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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, $193 per patient in 2012.
They performed about 6 services per patient. Here’s how this provider compares.
Number of
Patients
659
Rank: 252nd
out of 2,477 providers in this state & specialty
Services
Performed
6,219
Rank: 175th
out of 2,477 providers in this state & specialty
Avg Services
Per Patient
9.4 This Provider
Avg 5.6
Total Paid
by Medicare
$259K
Rank: 68th
out of 2,477 providers in this state & specialty
Avg Paid
Per Patient
$393 This Provider is in the top 10%
Avg $193

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.

Marcono R. Hines
Average for Family Practice Providers in North Carolina

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.

Patients saw before

Marcono R. Hines

Patients saw after

This Provider's Services

This provider performed 19 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

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
3,268
times performed,
53% of his services

1st 2nd

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

424
patients got this service, 64% of his patients
7.7
average number of visits a patient made for this service
(Peers: 2)
$310,460an average of $95 per time performed $156,864
an average of $48 per time performed
PROCEDURES

Drug screen, other than chromatographic; any number of dr... +

Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter ×

Service Code: G0434
Performed in an office
1,077
times performed,
17% of his services

2nd 99th

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

394
patients got this service, 60% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.3)
$258,480an average of $240 per time performed $22,617
an average of $21 per time performed
MEDICINE

Psychological testing with interpretation and report by c... +

Psychological testing with interpretation and report by computer ×

Service Code: 96103
Performed in an office
237
times performed,
4% of his services

3rd Alert

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

219
patients got this service, 33% of his patients
1.1
average number of visits a patient made for this service
$29,625an average of $125 per time performed $11,139
an average of $47 per time performed
PATHOLOGY AND LABORATORY

Alcohol (ethanol) level

Service Code: 82055
Performed in an office
228
times performed,
4% of his services

4th Alert

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

227
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
$6,156an average of $27 per time performed $3,420
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
228
times performed,
4% of his services

5th 39th

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

227
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$2,736an average of $12 per time performed $1,596
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Body fluid ph level

Service Code: 83986
Performed in an office
228
times performed,
4% of his services

6th 206th

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

227
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$2,280an average of $10 per time performed $1,140
an average of $5 per time performed
PROCEDURES

Drug screen, qualitative; multiple drug classes by high c... +

Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter ×

Service Code: G0431
Performed in an office
214
times performed,
3% of his services

7th 186th

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

213
patients got this service, 32% of his patients
1
average number of visits a patient made for this service
(Peers: 1.8)
$70,620an average of $330 per time performed $22,042
an average of $103 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
179
times performed,
3% of his services

8th 56th

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

179
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$34,905an average of $195 per time performed $19,690
an average of $110 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
111
times performed,
2% of his services

9th 27th

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

109
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,330an average of $30 per time performed $1,554
an average of $14 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
111
times performed,
2% of his services

10th 6th

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

109
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,775an average of $25 per time performed $2,553
an average of $23 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
76
times performed,
1% of his services

11th 1st

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

68
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.3)
$8,892an average of $117 per time performed $5,700
an average of $75 per time performed
RADIOLOGY

X-ray of lower and sacral spine, minimum of 4 views

Service Code: 72110
Performed in an office
72
times performed,
1% of his services

12th 183rd

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

72
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,144an average of $127 per time performed $2,664
an average of $37 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
58
times performed,
0.93% of his services

13th 40th

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

58
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,410an average of $145 per time performed $4,002
an average of $69 per time performed
MEDICINE

Psychological testing with interpretation and report by t... +

Psychological testing with interpretation and report by technician per hour ×

Service Code: 96102
Performed in an office
44
times performed,
0.71% of his services

14th Alert

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

41
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
$6,380an average of $145 per time performed $2,420
an average of $55 per time performed
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
26
times performed,
0.42% of his services

15th 13th

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

25
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$650an average of $25 per time performed $78
an average of $3 per time performed
RADIOLOGY

X-ray of upper spine, 4 or 5 views

Service Code: 72050
Performed in an office
23
times performed,
0.37% of his services

16th 295th

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

23
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,944an average of $128 per time performed $920
an average of $40 per time performed
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
17
times performed,
0.27% of his services

17th 51st

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

12
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.1)
$357an average of $21 per time performed $255
an average of $15 per time performed
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
11
times performed,
0.18% of his services

18th 131st

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,089an average of $99 per time performed $308
an average of $28 per time performed
MEDICINE

Vaccine for tetanus and diphtheria injection into muscle,... +

Vaccine for tetanus and diphtheria injection into muscle, patient 7 years of age and older ×

Service Code: 90718
Performed in an office
11
times performed,
0.18% of his services

19th 377th

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$495an average of $45 per time performed $143
an average of $13 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 "Family Medicine." 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.


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