Frequently Asked Questions
Why am I being billed twice for my surgery?
Surgeries performed in our Ambulatory Surgery Center (ASC) will have two claims that look identical. Both the provider and the ASC submit claims for services. Dr. Levy (NPI 1427053834) bills the professional component and the ASC (NPI 1902043284) bills for the facility component.
Why does the statement show I am being billed based on time?
Office visit codes are selected by either time OR medical decision making (MDM).
Medical decision making is based on the number and complexity of the problems addressed, the amount and/or complexity of data reviewed or ordered, and the risk of complications and/or morbidity or mortality of patient management.
99203 30-44 minutes OR low level of medical decision making
99204 45-59 minutes OR moderate level of medical decision making
99205 60-74 minutes OR high level of medical decision making
99213 20-29 minutes OR low level of medical decision making
99214 30-39 minutes OR moderate level of medical decision making
99215 40-54 minutes OR high level of medical decision making
Why am I being billed for a procedure I was told would be allowed by my insurance company?
All claims are subject to your specific insurance plan benefits, you are responsible for your deductible, coinsurance, and co-pays. If you believe your benefits were processed incorrectly, please reach out to your insurance company directly.