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, $251 per patient in 2015.
They performed about 4 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
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 23 different services in 2015
(12 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 |
|---|---|---|---|---|---|---|
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 |
308 times performed, 31% of his services |
1st 4th most performed service for this provider most performed service in this state & specialty |
199 patients got this service, 66% of his patients |
1.5 average number of visits a patient made for this service (Peers: 1.5) |
$62,832.00an average of $204.00 per time performed |
$16,089.92 an average of $52.24 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 3... + New patient office or other outpatient visit, typically 30 minutes × Service Code: 99203Performed in an office |
128 times performed, 13% of his services |
2nd 27th most performed service for this provider most performed service in this state & specialty |
128 patients got this service, 42% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$38,528.00an average of $301.00 per time performed |
$9,296.64 an average of $72.63 per time performed |
MEDICINEMeasurement of lung diffusing capacity Service Code: 94729Performed in an office |
117 times performed, 12% of his services |
3rd 6th most performed service for this provider most performed service in this state & specialty |
114 patients got this service, 38% of his patients |
1 average number of visits a patient made for this service (Peers: 1.1) |
$26,559.00an average of $227.00 per time performed |
$4,451.85 an average of $38.05 per time performed |
MEDICINEDetermination of lung volumes using gas dilution or washout + Determination of lung volumes using gas dilution or washout × Service Code: 94727Performed in an office |
91 times performed, 9% of his services |
4th 13th most performed service for this provider most performed service in this state & specialty |
89 patients got this service, 29% of his patients |
1 average number of visits a patient made for this service (Peers: 1.1) |
$15,834.00an average of $174.00 per time performed |
$2,711.80 an average of $29.80 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 |
77 times performed, 8% of his services |
5th 3rd most performed service for this provider most performed service in this state & specialty |
65 patients got this service, 21% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.7) |
$23,100.00an average of $300.00 per time performed |
$5,850.46 an average of $75.98 per time performed |
MEDICINEMeasurement and graphic recording of the amount and speed... + Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration × Service Code: 94060Performed in an office |
60 times performed, 6% of his services |
6th 12th most performed service for this provider most performed service in this state & specialty |
59 patients got this service, 19% of his patients |
1 average number of visits a patient made for this service (Peers: 1.1) |
$14,040.00an average of $234.00 per time performed |
$2,599.20 an average of $43.32 per time performed |
MEDICINEMeasurement and graphic recording of total and timed exha... + Measurement and graphic recording of total and timed exhaled air capacity × Service Code: 94010Performed in an office |
48 times performed, 5% of his services |
7th 8th most performed service for this provider most performed service in this state & specialty |
47 patients got this service, 16% of his patients |
1 average number of visits a patient made for this service (Peers: 1.3) |
$6,528.00an average of $136.00 per time performed |
$1,200.48 an average of $25.01 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 4... + New patient office or other outpatient visit, typically 45 minutes × Service Code: 99204Performed in an office |
42 times performed, 4% of his services |
8th 11th most performed service for this provider most performed service in this state & specialty |
42 patients got this service, 14% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$19,362.00an average of $461.00 per time performed |
$4,759.44 an average of $113.32 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 10 minutes × Service Code: 99212Performed in an office |
29 times performed, 3% of his services |
9th 34th most performed service for this provider most performed service in this state & specialty |
28 patients got this service, 9% of his patients |
1 average number of visits a patient made for this service (Peers: 1.2) |
$3,538.00an average of $122.00 per time performed |
$851.44 an average of $29.36 per time performed |
MEDICINEDiagnostic testing in a pulmonary function lab Service Code: 94375Performed in an office |
25 times performed, 3% of his services |
10th 15th most performed service for this provider most performed service in this state & specialty |
25 patients got this service, 8% of his patients |
1 average number of visits a patient made for this service (Peers: 1.5) |
$3,725.00an average of $149.00 per time performed |
$710.75 an average of $28.43 per time performed |
MEDICINEDetermination of lung volumes using plethysmography Service Code: 94726Performed in an office |
13 times performed, 1% of his services |
11th 18th most performed service for this provider most performed service in this state & specialty |
13 patients got this service, 4% of his patients |
1 average number of visits a patient made for this service (Peers: 1.1) |
$2,873.00an average of $221.00 per time performed |
$492.05 an average of $37.85 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 did not bill Medicare for any 5’s.
Thomas Michael Roy
Average for Pulmonary Disease Providers in Tennessee
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.