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.
JAMES LIPSTATE M.D.
LAFAYETTE, LA, 70503
How This Provider Compares
This Provider
Avg in State & Specialty
Providers in this state and specialty were reimbursed, on average, $648 per patient in 2015.
They performed about 39 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
Note: About 77% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.
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 82 different services in 2015
(33 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 |
|---|---|---|---|---|---|---|
|
Injection, certolizumab pegol, 1 mg (code may be used for... + Injection, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) × Service Code: J0717Performed in an office |
38,800 times performed, 35% of his services |
1st
most performed service for this provider 5 or fewer providers in this specialty in LA perform this service |
12 patients got this service, 0.99% of his patients |
8.1 average number of visits a patient made for this service |
$310,400.00an average of $8.00 per time performed |
$191,284.00 an average of $4.93 per time performed |
DRUGSService Code: J1745Performed in an office |
8,970 times performed, 8% of his services |
2nd 5th most performed service for this provider most performed service in this state & specialty |
38 patients got this service, 3% of his patients |
5.5 average number of visits a patient made for this service (Peers: 5.4) |
$1,255,800.00an average of $140.00 per time performed |
$537,751.50 an average of $59.95 per time performed |
DRUGSInjection, abatacept, 10 mg (code may be used for medicar... + Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) × Service Code: J0129Performed in an office |
6,575 times performed, 6% of his services |
3rd 6th most performed service for this provider most performed service in this state & specialty |
13 patients got this service, 1% of his patients |
6.5 average number of visits a patient made for this service (Peers: 7.3) |
$263,000.00an average of $40.00 per time performed |
$172,067.75 an average of $26.17 per time performed |
DRUGSService Code: J0897Performed in an office |
4,440 times performed, 4% of his services |
4th 3rd most performed service for this provider most performed service in this state & specialty |
48 patients got this service, 4% of his patients |
1.5 average number of visits a patient made for this service (Peers: 1.6) |
$122,100.00an average of $27.50 per time performed |
$51,193.20 an average of $11.53 per time performed |
CARDIOVASCULAR SYSTEMInsertion of needle into vein for collection of blood sample + Insertion of needle into vein for collection of blood sample × Service Code: 36415Performed in an office |
1,939 times performed, 2% of his services |
5th 9th most performed service for this provider most performed service in this state & specialty |
846 patients got this service, 70% of his patients |
2.3 average number of visits a patient made for this service (Peers: 2.5) |
$17,451.00an average of $9.00 per time performed |
$5,661.88 an average of $2.92 per time performed |
PATHOLOGY AND LABORATORYService Code: 84550Performed in an office |
1,901 times performed, 2% of his services |
6th 18th most performed service for this provider most performed service in this state & specialty |
852 patients got this service, 70% of his patients |
2.2 average number of visits a patient made for this service (Peers: 2.2) |
$70,337.00an average of $37.00 per time performed |
$5,722.01 an average of $3.01 per time performed |
PATHOLOGY AND LABORATORYCreatine kinase (cardiac enzyme) level Service Code: 82550Performed in an office |
1,898 times performed, 2% of his services |
7th 19th most performed service for this provider most performed service in this state & specialty |
851 patients got this service, 70% of his patients |
2.2 average number of visits a patient made for this service (Peers: 2.3) |
$28,470.00an average of $15.00 per time performed |
$2,334.54 an average of $1.23 per time performed |
PATHOLOGY AND LABORATORYService Code: 84100Performed in an office |
1,896 times performed, 2% of his services |
8th
most performed service for this provider 5 or fewer providers in this specialty in LA perform this service |
851 patients got this service, 70% of his patients |
2.2 average number of visits a patient made for this service |
$70,152.00an average of $37.00 per time performed |
$5,706.96 an average of $3.01 per time performed |
PATHOLOGY AND LABORATORYService Code: 82248Performed in an office |
1,895 times performed, 2% of his services |
9th
most performed service for this provider 5 or fewer providers in this specialty in LA perform this service |
850 patients got this service, 70% of his patients |
2.2 average number of visits a patient made for this service |
$70,115.00an average of $37.00 per time performed |
$5,685.00 an average of $3.00 per time performed |
PATHOLOGY AND LABORATORYBlood test, comprehensive group of blood chemicals Service Code: 80053Performed in an office |
1,890 times performed, 2% of his services |
10th 13th most performed service for this provider most performed service in this state & specialty |
849 patients got this service, 70% of his patients |
2.2 average number of visits a patient made for this service (Peers: 2.4) |
$85,050.00an average of $45.00 per time performed |
$6,936.30 an average of $3.67 per time performed |
PATHOLOGY AND LABORATORYComplete blood cell count (red cells, white blood cell, p... + Complete blood cell count (red cells, white blood cell, platelets), automated test × Service Code: 85025Performed in an office |
1,694 times performed, 2% of his services |
11th 12th most performed service for this provider most performed service in this state & specialty |
787 patients got this service, 65% of his patients |
2.2 average number of visits a patient made for this service (Peers: 2.6) |
$52,514.00an average of $31.00 per time performed |
$17,160.22 an average of $10.13 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 |
1,435 times performed, 1% of his services |
12th 7th most performed service for this provider most performed service in this state & specialty |
798 patients got this service, 66% of his patients |
1.8 average number of visits a patient made for this service (Peers: 2.3) |
$229,600.00an average of $160.00 per time performed |
$97,680.45 an average of $68.07 per time performed |
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 |
1,275 times performed, 1% of his services |
13th 11th most performed service for this provider most performed service in this state & specialty |
727 patients got this service, 60% of his patients |
1.8 average number of visits a patient made for this service (Peers: 2.2) |
$153,000.00an average of $120.00 per time performed |
$60,218.25 an average of $47.23 per time performed |
DRUGSInjection, methylprednisolone acetate, 20 mg Service Code: J1020Performed in an office |
1,224 times performed, 1% of his services |
14th
most performed service for this provider 5 or fewer providers in this specialty in LA perform this service |
389 patients got this service, 32% of his patients |
1.5 average number of visits a patient made for this service |
$14,663.52an average of $11.98 per time performed |
$2,619.36 an average of $2.14 per time performed |
PATHOLOGY AND LABORATORYRed blood cell sedimentation rate, to detect inflammation + Red blood cell sedimentation rate, to detect inflammation × Service Code: 85652Performed in an office |
1,046 times performed, 0.93% of his services |
15th 26th most performed service for this provider most performed service in this state & specialty |
672 patients got this service, 55% of his patients |
1.6 average number of visits a patient made for this service (Peers: 1.6) |
$16,736.00an average of $16.00 per time performed |
$3,661.00 an average of $3.50 per time performed |
DRUGSHyaluronan or derivative, synvisc or synvisc-one, for int... + Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg × Service Code: J7325Performed in an office |
976 times performed, 0.87% of his services |
16th
most performed service for this provider 5 or fewer providers in this specialty in LA perform this service |
13 patients got this service, 1% of his patients |
1.4 average number of visits a patient made for this service |
$15,616.00an average of $16.00 per time performed |
$9,701.44 an average of $9.94 per time performed |
PATHOLOGY AND LABORATORYMeasurement c-reactive protein for detection of infection... + Measurement c-reactive protein for detection of infection or inflammation × Service Code: 86140Performed in an office |
719 times performed, 0.64% of his services |
17th 14th most performed service for this provider most performed service in this state & specialty |
534 patients got this service, 44% of his patients |
1.3 average number of visits a patient made for this service (Peers: 2.3) |
$14,171.49an average of $19.71 per time performed |
$4,824.49 an average of $6.71 per time performed |
MEDICINEInfusion of chemotherapy into a vein Service Code: 96415Performed in an office |
431 times performed, 0.38% of his services |
18th 30th most performed service for this provider most performed service in this state & specialty |
40 patients got this service, 3% of his patients |
5.4 average number of visits a patient made for this service (Peers: 4.6) |
$64,650.00an average of $150.00 per time performed |
$8,654.48 an average of $20.08 per time performed |
MEDICINEInfusion of chemotherapy into a vein up to 1 hour Service Code: 96413Performed in an office |
364 times performed, 0.33% of his services |
19th 25th most performed service for this provider most performed service in this state & specialty |
60 patients got this service, 5% of his patients |
6.1 average number of visits a patient made for this service (Peers: 5.9) |
$91,000.00an average of $250.00 per time performed |
$34,245.12 an average of $94.08 per time performed |
MUSCULOSKELETAL SYSTEMAspiration and/or injection of large joint or joint capsule + Aspiration and/or injection of large joint or joint capsule × Service Code: 20610Performed in an office |
337 times performed, 0.3% of his services |
20th 22nd most performed service for this provider most performed service in this state & specialty |
205 patients got this service, 17% of his patients |
1.6 average number of visits a patient made for this service (Peers: 1.8) |
$74,483.74an average of $221.02 per time performed |
$15,205.44 an average of $45.12 per time performed |
MEDICINENon-hormonal anti-neoplastic chemotherapy beneath the ski... + Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle × Service Code: 96401Performed in an office |
194 times performed, 0.17% of his services |
21st 27th most performed service for this provider most performed service in this state & specialty |
12 patients got this service, 0.99% of his patients |
8.1 average number of visits a patient made for this service (Peers: 3.8) |
$24,250.00an average of $125.00 per time performed |
$10,198.58 an average of $52.57 per time performed |
PATHOLOGY AND LABORATORYService Code: 81003Performed in an office |
120 times performed, 0.11% of his services |
22nd 39th most performed service for this provider most performed service in this state & specialty |
91 patients got this service, 7% of his patients |
1.3 average number of visits a patient made for this service (Peers: 1.6) |
$1,800.00an average of $15.00 per time performed |
$354.00 an average of $2.95 per time performed |
MEDICINEInjection beneath the skin or into muscle for therapy, di... + Injection beneath the skin or into muscle for therapy, diagnosis, or prevention × Service Code: 96372Performed in an office |
116 times performed, 0.1% of his services |
23rd 24th most performed service for this provider most performed service in this state & specialty |
43 patients got this service, 4% of his patients |
2.7 average number of visits a patient made for this service (Peers: 1.8) |
$3,979.96an average of $34.31 per time performed |
$1,828.16 an average of $15.76 per time performed |
MUSCULOSKELETAL SYSTEMInjections of trigger points in 1 or 2 muscles Service Code: 20552Performed in an office |
110 times performed, 0.1% of his services |
24th 78th most performed service for this provider most performed service in this state & specialty |
89 patients got this service, 7% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.3) |
$15,274.60an average of $138.86 per time performed |
$3,702.60 an average of $33.66 per time performed |
PATHOLOGY AND LABORATORYBlood test, thyroid stimulating hormone (tsh) Service Code: 84443Performed in an office |
89 times performed, 0.08% of his services |
25th 72nd most performed service for this provider most performed service in this state & specialty |
86 patients got this service, 7% of his patients |
1 average number of visits a patient made for this service (Peers: 1.1) |
$5,874.00an average of $66.00 per time performed |
$1,994.49 an average of $22.41 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 |
86 times performed, 0.08% of his services |
26th 31st most performed service for this provider most performed service in this state & specialty |
86 patients got this service, 7% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$21,599.76an average of $251.16 per time performed |
$9,264.78 an average of $107.73 per time performed |
MUSCULOSKELETAL SYSTEMAspiration and/or injection of small joint or joint capsule + Aspiration and/or injection of small joint or joint capsule × Service Code: 20600Performed in an office |
80 times performed, 0.07% of his services |
27th 86th most performed service for this provider most performed service in this state & specialty |
61 patients got this service, 5% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.3) |
$11,606.40an average of $145.08 per time performed |
$2,422.40 an average of $30.28 per time performed |
DRUGSHyaluronan or derivative, hyalgan or supartz, for intra-a... + Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose × Service Code: J7321Performed in an office |
64 times performed, 0.06% of his services |
28th
most performed service for this provider 5 or fewer providers in this specialty in LA perform this service |
13 patients got this service, 1% of his patients |
2.9 average number of visits a patient made for this service |
$16,000.00an average of $250.00 per time performed |
$4,359.68 an average of $68.12 per time performed |
RADIOLOGYBone density measurement using dedicated x-ray machine Service Code: 77080Performed in an office |
63 times performed, 0.06% of his services |
29th 40th most performed service for this provider most performed service in this state & specialty |
63 patients got this service, 5% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$14,849.73an average of $235.71 per time performed |
$2,268.00 an average of $36.00 per time performed |
RADIOLOGYX-ray of both knees, standing, front to back view Service Code: 73565Performed in an office |
60 times performed, 0.05% of his services |
30th
most performed service for this provider 5 or fewer providers in this specialty in LA perform this service |
60 patients got this service, 5% of his patients |
1 average number of visits a patient made for this service |
$9,720.00an average of $162.00 per time performed |
$1,285.80 an average of $21.43 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 6... + New patient office or other outpatient visit, typically 60 minutes × Service Code: 99205Performed in an office |
58 times performed, 0.05% of his services |
31st 70th most performed service for this provider most performed service in this state & specialty |
58 patients got this service, 5% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$17,400.00an average of $300.00 per time performed |
$8,445.38 an average of $145.61 per time performed |
RADIOLOGYService Code: 73120Performed in an office |
58 times performed, 0.05% of his services |
32nd 37th most performed service for this provider most performed service in this state & specialty |
57 patients got this service, 5% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$4,060.00an average of $70.00 per time performed |
$1,041.68 an average of $17.96 per time performed |
RADIOLOGYX-ray of shoulder, minimum of 2 views Service Code: 73030Performed in an office |
49 times performed, 0.04% of his services |
33rd 54th most performed service for this provider most performed service in this state & specialty |
40 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$4,165.00an average of $85.00 per time performed |
$973.63 an average of $19.87 per time performed |
RADIOLOGYX-ray of lower and sacral spine, 2 or 3 views Service Code: 72100Performed in an office |
48 times performed, 0.04% of his services |
34th 59th most performed service for this provider most performed service in this state & specialty |
47 patients got this service, 4% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$5,280.00an average of $110.00 per time performed |
$1,122.24 an average of $23.38 per time performed |
DRUGSInjection, ketorolac tromethamine, per 15 mg Service Code: J1885Performed in an office |
47 times performed, 0.04% of his services |
35th 21st most performed service for this provider most performed service in this state & specialty |
12 patients got this service, 0.99% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.9) |
$329.00an average of $7.00 per time performed |
$16.45 an average of $0.35 per time performed |
RADIOLOGYService Code: 73560Performed in an office |
45 times performed, 0.04% of his services |
36th 66th most performed service for this provider most performed service in this state & specialty |
44 patients got this service, 4% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$3,645.00an average of $81.00 per time performed |
$920.70 an average of $20.46 per time performed |
PATHOLOGY AND LABORATORYManual urinalysis test with examination using microscope + Manual urinalysis test with examination using microscope × Service Code: 81001Performed in an office |
42 times performed, 0.04% of his services |
37th 42nd most performed service for this provider most performed service in this state & specialty |
39 patients got this service, 3% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.7) |
$630.00an average of $15.00 per time performed |
$177.24 an average of $4.22 per time performed |
RADIOLOGYX-ray of chest, 2 views, front and side Service Code: 71020Performed in an office |
37 times performed, 0.03% of his services |
38th
most performed service for this provider 5 or fewer providers in this specialty in LA perform this service |
37 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service |
$3,404.00an average of $92.00 per time performed |
$700.41 an average of $18.93 per time performed |
MUSCULOSKELETAL SYSTEMAspiration and/or injection of medium joint or joint capsule + Aspiration and/or injection of medium joint or joint capsule × Service Code: 20605Performed in an office |
36 times performed, 0.03% of his services |
39th 97th most performed service for this provider most performed service in this state & specialty |
32 patients got this service, 3% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.2) |
$5,850.00an average of $162.50 per time performed |
$1,117.80 an average of $31.05 per time performed |
RADIOLOGYX-ray of ribs of one side of body, minimum of 2 views Service Code: 73510Performed in an office |
31 times performed, 0.03% of his services |
40th 103rd most performed service for this provider most performed service in this state & specialty |
30 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$2,294.00an average of $74.00 per time performed |
$750.51 an average of $24.21 per time performed |
RADIOLOGYX-ray of spine of neck, 2 or 3 views Service Code: 72040Performed in an office |
26 times performed, 0.02% of his services |
41st
most performed service for this provider 5 or fewer providers in this specialty in LA perform this service |
26 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service |
$2,340.00an average of $90.00 per time performed |
$543.66 an average of $20.91 per time performed |
RADIOLOGYService Code: 72170Performed in an office |
25 times performed, 0.02% of his services |
42nd
most performed service for this provider 5 or fewer providers in this specialty in LA perform this service |
25 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service |
$1,875.00an average of $75.00 per time performed |
$464.50 an average of $18.58 per time performed |
RADIOLOGYService Code: 73620Performed in an office |
23 times performed, 0.02% of his services |
43rd
most performed service for this provider 5 or fewer providers in this specialty in LA perform this service |
13 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service |
$1,886.00an average of $82.00 per time performed |
$385.25 an average of $16.75 per time performed |
PATHOLOGY AND LABORATORYBlood test, lipids (cholesterol and triglycerides) Service Code: 80061Performed in an office |
19 times performed, 0.02% of his services |
44th 106th most performed service for this provider most performed service in this state & specialty |
16 patients got this service, 1% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.2) |
$893.00an average of $47.00 per time performed |
$133.95 an average of $7.05 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 |
17 times performed, 0.02% of his services |
45th 85th most performed service for this provider most performed service in this state & specialty |
17 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service (Peers: 1.4) |
$1,360.00an average of $80.00 per time performed |
$512.89 an average of $30.17 per time performed |
RADIOLOGYX-ray of ankle, minimum of 3 views Service Code: 73610Performed in an office |
17 times performed, 0.02% of his services |
46th
most performed service for this provider 5 or fewer providers in this specialty in LA perform this service |
13 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service |
$1,360.00an average of $80.00 per time performed |
$371.62 an average of $21.86 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 |
16 times performed, 0.01% of his services |
47th 71st most performed service for this provider most performed service in this state & specialty |
16 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$2,400.00an average of $150.00 per time performed |
$1,095.52 an average of $68.47 per time performed |
PATHOLOGY AND LABORATORYThyroxine (thyroid chemical) measurement Service Code: 84439Performed in an office |
15 times performed, 0.01% of his services |
48th 101st most performed service for this provider most performed service in this state & specialty |
15 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service (Peers: 1.1) |
$1,290.00an average of $86.00 per time performed |
$168.30 an average of $11.22 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 5 minutes × Service Code: 99211Performed in an office |
14 times performed, 0.01% of his services |
49th
most performed service for this provider 5 or fewer providers in this specialty in LA perform this service |
12 patients got this service, 0.99% of his patients |
1.2 average number of visits a patient made for this service |
$700.00an average of $50.00 per time performed |
$202.02 an average of $14.43 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.
James Mitchell Lipstate
Average for Rheumatology Providers in Louisiana
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.