Active NPI 1669482816 Individual Practitioner Male Practitioner

Dr. Madhan Mohan , MD

Internal Medicine • Pineville, KY

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Madhan Mohan, MD is a certified Internal Medicine practicing in Pineville, KY. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Mohan delivers high-quality medical care to the local community at 850 RIVERVIEW RD.

Dr. Mohan is affiliated with Ultacare Medical Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include blood glucose (sugar) level, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

850 Riverview Rd

Pineville, KY 409771430

Telephone 6063376047

Fax 6063370925

Associated Practice Facility / Clinic

🏢 Pineville Community Hospital Assn Inc. Facility NPI 1821085440

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Pineville, KY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs +0.5 yrs vs City Avg

City Avg: 40.5 Yrs

State Avg: 26.6 Yrs

Regional Practice Density

4 Specialists

Practicing in Pineville, KY (1608 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Mohan (41 Years) 41 Yrs

Pineville Specialty Average (40.5 Years) 40.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2023)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82947 Blood glucose (sugar) level	124	34	$30.00	$3.85
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	123	86	$30.00	$7.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	73	30	$170.00	$76.23
83036 Hemoglobin A1C level	36	27	$160.00	$9.52
99238 Hospital discharge day management, 30 minutes or less	34	30	$190.00	$77.33
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	20	$500.00	$167.17
80305 Testing for presence of drug, read by direct observation	20	15	$50.00	$12.35
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	19	16	$30.00	$7.85
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$300.00	$125.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	498	219	$30.00	$7.90
82947 Blood glucose (sugar) level	190	46	$30.00	$3.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	172	63	$170.00	$67.57
83036 Hemoglobin A1C level	95	50	$160.00	$9.59
99238 Hospital discharge day management, 30 minutes or less	82	60	$190.00	$67.63
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	81	49	$128.00	$41.01
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	59	22	$300.00	$97.67
80305 Testing for presence of drug, read by direct observation	51	23	$50.00	$12.44
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	50	36	$500.00	$187.53
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	36	30	$30.00	$7.91
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	25	$300.00	$127.99
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	21	19	$125.00	$30.64
82044 Urine microalbumin (protein) analysis	20	20	$100.00	$6.18
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	18	16	$486.00	$66.87
81003 Automated urinalysis test	18	15	$50.00	$2.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	521	266	$30.00	$8.10
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	295	92	$170.00	$69.17
82947 Blood glucose (sugar) level	238	68	$30.00	$3.93
99238 Hospital discharge day management, 30 minutes or less	131	96	$190.00	$68.99
83036 Hemoglobin A1C level	124	67	$160.00	$9.71
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	91	41	$300.00	$99.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	79	63	$500.00	$192.66
82044 Urine microalbumin (protein) analysis	75	71	$100.00	$6.23
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	66	61	$30.00	$8.09
80305 Testing for presence of drug, read by direct observation	62	41	$50.00	$12.60
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	36	$300.00	$130.79
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	39	32	$55.00	$35.33
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	38	21	$76.00	$38.34
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	33	31	$486.00	$68.63
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)	30	29	$128.00	$41.38
G0180 Physician or allowed practitioner 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 and	23	20	$100.00	$49.73
99454 Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days	23	15	$110.00	$55.26
81003 Automated urinalysis test	17	11	$50.00	$2.25
99291 Critical care, first 30-74 minutes	15	15	$560.00	$213.42
99220 Hospital observation care, typically 70 minutes	14	12	$370.00	$175.12
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza	12	12	$125.00	$63.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	574	276	$30.00	$8.29
82947 Blood glucose (sugar) level	283	104	$30.00	$3.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	259	93	$170.00	$69.91
99238 Hospital discharge day management, 30 minutes or less	144	103	$190.00	$69.70
83036 Hemoglobin A1C level	119	87	$160.00	$9.65
80305 Testing for presence of drug, read by direct observation	89	79	$50.00	$12.54
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	86	66	$500.00	$193.67
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	78	29	$76.00	$38.03
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	52	32	$300.00	$99.64
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	52	46	$300.00	$133.09
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	47	40	$30.00	$8.29
82044 Urine microalbumin (protein) analysis	42	42	$100.00	$6.20
G0180 Physician or allowed practitioner 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 and	41	32	$100.00	$50.02
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	26	22	$55.00	$35.33
81003 Automated urinalysis test	25	22	$50.00	$2.23
99220 Hospital observation care, typically 70 minutes	22	21	$370.00	$179.78
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	18	18	$486.00	$72.34
99217 Hospital observation care on day of discharge	17	17	$200.00	$70.05
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	14	14	$70.00	$15.81
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	14	14	$486.00	$183.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	459	272	$30.00	$8.26
82947 Blood glucose (sugar) level	395	148	$30.08	$4.28
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	208	81	$170.00	$70.23
83036 Hemoglobin A1C level	145	110	$161.17	$10.57
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	106	100	$30.00	$8.27
99238 Hospital discharge day management, 30 minutes or less	99	77	$190.00	$70.10
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	80	28	$76.00	$38.35
82044 Urine microalbumin (protein) analysis	71	70	$100.00	$6.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	66	50	$300.00	$131.09
G0180 Physician or allowed practitioner 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 and	60	36	$100.00	$49.96
81003 Automated urinalysis test	48	34	$50.00	$2.44
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	41	41	$70.00	$17.32
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	25	$500.00	$195.23
85018 Blood count, hemoglobin	20	14	$20.00	$2.58
99220 Hospital observation care, typically 70 minutes	16	15	$370.00	$179.22
99217 Hospital observation care on day of discharge	15	14	$200.00	$70.09
80305 Testing for presence of drug, read by direct observation	14	14	$50.00	$12.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82947 Blood glucose (sugar) level	620	171	$29.61	$4.75
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	527	323	$30.00	$8.20
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	318	124	$170.00	$69.91
83036 Hemoglobin A1C level	193	131	$159.17	$11.75
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	163	150	$30.00	$8.20
99238 Hospital discharge day management, 30 minutes or less	162	119	$190.00	$69.78
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	106	90	$300.00	$130.63
82044 Urine microalbumin (protein) analysis	81	81	$100.00	$6.11
85610 Blood test, clotting time	58	13	$30.00	$4.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	48	$500.00	$194.71
81003 Automated urinalysis test	50	43	$49.50	$2.71
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	46	18	$76.00	$38.63
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	46	46	$68.48	$19.25
G0180 Physician or allowed practitioner 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 and	34	21	$100.00	$50.12
99220 Hospital observation care, typically 70 minutes	30	25	$370.00	$178.87
80305 Testing for presence of drug, read by direct observation	29	28	$50.00	$13.19
99217 Hospital observation care on day of discharge	24	21	$200.00	$69.78
85018 Blood count, hemoglobin	18	14	$20.00	$2.87
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	14	14	$51.00	$24.72
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	13	$190.00	$87.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	764	437	$15.00	$8.16
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	408	152	$85.00	$68.98
82947 Blood glucose (sugar) level	366	159	$15.00	$4.30
99238 Hospital discharge day management, 30 minutes or less	153	113	$95.00	$68.83
83036 Hemoglobin A1C level	117	94	$80.00	$13.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	98	84	$250.00	$193.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	82	71	$150.00	$130.64
82274 Stool analysis for blood, by fecal hemoglobin determination by immunoassay	71	70	$35.00	$21.38
81003 Automated urinalysis test	29	24	$25.00	$3.02
99220 Hospital observation care, typically 70 minutes	24	23	$185.00	$177.47
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	20	$150.00	$99.68
99217 Hospital observation care on day of discharge	20	20	$100.00	$69.12
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	12	$50.00	$37.52
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	18	17	$25.74	$25.33
82044 Urine microalbumin (protein) analysis	18	18	$50.00	$6.15

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License KY 29667

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

64296676 (KY)

Hospital & Practice Group Affiliations

Ultacare Medical Pllc

1225 E Weisgarber Rd, Knoxville, TN 379092696

Phone: 4232595002

Practice Associates & Co-Workers

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

2 Associated Practitioners

Whitney Gann , APRN

Nurse Practitioner - Family

NPI 1194371419

Advanced Practice Registered Nurse

Mary Caruso , APRN

Nurse Practitioner - Family

NPI 1760980882

Advanced Practice Registered Nurse

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 28, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location April 28, 2008

Registered at 850 RIVERVIEW RD, PINEVILLE, KY 409771430 (Tel: 6063376047)

📍

Updated Business Mailing Address April 28, 2008

Registered at 850 RIVERVIEW RD, PO BOX 308, PINEVILLE, KY 409771430 (Tel: 6063376047)

👤

Provider Name / Credentials Updated April 28, 2008

Recorded as MADHAN MOHAN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 28, 2008

Internal Medicine (License #29667 in KY)

🟢

Initial NPI Registration & Enumeration August 09, 2006

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: 1669482816

Entity Type:

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

Enumeration Date: August 09, 2006

Last Update: April 28, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

850 Riverview Rd, Po Box 308

Pineville, KY 409771430

Phone: 6063376047

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.