Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $383 per patient in 2015.
They performed about 10 services per patient. Here’s how this provider compares.

Number of
Patients
497
Rank: 32nd
out of 122 providers in this state & specialty
Services
Performed
3,262
Rank: 35th
out of 122 providers in this state & specialty
Avg Services
Per Patient
6.6 This Provider
Avg 10.3
Total Paid
by Medicare
$214K
Rank: 23rd
out of 122 providers in this state & specialty
Avg Paid
Per Patient
$430 This Provider
Avg $383

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 78 different services in 2015
(52 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
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
631
times performed,
19% of his services

1st 2nd

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

185
patients got this service, 37% of his patients
3.4
average number of visits a patient made for this service
(Peers: 4.5)
$74,237.15an average of $117.65 per time performed $35,336.00
an average of $56.00 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
355
times performed,
11% of his services

2nd 8th

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

150
patients got this service, 30% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.2)
$25,173.05an average of $70.91 per time performed $10,600.30
an average of $29.86 per time performed
medical
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
195
times performed,
6% of his services

3rd 10th

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

115
patients got this service, 23% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.1)
$32,436.30an average of $166.34 per time performed $15,783.30
an average of $80.94 per time performed
medical
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
170
times performed,
5% of his services

4th 4th

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

69
patients got this service, 14% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.6)
$18,303.90an average of $107.67 per time performed $9,409.50
an average of $55.35 per time performed
medical
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
154
times performed,
5% of his services

5th 17th

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

144
patients got this service, 29% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$49,586.46an average of $321.99 per time performed $24,321.22
an average of $157.93 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
148
times performed,
5% of his services

6th 26th

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

142
patients got this service, 29% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$30,044.00an average of $203.00 per time performed $12,187.80
an average of $82.35 per time performed
medical
MEDICINE

Removal of tissue from wounds per session

Service Code: 97597
Performed in a facility
131
times performed,
4% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

48
patients got this service, 10% of his patients
2.7
average number of visits a patient made for this service
$13,527.06an average of $103.26 per time performed $2,453.63
an average of $18.73 per time performed
medical
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
109
times performed,
3% of his services

8th 5th

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

66
patients got this service, 13% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.5)
$17,325.55an average of $158.95 per time performed $8,976.15
an average of $82.35 per time performed
medical
MEDICINE

Management and supervision of oxygen chamber therapy per ... +

Management and supervision of oxygen chamber therapy per session ×

Service Code: 99183
Performed in a facility
101
times performed,
3% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

17
patients got this service, 3% of his patients
5.9
average number of visits a patient made for this service
$28,476.95an average of $281.95 per time performed $8,758.72
an average of $86.72 per time performed
medical
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 a facility
92
times performed,
3% of his services

10th 37th

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

40
patients got this service, 8% of his patients
2.3
average number of visits a patient made for this service
(Peers: 3)
$9,472.32an average of $102.96 per time performed $4,933.96
an average of $53.63 per time performed
medical
SKIN, HAIR AND NAILS

Removal of skin and tissue first 20 sq cm or less

Service Code: 11042
Performed in a facility
84
times performed,
3% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

44
patients got this service, 9% of his patients
1.9
average number of visits a patient made for this service
$11,590.32an average of $137.98 per time performed $3,885.84
an average of $46.26 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in a facility
81
times performed,
2% of his services

12th 49th

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

77
patients got this service, 15% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$15,927.03an average of $196.63 per time performed $10,553.49
an average of $130.29 per time performed
medical
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 a facility
81
times performed,
2% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

32
patients got this service, 6% of his patients
2.5
average number of visits a patient made for this service
$11,762.82an average of $145.22 per time performed $5,757.48
an average of $71.08 per time performed
medical
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 a facility
78
times performed,
2% of his services

14th 20th

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

38
patients got this service, 8% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.1)
$8,472.36an average of $108.62 per time performed $3,074.76
an average of $39.42 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
60
times performed,
2% of his services

15th 99th

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

60
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,931.80an average of $315.53 per time performed $9,444.60
an average of $157.41 per time performed
medical
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
60
times performed,
2% of his services

16th 75th

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

52
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$12,855.00an average of $214.25 per time performed $6,784.20
an average of $113.07 per time performed
medical
SKIN, HAIR AND NAILS

Application of skin substitute (wound surface up to 100 s... +

Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) ×

Service Code: 15275
Performed in a facility
60
times performed,
2% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

13
patients got this service, 3% of his patients
4.6
average number of visits a patient made for this service
$21,115.80an average of $351.93 per time performed $4,479.00
an average of $74.65 per time performed
medical
SKIN, HAIR AND NAILS

Removal of skin and tissue

Service Code: 11045
Performed in a facility
49
times performed,
2% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

12
patients got this service, 2% of his patients
2
average number of visits a patient made for this service
$4,406.08an average of $89.92 per time performed $1,013.81
an average of $20.69 per time performed
medical
MEDICINE

Removal of tissue from wounds per session

Service Code: 97597
Performed in an office
47
times performed,
1% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

28
patients got this service, 6% of his patients
1.7
average number of visits a patient made for this service
$7,290.17an average of $155.11 per time performed $2,697.80
an average of $57.40 per time performed
medical
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles of arm or leg complete study ×

Service Code: 95886
Performed in an office
39
times performed,
1% of his services

20th 28th

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

17
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$10,320.18an average of $264.62 per time performed $2,782.65
an average of $71.35 per time performed
medical
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 a facility
38
times performed,
1% of his services

21st 16th

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

24
patients got this service, 5% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.8)
$6,222.12an average of $163.74 per time performed $2,301.28
an average of $60.56 per time performed
medical
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
24
times performed,
0.74% of his services

22nd 52nd

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

19
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$1,815.12an average of $75.63 per time performed $816.00
an average of $34.00 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 35 minutes p... +

Subsequent nursing facility visit, typically 35 minutes per day ×

Service Code: 99310
Performed in a facility
18
times performed,
0.55% of his services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

13
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
$3,274.02an average of $181.89 per time performed $1,903.68
an average of $105.76 per time performed
medical
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
17
times performed,
0.52% of his services

24th 15th

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

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,652.05an average of $273.65 per time performed $2,179.23
an average of $128.19 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in a facility
14
times performed,
0.43% of his services

25th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in VA perform this service

13
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$4,691.96an average of $335.14 per time performed $1,849.82
an average of $132.13 per time performed
medical

Nerve transmission studies, 7-8 studies

Service Code: 95910
Performed in an office
13
times performed,
0.4% of his services

26th 69th

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

11
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$4,658.94an average of $358.38 per time performed $1,771.12
an average of $136.24 per time performed

Office Visits

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.

Cornell Shelton
Average for Physical Medicine & Rehabilitation Providers in Virginia

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

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 2015 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.

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