Treatment Tracker
The Doctors and Services in Medicare Part B
This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.
How This Provider Compares
This Provider
Avg in State & Specialty
Providers in this state and specialty were reimbursed, on average, $1,248 per patient in 2015.
They performed about 95 services per patient. Here’s how this provider compares.
Number of
Patients
Services
Performed
Avg Services
Per Patient
Total Paid
by Medicare
Avg Paid
Per Patient
Note: About 64% 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 79 different services in 2015
(57 were redacted as they were performed on less than 11 patients)
Show Only:
CATEGORYDescription of Service |
Times Performed (or Units) | This Service's Rank | Patients | Unique Visits Per Patient |
Billed to Medicare | Payments from Medicare |
|---|---|---|---|---|---|---|
DRUGSInjection, darbepoetin alfa, 1 microgram (non-esrd use) Service Code: J0881Performed in an office |
11,600 times performed, 41% of his services |
1st 1st most performed service for this provider most performed service in this state & specialty |
21 patients got this service, 5% of his patients |
1.5 average number of visits a patient made for this service (Peers: 2.8) |
$642,176.00an average of $55.36 per time performed |
$34,684.00 an average of $2.99 per time performed |
DRUGSInjection, dexamethasone sodium phosphate, 1mg Service Code: J1100Performed in an office |
390 times performed, 1% of his services |
2nd 10th most performed service for this provider most performed service in this state & specialty |
17 patients got this service, 4% of his patients |
1.9 average number of visits a patient made for this service (Peers: 3.1) |
$1,337.70an average of $3.43 per time performed |
$42.90 an average of $0.11 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 25 minutes × Service Code: 99214Performed in a facility |
300 times performed, 1% of his services |
3rd 48th most performed service for this provider most performed service in this state & specialty |
186 patients got this service, 47% of his patients |
1.6 average number of visits a patient made for this service (Peers: 2.3) |
$72,444.00an average of $241.48 per time performed |
$16,554.00 an average of $55.18 per time performed |
PATHOLOGY AND LABORATORYComplete blood cell count (red cells, white blood cell, p... + Complete blood cell count (red cells, white blood cell, platelets), automated test × Service Code: 85025Performed in an office |
215 times performed, 0.75% of his services |
4th 13th most performed service for this provider most performed service in this state & specialty |
102 patients got this service, 26% of his patients |
2.1 average number of visits a patient made for this service (Peers: 3.7) |
$5,463.15an average of $25.41 per time performed |
$2,212.35 an average of $10.29 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 40 minutes × Service Code: 99215Performed in a facility |
203 times performed, 0.71% of his services |
5th 99th most performed service for this provider most performed service in this state & specialty |
113 patients got this service, 28% of his patients |
1.8 average number of visits a patient made for this service (Peers: 1.8) |
$65,747.64an average of $323.88 per time performed |
$16,934.26 an average of $83.42 per time performed |
CARDIOVASCULAR SYSTEMInsertion of needle into vein for collection of blood sample + Insertion of needle into vein for collection of blood sample × Service Code: 36415Performed in an office |
96 times performed, 0.34% of his services |
6th 16th most performed service for this provider most performed service in this state & specialty |
64 patients got this service, 16% of his patients |
1.5 average number of visits a patient made for this service (Peers: 2.8) |
$1,689.60an average of $17.60 per time performed |
$279.36 an average of $2.91 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 25 minutes × Service Code: 99214Performed in an office |
94 times performed, 0.33% of his services |
7th 21st most performed service for this provider most performed service in this state & specialty |
60 patients got this service, 15% of his patients |
1.6 average number of visits a patient made for this service (Peers: 2.3) |
$22,017.62an average of $234.23 per time performed |
$6,883.62 an average of $73.23 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 15 minutes × Service Code: 99213Performed in a facility |
92 times performed, 0.32% of his services |
8th 52nd most performed service for this provider most performed service in this state & specialty |
72 patients got this service, 18% of his patients |
1.3 average number of visits a patient made for this service (Peers: 2.2) |
$15,079.72an average of $163.91 per time performed |
$3,457.36 an average of $37.58 per time performed |
MEDICINEInjection beneath the skin or into muscle for therapy, di... + Injection beneath the skin or into muscle for therapy, diagnosis, or prevention × Service Code: 96372Performed in an office |
69 times performed, 0.24% of his services |
9th 32nd most performed service for this provider most performed service in this state & specialty |
38 patients got this service, 10% of his patients |
1.7 average number of visits a patient made for this service (Peers: 3.1) |
$2,688.24an average of $38.96 per time performed |
$1,333.08 an average of $19.32 per time performed |
MEDICINEInfusion into a vein for therapy prevention or diagnosis ... + Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour × Service Code: 96367Performed in an office |
64 times performed, 0.22% of his services |
10th 28th most performed service for this provider most performed service in this state & specialty |
18 patients got this service, 5% of his patients |
2 average number of visits a patient made for this service (Peers: 3.2) |
$5,601.28an average of $87.52 per time performed |
$1,501.44 an average of $23.46 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 6... + New patient office or other outpatient visit, typically 60 minutes × Service Code: 99205Performed in a facility |
58 times performed, 0.2% of his services |
11th 125th most performed service for this provider most performed service in this state & specialty |
58 patients got this service, 15% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$26,876.04an average of $463.38 per time performed |
$7,095.72 an average of $122.34 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 40 minutes × Service Code: 99215Performed in an office |
58 times performed, 0.2% of his services |
12th 43rd most performed service for this provider most performed service in this state & specialty |
36 patients got this service, 9% of his patients |
1.6 average number of visits a patient made for this service (Peers: 1.8) |
$18,170.24an average of $313.28 per time performed |
$6,010.54 an average of $103.63 per time performed |
MEDICINEInfusion of chemotherapy into a vein up to 1 hour Service Code: 96413Performed in an office |
53 times performed, 0.19% of his services |
13th 30th most performed service for this provider most performed service in this state & specialty |
24 patients got this service, 6% of his patients |
2.2 average number of visits a patient made for this service (Peers: 3.3) |
$25,705.00an average of $485.00 per time performed |
$5,540.09 an average of $104.53 per time performed |
DRUGSInjection, ranitidine hydrochloride, 25 mg Service Code: J2780Performed in an office |
42 times performed, 0.15% of his services |
14th 59th most performed service for this provider most performed service in this state & specialty |
11 patients got this service, 3% of his patients |
1.9 average number of visits a patient made for this service (Peers: 4) |
$432.60an average of $10.30 per time performed |
$34.02 an average of $0.81 per time performed |
EVALUATION AND MANAGEMENTSubsequent hospital inpatient care, typically 25 minutes ... + Subsequent hospital inpatient care, typically 25 minutes per day × Service Code: 99232Performed in a facility |
32 times performed, 0.11% of his services |
15th 39th most performed service for this provider most performed service in this state & specialty |
20 patients got this service, 5% of his patients |
1.2 average number of visits a patient made for this service (Peers: 2.1) |
$5,792.00an average of $181.00 per time performed |
$1,810.88 an average of $56.59 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 5 minutes × Service Code: 99211Performed in an office |
30 times performed, 0.11% of his services |
16th 79th most performed service for this provider most performed service in this state & specialty |
23 patients got this service, 6% of his patients |
1.3 average number of visits a patient made for this service (Peers: 1.9) |
$1,350.00an average of $45.00 per time performed |
$393.60 an average of $13.12 per time performed |
EVALUATION AND MANAGEMENTSubsequent hospital inpatient care, typically 35 minutes ... + Subsequent hospital inpatient care, typically 35 minutes per day × Service Code: 99233Performed in a facility |
30 times performed, 0.11% of his services |
17th 53rd most performed service for this provider most performed service in this state & specialty |
18 patients got this service, 5% of his patients |
1.2 average number of visits a patient made for this service (Peers: 2.1) |
$7,749.90an average of $258.33 per time performed |
$2,444.40 an average of $81.48 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 15 minutes × Service Code: 99213Performed in an office |
29 times performed, 0.1% of his services |
18th 18th most performed service for this provider most performed service in this state & specialty |
28 patients got this service, 7% of his patients |
1 average number of visits a patient made for this service (Peers: 2) |
$4,646.09an average of $160.21 per time performed |
$1,608.92 an average of $55.48 per time performed |
DRUGSInjection, diphenhydramine hcl, up to 50 mg Service Code: J1200Performed in an office |
25 times performed, 0.09% of his services |
19th 50th most performed service for this provider most performed service in this state & specialty |
13 patients got this service, 3% of his patients |
1.9 average number of visits a patient made for this service (Peers: 2.9) |
$164.00an average of $6.56 per time performed |
$10.50 an average of $0.42 per time performed |
HEMIC AND LYMPHATIC SYSTEMSNeedle or trocar bone marrow biopsy Service Code: 38221Performed in a facility |
20 times performed, 0.07% of his services |
20th 171st most performed service for this provider most performed service in this state & specialty |
19 patients got this service, 5% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.1) |
$8,527.60an average of $426.38 per time performed |
$1,024.20 an average of $51.21 per time performed |
MEDICINEInfusion into a vein for therapy, prevention, or diagnosi... + Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour × Service Code: 96365Performed in an office |
19 times performed, 0.07% of his services |
21st 45th most performed service for this provider most performed service in this state & specialty |
16 patients got this service, 4% of his patients |
1.2 average number of visits a patient made for this service (Peers: 2.1) |
$3,017.58an average of $158.82 per time performed |
$1,007.76 an average of $53.04 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 6... + New patient office or other outpatient visit, typically 60 minutes × Service Code: 99205Performed in an office |
17 times performed, 0.06% of his services |
22nd 78th most performed service for this provider most performed service in this state & specialty |
17 patients got this service, 4% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$7,582.00an average of $446.00 per time performed |
$2,503.59 an average of $147.27 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.
This provider charged Medicare for a higher percentage of 5’s than his peers.
Emanuel Cirenza
Average for Hematology & Oncology 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 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.
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.