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regulation and medical practice

Post-Surgical Patients Patients who have undergone certain types of surgeries, particularly those involving the gastrointestinal tract, may experience difficulties with B12 absorption

Vitamin B12 Deficiency is Common, But Are we Also Facing an Epidemic of Too Much B12

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Home Find a cheap hospital Most expensive procedures Vitamin b12 injection Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg Cost distribution Cheapest hospitals Hospital/Provider Provider type Avg amount paid Avg amount requested Richard M Orlan (MD, male) 19 BELMONT AVE, SUITE 1201, BRATTLEBORO, VT 05301 Internal Medicine $0.01 $0.01 (x1.4) William L Bell (MD, male) 300 S MIDDLETON ST, ROBBINS, NC 27325 Family Practice $0.01 $0.01 (x1.3) Susan M Guentzel (M.D., female) 1025 BEAL PKWY NW, SUITE A, FT WALTON BEACH, FL 32547 Internal Medicine $0.01 $0.01 (x1.2) Gregg M Koval (M.D., male) 5667 PEACHTREE DUNWOODY ROAD, SUITE 150, ATLANTA, GA 30342 Internal Medicine $0.01 $0.01 (x1.1) Marshall E Prunty (MD, male) 601 GREENE DR, FAMILY PRACTICE OF GREENVILLE PSC, GREENVILLE, KY 42345 Family Practice $0.01 $0.01 (x1.1) Pamela E Hall (MD, female) 820 DELTONA BLVD, SUITE A, DELTONA, FL 32725 Family Practice $0.01 $0.01 (x1.1) Ketan A Patel (MD, male) 489 N TYNDALL PKWY, PANAMA CITY, FL 32404 Internal Medicine $0.01 $0.01 (x1.1) Robert F Kelliher (MD, male) 844 MAIN STREET, WALPOLE, MA 02081 Internal Medicine $0.01 $0.01 (x1.1) Carl M Sousa (M.D., male) 74 MAIN STREET, MEDWAY, MA 02053 Internal Medicine $0.01 $0.01 (x1.1) Christopher S Vagnoni (M.D., male) 902 SETON DR, SUITE 303, CUMBERLAND, MD 21502 Internal Medicine $0.01 $0.01 (x1.1) Albert F Mapp (MD, male) 489 N TYNDALL PKWY, PANAMA CITY, FL 32404 Family Practice $0.01 $0.01 (x1.0) Nathalie A Campbell (, female) 470 TOLLGATE RD, SUITE 202, WARWICK, RI 02886 Endocrinology $0.01 $0.01 (x1.0) Tatyana Ingberman (M.D., female) 749 OCEAN PKWY, BROOKLYN, NY 11230 Internal Medicine $0.01 $0.01 (x1.0) Leon Lenoir (MD, male) 1307 E UNION ST, DOCTORS LENOIR AND CIRILLI PA, GREENVILLE, MS 38703 Internal Medicine $0.01 $0.03 (x2.2) Peter A Weitzman (MD, male) 234 RUSSELL ST, #7, HADLEY, MA 01035 Family Practice $0.02 $0.02 (x1.5) Michael J Cirilli (MD, male) 1307 E UNION, DOCTORS LENOIR & CIRILLI PA, GREENVILLE, MS 38703 Internal Medicine $0.02 $0.03 (x1.7) Mark J Lobitz (D.O., CMD, male) 400 W 23RD ST, HAZLETON, PA 18202 Family Practice $0.03 $2.33 (x84.2) Olukayode Oladeji (MD, male) 1 RACE TRACK RD, EAST BRUNSWICK, NJ 08816 Cardiology $0.03 $0.04 (x1.4) Anita M Vagnoni (MD, female) 925 SETON DR, CUMBERLAND, MD 21502 Internal Medicine $0.03 $0.45 (x14.5) James H Wheeler (M.D., male) 993 JOHNSON FERRY RD NE, SUITE 210, ATLANTA, GA 30342 Family Practice $0.03 $0.05 (x1.5) Frank A Franklin (MD, male) 160 PARIS AVE, SUITE 1, NORTHVALE, NJ 07647 General Practice $0.03 $0.18 (x5.2) Charles S Schramm (M.D., male) 993 F JOHNSON FERRY RD, SUITE 210, ATLANTA, GA 30342 Family Practice $0.04 $0.05 (x1.4) Evan G Kushner (M.D., male) 277 FOREST AVE, SUITE 200, PARAMUS, NJ 07652 Internal Medicine $0.04 $0.05 (x1.4) Robert V Kavaler (M.D., male) 277 FOREST AVE, SUITE 200, PARAMUS, NJ 07652 Internal Medicine $0.04 $0.66 (x17.8) Jennifer L Giardina (D.O., female) 3 PLAZA DR, SUITE 6, TOMS RIVER, NJ 08757 Family Practice $0.04 $0.05 (x1.3) Debra G Reich-sobel (DO, female) 1711 N WOOD AVE, LINDEN, NJ 07036 Family Practice $0.04 $0.05 (x1.3) Morey J Menacker (D.O., male) 277 FOREST AVE, SUITE 200, PARAMUS, NJ 07652 Internal Medicine $0.04 $1.25 (x30.0) Bruce A Kahan (MD, male) 3661 MADACA LN, TAMPA, FL 33618 Internal Medicine $0.05 $1.33 (x29.3) Allen L Lempel (MD, male) 1352 RIVER AVE, LAKEWOOD, NJ 08701 Internal Medicine $0.05 $0.06 (x1.3) Theodore G Brna (M.D., male) 6321 DEANS ST, BAILEY, NC 27807 Family Practice $0.05 $0.23 (x4.6) Average payments by state (low to high) State Avg amount paid Avg amount requested VT $0.33 $11.42 (x34.4) MS $0.36 $12.15 (x34.1) MT $0.36 $4.41 (x12.3) RI $0.36 $13.85 (x38.5) WI $0.36 $9.09 (x25.1) ME $0.36 $5.53 (x15.2) IA $0.36 $5.59 (x15.4) ID $0.36 $4.66 (x12.8) SD $0.36 $5.19 (x14.2) NH $0.37 $4.16 (x11.4) NE $0.37 $5.94 (x16.3) WY $0.37 $15.01 (x41.1) NC $0.37 $11.69 (x31.9) WV $0.37 $11.05 (x30.2) OR $0.37 $3.95 (x10.8) MN $0.37 $5.38 (x14.7) KY $0.37 $9.86 (x26.9) MA $0.37 $11.10 (x30.2) AL $0.37 $9.81 (x26.6) KS $0.37 $8.73 (x23.6) HI $0.37 $9.17 (x24.8) GA $0.37 $12.21 (x33.0) IN $0.37 $9.42 (x25.5) TN $0.37 $10.97 (x29.7) IL $0.37 $13.72 (x37.0) UT $0.37 $6.89 (x18.5) MO $0.37 $10.37 (x27.9) PA $0.37 $9.07 (x24.4) AK $0.37 $8.27 (x22.2) OH $0.37 $9.85 (x26.4) SC $0.37 $12.18 (x32.6) ND $0.37 $9.44 (x25.3) WA $0.38 $4.63 (x12.3) DE $0.38 $11.68 (x31.1) MD $0.38 $9.67 (x25.7) NJ $0.38 $12.55 (x33.3) VA $0.38 $8.29 (x22.0) AZ $0.38 $8.51 (x22.5) MI $0.38 $9.22 (x24.3) VI $0.38 $10.00 (x26.3) CT $0.38 $12.21 (x32.1) NY $0.38 $15.01 (x39.0) FL $0.39 $9.33 (x24.2) CA $0.39 $13.87 (x35.9) NV $0.40 $13.27 (x33.5) DC $0.40 $13.51 (x34.1) ZZ $0.40 $5.00 (x12.6) AR $0.40 $9.10 (x22.9) LA $0.40 $11.20 (x28.1) CO $0.61 $9.44 (x15.4) NM $0.68 $22.90 (x33.7) OK $0.69 $10.63 (x15.4) TX $0.70 $12.72 (x18.2)

Without adherence to water standards, an operation risks its compliance, reputation, equipment, and consumer health