Active NPI 1578516951 Individual Practitioner Male Practitioner

Dr. Himalaya Patcha , MD

Internal Medicine • Barnesville, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Himalaya Patcha, MD is a certified Internal Medicine practicing in Barnesville, OH. With approximately 47 years of clinical experience since completing medical education in 1979, Dr. Patcha delivers high-quality medical care to the local community at 101 E MAIN ST.

Dr. Patcha is affiliated with Ohio Hills Health Services and accepts Medicare assignment.

Frequently performed procedures and clinical services include detection test by immunoassay with direct visual observation for influenza virus, detection test by immunoassay with direct visual observation for respiratory syncytial virus, automated urinalysis test. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

101 E Main St

Barnesville, OH 437131005

Telephone 7404255160

Associated Practice Facility / Clinic

🏢 Ohio Hills Health Services Facility NPI 1326089129

Medicare Profile & Education

Medical School

Other

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Barnesville, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs Matches City Avg

City Avg: 47.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

3 Specialists

Practicing in Barnesville, OH (5516 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

76.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Patcha (47 Years) 47 Yrs

Barnesville Specialty Average (47.0 Years) 47.0 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
87804 Detection test by immunoassay with direct visual observation for influenza virus	47	20	$44.57	$16.22
87807 Detection test by immunoassay with direct visual observation for respiratory syncytial virus	23	20	$59.35	$12.84
81003 Automated urinalysis test	18	12	$18.89	$2.20
83036 Hemoglobin A1C level	17	15	$43.18	$9.52
82962 Blood glucose (sugar) test performed by hand-held instrument	12	11	$17.67	$3.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
87804 Detection test by immunoassay with direct visual observation for influenza virus	56	25	$52.79	$16.22
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	32	28	$45.00	$7.88
83036 Hemoglobin A1C level	32	23	$51.81	$9.52
82962 Blood glucose (sugar) test performed by hand-held instrument	29	21	$22.93	$3.21
87807 Detection test by immunoassay with direct visual observation for respiratory syncytial virus	27	22	$65.78	$12.84
81003 Automated urinalysis test	19	13	$21.89	$2.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	297	219	$45.00	$8.09
83036 Hemoglobin A1C level	40	31	$50.50	$9.60
82962 Blood glucose (sugar) test performed by hand-held instrument	39	28	$21.90	$3.24
87804 Detection test by immunoassay with direct visual observation for influenza virus	26	12	$50.62	$16.47
94729 Test to examine how well the lungs exchange gases	22	22	$45.00	$8.76
94375 Diagnostic testing in a pulmonary function lab	21	21	$45.00	$14.12
94727 Determination of lung volumes using gas dilution or washout	21	21	$40.00	$11.78
81003 Automated urinalysis test	12	12	$21.00	$2.23
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	12	12	$170.00	$18.06
87807 Detection test by immunoassay with direct visual observation for respiratory syncytial virus	11	11	$62.91	$13.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	465	318	$45.00	$8.21
83036 Hemoglobin A1C level	39	30	$69.97	$9.71
82962 Blood glucose (sugar) test performed by hand-held instrument	39	30	$18.00	$3.28
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	17	16	$50.82	$6.12
81003 Automated urinalysis test	14	13	$21.00	$2.25
94375 Diagnostic testing in a pulmonary function lab	13	13	$45.00	$14.38
94729 Test to examine how well the lungs exchange gases	13	13	$45.00	$8.92
94727 Determination of lung volumes using gas dilution or washout	13	13	$40.00	$12.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	458	315	$45.00	$8.44
83036 Hemoglobin A1C level	38	28	$63.21	$9.66
82962 Blood glucose (sugar) test performed by hand-held instrument	35	27	$17.49	$3.27
94375 Diagnostic testing in a pulmonary function lab	28	28	$45.00	$14.81
94729 Test to examine how well the lungs exchange gases	28	28	$45.00	$9.18
94727 Determination of lung volumes using gas dilution or washout	28	28	$40.00	$12.35
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	15	15	$50.27	$7.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	536	330	$45.00	$8.32
82962 Blood glucose (sugar) test performed by hand-held instrument	66	48	$12.00	$3.21
83036 Hemoglobin A1C level	63	46	$14.00	$10.57
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	40	$225.00	$93.65
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	19	$107.00	$38.53
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	31	$250.00	$182.00
94729 Test to examine how well the lungs exchange gases	32	32	$45.00	$9.04
94727 Determination of lung volumes using gas dilution or washout	31	31	$40.00	$12.18
94375 Diagnostic testing in a pulmonary function lab	31	31	$45.00	$14.60
81003 Automated urinalysis test	22	16	$23.00	$2.44
99238 Hospital discharge day management, 30 minutes or less	22	19	$188.00	$71.05
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	20	20	$54.00	$7.86
99219 Hospital observation care, typically 50 minutes	20	19	$337.00	$132.83
93227 Electrocardiogram (ecg) 2-day continuous with review by health care professional	18	17	$170.00	$25.98
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	15	13	$326.00	$133.25
99217 Hospital observation care on day of discharge	12	12	$190.00	$71.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	187	126	$45.00	$7.83
99231 Follow-up hospital inpatient care per day, typically 15 minutes	125	63	$107.00	$36.58
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	108	92	$224.89	$91.67
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	77	14	$63.64	$40.94
99238 Hospital discharge day management, 30 minutes or less	65	61	$188.00	$67.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	56	54	$253.21	$178.57
99219 Hospital observation care, typically 50 minutes	40	36	$337.00	$126.74
83036 Hemoglobin A1C level	31	26	$14.00	$11.75
99217 Hospital observation care on day of discharge	30	27	$190.00	$67.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	28	27	$330.18	$127.16
99224 Subsequent observation care, typically 15 minutes per day	26	19	$73.00	$37.20
82962 Blood glucose (sugar) test performed by hand-held instrument	26	24	$12.00	$3.21
94375 Diagnostic testing in a pulmonary function lab	24	24	$45.00	$13.77
94729 Test to examine how well the lungs exchange gases	24	24	$45.00	$8.52
94727 Determination of lung volumes using gas dilution or washout	24	24	$40.00	$11.48
81003 Automated urinalysis test	23	20	$23.00	$2.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	11	11	$176.00	$66.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	286	180	$45.00	$8.04
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	194	157	$225.00	$90.57
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	151	23	$66.09	$41.78
99231 Follow-up hospital inpatient care per day, typically 15 minutes	149	75	$107.00	$36.46
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	110	104	$250.00	$176.85
99219 Hospital observation care, typically 50 minutes	75	70	$337.00	$125.99
99224 Subsequent observation care, typically 15 minutes per day	64	47	$73.00	$37.08
99238 Hospital discharge day management, 30 minutes or less	59	53	$188.00	$66.91
99217 Hospital observation care on day of discharge	57	53	$190.00	$67.26
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	31	$302.27	$125.02
99291 Critical care, first 30-74 minutes	22	12	$571.00	$208.20
94729 Test to examine how well the lungs exchange gases	20	20	$45.00	$8.74
94727 Determination of lung volumes using gas dilution or washout	18	18	$40.00	$11.77
94375 Diagnostic testing in a pulmonary function lab	18	18	$45.00	$14.11

Medical Specialties & State Licenses

CMS Verified: 2021-08-31

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35.065225

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

0928376 (OH)

Commercial Insurance / Payer ID Medicare Fqhc Pin

PA2009882 (OH)

Hospital & Practice Group Affiliations

Ohio Hills Health Services

110 W Main St, Freeport, OH 439739801

Phone: 7406583329

Secondary Practice Locations

110 W Main Street

Freeport, OH 439734397

Phone: 7402396447

37984 Airport Rd

Woodsfield, OH 437939247

Phone: 7402396447

Practice Associates & Co-Workers

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

1 Associated Practitioners

Joann Merritt , NP

Nurse Practitioner

NPI 1659325967

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active July 12, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 12, 2007

Registered at 101 E MAIN ST, BARNESVILLE, OH 437131005 (Tel: 7404255160)

📍

Updated Business Mailing Address July 12, 2007

Registered at 101 E MAIN ST, BARNESVILLE, OH 437131005 (Tel: 7404255160)

👤

Provider Name / Credentials Updated July 12, 2007

Recorded as HIMALAYA PATCHA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2007

Internal Medicine (License #35.065225 in OH)

🟢

Initial NPI Registration & Enumeration May 18, 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: 1578516951

Entity Type:

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

Enumeration Date: May 18, 2006

Last Update: September 16, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

101 E Main St

Barnesville, OH 437131005

Phone: 7404255160

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.