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, $242 per patient in 2015.
They performed about 8 services per patient. Here’s how this provider compares.

Number of
Patients
526
Rank: 159th
out of 488 providers in this state & specialty
Services
Performed
16,052
Rank: 14th
out of 488 providers in this state & specialty
Avg Services
Per Patient
30.5 This Provider is in the top 10%
Avg 7.6
Total Paid
by Medicare
$216K
Rank: 54th
out of 488 providers in this state & specialty
Avg Paid
Per Patient
$410 This Provider is in the top 10%
Avg $242

Note: About 15% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

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 80 different services in 2015
(44 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

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
1,455
times performed,
9% of his services

1st 4th

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

389
patients got this service, 74% of his patients
3.7
average number of visits a patient made for this service
(Peers: 1.9)
$179,736.15an average of $123.53 per time performed $67,570.20
an average of $46.44 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
1,102
times performed,
7% of his services

2nd 2nd

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

421
patients got this service, 80% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2.2)
$23,053.84an average of $20.92 per time performed $3,239.88
an average of $2.94 per time performed
medical
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
524
times performed,
3% of his services

3rd 13th

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

303
patients got this service, 58% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$14,734.88an average of $28.12 per time performed $5,433.88
an average of $10.37 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
457
times performed,
3% of his services

4th 16th

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

227
patients got this service, 43% of his patients
2
average number of visits a patient made for this service
(Peers: 1.5)
$13,074.77an average of $28.61 per time performed $4,483.17
an average of $9.81 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
431
times performed,
3% of his services

5th 12th

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

309
patients got this service, 59% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$19,196.74an average of $44.54 per time performed $5,650.41
an average of $13.11 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
417
times performed,
3% of his services

6th 10th

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

61
patients got this service, 12% of his patients
6.8
average number of visits a patient made for this service
(Peers: 6.9)
$15,554.10an average of $37.30 per time performed $1,939.05
an average of $4.65 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
382
times performed,
2% of his services

7th 1st

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

304
patients got this service, 58% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2)
$77,278.60an average of $202.30 per time performed $25,296.04
an average of $66.22 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
352
times performed,
2% of his services

8th 17th

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

276
patients got this service, 52% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$12,921.92an average of $36.71 per time performed $4,195.84
an average of $11.92 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
329
times performed,
2% of his services

9th 22nd

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

267
patients got this service, 51% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$17,180.38an average of $52.22 per time performed $7,372.89
an average of $22.41 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
271
times performed,
2% of his services

10th 14th

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

132
patients got this service, 25% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.7)
$8,566.31an average of $31.61 per time performed $3,509.45
an average of $12.95 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
222
times performed,
1% of his services

11th 18th

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

222
patients got this service, 42% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,871.12an average of $39.96 per time performed $5,037.18
an average of $22.69 per time performed
medical
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
220
times performed,
1% of his services

12th 35th

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

203
patients got this service, 39% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$16,425.20an average of $74.66 per time performed $2,398.00
an average of $10.90 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
201
times performed,
1% of his services

13th 33rd

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

201
patients got this service, 38% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,045.00an average of $45.00 per time performed $7,117.41
an average of $35.41 per time performed
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
199
times performed,
1% of his services

14th 3rd

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

54
patients got this service, 10% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.4)
$22,741.72an average of $114.28 per time performed $10,819.63
an average of $54.37 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
194
times performed,
1% of his services

15th 42nd

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

176
patients got this service, 33% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$2,215.48an average of $11.42 per time performed $582.00
an average of $3.00 per time performed
medical
PROCEDURES

Colorectal cancer screening; fecal occult blood test, imm... +

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ×

Service Code: G0328
Performed in an office
157
times performed,
0.98% of his services

16th 107th

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

157
patients got this service, 30% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,416.50an average of $34.50 per time performed $3,331.54
an average of $21.22 per time performed
medical
PATHOLOGY AND LABORATORY

Liver enzyme (sgpt), level

Service Code: 84460
Performed in an office
150
times performed,
0.93% of his services

17th 38th

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

100
patients got this service, 19% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$2,836.50an average of $18.91 per time performed $729.00
an average of $4.86 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
144
times performed,
0.9% of his services

18th 20th

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

144
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$33,547.68an average of $232.97 per time performed $24,323.04
an average of $168.91 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
140
times performed,
0.87% of his services

19th 19th

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

140
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,636.40an average of $40.26 per time performed $3,201.80
an average of $22.87 per time performed
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
135
times performed,
0.84% of his services

20th 39th

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

41
patients got this service, 8% of his patients
3.3
average number of visits a patient made for this service
(Peers: 3.9)
$6,181.65an average of $45.79 per time performed $1,799.55
an average of $13.33 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
117
times performed,
0.73% of his services

21st 93rd

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

71
patients got this service, 13% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$3,180.06an average of $27.18 per time performed $552.24
an average of $4.72 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
109
times performed,
0.68% of his services

22nd 37th

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

99
patients got this service, 19% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,526.00an average of $14.00 per time performed $459.98
an average of $4.22 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
88
times performed,
0.55% of his services

23rd 40th

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

64
patients got this service, 12% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$7,825.84an average of $88.93 per time performed $2,561.68
an average of $29.11 per time performed
medical
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
82
times performed,
0.51% of his services

24th 60th

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

82
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,865.06an average of $59.33 per time performed $2,011.46
an average of $24.53 per time performed
medical
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
80
times performed,
0.5% of his services

25th 41st

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

21
patients got this service, 4% of his patients
3.8
average number of visits a patient made for this service
(Peers: 4)
$4,096.80an average of $51.21 per time performed $1,276.80
an average of $15.96 per time performed
medical
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85027
Performed in an office
61
times performed,
0.38% of his services

26th 47th

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

61
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,288.93an average of $21.13 per time performed $526.43
an average of $8.63 per time performed
medical
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
55
times performed,
0.34% of his services

27th 117th

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

52
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$6,068.15an average of $110.33 per time performed $1,731.95
an average of $31.49 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
52
times performed,
0.32% of his services

28th 97th

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

44
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$2,952.04an average of $56.77 per time performed $1,275.56
an average of $24.53 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
42
times performed,
0.26% of his services

29th 8th

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

19
patients got this service, 4% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.1)
$6,499.92an average of $154.76 per time performed $3,282.30
an average of $78.15 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
29
times performed,
0.18% of his services

30th 21st

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

28
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,969.12an average of $309.28 per time performed $4,162.08
an average of $143.52 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
29
times performed,
0.18% of his services

31st 25th

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

28
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$3,254.09an average of $112.21 per time performed $1,546.86
an average of $53.34 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
25
times performed,
0.16% of his services

32nd 109th

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

22
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$525.00an average of $21.00 per time performed $127.50
an average of $5.10 per time performed
drug

Vaccine for influenza administered into muscle to individ... +

Vaccine for influenza administered into muscle to individuals 3 years of age and older ×

Service Code: 90686
Performed in an office
23
times performed,
0.14% of his services

33rd 59th

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

23
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$575.00an average of $25.00 per time performed $409.40
an average of $17.80 per time performed
medical
PATHOLOGY AND LABORATORY

Stool analysis for blood

Service Code: 82274
Performed in an office
16
times performed,
0.1% of his services

34th 105th

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

16
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$656.00an average of $41.00 per time performed $339.52
an average of $21.22 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
12
times performed,
0.07% of his services

35th 26th

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

11
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,938.00an average of $161.50 per time performed $884.40
an average of $73.70 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
11
times performed,
0.07% of his services

36th 48th

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: 1.3)
$3,223.00an average of $293.00 per time performed $1,165.23
an average of $105.93 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.

Richard Ellis Larew
Average for Internal Medicine Providers in Iowa

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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