KAREN OCKENHOLT· STATESVILLE, NC

Physician group

209 BARIUM SPRINGS DR, STATESVILLE, NC 28677

Procedures offered

709 total

Procedure	Min	Avg	Max
Preventive visit established patient age 12-17 CPT 99394 • Preventive Care	$110	$110	$110
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$121	$121	$121
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$130	$130	$130
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$30	$30	$30
Colorectal cancer screening flexible sigmoidoscopy HCPCS G0104 • Preventive Care	$43	$43	$43
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$27	$27	$27
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$105	$118	$131
Annual wellness visit initial HCPCS G0438 • Preventive Care	$131	$131	$131
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$103	$103	$103
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$117	$208	$298
Bronchoscopy with brushing CPT 31623 • Pulmonology	$336	$336	$336
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$429	$429	$429
Bronchoscopy with transbronchial lung biopsy CPT 31628 • Pulmonology	$456	$456	$456
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,584	$1,584	$1,584
Ventilation assist and management initiation CPT 94002 • Pulmonology	$108	$108	$108
Spirometry CPT 94010 • Pulmonology	$31	$31	$31
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$45	$45	$45
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$72	$72	$72
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$181	$181	$181
Nebulizer inhalation treatment CPT 94640 • Pulmonology	$12	$12	$12
Aerosol or vapor inhalation initial demonstration CPT 94664 • Pulmonology	$19	$19	$19
Plethysmography lung volumes CPT 94726 • Pulmonology	$63	$63	$64
Gas dilution lung volumes CPT 94727 • Pulmonology	$51	$51	$51
Diffusing capacity (DLCO) CPT 94729 • Pulmonology	$10	$10	$10
Pulse oximetry single measurement CPT 94760 • Pulmonology	$2	$2	$2
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$31	$31	$31
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$81	$81	$81
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$185	$185	$185
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$295	$295	$295
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$412	$412	$412
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$521	$521	$521
Radiation therapy dose calculation CPT 77300 • Radiation Therapy	$71	$71	$71
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,538	$1,770	$2,003
Radiation physics consultation CPT 77336 • Radiation Therapy	$89	$89	$89
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,218	$1,218	$1,219
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$1,110	$1,110	$1,110
Radiation treatment delivery superficial CPT 77407 • Radiation Therapy	$198	$198	$198
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$269	$269	$269
Proton beam treatment simple CPT 77520 • Radiation Therapy	$274	$616	$957
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$1,166	$1,166	$1,166
Sleep study unattended CPT 95800 • Sleep Medicine	$139	$139	$139
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$58	$58	$58
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$486	$486	$486
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$710	$710	$710
Polysomnography with CPAP titration CPT 95811 • Sleep Medicine	$146	$146	$146
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$156	$156	$156
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$1,236	$1,236	$1,236
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$672	$672	$673
Laparoscopic partial nephrectomy CPT 50543 • Urology	$1,704	$1,704	$1,704
Complex uroflowmetry CPT 51741 • Urology	$6	$6	$6