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Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $228 per patient in 2014.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
845
Rank: 101st
out of 277 providers in this state & specialty
Services
Performed
4,514
Rank: 103rd
out of 277 providers in this state & specialty
Avg Services
Per Patient
5.3 This Provider
Avg 5.5
Total Paid
by Medicare
$140K
Rank: 136th
out of 277 providers in this state & specialty
Avg Paid
Per Patient
$165 This Provider
Avg $228

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 her Part B patients.

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider in 2014.

Patients saw before

PAMELA GUEST M.D.

Patients saw after

Individuals

REYNOLD GRINE

PUSHKAR PHADKE

MUAMMAR ARIDA

BENJAMIN STAHR

NATALIE DEPCIK-SMITH

Organizations

DUKE UNIVERSITY HEALTH ...

UNIVERSITY OF NORTH CAR...

This Provider's Services

This provider performed 24 different services in 2014
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
SKIN, HAIR AND NAILS

Destruction of 2-14 skin growths

Service Code: 17003
Performed in an office
1,437
times performed,
32% of her services

1st 1st

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

283
patients got this service, 33% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$35,925an average of $25 per time performed $10,217
an average of $7 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
761
times performed,
17% of her services

2nd 2nd

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

632
patients got this service, 75% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$70,773an average of $93 per time performed $36,345
an average of $48 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
607
times performed,
13% of her services

3rd 7th

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

400
patients got this service, 47% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$41,276an average of $68 per time performed $16,966
an average of $28 per time performed
medical
SKIN, HAIR AND NAILS

Biopsy of single growth of skin and/or tissue

Service Code: 11100
Performed in an office
476
times performed,
11% of her services

4th 4th

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

377
patients got this service, 45% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$66,093an average of $139 per time performed $32,473
an average of $68 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in an office
467
times performed,
10% of her services

5th 3rd

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

355
patients got this service, 42% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$46,700an average of $100 per time performed $20,870
an average of $45 per time performed
medical
SKIN, HAIR AND NAILS

Biopsy of each additional growth of skin and/or tissue

Service Code: 11101
Performed in an office
235
times performed,
5% of her services

6th 9th

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

162
patients got this service, 19% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$14,335an average of $61 per time performed $5,534
an average of $24 per time performed
drug
DRUGS

Aminolevulinic acid hcl for topical administration, 20%, ... +

Aminolevulinic acid hcl for topical administration, 20%, single unit dosage form (354 mg) ×

Service Code: J7308
Performed in an office
31
times performed,
0.69% of her services

7th 17th

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

30
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$10,850an average of $350 per time performed $5,963
an average of $192 per time performed
medical
MEDICINE

Application of light to aid destruction of premalignant a... +

Application of light to aid destruction of premalignant and/or malignant skin growths, each session ×

Service Code: 96567
Performed in an office
30
times performed,
0.66% of her services

8th 19th

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

30
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$10,500an average of $350 per time performed $2,571
an average of $86 per time performed
medical
MEDICINE

Application of ultraviolet light to skin

Service Code: 96900
Performed in an office
29
times performed,
0.64% of her services

9th 34th

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

14
patients got this service, 2% of her patients
2.1
average number of visits a patient made for this service
(Peers: 13.2)
$1,420an average of $49 per time performed $404
an average of $14 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
26
times performed,
0.58% of her services

10th 60th

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

13
patients got this service, 2% of her patients
2
average number of visits a patient made for this service
(Peers: 1.1)
$988an average of $38 per time performed $388
an average of $15 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of up to 14 skin growths

Service Code: 17110
Performed in an office
20
times performed,
0.44% of her services

11th 8th

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

18
patients got this service, 2% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$3,040an average of $152 per time performed $1,611
an average of $81 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of 15 or more skin growths

Service Code: 17004
Performed in an office
17
times performed,
0.38% of her services

12th 13th

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

16
patients got this service, 2% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$5,950an average of $350 per time performed $1,825
an average of $107 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of malignant growth (1.1 to 2.0 centimeters) ... +

Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs ×

Service Code: 17262
Performed in an office
11
times performed,
0.24% of her services

13th 14th

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

11
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,585an average of $235 per time performed $1,357
an average of $123 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.

Pamela Jenny Marie Guest
Average for Dermatology Providers in North Carolina

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 2013 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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