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Dr. Rafael  Amaro  Md image

Dr. Rafael Amaro Md

801 E Whitestone Blvd Ste. 201
Cedar Park TX 78613
512 410-0900
Medical School: Other - 1993
Accepts Medicare: Yes
Participates In eRX: No
Participates In PQRS: No
Participates In EHR: Yes
License #: L1262
NPI: 1942313218
Taxonomy Codes:
174400000X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Rafael Amaro is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:43262 Description:Endo cholangiopancreatograph Average Price:$1,210.00 Average Price Allowed
By Medicare:
$95.42
HCPCS Code:45385 Description:Lesion removal colonoscopy Average Price:$1,050.00 Average Price Allowed
By Medicare:
$289.67
HCPCS Code:43264 Description:Endo cholangiopancreatograph Average Price:$1,210.00 Average Price Allowed
By Medicare:
$497.29
HCPCS Code:43249 Description:Esoph endoscopy dilation Average Price:$770.00 Average Price Allowed
By Medicare:
$158.95
HCPCS Code:45380 Description:Colonoscopy and biopsy Average Price:$770.00 Average Price Allowed
By Medicare:
$209.71
HCPCS Code:45378 Description:Diagnostic colonoscopy Average Price:$715.00 Average Price Allowed
By Medicare:
$207.30
HCPCS Code:G0105 Description:Colorectal scrn; hi risk ind Average Price:$715.00 Average Price Allowed
By Medicare:
$210.14
HCPCS Code:43760 Description:Change gastrostomy tube Average Price:$500.00 Average Price Allowed
By Medicare:
$42.16
HCPCS Code:43239 Description:Upper gi endoscopy biopsy Average Price:$577.50 Average Price Allowed
By Medicare:
$139.27
HCPCS Code:43246 Description:Place gastrostomy tube Average Price:$660.00 Average Price Allowed
By Medicare:
$243.96
HCPCS Code:43235 Description:Uppr gi endoscopy diagnosis Average Price:$522.50 Average Price Allowed
By Medicare:
$140.90
HCPCS Code:45330 Description:Diagnostic sigmoidoscopy Average Price:$165.00 Average Price Allowed
By Medicare:
$51.66
HCPCS Code:99221 Description:Initial hospital care Average Price:$205.00 Average Price Allowed
By Medicare:
$94.83
HCPCS Code:43760 Description:Change gastrostomy tube Average Price:$500.00 Average Price Allowed
By Medicare:
$425.00
HCPCS Code:99203 Description:Office/outpatient visit new Average Price:$125.00 Average Price Allowed
By Medicare:
$99.68
HCPCS Code:99204 Description:Office/outpatient visit new Average Price:$175.00 Average Price Allowed
By Medicare:
$152.99
HCPCS Code:99222 Description:Initial hospital care Average Price:$139.00 Average Price Allowed
By Medicare:
$128.42
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$76.00 Average Price Allowed
By Medicare:
$67.52
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$75.00 Average Price Allowed
By Medicare:
$66.92
HCPCS Code:99233 Description:Subsequent hospital care Average Price:$101.00 Average Price Allowed
By Medicare:
$96.83
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$100.00 Average Price Allowed
By Medicare:
$99.13
HCPCS Code:99223 Description:Initial hospital care Average Price:$189.00 Average Price Allowed
By Medicare:
$188.73

HCPCS Code Definitions

43760
Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance
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.
43264
Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s)
43262
Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy
43760
Change of gastrostomy tube, percutaneous, without imaging or endoscopic guidance
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.
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.
43235
Esophagogastroduodenoscopy, flexible, transoral; diagnostic, including collection of specimen(s) by brushing or washing, when performed (separate procedure)
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.
45330
Sigmoidoscopy, flexible; diagnostic, with or without collection of specimen(s) by brushing or washing (separate procedure)
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.
G0105
Colorectal cancer screening; colonoscopy on individual at high risk
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.
43246
Esophagogastroduodenoscopy, flexible, transoral; with directed placement of percutaneous gastrostomy tube
43239
Esophagogastroduodenoscopy, flexible, transoral; with biopsy, single or multiple
45380
Colonoscopy, flexible, proximal to splenic flexure; with biopsy, single or multiple
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.
45378
Colonoscopy, flexible, proximal to splenic flexure; diagnostic, with or without collection of specimen(s) by brushing or washing, with or without colon decompression (separate procedure)
43249
Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter)
99204
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 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, 45 minutes are spent face-to-face with the patient and/or family.
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.
45385
Colonoscopy, flexible, proximal to splenic flexure; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1275646515
Gastroenterology
844
1326093519
Pulmonary Disease
543
1184734485
Diagnostic Radiology
424
1215979596
Gastroenterology
402
1336194851
Pulmonary Disease
346
1639175458
Internal Medicine
302
1649339870
Family Practice
295
1871565622
Internal Medicine
279
1023200383
Family Practice
276
1982730867
Diagnostic Radiology
239
*These referrals represent the top 10 that Dr. Amaro has made to other doctors

Publications

Obscure gastrointestinal bleeding: diagnostic and therapeutic approach. - Journal of clinical gastroenterology
Obscure gastrointestinal bleeding (OGIB) is defined as an intermittent or continuous loss of blood in which the source has not been identified after upper endoscopy and colonoscopy. It constitutes a diagnostic and therapeutic challenge for the general internist and the gastroenterologist. This article provides an overview of the etiology, clinical presentation, and diagnostic modalities of OGIB including push enteroscopy, double balloon enteroscopy, wireless capsule endoscopy, enteroclysis, angiography, bleeding scanning with labeled red blood cells, and surgery with intraoperative enteroscopy. Therapeutic modalities including iron replacement, combined hormones, octreotide acetate, therapeutic endoscopy, and surgery are also discussed. In addition, a rational approach to patients with OGIB according to the clinical presentation is presented herein.
Acquired hyperplastic gastric polyps in solid organ transplant patients. - The American journal of gastroenterology
We report a series of patients who developed hyperplastic gastric polyps after solid organ transplantation.A retrospective review of patients with solid organ transplantation from January 1997 to December 1999 was performed. Patients with gastric polyps found during endoscopy were included. Demographic data, polyp characteristics (endoscopic and histological), time of endoscopy, and treatment regimens were analyzed.A total of 10 (seven men, three women) transplanted patients (six cardiac, three liver, and one kidney) with gastric polyps were identified. The median age was 61 yr (27-71 yr), and median time of endoscopy after transplantation was 11 months (3-28 months). Eight patients had endoscopy before or soon after transplantation, with no evidence of polyps. Nine patients had multiple polyps (three or more), and one had a single pedunculated polyp. Polyps were confined to the antrum in eight patients, antrum and body in one patient, and fundus in one patient. All polyps biopsied were found to be hyperplastic and without adenomatous or malignant changes. Cytomegalovirus serology was negative in nine patients. Each patient received standard immunosuppression that included a calcineurin inhibitor and steroids. Steroids were tapered and stopped by 3 months. Azathioprine was added in five patients and mycophenolate mofetil in one patient.The development of gastric polyps after organ transplantation has not been previously reported. The development of these gastric polyps (hyperplastic and multiple) is concerning as a malignant potential has been recognized in patients harboring multiple hyperplastic gastric polyps. The exact cause of these polyps is unknown. The association with immunosuppressive therapy as well as the natural history of these acquired hyperplastic gastric polyps needs further investigation.
Preliminary observation with dronabinol in patients with intractable pruritus secondary to cholestatic liver disease. - The American journal of gastroenterology
Pruritus due to cholestatic liver disease can be particularly difficult to manage and frequently is intractable to a variety of medical therapies. The aim of our study is to evaluate the efficacy of delta-9-tetrahydrocannabinol (delta-9-THC) for intractable cholestatic related pruritus (ICRP) that has failed conventional (and unconventional) remedies. Three patients were evaluated for plasmapheresis because of ICRP. All 3 patients had previously been extensively treated with standard therapies for ICRP including: diphenhydramine, chlorpheniramine, cholestyramine, rifampicin, phenobarbital, doxepin, naltrexone, UV therapy, and topical lotions. Even multiple courses of plasmapheresis were performed without any benefit for the intractable pruritus. All patients reported significant decreases in their quality of life, including lack of sleep, depression, inability to work, and suicidal ideations. All patients were started on 5 mg of delta-9-THC (Marinol) at bedtime. All 3 patients reported a decrease in pruritus, marked improvement in sleep, and eventually were able to return to work. Resolution of depression occurred in two of three. Side effects related to the drug include one patient experiencing a disturbance in coordination. Marinol dosage was decreased to 2.5 mg in this patient with resolution of symptoms. The duration of antipruritic effect is approximately 4-6 hrs in all three patients suggesting the need for more frequent dosing. Delta-9-tetrahydrocannabinol may be an effective alternative in patients with intractable cholestatic pruritus.

Map & Directions

801 E Whitestone Blvd Ste. 201 Cedar Park, TX 78613
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