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Dr. George  Palomino  Md image

Dr. George Palomino Md

4411 Medical Dr Suite 300
San Antonio TX 78229
210 145-5400
Medical School: University Of Texas Medical School At San Antonio - 1997
Accepts Medicare: No
Participates In eRX: Yes
Participates In PQRS: Yes
Participates In EHR: Yes
License #: L7090
NPI: 1548211477
Taxonomy Codes:
207RC0000X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. George Palomino is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:93458 Description:L hrt artery/ventricle angio Average Price:$819.00 Average Price Allowed
By Medicare:
$301.07
HCPCS Code:99291 Description:Critical care first hour Average Price:$551.00 Average Price Allowed
By Medicare:
$210.34
HCPCS Code:99223 Description:Initial hospital care Average Price:$491.20 Average Price Allowed
By Medicare:
$188.73
HCPCS Code:99204 Description:Office/outpatient visit new Average Price:$400.00 Average Price Allowed
By Medicare:
$151.96
HCPCS Code:99215 Description:Office/outpatient visit est Average Price:$347.00 Average Price Allowed
By Medicare:
$133.41
HCPCS Code:93224 Description:Ecg monit/reprt up to 48 hrs Average Price:$261.00 Average Price Allowed
By Medicare:
$85.31
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$258.00 Average Price Allowed
By Medicare:
$99.13
HCPCS Code:99233 Description:Subsequent hospital care Average Price:$252.00 Average Price Allowed
By Medicare:
$96.83
HCPCS Code:78452 Description:Ht muscle image spect mult Average Price:$197.00 Average Price Allowed
By Medicare:
$74.52
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$176.00 Average Price Allowed
By Medicare:
$67.52
HCPCS Code:93306 Description:Tte w/doppler complete Average Price:$171.00 Average Price Allowed
By Medicare:
$62.73
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$174.00 Average Price Allowed
By Medicare:
$66.92
HCPCS Code:93016 Description:Cardiovascular stress test Average Price:$59.00 Average Price Allowed
By Medicare:
$21.49
HCPCS Code:93000 Description:Electrocardiogram complete Average Price:$50.00 Average Price Allowed
By Medicare:
$17.82
HCPCS Code:99211 Description:Office/outpatient visit est Average Price:$50.00 Average Price Allowed
By Medicare:
$18.51
HCPCS Code:93018 Description:Cardiovascular stress test Average Price:$39.00 Average Price Allowed
By Medicare:
$14.52
HCPCS Code:85610 Description:Prothrombin time Average Price:$22.00 Average Price Allowed
By Medicare:
$5.56
HCPCS Code:93010 Description:Electrocardiogram report Average Price:$8.30 Average Price Allowed
By Medicare:
$8.23

HCPCS Code Definitions

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.
93010
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only
93000
Electrocardiogram, routine ECG with at least 12 leads; with interpretation and report
93458
Catheter placement in coronary artery(s) for coronary angiography, including intraprocedural injection(s) for coronary angiography, imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography, when performed
93306
Echocardiography, transthoracic, real-time with image documentation (2D), includes M-mode recording, when performed, complete, with spectral Doppler echocardiography, and with color flow Doppler echocardiography
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
93018
Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise, continuous electrocardiographic monitoring, and/or pharmacological stress; interpretation and report only
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.
99291
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes
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.
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.
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.
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.
93224
External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording, scanning analysis with report, review and interpretation by a physician or other qualified health care professional
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.
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.
78452
Myocardial perfusion imaging, tomographic (SPECT) (including attenuation correction, qualitative or quantitative wall motion, ejection fraction by first pass or gated technique, additional quantification, when performed); multiple studies, at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1104856400
Pulmonary Disease
339
1437149630
Cardiovascular Disease (Cardiology)
304
1659373868
Internal Medicine
302
1821183559
Cardiovascular Disease (Cardiology)
270
1932137882
Pulmonary Disease
259
1912904079
Pulmonary Disease
242
1831196559
Pulmonary Disease
218
1689781668
Diagnostic Radiology
217
1396729083
Nephrology
194
1679550511
Cardiovascular Disease (Cardiology)
194
*These referrals represent the top 10 that Dr. Palomino has made to other doctors

Publications

Measurement of muon neutrino quasielastic scattering on a hydrocarbon target at Eν ~ 3.5 GeV. - Physical review letters
We report a study of ν(μ) charged-current quasielastic events in the segmented scintillator inner tracker of the MINERvA experiment running in the NuMI neutrino beam at Fermilab. The events were selected by requiring a μ- and low calorimetric recoil energy separated from the interaction vertex. We measure the flux-averaged differential cross section, dσ/dQ², and study the low energy particle content of the final state. Deviations are found between the measured dσ/dQ² and the expectations of a model of independent nucleons in a relativistic Fermi gas. We also observe an excess of energy near the vertex consistent with multiple protons in the final state.
Measurement of muon antineutrino quasielastic scattering on a hydrocarbon target at Eν ~ 3.5 GeV. - Physical review letters
We have isolated ν(μ) charged-current quasielastic (QE) interactions occurring in the segmented scintillator tracking region of the MINERvA detector running in the NuMI neutrino beam at Fermilab. We measure the flux-averaged differential cross section, dσ/dQ², and compare to several theoretical models of QE scattering. Good agreement is obtained with a model where the nucleon axial mass, M(A), is set to 0.99 GeV/c² but the nucleon vector form factors are modified to account for the observed enhancement, relative to the free nucleon case, of the cross section for the exchange of transversely polarized photons in electron-nucleus scattering. Our data at higher Q² favor this interpretation over an alternative in which the axial mass is increased.

Map & Directions

4411 Medical Dr Suite 300 San Antonio, TX 78229
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