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Dr. David  Frager  Md image

Dr. David Frager Md

1111 Amsterdam Ave
New York NY 10025
212 234-4272
Medical School: Other - 1979
Accepts Medicare: Yes
Participates In eRX: No
Participates In PQRS: Yes
Participates In EHR: No
License #: 137887
NPI: 1306878939
Taxonomy Codes:
2085R0202X 2085R0205X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:74183 Description:Mri abdomen w/o & w/dye Average Price:$1,800.00 Average Price Allowed
By Medicare:
$740.71
HCPCS Code:71260 Description:Ct thorax w/dye Average Price:$650.00 Average Price Allowed
By Medicare:
$336.22
HCPCS Code:71250 Description:Ct thorax w/o dye Average Price:$500.00 Average Price Allowed
By Medicare:
$270.84
HCPCS Code:74183 Description:Mri abdomen w/o & w/dye Average Price:$300.00 Average Price Allowed
By Medicare:
$120.11
HCPCS Code:71250 Description:Ct thorax w/o dye Average Price:$150.00 Average Price Allowed
By Medicare:
$53.60
HCPCS Code:71260 Description:Ct thorax w/dye Average Price:$150.00 Average Price Allowed
By Medicare:
$63.12
HCPCS Code:73565 Description:X-ray exam of knees Average Price:$125.00 Average Price Allowed
By Medicare:
$41.89
HCPCS Code:72100 Description:X-ray exam of lower spine Average Price:$120.00 Average Price Allowed
By Medicare:
$43.30
HCPCS Code:71275 Description:Ct angiography chest Average Price:$175.00 Average Price Allowed
By Medicare:
$102.64
HCPCS Code:73510 Description:X-ray exam of hip Average Price:$106.50 Average Price Allowed
By Medicare:
$44.42
HCPCS Code:73110 Description:X-ray exam of wrist Average Price:$100.00 Average Price Allowed
By Medicare:
$38.05
HCPCS Code:74176 Description:Ct abd & pelvis Average Price:$150.00 Average Price Allowed
By Medicare:
$91.35
HCPCS Code:73564 Description:X-ray exam knee 4 or more Average Price:$70.00 Average Price Allowed
By Medicare:
$11.69
HCPCS Code:73590 Description:X-ray exam of lower leg Average Price:$65.00 Average Price Allowed
By Medicare:
$9.35
HCPCS Code:74177 Description:Ct abd & pelv w/contrast Average Price:$150.00 Average Price Allowed
By Medicare:
$94.78
HCPCS Code:73030 Description:X-ray exam of shoulder Average Price:$82.50 Average Price Allowed
By Medicare:
$31.79
HCPCS Code:73560 Description:X-ray exam of knee 1 or 2 Average Price:$79.79 Average Price Allowed
By Medicare:
$34.03
HCPCS Code:73630 Description:X-ray exam of foot Average Price:$71.67 Average Price Allowed
By Medicare:
$26.36
HCPCS Code:71020 Description:Chest x-ray Average Price:$73.30 Average Price Allowed
By Medicare:
$29.76
HCPCS Code:73090 Description:X-ray exam of forearm Average Price:$50.00 Average Price Allowed
By Medicare:
$8.59
HCPCS Code:73630 Description:X-ray exam of foot Average Price:$50.00 Average Price Allowed
By Medicare:
$8.95
HCPCS Code:73610 Description:X-ray exam of ankle Average Price:$50.00 Average Price Allowed
By Medicare:
$9.17
HCPCS Code:73130 Description:X-ray exam of hand Average Price:$50.00 Average Price Allowed
By Medicare:
$9.35
HCPCS Code:73110 Description:X-ray exam of wrist Average Price:$50.00 Average Price Allowed
By Medicare:
$9.35
HCPCS Code:73080 Description:X-ray exam of elbow Average Price:$50.00 Average Price Allowed
By Medicare:
$9.35
HCPCS Code:73550 Description:X-ray exam of thigh Average Price:$50.00 Average Price Allowed
By Medicare:
$10.21
HCPCS Code:72100 Description:X-ray exam of lower spine Average Price:$50.00 Average Price Allowed
By Medicare:
$12.81
HCPCS Code:74020 Description:X-ray exam of abdomen Average Price:$50.00 Average Price Allowed
By Medicare:
$13.03
HCPCS Code:71110 Description:X-ray exam of ribs Average Price:$50.00 Average Price Allowed
By Medicare:
$13.85
HCPCS Code:76000 Description:Fluoroscope examination Average Price:$40.00 Average Price Allowed
By Medicare:
$9.35
HCPCS Code:71100 Description:X-ray exam of ribs Average Price:$40.00 Average Price Allowed
By Medicare:
$11.94
HCPCS Code:74010 Description:X-ray exam of abdomen Average Price:$40.00 Average Price Allowed
By Medicare:
$12.31
HCPCS Code:73510 Description:X-ray exam of hip Average Price:$40.00 Average Price Allowed
By Medicare:
$12.33
HCPCS Code:72170 Description:X-ray exam of pelvis Average Price:$35.00 Average Price Allowed
By Medicare:
$10.21
HCPCS Code:73560 Description:X-ray exam of knee 1 or 2 Average Price:$35.00 Average Price Allowed
By Medicare:
$10.61
HCPCS Code:73562 Description:X-ray exam of knee 3 Average Price:$35.00 Average Price Allowed
By Medicare:
$10.97
HCPCS Code:73060 Description:X-ray exam of humerus Average Price:$33.00 Average Price Allowed
By Medicare:
$9.35
HCPCS Code:72220 Description:X-ray exam of tailbone Average Price:$33.00 Average Price Allowed
By Medicare:
$9.35
HCPCS Code:71020 Description:Chest x-ray Average Price:$35.00 Average Price Allowed
By Medicare:
$11.54
HCPCS Code:71010 Description:Chest x-ray Average Price:$25.00 Average Price Allowed
By Medicare:
$9.71
HCPCS Code:74000 Description:X-ray exam of abdomen Average Price:$25.00 Average Price Allowed
By Medicare:
$9.71
HCPCS Code:73030 Description:X-ray exam of shoulder Average Price:$25.00 Average Price Allowed
By Medicare:
$10.97
HCPCS Code:A9579 Description:Gad-base MR contrast NOS,1ml Average Price:$8.00 Average Price Allowed
By Medicare:
$1.85
HCPCS Code:Q9967 Description:LOCM 300-399mg/ml iodine,1ml Average Price:$1.00 Average Price Allowed
By Medicare:
$0.14

HCPCS Code Definitions

74176
Computed tomography, abdomen and pelvis; without contrast material
74183
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences
74010
Radiologic examination, abdomen; anteroposterior and additional oblique and cone views
73630
Radiologic examination, foot; complete, minimum of 3 views
73510
Radiologic examination, hip, unilateral; complete, minimum of 2 views
71020
Radiologic examination, chest, 2 views, frontal and lateral
73610
Radiologic examination, ankle; complete, minimum of 3 views
71010
Radiologic examination, chest; single view, frontal
74000
Radiologic examination, abdomen; single anteroposterior view
73630
Radiologic examination, foot; complete, minimum of 3 views
74177
Computed tomography, abdomen and pelvis; with contrast material(s)
74020
Radiologic examination, abdomen; complete, including decubitus and/or erect views
71110
Radiologic examination, ribs, bilateral; 3 views
71260
Computed tomography, thorax; with contrast material(s)
71100
Radiologic examination, ribs, unilateral; 2 views
71020
Radiologic examination, chest, 2 views, frontal and lateral
73510
Radiologic examination, hip, unilateral; complete, minimum of 2 views
71250
Computed tomography, thorax; without contrast material
71250
Computed tomography, thorax; without contrast material
76000
Fluoroscopy (separate procedure), up to 1 hour physician or other qualified health care professional time, other than 71023 or 71034 (eg, cardiac fluoroscopy)
74183
Magnetic resonance (eg, proton) imaging, abdomen; without contrast material(s), followed by with contrast material(s) and further sequences
73130
Radiologic examination, hand; minimum of 3 views
A9579
Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml
73110
Radiologic examination, wrist; complete, minimum of 3 views
Q9967
Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml
73060
Radiologic examination; humerus, minimum of 2 views
71275
Computed tomographic angiography, chest (noncoronary), with contrast material(s), including noncontrast images, if performed, and image postprocessing
71260
Computed tomography, thorax; with contrast material(s)
72100
Radiologic examination, spine, lumbosacral; 2 or 3 views
72170
Radiologic examination, pelvis; 1 or 2 views
72100
Radiologic examination, spine, lumbosacral; 2 or 3 views
72220
Radiologic examination, sacrum and coccyx, minimum of 2 views
73090
Radiologic examination; forearm, 2 views
73030
Radiologic examination, shoulder; complete, minimum of 2 views
73030
Radiologic examination, shoulder; complete, minimum of 2 views
73080
Radiologic examination, elbow; complete, minimum of 3 views
73110
Radiologic examination, wrist; complete, minimum of 3 views
73590
Radiologic examination; tibia and fibula, 2 views
73550
Radiologic examination, femur, 2 views
73565
Radiologic examination, knee; both knees, standing, anteroposterior
73562
Radiologic examination, knee; 3 views
73564
Radiologic examination, knee; complete, 4 or more views
73560
Radiologic examination, knee; 1 or 2 views
73560
Radiologic examination, knee; 1 or 2 views

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1457381592
Diagnostic Radiology
3,886
1962474742
Critical Care (Intensivists)
3,665
1578557179
Cardiovascular Disease (Cardiology)
2,882
1376574939
Diagnostic Radiology
2,719
1720071509
Nephrology
2,464
1588644991
Internal Medicine
2,302
1215984042
Diagnostic Radiology
2,135
1245201748
Internal Medicine
1,843
1205829017
Pulmonary Disease
1,609
1699768408
Pulmonary Disease
1,233
*These referrals represent the top 10 that Dr. Frager has made to other doctors

Publications

Nongynecological endometriosis presenting as an acute abdomen. - Emergency radiology
Endometriosis is a highly prevalent disease that affects up to 10 % of menstruating women. Patients commonly present with pelvic pain or infertility, although the range of clinical symptoms varies widely. Affected women may be asymptomatic or experience mild, moderate, or severe pain that fluctuates with hormonal cycles. Patients who suffer extreme pain may seek immediate care and present to the emergency department with clinical signs of an acute abdomen. In the case of patients without a prior history of endometriosis, the differential diagnosis is broad and making the correct clinical and radiologic diagnosis in the emergency setting can be challenging. In some cases, the diagnosis is only made after surgical or histopathological analysis. Prompt and accurate clinical and radiological evaluation is necessary because complications of endometriosis, such as bowel obstruction and appendicitis, may require immediate surgical intervention. This pictorial essay analyzes nongynecological manifestations of endometriosis that may have a clinical presentation of an acute abdominal emergency. Atypical clinical presentations and unusual sites and complications of endometriosis are discussed, as well as the differential diagnostic considerations. The radiologic features of endometriosis are shown on multiple modalities, including computed tomography, magnetic resonance imaging, and ultrasound.
Internal hernia complications of gastric bypass surgery in the acute setting: spectrum of imaging findings. - Emergency radiology
Bariatric surgery is increasingly becoming an option for the treatment of morbid obesity. Patients who have undergone gastric bypass surgery have varied post-surgical complications which present acutely in the emergency medical setting, particularly internal hernias. It may be difficult to identify an internal hernia in the absence of intestinal obstruction. This article will review the various types of imaging presentations to highlight the complexity of making a radiographic diagnosis. Recognition of internal hernia as the cause of intermittent or acute abdominal pain symptoms in these patients in the emergency setting can prompt immediate surgical intervention, thus avoiding life-threatening outcomes.
Cost-effectiveness and patient tolerance of low-attenuation oral contrast material: milk versus VoLumen. - AJR. American journal of roentgenology
The purpose of our study was to prospectively compare the cost, effectiveness, and patient tolerance of milk and VoLumen, a 0.1% barium suspension, in patients undergoing abdominal and pelvic CT with oral and i.v. contrast media.Two hundred fifteen consecutive outpatients were randomly assigned to receive either whole milk (n = 115) or VoLumen (n = 100). Results were independently reviewed by two radiologists who were blinded to the oral contrast agent used. Degree of bowel distention was qualitatively scored on a 4-point scale, and bowel wall visibility was graded qualitatively on a yes-or-no basis. A questionnaire regarding oral contrast tolerability was provided to each patient. Cost comparison of the two agents was performed.No statistically significant differences were seen between whole milk and VoLumen with respect to degree of bowel distention and mural visualization for all segments of bowel studied (p > 0.05 for both reviewers). Significantly more patients ranked milk as pleasant in taste compared with VoLumen (p < 0.0001). More patients preferred milk compared with VoLumen (p < 0.0001). Milk was better tolerated than VoLumen, with fewer abdominal side effects, including abdominal discomfort (p = 0.019), cramping (p = 0.019), nausea (p = 0.016), and diarrhea (p = 0.0002). The cost per patient for VoLumen is $18 compared with $1.48 for milk.Whole milk is comparable to VoLumen with respect to bowel distention and bowel wall visualization and has a lower cost, better patient acceptance, and fewer adverse symptoms. Milk is a cost-effective alternative to VoLumen as a low-attenuation oral contrast agent.
Biweekly low-dose sequential gemcitabine, 5-fluorouracil, leucovorin, and cisplatin (GFP): a highly active novel therapy for metastatic adenocarcinoma of the exocrine pancreas. - Cancer investigation
Phase II studies have suggested an improved response rate and acceptable toxicity profile associated with gemcitabine combinations compared to gemcitabine alone for treatment of metastatic adenocarcinoma of the pancreas. The GFP regimen (gemcitabine, 5-fluorouracil, leucovorin, and cisplatin) is based on laboratory evidence of disease-specific chemotherapy interaction. This retrospective analysis examined the outcome of 49 consecutive patients with histologically confirmed metastatic pancreatic adenocarcinoma treated between July 1998 and September 2000. Day 1 treatment consisted of gemcitabine 500 mg/m2 over 30 minutes and then leucovorin 300 mg bolus, 5-fluorouracil (5-FU) 400 mg/m2 bolus, followed by infusional 5-FU 600 mg/m2 over 8 hours. Day 2 consisted of leucovorin 300 mg bolus, 5-FU 400 mg/m2 bolus, followed by cisplatin 50-75 mg/m2 over 30 minutes and then infusional 5-FU 600 mg/m2 over 8 hours. Treatment was administered every 2 weeks. Median patient age was 61.5 years, 74% were men, and 20 patients had refractory disease (11 patients had disease progression upon gemcitabine-based therapy). Grade 3-4 toxic effects (% patients) consisted of neutropenia (30%), thrombocytopenia (14%), anemia (8%), and neutropenic fever (2%). Grade 3-4 nonhematological toxicities (% patients) consisted of neuropathy (14%), ototoxicity (8%), nephrotoxicity (6%), nausea/vomiting (14%), and mucositis (10%). The majority of dose reductions were made for neuropathy or cytopenias. Filgrastim and erythropoietin were given as needed to promote dose intensity. Eight patients attained a partial response (PR) by RECIST criteria. Fourteen had stable disease (SD). Two patients attaining PR and two attaining SD had progressive disease with prior gemcitabine-based therapy. The median time to disease progression (TTP) from GFP start was 9 weeks. For all 49 patients, the median overall survival (OS) from GFP start was 10.6 months, 12-month survival was 46%, and 24-month survival was 30%. Notably, upon disease progression, 31 patients continued to receive the GFP regimen with irinotecan 80 mg/m2 inserted on day 1 following gemcitabine, the G-FLIP regimen (gemcitabine, 5-fluorouracil, leucovorin, irinotecan, and cisplatin). Measured from G-FLIP initiation, the TTP for the 31 patients treated sequentially was 10 weeks, and for the 14 patients attaining SD or PR the TTP was 25 weeks. The median overall survival measured from GFP initiation was 11.8 months. The response rate, non-cross resistance, TTP, OS, and tolerability warrant prospective development of this novel combination. This experience also demonstrates that adding a single new drug such as irinotecan to the same first-line chemotherapy combination upon disease progression may be an important alternative for the treatment of relapsed/resistant cancer.
Intestinal obstruction role of CT. - Gastroenterology clinics of North America
CT has significantly advanced the evaluation of small and large bowel obstruction, especially in the acute situation where high-grade or possibly strangulating obstruction is being encountered. Any physician involved in evaluating patients with bowel distention and abdominal pain where obstruction becomes a distinct diagnostic possibility should be aware of the attributes and limitations of this modality to provide the best patient care. New technological advances will hopefully limit radiation exposure and provide even more definitive information in the diagnosis of bowel obstruction.

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1111 Amsterdam Ave New York, NY 10025
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