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Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $293 per patient in 2012.
They performed about 11 services per patient. Here’s how this provider compares.
Number of
Patients
907
Rank: 27th
out of 247 providers in this state & specialty
Services
Performed
3,767
Rank: 22nd
out of 247 providers in this state & specialty
Avg Services
Per Patient
4.2 This Provider
Avg 11.3
Total Paid
by Medicare
$305K
Rank: 20th
out of 247 providers in this state & specialty
Avg Paid
Per Patient
$336 This Provider
Avg $293

Office Visits

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Top Billing

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Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Martin T. Phillips
Average for Infectious Disease Providers in Illinois

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Individuals

RYAN MEINERS

ARUN JAGANNATHAN

JOHN BUCZYNA

JEFFERY MENDELL

HOWARD ROTH

Organizations

RIVERSIDE MEDICAL CENTER

PRESENCE HOSPITALS PRV

Patients saw before

Martin T. Phillips

Patients saw after

Individuals

RYAN MEINERS

JOHN BUCZYNA

ARUN JAGANNATHAN

JEFFERY MENDELL

HOWARD ROTH

Organizations

RIVERSIDE MEDICAL CENTER

PRESENCE HOSPITALS PRV

This Provider's Services

This provider performed 14 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
1,781
times performed,
47% of his services

1st 4th

most performed service for this provider most performed service in this state & specialty

550
patients got this service, 61% of his patients
3.2
average number of visits a patient made for this service
(Peers: 2.6)
$356,200an average of $200 per time performed $138,918
an average of $78 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
520
times performed,
14% of his services

2nd 9th

most performed service for this provider most performed service in this state & specialty

262
patients got this service, 29% of his patients
2
average number of visits a patient made for this service
(Peers: 1.9)
$85,280an average of $164 per time performed $27,040
an average of $52 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
512
times performed,
14% of his services

3rd 5th

most performed service for this provider most performed service in this state & specialty

462
patients got this service, 51% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$245,760an average of $480 per time performed $76,800
an average of $150 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
404
times performed,
11% of his services

4th 2nd

most performed service for this provider most performed service in this state & specialty

248
patients got this service, 27% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.7)
$68,680an average of $170 per time performed $21,816
an average of $54 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
157
times performed,
4% of his services

5th 10th

most performed service for this provider most performed service in this state & specialty

113
patients got this service, 12% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.9)
$38,465an average of $245 per time performed $11,304
an average of $72 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
91
times performed,
2% of his services

6th 6th

most performed service for this provider most performed service in this state & specialty

88
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$30,030an average of $330 per time performed $9,373
an average of $103 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in an office
68
times performed,
2% of his services

7th 30th

most performed service for this provider most performed service in this state & specialty

34
patients got this service, 4% of his patients
2
average number of visits a patient made for this service
(Peers: 1.9)
$10,948an average of $161 per time performed $4,284
an average of $63 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in an office
66
times performed,
2% of his services

8th 51st

most performed service for this provider most performed service in this state & specialty

27
patients got this service, 3% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.5)
$7,986an average of $121 per time performed $3,366
an average of $51 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
63
times performed,
2% of his services

9th 30th

most performed service for this provider most performed service in this state & specialty

56
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$6,300an average of $100 per time performed $1,953
an average of $31 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
31
times performed,
0.82% of his services

10th 37th

most performed service for this provider most performed service in this state & specialty

31
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,160an average of $360 per time performed $3,782
an average of $122 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
27
times performed,
0.72% of his services

11th 53rd

most performed service for this provider most performed service in this state & specialty

27
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,696an average of $248 per time performed $1,890
an average of $70 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
17
times performed,
0.45% of his services

12th 18th

most performed service for this provider most performed service in this state & specialty

12
patients got this service, 1% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$5,678an average of $334 per time performed $1,734
an average of $102 per time performed
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 35 minutes per day +

Initial nursing facility visit, typically 35 minutes per day ×

Service Code: 99305
Performed in an office
17
times performed,
0.45% of his services

13th 44th

most performed service for this provider most performed service in this state & specialty

17
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$3,791an average of $223 per time performed $1,700
an average of $100 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 2... +

New patient office or other outpatient visit, typically 20 minutes ×

Service Code: 99202
Performed in an office
13
times performed,
0.35% of his services

14th 91st

most performed service for this provider most performed service in this state & specialty

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,210an average of $170 per time performed $559
an average of $43 per time performed

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2013 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Notes: This provider has a self-reported specialty of "Infectious Disease." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.