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Dr. Mark Theodo Fahlen  Md image

Dr. Mark Theodo Fahlen Md

1400 Florida Ave Suite 109
Modesto CA 95350
209 442-2910
Medical School: Albany Medical College Of Union University - 1998
Accepts Medicare: Yes
Participates In eRX: Yes
Participates In PQRS: No
Participates In EHR: Yes
License #: A81212
NPI: 1679539415
Taxonomy Codes:
207R00000X 207RN0300X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Mark Theodo Fahlen is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:90961 Description:Esrd srv 2-3 vsts p mo 20+ Average Price:$315.61 Average Price Allowed
By Medicare:
$241.22
HCPCS Code:90962 Description:Esrd serv 1 visit p mo 20+ Average Price:$253.09 Average Price Allowed
By Medicare:
$183.68
HCPCS Code:90966 Description:Esrd home pt serv p mo 20+ Average Price:$301.54 Average Price Allowed
By Medicare:
$240.11
HCPCS Code:99223 Description:Initial hospital care Average Price:$226.36 Average Price Allowed
By Medicare:
$198.66
HCPCS Code:99233 Description:Subsequent hospital care Average Price:$129.34 Average Price Allowed
By Medicare:
$102.23
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$92.81 Average Price Allowed
By Medicare:
$71.36
HCPCS Code:99203 Description:Office/outpatient visit new Average Price:$125.60 Average Price Allowed
By Medicare:
$108.60
HCPCS Code:99222 Description:Initial hospital care Average Price:$147.09 Average Price Allowed
By Medicare:
$134.95
HCPCS Code:90935 Description:Hemodialysis one evaluation Average Price:$82.68 Average Price Allowed
By Medicare:
$74.49
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$80.44 Average Price Allowed
By Medicare:
$73.15
HCPCS Code:99231 Description:Subsequent hospital care Average Price:$42.81 Average Price Allowed
By Medicare:
$38.87

HCPCS Code Definitions

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
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
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.
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.
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.
90966
End-stage renal disease (ESRD) related services for home dialysis per full month, for patients 20 years of age and older
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.
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.
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.
90935
Hemodialysis procedure with single evaluation by a physician or other qualified health care professional

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1942241336
Diagnostic Radiology
1,977
1922162114
Cardiovascular Disease (Cardiology)
1,875
1407899909
Emergency Medicine
1,740
1033145800
Nephrology
1,498
1326085671
Diagnostic Radiology
1,303
1346240264
Thoracic Surgery
1,114
1598708166
Diagnostic Radiology
981
1972550150
Cardiovascular Disease (Cardiology)
901
1174785695
Cardiovascular Disease (Cardiology)
875
1780624619
Thoracic Surgery
862
*These referrals represent the top 10 that Dr. Fahlen has made to other doctors

Publications

None Found

Map & Directions

1400 Florida Ave Suite 109 Modesto, CA 95350
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