556 Description:Insert non-tunnel cv cath Average Price:$179.40 Average Price Allowed
By Medicare:
$123.10
HCPCS Code:93925 Description:Lower extremity study Average Price:$76.89 Average Price Allowed
By Medicare:
$28.06
HCPCS Code:99203 Description:Office/outpatient visit new Average Price:$140.02 Average Price Allowed
By Medicare:
$102.52
HCPCS Code:93922 Description:Upr/l xtremity art 2 levels Average Price:$45.30 Average Price Allowed
By Medicare:
$11.77
HCPCS Code:93923 Description:Upr/lxtr art stdy 3+ lvls Average Price:$51.40 Average Price Allowed
By Medicare:
$22.05
HCPCS Code:75822 Description:Vein x-ray arms/legs Average Price:$88.86 Average Price Allowed
By Medicare:
$60.33
HCPCS Code:75710 Description:Artery x-rays arm/leg Average Price:$84.76 Average Price Allowed
By Medicare:
$58.49
HCPCS Code:99221 Description:Initial hospital care Average Price:$118.82 Average Price Allowed
By Medicare:
$97.88
HCPCS Code:10060 Description:Drainage of skin abscess Average Price:$122.92 Average Price Allowed
By Medicare:
$105.39
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$84.75 Average Price Allowed
By Medicare:
$68.47
HCPCS Code:93922 Description:Upr/l xtremity art 2 levels Average Price:$28.63 Average Price Allowed
By Medicare:
$18.67
HCPCS Code:99202 Description:Office/outpatient visit new Average Price:$79.46 Average Price Allowed
By Medicare:
$70.26
HCPCS Code:75978 Description:Repair venous blockage Average Price:$33.35 Average Price Allowed
By Medicare:
$25.64
HCPCS Code:99211 Description:Office/outpatient visit est Average Price:$24.06 Average Price Allowed
By Medicare:
$18.85
HCPCS Code:99212 Description:Office/outpatient visit est Average Price:$46.04 Average Price Allowed
By Medicare:
$41.00
HCPCS Code:99201 Description:Office/outpatient visit new Average Price:$46.00 Average Price Allowed
By Medicare:
$41.06
HCPCS Code:93925 Description:Lower extremity study Average Price:$33.00 Average Price Allowed
By Medicare:
$28.06
HCPCS Code:85610 Description:Prothrombin time Average Price:$9.93 Average Price Allowed
By Medicare:
$5.56

HCPCS Code Definitions

75822
Venography, extremity, bilateral, radiological supervision and interpretation
45385
Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique
43235
Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
36558
Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older
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)
43239
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple
10060
Incision and drainage of abscess (eg, carbuncle, suppurative hidradenitis, cutaneous or subcutaneous abscess, cyst, furuncle, or paronychia); simple or single
75710
Angiography, extremity, unilateral, radiological supervision and interpretation
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.
35476
Transluminal balloon angioplasty, percutaneous; venous
36005
Injection procedure for extremity venography (including introduction of needle or intracatheter)
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.
75978
Transluminal balloon angioplasty, venous (eg, subclavian stenosis), radiological supervision and interpretation
99211
Office or other outpatient visit for the evaluation and management of an established patient, that may not require the presence of a physician or other qualified health care professional. Usually, the presenting problem(s) are minimal. Typically, 5 minutes are spent performing or supervising these services.
36147
Introduction of needle and/or catheter, arteriovenous shunt created for dialysis (graft/fistula); initial access with complete radiological evaluation of dialysis access, including fluoroscopy, image documentation and report (includes access of shunt, injection[s] of contrast, and all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava)
36556
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older
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.
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.
99201
Office or other outpatient visit for the evaluation and management of a new patient, which requires 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.
93923
Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries, 3 or more levels (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis, at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels), or single level study with provocative functional maneuvers (eg, measurements with postural provocative tests, or measurements with reactive hyperemia)
93925
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study
93922
Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)
93922
Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries, (eg, for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional, Doppler waveform recording and analysis at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels, or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with, transcutaneous oxygen tension measurement at 1-2 levels)
93925
Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1174587943
Internal Medicine
9,424
1881645315
Nephrology
7,823
1013965532
Internal Medicine
4,995
1891737714
Diagnostic Radiology
3,767
1316987605
Medical Oncology
3,664
1699727313
Diagnostic Radiology
3,638
1851343321
Pulmonary Disease
3,485
1376591875
Diagnostic Radiology
3,311
1942268214
Nephrology
2,937
1801827977
Internal Medicine
2,890
*These referrals represent the top 10 that Dr. Vale has made to other doctors

Publications

Soil charcoal as long-term pyrogenic carbon storage in Amazonian seasonal forests. - Global change biology
Forest fires (paleo + modern) have caused charcoal particles to accumulate in the soil vertical profile in Amazonia. This forest compartment is a long-term carbon reservoir with an important role in global carbon balance. Estimates of stocks remain uncertain in forests that have not been altered by deforestation but that have been impacted by understory fires and selective logging. We estimated the stock of pyrogenic carbon derived from charcoal accumulated in the soil profile of seasonal forest fragments impacted by fire and selective logging in the northern portion of Brazilian Amazonia. Sixty-nine soil cores to 1-m depth were collected in 12 forest fragments of different sizes. Charcoal stocks averaged 3.45 ± 2.17 Mg ha(-1) (2.24 ± 1.41 Mg C ha(-1) ). Pyrogenic carbon was not directly related to the size of the forest fragments. This carbon is equivalent to 1.40% (0.25% to 4.04%) of the carbon stocked in aboveground live tree biomass in these fragments. The vertical distribution of pyrogenic carbon indicates an exponential model, where the 0-30 cm depth range has 60% of the total stored. The total area of Brazil's Amazonian seasonal forests and ecotones not altered by deforestation implies 65-286 Tg of pyrogenic carbon accumulated along the soil vertical profile. This is 1.2-2.3 times the total amount of residual pyrogenic carbon formed by biomass burning worldwide in 1 year. Our analysis suggests that the accumulated charcoal in the soil vertical profile in Amazonian forests is a substantial pyrogenic carbon pool that needs to be considered in global carbon models.© 2015 John Wiley & Sons Ltd.
Neuromyelitis optica in Portugal (NEMIPORT) - A multicentre study. - Clinical neurology and neurosurgery
Neuromyelitis Optica (NMO) is an inflammatory demyelinating disease of the CNS. There have been few epidemiologic studies on NMO, none in Portugal.To analyze the clinical, biological and MRI characteristics from a cohort of Portuguese patients who fulfilled the Wingerchuk 2006 NMO/NMOSD criteria. To identify and characterize those who had concomitant autoimmune disease or circulating autoantibodies.We performed an observational, retrospective, multicenter study in 5 Hospital Centers in Portugal.Sixty-seven patients fulfilled the inclusion criteria. They were mainly Caucasian, 55 female. Median age at onset was 32.0 years and mean follow-up 7.4±6.0 years. Twenty-one patients were definite NMO and optic neuritis (ON) the most frequent initial presentation. Forty-six were classified as NMO spectrum disorders. The main subtypes were recurrent ON and single longitudinally extensive transverse myelitis. Twenty-four patients had positive AQP4-IgG. Twenty-three had other circulating autoantibodies. Fifteen out of 67 patients had concomitant autoimmune disease. There was a significant correlation between the presence of autoimmune disease and the positivity for AQP4-IgG. Five patients died, all definite NMO.This is the first study about this rare disease in Portugal. Demographic features were similar to other studies. The existence of concomitant autoimmune disease was significantly associated with seropositivity for AQP4-IgG.Copyright © 2015 Elsevier B.V. All rights reserved.
Multiple sclerosis and motherhood choice: an observational study in Portuguese women patients. - Revista de neurologia
INTRODUCTION. Multiple sclerosis (MS) is a disabling disease occurring mainly in women of childbearing age. MS may interfere with family planning and motherhood decision. AIM. To study the influence of MS diagnosis and course of the disease on motherhood decision. PATIENTS AND METHODS. The cohort of 35 to 45-year-old female patients diagnosed with MS for at least ten years was selected from six Portuguese MS centers. A structured questionnaire was applied to all patients in consecutive consultation days. Clinical records were reviewed to characterize and collect information about the disease and pregnancies. RESULTS. One hundred women were included; mean age at MS diagnosis was 26.3 ± 5.0 years; 90% of the participants presented with a relapsing-remitting MS; 57% had no pregnancies after the diagnosis. MS type and number of relapses were not significantly different between women with or without pregnancies after the diagnosis (p = 0.39 and p = 0.50, respectively). Seventy-seven percent of the patients did not have the intended number of pregnancies. Main reasons given were fear of future disability and the possibility of having relapses. Forty-three women considered that pregnancy might worsen MS. CONCLUSION. In our population, motherhood choice was unrelated to the MS type and the number of relapses. However, a relevant number of women had fewer pregnancies than those intended before MS diagnosis and believed that pregnancy could worsen the disease. An effort to better inform the patients should be made to minimize the impact of MS diagnosis on motherhood decision.
POLG1-related levodopa-responsive parkinsonism. - Clinical neurology and neurosurgery
Parkinsonian features have been described in patients with POLG1 mutations. Notwithstanding, the clinical expression has been revealed heterogeneous and the response to dopaminergic treatment has been document in few cases. We aim to describe the longitudinal clinical features and the treatment response of three unrelated patients with neurodegenerative parkinsonism, preceded by PEO and SANDO syndromes, who harbor POLG1 mutations, including two novel mutations. It was documented a sustained response to levodopa, at 3 and 8 years of follow-up of parkinsonian syndrome, and reduced striatal dopamine uptake. We review the genotypic and phenotypic spectrum of POLG1-related parkinsonism. Our observations stimulate the debate around the role of mitochondrial DNA defects in the pathogenesis of neurodegenerative parkinsonism.Copyright © 2014 Elsevier B.V. All rights reserved.
Brief cognitive assessment in the early stages of Parkinson disease. - Cognitive and behavioral neurology : official journal of the Society for Behavioral and Cognitive Neurology
Cognitive dysfunction is an integral part of the Parkinson disease (PD) symptom spectrum. Early detection of cognitive dysfunction could help to delineate prevention strategies. Our main objective was to study the validity of brief cognitive tests, the Frontal Assessment Battery (FAB) and Mini-Mental State Examination (MMSE), as cognitive screening tools for detecting global and executive cognitive deficits in early stages of PD, as compared to a healthy control population.We evaluated 75 early-stage PD patients and 45 healthy age-matched and education-matched controls with the MMSE (global test) and FAB (frontal test), and compared total and subtest scores. We evaluated PD motor function with the Unified Parkinson Disease Rating Scale Part III. We assessed the relationship between cognitive and motor variables.Frontal and global cognitive dysfunction was significantly more frequent in PD patients. PD patients scored significantly lower on FAB total and similarities, motor series, and conflicting instructions scores, and on the MMSE total, visuoconstructive, and memory scores. MMSE scores correlated significantly with Unified Parkinson Disease Rating Scale part III total score, speech, and bradykinesia scores.Early-stage PD patients present with frontal, memory, and visuoconstructive deficits in brief cognitive tests. Our results suggest that these brief bedside tests are useful for cognitive deficit screening in the early stages of PD. Our study did not account for the influence of depression in cognition. This constitutes a limitation, because many PD patients have depressive symptoms, which some studies have shown can be related to cognitive dysfunction.

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1040 Delaware Avenue Marion, OH 43301
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