100 Foden Road East Suite 200
South Portland ME 04106
Medical School: Dartmouth Medical School - 1994
Accepts Medicare: Yes
Participates In eRX: No
Participates In PQRS: No
Participates In EHR: Yes
Taxonomy Codes:208000000X 2080S0010X
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Awards & Recognitions
Dr. Michele Labotz is associated with these group practices
|HCPCS Code||Description||Average Price||Average Price
Allowed By Medicare
|HCPCS Code:73221||Description:Mri joint upr extrem w/o dye||Average Price:$834.00||Average Price Allowed
|HCPCS Code:99203||Description:Office/outpatient visit new||Average Price:$187.11||Average Price Allowed
|HCPCS Code:99214||Description:Office/outpatient visit est||Average Price:$186.44||Average Price Allowed
|HCPCS Code:20610||Description:Drain/inject joint/bursa||Average Price:$139.08||Average Price Allowed
|HCPCS Code:99213||Description:Office/outpatient visit est||Average Price:$125.79||Average Price Allowed
|HCPCS Code:20551||Description:Inj tendon origin/insertion||Average Price:$108.00||Average Price Allowed
|HCPCS Code:J1040||Description:Methylprednisolone 80 MG inj||Average Price:$49.00||Average Price Allowed
|HCPCS Code:73030||Description:X-ray exam of shoulder||Average Price:$45.00||Average Price Allowed
|HCPCS Code:J1020||Description:Methylprednisolone 20 MG inj||Average Price:$25.00||Average Price Allowed
HCPCS Code Definitions
- Injection(s); single tendon origin/insertion
- Injection, methylprednisolone acetate, 80 mg
- 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.
- Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)
- Radiologic examination, shoulder; complete, minimum of 2 views
- 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.
- 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.
- Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s)
- Injection, methylprednisolone acetate, 20 mg
Medical Malpractice Cases
Medical Board Sanctions
Cardiovascular Disease (Cardiology)
*These referrals represent the top 10 that Dr. Labotz has made to other doctors
Preparticipation Physical Evaluation. - Adolescent medicine: state of the art reviews
Preparticipation physical evaluations are often a challenge for physicians. A recent study examined the PPE in clinical practice among pediatricians and family physicians in the state of Washington. Unfortunately, many physicians in this study perceived significant barriers to effective performance of the PPE. These barriers included uncertainty about how to perform the PPE, the relative importance of each PPE component, and the lack of a standardized approach and time for appropriate performance of the PPE. Although these concerns are shared by physicians beyond the borders of Washington, those who are aware of the information contained in the PPE monograph are able to use current best practices to enhance the effectiveness and efficiency of this examination and report greater comfort and satisfaction with these evaluations.
Reducing injury risk from body checking in boys' youth ice hockey. - Pediatrics
Ice hockey is an increasingly popular sport that allows intentional collision in the form of body checking for males but not for females. There is a two- to threefold increased risk of all injury, severe injury, and concussion related to body checking at all levels of boys' youth ice hockey. The American Academy of Pediatrics reinforces the importance of stringent enforcement of rules to protect player safety as well as educational interventions to decrease unsafe tactics. To promote ice hockey as a lifelong recreational pursuit for boys, the American Academy of Pediatrics recommends the expansion of nonchecking programs and the restriction of body checking to elite levels of boys' youth ice hockey, starting no earlier than 15 years of age.
Trampoline safety in childhood and adolescence. - Pediatrics
Despite previous recommendations from the American Academy of Pediatrics discouraging home use of trampolines, recreational use of trampolines in the home setting continues to be a popular activity among children and adolescents. This policy statement is an update to previous statements, reflecting the current literature on prevalence, patterns, and mechanisms of trampoline-related injuries. Most trampoline injuries occur with multiple simultaneous users on the mat. Cervical spine injuries often occur with falls off the trampoline or with attempts at somersaults or flips. Studies on the efficacy of trampoline safety measures are reviewed, and although there is a paucity of data, current implementation of safety measures have not appeared to mitigate risk substantially. Therefore, the home use of trampolines is strongly discouraged. The role of trampoline as a competitive sport and in structured training settings is reviewed, and recommendations for enhancing safety in these environments are made.
Selective serotonin reuptake inhibitors and rhabdomyolysis after eccentric exercise. - Medicine and science in sports and exercise
The purpose of this report was to review three cases of clinically significant rhabdomyolysis that developed in research subjects after completing an eccentric exercise protocol. All three cases occurred in subjects who reported use of selective serotonin reuptake inhibitors (SSRI).Sixty-three subjects enrolled in the study. Subjects performed 15 sets of 15 repetitions of maximal eccentric contractions of the elbow flexors. Subjects were then monitored on a daily basis for development of delayed onset muscle soreness (DOMS). Subjects received either microcurrent electrical neuromuscular stimulation (MENS) or sham treatment.Three subjects developed clinically significant rhabdomyolysis after performing this exercise protocol. Affected subjects were the only subjects who reported use of SSRI during the study period.This report raises suspicion of SSRI use as a predisposing factor to muscle injury after eccentric exercise.
A comparison of a preparticipation evaluation history form and a symptom-based concussion survey in the identification of previous head injury in collegiate athletes. - Clinical journal of sport medicine : official journal of the Canadian Academy of Sport Medicine
The purpose of this study was to compare the incidence of prior head injury reported on preparticipation physical evaluation (PPE) history forms with a retrospective symptom-based survey.A comparison of 2 retrospective survey instruments.NCAA Division I varsity athletic program.A total of 93 male and 79 female athletes participating in intercollegiate contact/collision sports.Athletes were administered a concussion symptom survey (CSS) with questions about symptom incidence after head injury. These responses were compared with answers given about previous concussion/head injury on the university's PPE history form. The numbers of positive responses were analyzed using descriptive statistics, and differences between the PPE medical history form and the concussion symptom survey were assessed using chi analysis. Factor analysis was performed to assess for possible variance structure between reported symptoms.Seventy-one percent of athletes reporting symptoms consistent with concussion were not identified as having a history of head injury on the PPE medical history form. The most common symptom on the CSS was headache, which accounted for 46 (56.1%) positive responses.The CSS revealed greater numbers of athletes experiencing symptomatic head injuries than the screening questions on the PPE history form. Screening for signs and symptoms of concussion may enhance the sensitivity of the PPE in detecting a prior history of concussion.
Coping with patellofemoral syndrome. - The Physician and sportsmedicine
Patellofemoral syndrome (PFS) is one of the most common causes of knee pain in active patients and stems from problems with the kneecap (patella) as it moves over the front of the knee. PFS causes pain in the front of one or both knees, especially after either exercising or sitting for prolonged periods. Some patients will experience minor swelling and the feeling that their knee "catches" or gives way.
Patellofemoral syndrome: diagnostic pointers and individualized treatment. - The Physician and sportsmedicine
Most patients who have patellofemoral syndrome can be successfully treated once contributing factors are identified during history taking and physical examination. After pain and inflammation are treated, patients are encouraged to start activities that do not provoke pain. Exercise programs should be implemented that address underlying strength and flexibility deficits. Return to play primarily relies on advancement of pain-free activity, with some allowance for patients' competitive goals. Patients remaining symptomatic after compliance with a structured rehabilitation program or those with indicators of other intra-articular pathology should be referred to an orthopedist.
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100 Foden Road East Suite 200 South Portland, ME 04106
609 Main St Suite 3
96 Ocean St Unit 4
92 Darling Ave
210 Western Ave Suite 100
100 Foden Road West Building Suite 103