EDWARD MIEDEMA· LINCOLNTON, NC

Physician group

206 GAMBLE DR, LINCOLNTON, NC 28092

Procedures offered

756 total

Procedure	Min	Avg	Max
Preventive visit established patient age 40-64 CPT 99396 • Preventive Care	$116	$116	$116
Preventive visit established patient age 65+ CPT 99397 • Preventive Care	$126	$126	$126
Cervical or vaginal cancer screening pelvic exam HCPCS G0101 • Preventive Care	$36	$36	$36
Colorectal cancer screening colonoscopy high risk HCPCS G0105 • Preventive Care	$62	$115	$168
Colorectal cancer screening colonoscopy not high risk HCPCS G0121 • Preventive Care	$168	$168	$168
Initial preventive physical exam (Welcome to Medicare) HCPCS G0402 • Preventive Care	$155	$155	$156
Annual wellness visit initial HCPCS G0438 • Preventive Care	$155	$155	$155
Annual wellness visit subsequent HCPCS G0439 • Preventive Care	$121	$121	$121
Bronchoscopy diagnostic CPT 31622 • Pulmonology	$229	$232	$235
Bronchoscopy with brushing CPT 31623 • Pulmonology	$256	$256	$256
Bronchoscopy with bronchial alveolar lavage CPT 31624 • Pulmonology	$237	$237	$237
Bronchoscopy with biopsy CPT 31625 • Pulmonology	$324	$324	$324
Bronchoscopy with endobronchial ultrasound biopsy CPT 31652 • Pulmonology	$1,171	$1,171	$1,171
Ventilation assist and management initiation CPT 94002 • Pulmonology	$85	$85	$85
Spirometry CPT 94010 • Pulmonology	$24	$25	$25
Spirometry before and after bronchodilator CPT 94060 • Pulmonology	$35	$35	$35
Bronchospasm provocation evaluation CPT 94070 • Pulmonology	$57	$57	$57
Cardiopulmonary exercise test CPT 94621 • Pulmonology	$142	$142	$142
Plethysmography lung volumes CPT 94726 • Pulmonology	$50	$51	$52
Gas dilution lung volumes CPT 94727 • Pulmonology	$30	$36	$42
Pulse oximetry continuous overnight CPT 94762 • Pulmonology	$11	$17	$22
Radiation therapy planning simple CPT 77261 • Radiation Therapy	$67	$67	$67
Radiation therapy planning complex CPT 77263 • Radiation Therapy	$159	$159	$159
Radiation therapy simulation simple CPT 77280 • Radiation Therapy	$247	$248	$250
Radiation therapy simulation complex CPT 77290 • Radiation Therapy	$342	$342	$342
3-dimensional radiation therapy plan CPT 77295 • Radiation Therapy	$449	$449	$449
IMRT radiation therapy plan CPT 77301 • Radiation Therapy	$1,706	$1,706	$1,706
Radiation physics consultation CPT 77336 • Radiation Therapy	$78	$80	$82
Stereotactic radiosurgery (SRS) cranial CPT 77371 • Radiation Therapy	$1,016	$1,019	$1,023
Stereotactic body radiation therapy (SBRT) CPT 77373 • Radiation Therapy	$925	$925	$925
Radiation treatment delivery 3 or more MeV CPT 77412 • Radiation Therapy	$217	$217	$217
Proton beam treatment simple CPT 77520 • Radiation Therapy	$805	$825	$845
Polysomnography under age 6 CPT 95782 • Sleep Medicine	$117	$117	$117
Polysomnography under age 6 with CPAP CPT 95783 • Sleep Medicine	$931	$931	$931
Sleep study unattended CPT 95800 • Sleep Medicine	$138	$138	$138
Sleep study unattended minimum 3 channels CPT 95801 • Sleep Medicine	$48	$48	$48
Multiple sleep latency test (MSLT) CPT 95805 • Sleep Medicine	$81	$243	$406
Polysomnography age 6 or older CPT 95810 • Sleep Medicine	$112	$347	$582
CPAP combination oral/nasal mask HCPCS A7027 • Sleep Medicine	$144	$144	$144
Respiratory assist device BiPAP without backup HCPCS E0470 • Sleep Medicine	$1,091	$1,091	$1,091
CPAP device continuous positive airway pressure HCPCS E0601 • Sleep Medicine	$389	$486	$583
Laparoscopic radical nephrectomy CPT 50545 • Urology	$1,220	$1,220	$1,220
Complex uroflowmetry CPT 51741 • Urology	$5	$5	$5
Post-void residual urine measurement CPT 51798 • Urology	$9	$9	$9
Cystourethroscopy with tumor fulguration small CPT 52234 • Urology	$223	$223	$223
Cystourethroscopy with tumor fulguration medium CPT 52235 • Urology	$262	$262	$262
Cystourethroscopy with ureteral stent insertion CPT 52332 • Urology	$141	$141	$141
Cystourethroscopy with lithotripsy CPT 52353 • Urology	$356	$356	$356
TURP transurethral resection of prostate CPT 52601 • Urology	$668	$668	$668
Laser vaporization of prostate CPT 52648 • Urology	$1,500	$1,500	$1,500