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, $529 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
196
Rank: 38th
out of 42 providers in this state & specialty
Services
Performed
527
Rank: 39th
out of 42 providers in this state & specialty
Avg Services
Per Patient
2.7 This Provider
Avg 4.2
Total Paid
by Medicare
$53.6K
Rank: 39th
out of 42 providers in this state & specialty
Avg Paid
Per Patient
$273 This Provider
Avg $529

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 46 different services in 2015
(39 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
235
times performed,
45% of his services

1st 1st

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

142
patients got this service, 72% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$26,754.75an average of $113.85 per time performed $11,848.70
an average of $50.42 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
60
times performed,
11% of his services

2nd 2nd

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

54
patients got this service, 28% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$9,868.80an average of $164.48 per time performed $4,386.60
an average of $73.11 per time performed
medical
RADIOLOGY

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

Service Code: 72100
Performed in an office
26
times performed,
5% of his services

3rd 3rd

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

22
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$2,954.12an average of $113.62 per time performed $660.40
an average of $25.40 per time performed
medical
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
23
times performed,
4% of his services

4th 27th

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

23
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,069.08an average of $89.96 per time performed $475.87
an average of $20.69 per time performed
medical
RADIOLOGY

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

Service Code: 72110
Performed in an office
18
times performed,
3% of his services

5th 8th

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

18
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,928.06an average of $162.67 per time performed $624.06
an average of $34.67 per time performed
medical
RADIOLOGY

Mri scan of lower spinal canal

Service Code: 72148
Performed in an office
15
times performed,
3% of his services

6th 13th

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

15
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$20,709.00an average of $1,380.60 per time performed $1,553.55
an average of $103.57 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
11
times performed,
2% of his services

7th 15th

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

11
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$770.00an average of $70.00 per time performed $345.18
an average of $31.38 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.

Stephen B. James
Average for Orthopaedic Surgery of the Spine Providers in Georgia

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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