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, $280 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
1,783
Rank: 2nd
out of 140 providers in this state & specialty
Services
Performed
12,673
Rank: 2nd
out of 140 providers in this state & specialty
Avg Services
Per Patient
7.1 This Provider
Avg 4.8
Total Paid
by Medicare
$617K
Rank: 4th
out of 140 providers in this state & specialty
Avg Paid
Per Patient
$346 This Provider
Avg $280

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 44 different services in 2015
(20 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
3,196
times performed,
25% of his services

1st 1st

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

646
patients got this service, 36% of his patients
3.8
average number of visits a patient made for this service
(Peers: 3)
$271,564.12an average of $84.97 per time performed $172,328.32
an average of $53.92 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
2,188
times performed,
17% of his services

2nd 3rd

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

1,062
patients got this service, 60% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.7)
$246,040.60an average of $112.45 per time performed $157,404.72
an average of $71.94 per time performed
drug
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
1,374
times performed,
11% of his services

3rd 15th

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

135
patients got this service, 8% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$3,984.60an average of $2.90 per time performed $137.40
an average of $0.10 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
1,085
times performed,
9% of his services

4th 2nd

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

246
patients got this service, 14% of his patients
3.5
average number of visits a patient made for this service
(Peers: 3)
$121,303.00an average of $111.80 per time performed $83,512.45
an average of $76.97 per time performed
drug
DRUGS

Injection, ceftriaxone sodium, per 250 mg

Service Code: J0696
Performed in an office
648
times performed,
5% of his services

5th 37th

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

123
patients got this service, 7% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$11,988.00an average of $18.50 per time performed $330.48
an average of $0.51 per time performed
medical
MEDICINE

Determination of lung volumes using gas dilution or washout +

Determination of lung volumes using gas dilution or washout ×

Service Code: 94727
Performed in an office
601
times performed,
5% of his services

6th 13th

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

594
patients got this service, 33% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$53,068.30an average of $88.30 per time performed $17,026.33
an average of $28.33 per time performed
medical
MEDICINE

Measurement and graphic recording of total and timed exha... +

Measurement and graphic recording of total and timed exhaled air capacity ×

Service Code: 94010
Performed in an office
600
times performed,
5% of his services

7th 11th

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

593
patients got this service, 33% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$46,416.00an average of $77.36 per time performed $13,878.00
an average of $23.13 per time performed
medical
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in an office
600
times performed,
5% of his services

8th 8th

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

593
patients got this service, 33% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$55,908.00an average of $93.18 per time performed $22,146.00
an average of $36.91 per time performed
medical
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
351
times performed,
3% of his services

9th 16th

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

292
patients got this service, 16% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$58,181.76an average of $165.76 per time performed $35,152.65
an average of $100.15 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
304
times performed,
2% of his services

10th 21st

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

138
patients got this service, 8% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$9,332.80an average of $30.70 per time performed $5,180.16
an average of $17.04 per time performed
medical
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
284
times performed,
2% of his services

11th 7th

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

260
patients got this service, 15% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$22,163.36an average of $78.04 per time performed $5,180.16
an average of $18.24 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
246
times performed,
2% of his services

12th 5th

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

220
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$52,644.00an average of $214.00 per time performed $36,430.14
an average of $148.09 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
229
times performed,
2% of his services

13th 4th

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

213
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$17,484.15an average of $76.35 per time performed $11,282.83
an average of $49.27 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
187
times performed,
1% of his services

14th 14th

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

187
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$32,994.28an average of $176.44 per time performed $22,022.99
an average of $117.77 per time performed
medical
EVALUATION AND MANAGEMENT

Smoking and tobacco use intensive counseling, greater tha... +

Smoking and tobacco use intensive counseling, greater than 10 minutes ×

Service Code: 99407
Performed in an office
128
times performed,
1% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

97
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
$3,950.08an average of $30.86 per time performed $2,545.92
an average of $19.89 per time performed
medical
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep l... +

Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube ×

Service Code: 95811
Performed in a facility
108
times performed,
0.85% of his services

16th 18th

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

100
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$42,774.48an average of $396.06 per time performed $9,806.40
an average of $90.80 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
107
times performed,
0.84% of his services

17th 29th

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

106
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,886.86an average of $26.98 per time performed $2,380.75
an average of $22.25 per time performed
medical
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep lab +

Sleep monitoring of patient (6 years or older) in sleep lab ×

Service Code: 95810
Performed in a facility
86
times performed,
0.68% of his services

18th 24th

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

84
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$31,310.02an average of $364.07 per time performed $7,988.54
an average of $92.89 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle, patient ... +

Vaccine for influenza for injection into muscle, patient 3 years and older ×

Service Code: 90656
Performed in an office
80
times performed,
0.63% of his services

19th 75th

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

79
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,700.00an average of $21.25 per time performed $1,060.80
an average of $13.26 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
71
times performed,
0.56% of his services

20th 38th

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

58
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$6,035.00an average of $85.00 per time performed $3,772.23
an average of $53.13 per time performed
medical
EVALUATION AND MANAGEMENT

Smoking and tobacco use intermediate counseling, greater ... +

Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes ×

Service Code: 99406
Performed in an office
43
times performed,
0.34% of his services

21st 61st

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

39
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$672.09an average of $15.63 per time performed $422.69
an average of $9.83 per time performed
drug
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
25
times performed,
0.2% of his services

22nd 96th

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

24
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,170.00an average of $86.80 per time performed $1,956.00
an average of $78.24 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
23
times performed,
0.18% of his services

23rd 40th

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

22
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$615.02an average of $26.74 per time performed $515.43
an average of $22.41 per time performed
medical
MEDICINE

Determination of lung volumes using gas dilution or washout +

Determination of lung volumes using gas dilution or washout ×

Service Code: 94727
Performed in a facility
13
times performed,
0.1% of his services

24th 31st

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

13
patients got this service, 0.73% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,125.02an average of $86.54 per time performed $123.11
an average of $9.47 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.

Edsel P Holden
Average for Pulmonary Disease Providers in Alabama

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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