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Dr. Seval  Gunes  Md image

Dr. Seval Gunes Md

1759 Broad Park Cir S Suite 101
Mansfield TX 76063
682 180-0682
Medical School: Other - 1989
Accepts Medicare: Yes
Participates In eRX: Yes
Participates In PQRS: No
Participates In EHR: No
License #: K3744
NPI: 1639141765
Taxonomy Codes:
207L00000X 207LP2900X 208VP0014X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Seval Gunes is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:64493 Description:Inj paravert f jnt l/s 1 lev Average Price:$206.17 Average Price Allowed
By Medicare:
$90.90
HCPCS Code:64483 Description:Inj foramen epidural l/s Average Price:$187.11 Average Price Allowed
By Medicare:
$102.93
HCPCS Code:64635 Description:Destroy lumb/sac facet jnt Average Price:$248.96 Average Price Allowed
By Medicare:
$184.95
HCPCS Code:64495 Description:Inj paravert f jnt l/s 3 lev Average Price:$114.30 Average Price Allowed
By Medicare:
$52.17
HCPCS Code:64494 Description:Inj paravert f jnt l/s 2 lev Average Price:$111.30 Average Price Allowed
By Medicare:
$51.19
HCPCS Code:64484 Description:Inj foramen epidural add-on Average Price:$100.50 Average Price Allowed
By Medicare:
$51.46
HCPCS Code:64636 Description:Destroy l/s facet jnt addl Average Price:$88.05 Average Price Allowed
By Medicare:
$50.87
HCPCS Code:99205 Description:Office/outpatient visit new Average Price:$220.37 Average Price Allowed
By Medicare:
$190.60
HCPCS Code:99215 Description:Office/outpatient visit est Average Price:$164.93 Average Price Allowed
By Medicare:
$136.47
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$114.76 Average Price Allowed
By Medicare:
$101.50
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$76.27 Average Price Allowed
By Medicare:
$68.68
HCPCS Code:77003 Description:Fluoroguide for spine inject Average Price:$35.60 Average Price Allowed
By Medicare:
$29.30

HCPCS Code Definitions

64636
Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for primary procedure)
64483
Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, single level
64494
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)
64484
Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional level (List separately in addition to code for primary procedure)
64493
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level
64635
Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint
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.
64495
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; third and any additional level(s) (List separately in addition to code for primary procedure)
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.
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.
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.
77003
Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid)

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1619922663
Anesthesiology
583
1396783171
Anesthesiology
278
1356380687
Anesthesiology
177
1477533404
Diagnostic Radiology
170
1154417970
Anesthesiology
125
1649272923
Cardiovascular Disease (Cardiology)
96
*These referrals represent the top 10 that Dr. Gunes has made to other doctors

Publications

Intrathecal clonidine in the treatment of intractable pain: a phase I/II study. - Pain medicine (Malden, Mass.)
Epidural clonidine has been proven effective in relieving intractable cancer pain, especially neuropathic. This phase I/II study was performed to investigate if intrathecal clonidine is well tolerated and effective for long-term treatment of intractable chronic pain.Thirty-one patients, previously implanted with programmable pumps and unable to obtain adequate pain relief with opioids and adjuvant oral medications, were enrolled. Clonidine monotherapy was initiated at 1 mcg/hr and escalated to a maximum of 40 mcg/hr (960 mcg/day). Efficacy measurements included Verbal Digital Pain Ratings, and side effects were determined by physical exam and patient reports.Patients achieving 50% or greater reduction in pain intensity scores in the dose-titration phase continued for long-term follow-up. Twenty-two patients (71%) entered long-term follow-up with intrathecal clonidine; nine patients (29%) did not obtain adequate pain control in the dose-titration phase. Thirteen patients were considered long-term successes with a mean follow-up of 16.7 months (range = 6.3 to 44 months). Nine patients failed to achieve adequate pain relief due to side effects or lack of efficacy. Fifty-nine percent of the patients successful in the dose-titration stage (42% of all patients considered) were considered long-term successes. Patients in the long-term phase maintained adequate pain control with minimal dose escalation.This study demonstrates the tolerability and effectiveness of intrathecal clonidine in the treatment of chronic pain. The physician using clonidine for long-term intrathecal infusion should be cognizant of the risk that severe rebound systemic hypertension can occur with abrupt cessation of the intrathecal infusion of clonidine.

Map & Directions

1759 Broad Park Cir S Suite 101 Mansfield, TX 76063
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