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Dr. Sigrid  Noack  Md image

Dr. Sigrid Noack Md

417 State St Ste 400
Bangor ME 04401
207 426-6096
Medical School: Other - 1996
Accepts Medicare: Yes
Participates In eRX: No
Participates In PQRS: Yes
Participates In EHR: No
License #: 016699
NPI: 1821046541
Taxonomy Codes:
207RP1001X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Sigrid Noack is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:36556 Description:Insert non-tunnel cv cath Average Price:$437.88 Average Price Allowed
By Medicare:
$116.54
HCPCS Code:99291 Description:Critical care first hour Average Price:$527.86 Average Price Allowed
By Medicare:
$208.37
HCPCS Code:95811 Description:Polysomnography w/cpap Average Price:$325.00 Average Price Allowed
By Medicare:
$120.89
HCPCS Code:95810 Description:Polysomnography 4 or more Average Price:$300.00 Average Price Allowed
By Medicare:
$116.07
HCPCS Code:99222 Description:Initial hospital care Average Price:$299.83 Average Price Allowed
By Medicare:
$126.52
HCPCS Code:99292 Description:Critical care addl 30 min Average Price:$270.00 Average Price Allowed
By Medicare:
$104.42
HCPCS Code:99223 Description:Initial hospital care Average Price:$301.08 Average Price Allowed
By Medicare:
$185.42
HCPCS Code:99233 Description:Subsequent hospital care Average Price:$186.00 Average Price Allowed
By Medicare:
$95.87
HCPCS Code:99205 Description:Office/outpatient visit new Average Price:$275.00 Average Price Allowed
By Medicare:
$186.69
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$113.57 Average Price Allowed
By Medicare:
$66.48
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$140.00 Average Price Allowed
By Medicare:
$97.30
HCPCS Code:99231 Description:Subsequent hospital care Average Price:$76.88 Average Price Allowed
By Medicare:
$36.33
HCPCS Code:94010 Description:Breathing capacity test Average Price:$65.00 Average Price Allowed
By Medicare:
$32.69
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$95.00 Average Price Allowed
By Medicare:
$65.66
HCPCS Code:G0008 Description:Admin influenza virus vac Average Price:$20.25 Average Price Allowed
By Medicare:
$20.12

HCPCS Code Definitions

G0008
Administration of influenza virus vaccine
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.
36556
Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older
95811
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, with initiation of continuous positive airway pressure therapy or bilevel ventilation, attended by a technologist
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.
94010
Spirometry, including graphic record, total and timed vital capacity, expiratory flow rate measurement(s), with or without maximal voluntary ventilation
95810
Polysomnography; age 6 years or older, sleep staging with 4 or more additional parameters of sleep, attended by a technologist
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.
99292
Critical care, evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service)
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.
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.
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.
99291
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes
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
1053369744
Pulmonary Disease
943
1932147394
Pulmonary Disease
789
1407805120
Internal Medicine
707
1245339001
Pulmonary Disease
624
1770542912
Family Practice
616
1245284892
Diagnostic Radiology
529
1982788410
Diagnostic Radiology
515
1619069788
Diagnostic Radiology
481
1154411882
Diagnostic Radiology
460
1720162290
Diagnostic Radiology
458
*These referrals represent the top 10 that Dr. Noack has made to other doctors

Publications

Use of admission troponin in critically ill medical patients. - Journal of intensive care medicine
Serum troponin I (TnI) is a sensitive marker of cardiac injury. A relation between elevated TnI and mortality has been suggested. In this retrospective chart review of 221 patients admitted to the medical intensive care unit (MICU) during a 6-month period, the authors studied the use of admission TnI levels in predicting mortality in MICU-admitted patients. Data retrieved included demographics, admission diagnosis, troponin, electrocardiogram, Acute Physiology and Chronic Health Evaluation (APACHE) II score, echocardiogram, requirements for mechanical ventilation and vasopressor support, development of multiorgan failure, mortality, and discharge disposition. There were 132 patients for whom TnI level was sent within 24 hours of admission; these patients comprised the study group. The median age was 70 years; 59% were female. The mean APACHE II score was 22. Troponin I was positive in 31% of patients (median level, 0.4 Ug/L; range 0-358 Ug/L). The hospital mortality was 39%. Positive TnI showed a weak association with intensive care unit (ICU) mortality (P = .049) but not with overall mortality. There was no significant correlation between admission TnI concentration and APACHE II score (P = .33), administration of vasopressor medications (P = .115), or development of multiorgan failure (P = .64). The authors concluded that there is no benefit in obtaining a routine admission troponin level in MICU patients when an acute coronary event is not suspected.
Outcome of morbid obesity in the intensive care unit. - Journal of intensive care medicine
This was a retrospective chart review of consecutive obese patients admitted to the medical intensive care unit. Patients were divided into 2 groups: mild to moderately obese (group 1, body mass index =30-40 kg/m(2)) and morbidly obese (group 2, body mass index >40 kg/m(2)). Acute Physiology and Chronic Health Evaluation II scores were not significantly different between the 2 groups. Morbidly obese patients (group 2) had higher rates of mortality and nursing home admission. They also showed higher rates of intensive care unit complications including sepsis, nosocomial pneumonia, acute respiratory distress syndrome, catheter infection, tracheostomy, and acute renal failure. Their median length of mechanical ventilation was longer (2 days, range 2-12 vs 9 days, range 1-37,P = .009). In a logistic regression analysis, morbid obesity remained a significant predictor of death or disposition to nursing home even after controlling for age (P = .019, odds ratio = 7.60, 95% confidence interval = 1.39-41.6). Morbidly obese patients (body mass index >40 kg/m(2)) admitted to intensive care units have higher rates of mortality, nursing home admission, and intensive care unit complications and have longer stays in the intensive care unit and time on mechanical ventilation.

Map & Directions

417 State St Ste 400 Bangor, ME 04401
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