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Dr. Lamiere J Downing  Md image

Dr. Lamiere J Downing Md

2900 Lamb Cir Suite 300
Christiansburg VA 24073
540 395-5900
Medical School: Other - 1992
Accepts Medicare: Yes
Participates In eRX: No
Participates In PQRS: Yes
Participates In EHR: Yes
License #: 0101-231109
NPI: 1699750976
Taxonomy Codes:
208600000X 2086S0102X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Lamiere J Downing is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:34802 Description:Endovas aaa repr w/2-p part Average Price:$2,859.00 Average Price Allowed
By Medicare:
$1,229.56
HCPCS Code:35301 Description:Rechanneling of artery Average Price:$2,401.00 Average Price Allowed
By Medicare:
$1,063.93
HCPCS Code:34812 Description:Xpose for endoprosth femorl Average Price:$1,563.46 Average Price Allowed
By Medicare:
$247.35
HCPCS Code:36821 Description:Av fusion direct any site Average Price:$1,195.00 Average Price Allowed
By Medicare:
$691.46
HCPCS Code:36558 Description:Insert tunneled cv cath Average Price:$642.00 Average Price Allowed
By Medicare:
$268.55
HCPCS Code:75625 Description:Contrast x-ray exam of aorta Average Price:$418.00 Average Price Allowed
By Medicare:
$54.93
HCPCS Code:75716 Description:Artery x-rays arms/legs Average Price:$425.00 Average Price Allowed
By Medicare:
$63.04
HCPCS Code:36200 Description:Place catheter in aorta Average Price:$405.26 Average Price Allowed
By Medicare:
$144.61
HCPCS Code:36147 Description:Access av dial grft for eval Average Price:$321.00 Average Price Allowed
By Medicare:
$158.62
HCPCS Code:37191 Description:Ins endovas vena cava filtr Average Price:$378.00 Average Price Allowed
By Medicare:
$233.35
HCPCS Code:77001 Description:Fluoroguide for vein device Average Price:$72.00 Average Price Allowed
By Medicare:
$18.34
HCPCS Code:99203 Description:Office/outpatient visit new Average Price:$144.00 Average Price Allowed
By Medicare:
$102.70
HCPCS Code:99221 Description:Initial hospital care Average Price:$128.00 Average Price Allowed
By Medicare:
$94.60
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$96.00 Average Price Allowed
By Medicare:
$68.59
HCPCS Code:99202 Description:Office/outpatient visit new Average Price:$97.00 Average Price Allowed
By Medicare:
$70.97
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$89.00 Average Price Allowed
By Medicare:
$69.01
HCPCS Code:99231 Description:Subsequent hospital care Average Price:$54.00 Average Price Allowed
By Medicare:
$37.42
HCPCS Code:99212 Description:Office/outpatient visit est Average Price:$57.00 Average Price Allowed
By Medicare:
$41.61
HCPCS Code:75952 Description:Endovasc repair abdom aorta Average Price:$186.00 Average Price Allowed
By Medicare:
$186.00

HCPCS Code Definitions

35301
Thromboendarterectomy, including patch graft, if performed; carotid, vertebral, subclavian, by neck incision
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.
36558
Insertion of tunneled centrally inserted central venous catheter, without subcutaneous port or pump; age 5 years or older
99202
Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: An expanded problem focused history; An expanded problem focused examination; Straightforward medical decision making. 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 low to moderate severity. Typically, 20 minutes are spent face-to-face with the patient and/or family.
34812
Open femoral artery exposure for delivery of endovascular prosthesis, by groin incision, unilateral
34802
Endovascular repair of infrarenal abdominal aortic aneurysm or dissection; using modular bifurcated prosthesis (1 docking limb)
75952
Endovascular repair of infrarenal abdominal aortic aneurysm or dissection, radiological supervision and interpretation
75716
Angiography, extremity, bilateral, radiological supervision and interpretation
77001
Fluoroscopic guidance for central venous access device placement, replacement (catheter only or complete), or removal (includes fluoroscopic guidance for vascular access and catheter manipulation, any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation, and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure)
36147
Introduction of needle and/or catheter, arteriovenous shunt created for dialysis (graft/fistula); initial access with complete radiological evaluation of dialysis access, including fluoroscopy, image documentation and report (includes access of shunt, injection[s] of contrast, and all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava)
99212
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 problem focused history; A problem focused examination; Straightforward medical decision making. 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 self limited or minor. Typically, 10 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.
36200
Introduction of catheter, aorta
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.
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.
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.
37191
Insertion of intravascular vena cava filter, endovascular approach including vascular access, vessel selection, and radiological supervision and interpretation, intraprocedural roadmapping, and imaging guidance (ultrasound and fluoroscopy), when performed
75625
Aortography, abdominal, by serialography, radiological supervision and interpretation
36821
Arteriovenous anastomosis, open; direct, any site (eg, Cimino type) (separate procedure)

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1104827088
Cardiovascular Disease (Cardiology)
2,085
1306865290
Internal Medicine
1,486
1073584876
Nephrology
1,365
1568447886
Internal Medicine
1,260
1679550362
Pulmonary Disease
1,214
1922089556
Family Practice
1,186
1023018140
Internal Medicine
1,146
1417924101
Hematology/Oncology
1,142
1700831187
Diagnostic Radiology
1,096
1285617241
Internal Medicine
1,077
*These referrals represent the top 10 that Dr. Downing has made to other doctors

Publications

None Found

Map & Directions

2900 Lamb Cir Suite 300 Christiansburg, VA 24073
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