Active NPI 1366602153 Individual Practitioner Female Practitioner

Dr. Jamie O Lin , DO

Internal Medicine • Rome, GA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jamie Lin, DO is a certified Internal Medicine practicing in Rome, GA. With approximately 21 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2005, Dr. Lin delivers high-quality medical care to the local community at 123 THREE RIVERS DR NE.

Dr. Lin maintains professional affiliations with Floyd Healthcare Management Inc, 24 On Physicians Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than, critical care, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

123 Three Rivers Dr Ne

Rome, GA 301612300

Telephone 7062953961

Associated Practice Facility / Clinic

🏢 Rome Internal Medicine Associates, Pc Facility NPI 1326070939

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2005

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Rome, GA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

21 Yrs +3.1 yrs vs City Avg

City Avg: 17.9 Yrs

State Avg: 25.9 Yrs

Regional Practice Density

81 Specialists

Practicing in Rome, GA (4065 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lin (21 Years) 21 Yrs

Rome Specialty Average (17.9 Years) 17.9 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	179	101	$477.12	$109.03
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	158	75	$317.20	$74.44
99239 Hospital discharge day management, more than 30 minutes	86	83	$459.52	$102.05
99291 Critical care, first 30-74 minutes	40	24	$855.32	$194.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	453	183	$234.74	$73.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	142	89	$374.64	$106.53
99239 Hospital discharge day management, more than 30 minutes	54	53	$384.48	$108.95
99231 Follow-up hospital inpatient care per day, typically 15 minutes	41	26	$157.67	$46.63
99238 Hospital discharge day management, 30 minutes or less	21	21	$254.83	$73.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$410.75	$124.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	17	17	$566.25	$146.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	325	187	$14.00	$2.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	228	167	$214.54	$120.18
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	171	114	$195.52	$66.48
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	141	100	$266.21	$96.67
81003 Automated urinalysis test	81	62	$19.00	$2.19
83036 Hemoglobin A1C level	67	54	$53.00	$9.66
99213 Established patient office or other outpatient visit, typically 15 minutes	53	44	$148.49	$84.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	47	24	$45.00	$13.44
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	27	13	$10.00	$1.69
99239 Hospital discharge day management, more than 30 minutes	26	25	$275.34	$99.53
99238 Hospital discharge day management, 30 minutes or less	23	23	$220.27	$67.91
82044 Urine microalbumin (protein) analysis	15	14	$30.00	$6.20
99225 Subsequent observation care, typically 25 minutes per day	14	12	$172.46	$67.51
82570 Creatinine level to test for kidney function or muscle injury	14	14	$16.50	$5.16
71046 X-ray of chest, 2 views	11	11	$57.00	$19.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	630	257	$14.00	$2.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	556	248	$210.00	$124.02
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	228	186	$30.64	$7.74
81003 Automated urinalysis test	211	149	$19.00	$2.22
83036 Hemoglobin A1C level	140	76	$53.00	$9.71
99213 Established patient office or other outpatient visit, typically 15 minutes	136	106	$144.00	$86.86
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	110	84	$195.52	$67.23
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	106	52	$45.00	$13.10
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	77	58	$266.21	$99.32
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	50	21	$10.00	$1.99
82570 Creatinine level to test for kidney function or muscle injury	48	38	$15.94	$5.18
82044 Urine microalbumin (protein) analysis	48	38	$30.00	$6.23
G0179 Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imp	45	20	$104.00	$38.94
71046 X-ray of chest, 2 views	43	39	$57.00	$19.33
G0008 Administration of influenza virus vaccine	43	43	$31.00	$15.74
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	41	41	$120.00	$66.43
G0009 Administration of pneumococcal vaccine	32	32	$31.00	$15.80
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	31	27	$125.00	$35.33
85652 Red blood cell sedimentation rate, to detect inflammation, automated	31	24	$17.08	$2.70
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$228.00	$124.96
J1885 Injection, ketorolac tromethamine, per 15 mg	25	12	$13.00	$0.40
J1030 Injection, methylprednisolone acetate, 40 mg	24	22	$9.00	$5.66
93000 Routine ekg using at least 12 leads including interpretation and report	23	22	$44.00	$14.10
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	21	21	$118.00	$120.11
72100 X-ray of lower and sacral spine, 2-3 views	12	12	$58.00	$22.64
99238 Hospital discharge day management, 30 minutes or less	11	11	$220.27	$68.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	619	276	$13.84	$2.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	502	252	$181.01	$103.57
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	317	224	$28.67	$7.75
81003 Automated urinalysis test	191	143	$18.85	$2.21
99213 Established patient office or other outpatient visit, typically 15 minutes	181	123	$122.88	$72.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	143	64	$44.24	$13.64
83036 Hemoglobin A1C level	140	81	$51.30	$9.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	62	62	$120.56	$112.00
G0008 Administration of influenza virus vaccine	61	59	$31.00	$15.88
90662 Influenza vaccine split virus, preservative free	61	59	$115.38	$60.38
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	59	22	$9.90	$1.94
J1885 Injection, ketorolac tromethamine, per 15 mg	52	21	$12.08	$0.58
82570 Creatinine level to test for kidney function or muscle injury	49	41	$15.00	$5.06
82044 Urine microalbumin (protein) analysis	49	41	$30.00	$6.09
71046 X-ray of chest, 2 views	45	42	$57.09	$18.36
G0009 Administration of pneumococcal vaccine	40	40	$31.00	$15.87
87804 Detection test by immunoassay with direct visual observation for influenza virus	40	18	$34.00	$16.34
J1030 Injection, methylprednisolone acetate, 40 mg	40	31	$9.20	$6.09
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	38	38	$174.00	$165.93
93000 Routine ekg using at least 12 leads including interpretation and report	26	25	$43.54	$16.27
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	22	22	$174.18	$105.19
85652 Red blood cell sedimentation rate, to detect inflammation, automated	19	16	$16.00	$2.69
90670 Pneumococcal vaccine for injection into muscle	18	18	$266.00	$227.94
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$195.52	$71.09
99495 Transitional care management services for problem of at least moderate complexity	17	16	$309.00	$177.70
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	15	$234.00	$142.37
83880 Natriuretic peptide (heart and blood vessel protein) level	16	15	$94.00	$39.06
99496 Transitional care management services for problem of high complexity	15	15	$437.00	$235.90
72100 X-ray of lower and sacral spine, 2-3 views	13	13	$58.00	$22.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$262.00	$159.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	626	266	$14.00	$2.93
99213 Established patient office or other outpatient visit, typically 15 minutes	422	213	$116.65	$70.96
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	381	231	$29.00	$8.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	349	182	$171.05	$103.95
81003 Automated urinalysis test	205	154	$19.00	$2.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	162	76	$45.00	$15.79
83036 Hemoglobin A1C level	120	71	$53.00	$10.57
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	75	58	$71.25	$41.93
J0696 Injection, ceftriaxone sodium, per 250 mg	72	12	$31.00	$0.56
G0008 Administration of influenza virus vaccine	62	62	$31.00	$15.59
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	56	20	$10.00	$1.81
G0009 Administration of pneumococcal vaccine	48	48	$31.00	$15.59
99495 Transitional care management services for problem of at least moderate complexity	47	35	$309.00	$153.65
J1030 Injection, methylprednisolone acetate, 40 mg	44	35	$9.00	$6.17
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	41	41	$118.00	$111.73
90662 Influenza vaccine split virus, preservative free	34	34	$73.00	$54.89
90670 Pneumococcal vaccine for injection into muscle	32	32	$226.25	$207.62
71046 X-ray of chest, 2 views	31	27	$57.00	$17.47
93000 Routine ekg using at least 12 leads including interpretation and report	30	26	$44.00	$16.25
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	28	28	$35.00	$18.65
J1885 Injection, ketorolac tromethamine, per 15 mg	28	14	$13.00	$0.53
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	26	26	$174.00	$165.73
83880 Natriuretic peptide (heart and blood vessel protein) level	25	17	$95.00	$38.47
82044 Urine microalbumin (protein) analysis	23	20	$30.00	$6.11
82570 Creatinine level to test for kidney function or muscle injury	23	20	$15.00	$5.63
85652 Red blood cell sedimentation rate, to detect inflammation, automated	20	15	$16.00	$2.94
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	16	16	$80.00	$78.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$260.92	$159.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	662	265	$14.00	$2.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	465	242	$170.00	$101.95
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	452	245	$29.00	$9.35
99213 Established patient office or other outpatient visit, typically 15 minutes	367	186	$116.00	$68.30
81003 Automated urinalysis test	294	177	$19.00	$2.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	162	69	$45.00	$19.17
83036 Hemoglobin A1C level	123	73	$53.00	$11.75
J0696 Injection, ceftriaxone sodium, per 250 mg	101	18	$31.00	$0.62
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	81	61	$71.00	$41.40
G0008 Administration of influenza virus vaccine	80	80	$31.00	$19.06
99495 Transitional care management services for problem of at least moderate complexity	59	42	$309.00	$155.96
90662 Influenza vaccine split virus, preservative free	54	54	$73.00	$52.30
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	49	49	$195.52	$68.56
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	46	17	$10.00	$1.98
71046 X-ray of chest, 2 views	43	35	$57.00	$16.69
93000 Routine ekg using at least 12 leads including interpretation and report	36	30	$44.00	$16.04
J1885 Injection, ketorolac tromethamine, per 15 mg	32	11	$13.00	$0.57
G0009 Administration of pneumococcal vaccine	31	31	$31.00	$19.06
82570 Creatinine level to test for kidney function or muscle injury	30	26	$15.00	$6.26
82044 Urine microalbumin (protein) analysis	30	26	$30.00	$6.11
J1030 Injection, methylprednisolone acetate, 40 mg	29	28	$9.00	$6.68
87804 Detection test by immunoassay with direct visual observation for influenza virus	29	17	$34.00	$16.22
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	25	25	$35.00	$18.65
J1040 Injection, methylprednisolone acetate, 80 mg	23	17	$18.00	$12.91
83880 Natriuretic peptide (heart and blood vessel protein) level	23	18	$95.00	$41.06
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$80.00	$78.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$260.00	$158.62
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	18	18	$266.21	$101.72
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	16	16	$118.00	$110.87
85652 Red blood cell sedimentation rate, to detect inflammation, automated	15	15	$16.00	$3.26
90670 Pneumococcal vaccine for injection into muscle	12	12	$213.00	$196.94
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$174.00	$164.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	603	240	$14.00	$2.93
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	427	223	$29.00	$10.39
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	423	212	$170.00	$99.56
99213 Established patient office or other outpatient visit, typically 15 minutes	319	177	$116.00	$68.09
81003 Automated urinalysis test	246	157	$19.00	$3.02
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	222	82	$45.00	$23.00
83036 Hemoglobin A1C level	148	79	$53.00	$12.91
J0696 Injection, ceftriaxone sodium, per 250 mg	123	22	$31.00	$0.64
G0008 Administration of influenza virus vaccine	109	108	$31.00	$23.40
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	71	28	$10.00	$2.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	68	56	$71.00	$40.51
G0009 Administration of pneumococcal vaccine	58	57	$31.00	$23.40
90662 Influenza vaccine split virus, preservative free	54	54	$73.00	$47.71
J1030 Injection, methylprednisolone acetate, 40 mg	53	44	$9.00	$5.61
J1885 Injection, ketorolac tromethamine, per 15 mg	53	20	$13.00	$0.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	52	23	$134.49	$69.19
Q2037 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin)	50	49	$26.00	$17.28
82044 Urine microalbumin (protein) analysis	46	42	$30.00	$6.04
82570 Creatinine level to test for kidney function or muscle injury	46	42	$15.00	$6.84
93000 Routine ekg using at least 12 leads including interpretation and report	46	45	$44.00	$15.82
90670 Pneumococcal vaccine for injection into muscle	46	45	$213.00	$185.34
99495 Transitional care management services for problem of at least moderate complexity	34	29	$309.00	$151.83
71020 X-ray of chest, 2 views, front and side	31	29	$64.45	$15.08
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	22	22	$118.00	$107.17
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	21	21	$174.00	$158.90
J7620 Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme	21	15	$2.00	$0.15
85652 Red blood cell sedimentation rate, to detect inflammation, automated	20	15	$16.00	$3.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$260.00	$155.05
87804 Detection test by immunoassay with direct visual observation for influenza virus	15	12	$34.00	$16.11
99238 Hospital discharge day management, 30 minutes or less	14	14	$160.79	$69.11
83880 Natriuretic peptide (heart and blood vessel protein) level	14	12	$95.00	$45.63
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)	12	12	$34.00	$16.11
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	12	12	$80.00	$78.40

Medical Specialties & State Licenses

CMS Verified: 2023-03-10

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License GA 062389

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License GA 062389

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

259849458C (GA)

Hospital & Practice Group Affiliations

Floyd Healthcare Management Inc

123 Three Rivers Nedr, Rome, GA 301612300

Phone: 7062953961

24 On Physicians Pc

304 Turner Mccall Blvd Sw, Rome, GA 301655621

Phone: 7065094340

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

6 Associated Practitioners

Dr. Anna-Belle Robertson , MD

Internal Medicine

NPI 1093332884

Doctor of Medicine (M.D.)

Dr. Taiwanna Brown-Bolds , MD

Internal Medicine

NPI 1104911817

Doctor of Medicine (M.D.)

Dr. Joseph Herren , MD

Internal Medicine

NPI 1205835360

Doctor of Medicine (M.D.)

Dr. George Hotz , MD

Internal Medicine

NPI 1568697696

Doctor of Medicine (M.D.)

Jennifer Ackley , FNP-C

Nurse Practitioner - Family

NPI 1588254213

Family Nurse Practitioner (Certified)

Dr. Gregory Rusiecki , DO

Family Medicine

NPI 1982229175

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events

📍

Updated Business Mailing Address November 16, 2022

Registered at 420 E 2ND AVE STE 103, ROME, GA 301613210 (Tel: 7065093000)

✅

NPI Profile Active August 28, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location August 28, 2013

Registered at 123 THREE RIVERS DR NE, ROME, GA 301612300 (Tel: 7062953961)

📍

Updated Business Mailing Address August 28, 2013

Registered at 420 E 2ND AVE, SUITE 103, ROME, GA 301613209 (Tel: 7065093000)

👤

Provider Name / Credentials Updated August 28, 2013

Recorded as JAMIE LIN, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 28, 2013

Family Medicine (License #062389 in GA)

🟢

Initial NPI Registration & Enumeration June 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366602153

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 15, 2008

Last Update: March 10, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

420 E 2nd Ave Ste 103

Rome, GA 301613210

Phone: 7065093000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.