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Dr. Carlos  Marchena  Md image

Dr. Carlos Marchena Md

3170 S Professional Dr
Bay City MI 48706
989 678-8872
Medical School: Other - 1962
Accepts Medicare: Yes
Participates In eRX: Yes
Participates In PQRS: No
Participates In EHR: Yes
License #: CM040033
NPI: 1548374788
Taxonomy Codes:
207RN0300X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Carlos Marchena is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:90960 Description:Esrd srv 4 visits p mo 20+ Average Price:$425.00 Average Price Allowed
By Medicare:
$275.58
HCPCS Code:90961 Description:Esrd srv 2-3 vsts p mo 20+ Average Price:$360.00 Average Price Allowed
By Medicare:
$229.23
HCPCS Code:90962 Description:Esrd serv 1 visit p mo 20+ Average Price:$300.00 Average Price Allowed
By Medicare:
$174.19
HCPCS Code:90935 Description:Hemodialysis one evaluation Average Price:$128.64 Average Price Allowed
By Medicare:
$71.51
HCPCS Code:99205 Description:Office/outpatient visit new Average Price:$250.00 Average Price Allowed
By Medicare:
$193.75
HCPCS Code:99204 Description:Office/outpatient visit new Average Price:$200.00 Average Price Allowed
By Medicare:
$155.80
HCPCS Code:99223 Description:Initial hospital care Average Price:$235.00 Average Price Allowed
By Medicare:
$191.89
HCPCS Code:99215 Description:Office/outpatient visit est Average Price:$175.00 Average Price Allowed
By Medicare:
$135.35
HCPCS Code:99203 Description:Office/outpatient visit new Average Price:$135.00 Average Price Allowed
By Medicare:
$101.50
HCPCS Code:99222 Description:Initial hospital care Average Price:$160.00 Average Price Allowed
By Medicare:
$130.77
HCPCS Code:99233 Description:Subsequent hospital care Average Price:$125.00 Average Price Allowed
By Medicare:
$98.20
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$125.00 Average Price Allowed
By Medicare:
$100.58
HCPCS Code:99221 Description:Initial hospital care Average Price:$120.00 Average Price Allowed
By Medicare:
$96.72
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$85.00 Average Price Allowed
By Medicare:
$67.92
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$85.00 Average Price Allowed
By Medicare:
$68.44
HCPCS Code:99231 Description:Subsequent hospital care Average Price:$50.00 Average Price Allowed
By Medicare:
$37.43

HCPCS Code Definitions

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.
90960
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month
90962
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month
90935
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional
90961
End-stage renal disease (ESRD) related services monthly, for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.
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.

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1861572000
Vascular Surgery
30,300
1558355446
Internal Medicine
5,850
1548279763
Diagnostic Radiology
4,609
1356370944
Internal Medicine
4,370
1801805023
Diagnostic Radiology
4,172
1720052020
Internal Medicine
3,474
1326019662
Diagnostic Radiology
3,297
1336199975
Infectious Disease
3,164
1831151802
Diagnostic Radiology
2,837
1144268947
Internal Medicine
2,665
*These referrals represent the top 10 that Dr. Marchena has made to other doctors

Publications

None Found

Map & Directions

3170 S Professional Dr Bay City, MI 48706
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