Active NPI 1669413332 Individual Practitioner Female Practitioner

Dr. Maureen Patricia Andreassi , MD

Internal Medicine • Matthews, NC

Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Maureen Andreassi, MD is a certified Internal Medicine practicing in Matthews, NC. With approximately 32 years of clinical experience since completing medical education in 1994, Dr. Andreassi delivers high-quality medical care to the local community at 1401 MATTHEWS TOWNSHIP PKWY STE 200.

Dr. Andreassi maintains professional affiliations with Comprehab, Inc, Novant Health Medical Group, Llc, The Weston Group Inc and does not directly accept Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, hemoglobin a1c level. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1401 Matthews Township Pkwy Ste 200
Suite 103

Matthews, NC 281055403

Telephone 7043846901

Fax 7043846902

Associated Practice Facility / Clinic

🏢 Novant Health Medical Group, Llc Facility NPI 1720034630

Medicare Profile & Education

Medical School

Other

Graduation Year

1994

Medicare Assignment

Not Specified

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Matthews, NC

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +7.4 yrs vs City Avg

City Avg: 24.6 Yrs

State Avg: 27.0 Yrs

Regional Practice Density

36 Specialists

Practicing in Matthews, NC (4209 Statewide)

Telehealth Adoption Rate

52.8% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

57.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Andreassi (32 Years) 32 Yrs

Matthews Specialty Average (24.6 Years) 24.6 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	683	407	$291.00	$119.70
99213 Established patient office or other outpatient visit, typically 15 minutes	336	252	$192.59	$84.73
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	314	314	$245.00	$120.80
83036 Hemoglobin A1C level	145	95	$53.00	$9.52
96127 Assessment of emotional or behavioral problems	130	105	$17.00	$4.16
G0008 Administration of influenza virus vaccine	82	82	$56.00	$30.39
90653 Vaccine for influenza for injection into muscle	82	82	$142.00	$81.82
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	57	28	$121.00	$38.97
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	48	48	$158.00	$49.90
93000 Routine ekg using at least 12 leads including interpretation and report	48	48	$93.00	$13.25
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	46	44	$36.00	$15.45
G0009 Administration of pneumococcal vaccine	41	41	$59.00	$29.65
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	41	41	$742.00	$281.15
G0136 Administration of a standardized, evidence-based social determinants of health risk assessment tool, 5-15 minutes	40	40	$41.00	$17.64
91320 Sarscv2 vac 30mcg trs-suc im	35	35	$269.00	$152.78
90480 Admn sarscov2 vacc 1 dose	35	35	$65.00	$40.52
81003 Automated urinalysis test	34	33	$12.00	$2.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	22	20	$425.00	$169.05
99495 Transitional care management services for problem of at least moderate complexity	16	15	$411.06	$192.96
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$370.00	$153.88
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$358.00	$154.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	641	398	$291.21	$120.20
99213 Established patient office or other outpatient visit, typically 15 minutes	316	243	$188.26	$84.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	299	299	$245.00	$122.13
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	160	160	$742.00	$278.48
G0009 Administration of pneumococcal vaccine	158	158	$59.00	$29.17
83036 Hemoglobin A1C level	121	88	$53.00	$9.52
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	97	96	$175.43	$74.68
G0008 Administration of influenza virus vaccine	96	96	$56.00	$29.17
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	44	44	$158.00	$49.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	28	28	$425.00	$170.25
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	23	15	$121.00	$38.88
81003 Automated urinalysis test	21	20	$12.00	$2.12
99496 Transitional care management services for problem of high complexity	18	18	$545.00	$261.46
93000 Routine ekg using at least 12 leads including interpretation and report	18	18	$93.00	$13.64
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	16	16	$358.00	$156.66
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	16	16	$370.00	$156.35
G0403 Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report	15	15	$50.00	$13.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$484.00	$159.30
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$136.00	$50.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,860	28	$39.00	$21.29
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	748	410	$238.27	$125.02
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	289	289	$245.00	$128.00
99213 Established patient office or other outpatient visit, typically 15 minutes	210	169	$161.45	$88.24
83036 Hemoglobin A1C level	119	86	$53.00	$9.60
G0008 Administration of influenza virus vaccine	77	77	$56.00	$28.04
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	76	76	$100.03	$69.33
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	52	44	$318.52	$176.92
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	50	31	$121.00	$39.68
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	45	30	$56.20	$13.94
G0009 Administration of pneumococcal vaccine	38	38	$59.00	$28.10
81003 Automated urinalysis test	27	24	$10.15	$2.22
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	24	24	$158.00	$51.56
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	22	22	$742.00	$278.05
93000 Routine ekg using at least 12 leads including interpretation and report	18	17	$66.56	$13.91
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	15	15	$281.00	$131.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$358.00	$163.32
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$358.00	$164.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	2,220	24	$39.00	$20.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	877	432	$232.80	$127.07
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	287	287	$245.00	$130.38
99213 Established patient office or other outpatient visit, typically 15 minutes	236	191	$158.00	$89.41
83036 Hemoglobin A1C level	106	80	$42.58	$9.71
G0008 Administration of influenza virus vaccine	51	51	$56.00	$16.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	50	48	$312.00	$178.24
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	45	45	$85.38	$66.43
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	43	25	$56.00	$13.83
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	41	$158.00	$51.69
93000 Routine ekg using at least 12 leads including interpretation and report	35	34	$65.00	$14.43
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	27	17	$121.00	$40.01
81003 Automated urinalysis test	26	23	$10.00	$2.25
G0009 Administration of pneumococcal vaccine	25	25	$59.00	$16.22
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$281.00	$124.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$358.00	$164.77
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$358.00	$165.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,380	14	$39.00	$19.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	828	412	$233.00	$106.73
99213 Established patient office or other outpatient visit, typically 15 minutes	226	161	$158.00	$73.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	225	225	$245.00	$113.44
83036 Hemoglobin A1C level	101	79	$41.00	$9.56
G0008 Administration of influenza virus vaccine	65	63	$56.00	$16.09
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	61	30	$60.00	$22.35
90662 Influenza vaccine split virus, preservative free	60	60	$123.03	$60.18
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	48	24	$121.00	$39.91
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	40	$312.00	$143.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$358.00	$161.53
81003 Automated urinalysis test	40	34	$10.00	$2.24
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	39	39	$158.00	$52.04
G0009 Administration of pneumococcal vaccine	38	38	$59.00	$16.05
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	30	17	$56.00	$13.90
99442 Telephone medical discussion with physician, 11-20 minutes	30	28	$54.00	$54.02
93000 Routine ekg using at least 12 leads including interpretation and report	30	29	$65.00	$16.57
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	23	23	$260.30	$119.23
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	22	11	$195.00	$90.29
90670 Pneumococcal vaccine for injection into muscle	15	15	$474.07	$223.54
99441 Telephone medical discussion with physician, 5-10 minutes	13	11	$29.00	$29.11
99496 Transitional care management services for problem of high complexity	13	11	$480.00	$238.94
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$358.00	$163.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J0897 Injection, denosumab, 1 mg	1,200	14	$39.00	$18.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	947	385	$233.00	$105.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	248	248	$245.00	$112.58
99213 Established patient office or other outpatient visit, typically 15 minutes	213	166	$158.00	$71.79
83036 Hemoglobin A1C level	178	103	$41.00	$10.45
G0008 Administration of influenza virus vaccine	89	89	$56.00	$15.79
90653 Vaccine for influenza for injection into muscle	87	87	$93.79	$58.34
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	78	27	$60.00	$21.79
81003 Automated urinalysis test	63	51	$10.00	$2.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$358.00	$159.32
93000 Routine ekg using at least 12 leads including interpretation and report	49	47	$65.00	$16.32
G0009 Administration of pneumococcal vaccine	42	42	$54.62	$15.79
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	33	18	$56.00	$16.07
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	33	33	$158.00	$51.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	29	$312.00	$141.25
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	23	16	$121.00	$39.69
90670 Pneumococcal vaccine for injection into muscle	21	21	$303.33	$205.78
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$187.00	$111.30
99496 Transitional care management services for problem of high complexity	16	15	$480.00	$224.10
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	14	14	$266.00	$127.31
99495 Transitional care management services for problem of at least moderate complexity	12	12	$340.00	$158.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	461	290	$233.00	$102.73
36415 Insertion of needle into vein for collection of blood sample	169	138	$16.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	144	144	$245.00	$111.51
99213 Established patient office or other outpatient visit, typically 15 minutes	134	106	$158.00	$69.29
G0009 Administration of pneumococcal vaccine	38	38	$51.00	$19.38
83036 Hemoglobin A1C level	36	36	$41.00	$11.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$358.00	$157.53
81003 Automated urinalysis test	30	26	$10.00	$2.71
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	29	29	$147.00	$105.59
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	13	$60.00	$20.48
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$65.00	$16.13
81001 Manual urinalysis test with examination using microscope, automated	17	16	$14.00	$3.84
71046 X-ray of chest, 2 views	17	16	$84.00	$28.80
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	12	12	$33.00	$9.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	732	300	$16.00	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	582	283	$220.29	$102.84
99213 Established patient office or other outpatient visit, typically 15 minutes	227	160	$147.37	$69.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	204	204	$223.42	$110.34
83036 Hemoglobin A1C level	80	69	$41.00	$13.05
71020 X-ray of chest, 2 views, front and side	74	61	$92.00	$26.40
77080 Dxa bone density measurement of hip, pelvis, spine	55	55	$235.45	$38.15
G0008 Administration of influenza virus vaccine	50	50	$56.00	$23.92
93000 Routine ekg using at least 12 leads including interpretation and report	46	43	$65.00	$16.10
G0009 Administration of pneumococcal vaccine	45	45	$51.00	$23.92
90653 Vaccine for influenza for injection into muscle	44	44	$74.00	$49.22
J7613 Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg	36	12	$12.00	$0.05
81001 Manual urinalysis test with examination using microscope, automated	35	35	$14.00	$4.26
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	35	31	$33.00	$10.15
90670 Pneumococcal vaccine for injection into muscle	28	28	$268.07	$182.71
81003 Automated urinalysis test	20	19	$10.00	$3.02
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$137.29	$95.84
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	15	15	$291.33	$139.13
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	13	13	$498.00	$152.49
93880 Ultrasound of both sides of head and neck blood flow	12	12	$460.00	$147.83
76706 Ultrasound scan of abdominal aorta	12	12	$178.00	$61.16
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$343.27	$163.33

Medical Specialties & State Licenses

CMS Verified: 2024-04-24

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NC 9600217

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

891037R (NC)

Commercial Insurance / Payer ID Partners

17457 (NC)

Commercial Insurance / Payer ID Bcbsnc

1037R (NC)

Commercial Insurance / Payer ID Tricare

200157944 (NC)

Commercial Insurance / Payer ID Cigna

9734021003 (NC)

Commercial Insurance / Payer ID Medcost

C0098 (NC)

Commercial Insurance / Payer ID United Healthcare

04-56039 (NC)

Commercial Insurance / Payer ID Wellpath

179514 (NC)

Commercial Insurance / Payer ID Aetna

5717476 (NC)

Commercial Insurance / Payer ID Rr Medicare

P00256325 (NC)

Hospital & Practice Group Affiliations

Novant Health Medical Group, Llc

1401 Matthews Township Pkwy, Matthews, NC 281055403

Phone: 7043846901

The Weston Group Inc

7745 Little Ave, Charlotte, NC 282268168

Phone: 7045419333

Comprehab, Inc

2675 Court Dr, Gastonia, NC 280541478

Phone: 7048247800

Comprehab, Inc

2675 Court Dr, Gastonia, NC 280541478

Novant Health Medical Group, Llc

1450 Matthews Township Pkwy, Matthews, NC 281055336

Phone: 7043165410

Practice Associates & Co-Workers

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

19 Associated Practitioners

Sara White , NP

Nurse Practitioner

NPI 1184696106

Nurse Practitioner

Dr. Charlotte Karriker , MD

Internal Medicine

NPI 1205818606

Doctor of Medicine (M.D.)

Dr. Julia Svarishchuk , PharmD

Pharmacist

NPI 1215500228

Doctor of Pharmacy (Pharm.D.)

Dr. Christian Scherer , DO

Family Medicine

NPI 1245896422

Doctor of Osteopathic Medicine (D.O.)

Dr. Melanie Stanislawski , DO

Internal Medicine

NPI 1407415789

Doctor of Osteopathic Medicine (D.O.)

Dr. William Burgess , MD

Internal Medicine

NPI 1407838899

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active October 09, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location October 09, 2014

Registered at 1401 MATTHEWS TOWNSHIP PKWY STE 200, SUITE 103, MATTHEWS, NC 281055403 (Tel: 7043846901)

📍

Updated Business Mailing Address October 09, 2014

Registered at P.O. BOX 60447, CHARLOTTE, NC 28260 (Tel: 7043847840)

👤

Provider Name / Credentials Updated October 09, 2014

Recorded as MAUREEN ANDREASSI, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 09, 2014

Internal Medicine (License #9600217 in NC)

🟢

Initial NPI Registration & Enumeration June 10, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1669413332

Entity Type:

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

Enumeration Date: June 10, 2006

Last Update: April 24, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

P.o. Box 60447

Charlotte, NC 28260

Phone: 7043847840

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.