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NFPA Physical

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  • NFPA Physical

    $3200.00 each?

    Wow. Lots of testing.

  • #2
    Yet one can get an FAA flight physical for less than a grand

    Comment


    • #3
      Originally posted by LVFD301 View Post
      $3200.00 each?

      Wow. Lots of testing.
      Where did you get that amount?

      Comment


      • #4
        Occupational medicine provider here locally.

        Lots and lots of tests.

        Comment


        • #5
          that price is fairly competitive.
          We got a similar amount from two different places here a couple years ago to do full NFPA by the book physicals.

          We settled for FAA flight physical requirements which are pretty extensive testing requirements.

          Comment


          • #6
            That is what we see most departments doing, or having a "modified" NFPA physical.

            Here is the list of tests. Of course, not everyone gets the PAP and if they have had the immunizations it just saves us money.

            Required Components CPT
            Physical Exam 99205
            Breath Alcohol
            Drug Screening
            Vision Testing 92499
            Audiogram 92559
            Pulmonary Function Test 94010
            12 Lead EKG w/interpretation 93000
            Chest X-ray/AP & Lateral w/interpretation 71020
            PPD Skin Test 96580
            CBC w/diff 85027
            RBC w/indices, morph & pltlts 82747
            Electrolyte Panel 80051
            Renal Function Panel w/BUN, Creat. 80069
            Blood Glucose/A1C 83036
            Hepatic Function Panel(includes ALT,AST,alkaphos) 80076
            Bilirubin fractionated/total,direct,indirect 82247
            Total Cholesterol/Lipid Panel 80061
            UA dip 81002
            Hep C Screening (blood antibody) 86803
            Hep B vaccine 90746
            Hep B Titer 86706
            Tdap Vaccine 90700
            MMR Vaccine 90707
            Polio Vaccine 90732
            Hepatitis A Vaccine 90632
            Hepatitis A Antibody 86709
            Varicella Vaccine 90716
            Varicella Screening/Zoster/IgG/IgM 86787
            Infuenza Vaccine
            HIV Screening/Antibody 1 & 2 86703
            Occult Blood/Colerectal screen 82270
            Pap Smear 88164

            Comment


            • #7
              You know I bet some smart young doctor could come up with a couple of trailers that are capable of performing all these tests, under cut everyone else, tow the damn thing to the department locally and still do it at $2500 per man and make a killing doing this.
              Kurt Bradley
              Fire/EMS/EMA Grant Consultant
              " Never Trade Skill for Luck"

              Comment


              • #8
                problem is the extent of the lab testing which most needs to be sent offsite for testing results. $$$$$
                Even small to medium hospitals send these out to outside labs.

                Comment


                • #9
                  Originally posted by islandfire03 View Post
                  problem is the extent of the lab testing which most needs to be sent offsite for testing results. $$$$$
                  Even small to medium hospitals send these out to outside labs.
                  That's what Lab Corp is for.they are everywhere
                  Kurt Bradley
                  Fire/EMS/EMA Grant Consultant
                  " Never Trade Skill for Luck"

                  Comment


                  • #10
                    If FF used their own MD could save $50-$100 per person.The Physical Exam code 99205 is a new patient/initial visit code, an established patient could only be charged a 99215 (ie - have you ever been seen by that practice). I work at a multi specialty practice, our Primary Care Practitioners contract rate is $60 more from Blue Cross/Blue Shield of GA for a new pat/initial eval at the same complexity level. Also food for thought, most PCP offices would gladly work out a competitive contract rate for this physical, especially if their would be multiple guaranteed, routine appts at stake. Their is alot of manufacturing local to my clinics and we have setup specific physicals at contract prices, for this exact type of situation. Just saying.

                    Comment


                    • #11
                      Seems VERY high priced. NFPA 1582 physicals in both NH and MA are not nearly that high.
                      Mark

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