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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, $508 per patient in 2012.
They performed about 9 services per patient. Here’s how this provider compares.
Number of
Patients
475
Rank: 170th
out of 314 providers in this state & specialty
Services
Performed
3,931
Rank: 118th
out of 314 providers in this state & specialty
Avg Services
Per Patient
8.3 This Provider
Avg 8.7
Total Paid
by Medicare
$475K
Rank: 30th
out of 314 providers in this state & specialty
Avg Paid
Per Patient
$1,001 This Provider is in the top 10%
Avg $508

Office Visits

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Top Billing

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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.

David L. Mcfadden
Average for Nephrology Providers in Illinois

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, from Jan. 2012 to June 2013.

Individuals

MICHAEL JACHEC

BIREN PATEL

DAVID VANDERKIN

RICHARD SYMANSKI

ARISTIDES DELAHERA

Organizations

MORRIS HOSPITAL

PRESENCE HOSPITALS PRV

Patients saw before

David L. Mcfadden

Patients saw after

Individuals

MICHAEL JACHEC

DAVID VANDERKIN

BIREN PATEL

RICHARD SYMANSKI

ARISTIDES DELAHERA

Organizations

MORRIS HOSPITAL

PRESENCE HOSPITALS PRV

This Provider's Services

This provider performed 11 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
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
1,585
times performed,
40% of his services

1st 6th

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

225
patients got this service, 47% of his patients
7
average number of visits a patient made for this service
(Peers: 2.8)
$237,750an average of $150 per time performed $128,385
an average of $81 per time performed
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient,... +

Critical care delivery critically ill or injured patient, first 30-74 minutes ×

Service Code: 99291
Performed in a facility
566
times performed,
14% of his services

2nd 23rd

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

102
patients got this service, 21% of his patients
5.5
average number of visits a patient made for this service
(Peers: 2.5)
$169,800an average of $300 per time performed $98,484
an average of $174 per time performed
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
540
times performed,
14% of his services

3rd 9th

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

226
patients got this service, 48% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.9)
$62,100an average of $115 per time performed $41,040
an average of $76 per time performed
MEDICINE

Dialysis services (2-3 physician visits per month), patie... +

Dialysis services (2-3 physician visits per month), patient 20 years of age and older ×

Service Code: 90961
Performed in an office
380
times performed,
10% of his services

4th 16th

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

87
patients got this service, 18% of his patients
4.4
average number of visits a patient made for this service
(Peers: 2.2)
$228,000an average of $600 per time performed $70,680
an average of $186 per time performed
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
355
times performed,
9% of his services

5th 13th

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

189
patients got this service, 40% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.2)
$97,625an average of $275 per time performed $55,380
an average of $156 per time performed
MEDICINE

Dialysis services (4 or more physician visits per month),... +

Dialysis services (4 or more physician visits per month), patient 20 years of age and older ×

Service Code: 90960
Performed in an office
260
times performed,
7% of his services

6th 7th

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

59
patients got this service, 12% of his patients
4.4
average number of visits a patient made for this service
(Peers: 5.1)
$156,000an average of $600 per time performed $56,940
an average of $219 per time performed
MEDICINE

Dialysis services (1 physician visit per month), patient ... +

Dialysis services (1 physician visit per month), patient 20 years of age and older ×

Service Code: 90962
Performed in an office
110
times performed,
3% of his services

7th 28th

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

45
patients got this service, 9% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.3)
$66,000an average of $600 per time performed $15,620
an average of $142 per time performed
MEDICINE

Hemodialysis procedure with one physician evaluation

Service Code: 90935
Performed in a facility
47
times performed,
1% of his services

8th 11th

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

19
patients got this service, 4% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.4)
$28,200an average of $600 per time performed $2,773
an average of $59 per time performed
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
34
times performed,
0.86% of his services

9th 26th

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

34
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,950an average of $175 per time performed $3,774
an average of $111 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
32
times performed,
0.81% of his services

10th 44th

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

14
patients got this service, 3% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.2)
$6,400an average of $200 per time performed $1,888
an average of $59 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
22
times performed,
0.56% of his services

11th 15th

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

19
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$1,870an average of $85 per time performed $682
an average of $31 per time performed

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.

Notes: This provider has a self-reported specialty of "Nephrology." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

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.


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