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Dr. Donald E Sizemore  Do image

Dr. Donald E Sizemore Do

401 Matthew St
Marietta OH 45750
740 761-1939
Medical School: West Virginia School Of Osteopathic Medicine - 2003
Accepts Medicare: Yes
Participates In eRX: Yes
Participates In PQRS: No
Participates In EHR: No
License #: 34010323
NPI: 1962411439
Taxonomy Codes:
207RC0200X 208M00000X

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Awards & Recognitions

About Us

Practice Philosophy

Conditions

Dr. Donald E Sizemore is associated with these group practices

Procedure Pricing

HCPCS Code Description Average Price Average Price
Allowed By Medicare
HCPCS Code:99291 Description:Critical care first hour Average Price:$437.47 Average Price Allowed
By Medicare:
$215.27
HCPCS Code:99236 Description:Observ/hosp same date Average Price:$310.00 Average Price Allowed
By Medicare:
$210.10
HCPCS Code:99223 Description:Initial hospital care Average Price:$279.11 Average Price Allowed
By Medicare:
$192.83
HCPCS Code:99204 Description:Office/outpatient visit new Average Price:$220.00 Average Price Allowed
By Medicare:
$150.39
HCPCS Code:99220 Description:Initial observation care Average Price:$241.70 Average Price Allowed
By Medicare:
$176.34
HCPCS Code:99222 Description:Initial hospital care Average Price:$184.88 Average Price Allowed
By Medicare:
$132.20
HCPCS Code:99238 Description:Hospital discharge day Average Price:$119.27 Average Price Allowed
By Medicare:
$67.52
HCPCS Code:99233 Description:Subsequent hospital care Average Price:$146.98 Average Price Allowed
By Medicare:
$99.01
HCPCS Code:99239 Description:Hospital discharge day Average Price:$148.70 Average Price Allowed
By Medicare:
$101.45
HCPCS Code:80061 Description:Lipid panel Average Price:$60.00 Average Price Allowed
By Medicare:
$14.01
HCPCS Code:99214 Description:Office/outpatient visit est Average Price:$140.00 Average Price Allowed
By Medicare:
$96.39
HCPCS Code:80053 Description:Comprehen metabolic panel Average Price:$55.00 Average Price Allowed
By Medicare:
$13.06
HCPCS Code:99232 Description:Subsequent hospital care Average Price:$104.57 Average Price Allowed
By Medicare:
$68.89
HCPCS Code:99213 Description:Office/outpatient visit est Average Price:$100.00 Average Price Allowed
By Medicare:
$64.97
HCPCS Code:99217 Description:Observation care discharge Average Price:$103.00 Average Price Allowed
By Medicare:
$69.03
HCPCS Code:83036 Description:Glycosylated hemoglobin test Average Price:$45.00 Average Price Allowed
By Medicare:
$13.75
HCPCS Code:85025 Description:Complete cbc w/auto diff wbc Average Price:$35.00 Average Price Allowed
By Medicare:
$11.02
HCPCS Code:99231 Description:Subsequent hospital care Average Price:$60.15 Average Price Allowed
By Medicare:
$37.68
HCPCS Code:36415 Description:Routine venipuncture Average Price:$15.00 Average Price Allowed
By Medicare:
$3.00

HCPCS Code Definitions

99239
Hospital discharge day management; more than 30 minutes
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.
99220
Initial observation 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 to "observation status" are of high severity. Typically, 70 minutes are spent at the bedside and on the patient's hospital floor or unit.
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.
99217
Observation care discharge day management (This code is to be utilized to report all services provided to a patient on discharge from "observation status" if the discharge is on other than the initial date of "observation status." To report services to a patient designated as "observation status" or "inpatient status" and discharged on the same date, use the codes for Observation or Inpatient Care Services [including Admission and Discharge Services, 99234-99236 as appropriate.])
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.
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.
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.
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.
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.
99238
Hospital discharge day management; 30 minutes or less
99236
Observation or inpatient hospital care, for the evaluation and management of a patient including admission and discharge on the same date, 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 presenting problem(s) requiring admission are of high severity. Typically, 55 minutes are spent at the bedside and on the patient's hospital floor or unit.
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.
99291
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes

Medical Malpractice Cases

None Found

Medical Board Sanctions

None Found

Referrals

NPI
Doctor Name
Specialty
Count
1609842640
Infectious Disease
2,869
1699723429
Family Practice
2,415
1205934023
Internal Medicine
2,333
1841227873
Vascular Surgery
1,929
1497751937
Diagnostic Radiology
1,507
1497937908
Plastic And Reconstructive Surgery
1,489
1770581738
General Surgery
1,017
1194836684
Cardiovascular Disease (Cardiology)
900
1568400976
Pulmonary Disease
729
1225022775
Hematology/Oncology
593
*These referrals represent the top 10 that Dr. Sizemore has made to other doctors

Publications

None Found

Map & Directions

401 Matthew St Marietta, OH 45750
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