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, $124 per patient in 2015.
They performed about 3 services per patient. Here’s how this provider compares.

Number of
Patients
345
Rank: 66th
out of 364 providers in this state & specialty
Services
Performed
2,941
Rank: 25th
out of 364 providers in this state & specialty
Avg Services
Per Patient
8.5 This Provider is in the top 10%
Avg 3.4
Total Paid
by Medicare
$131K
Rank: 16th
out of 364 providers in this state & specialty
Avg Paid
Per Patient
$379 This Provider is in the top 10%
Avg $124

Note: About 20% 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 42 different services in 2015
(23 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
996
times performed,
34% of his services

1st 2nd

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

296
patients got this service, 86% of his patients
3.4
average number of visits a patient made for this service
(Peers: 1.4)
$95,616.00an average of $96.00 per time performed $45,308.04
an average of $45.49 per time performed
drug
DRUGS

Hyaluronan or derivative, hyalgan or supartz, for intra-a... +

Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose ×

Service Code: J7321
Performed in an office
372
times performed,
13% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

52
patients got this service, 15% of his patients
4.3
average number of visits a patient made for this service
$91,140.00an average of $245.00 per time performed $25,842.84
an average of $69.47 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
314
times performed,
11% of his services

3rd 44th

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

65
patients got this service, 19% of his patients
3.9
average number of visits a patient made for this service
(Peers: 2)
$59,660.00an average of $190.00 per time performed $13,470.60
an average of $42.90 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for insertion of needle

Service Code: 77002
Performed in an office
243
times performed,
8% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

58
patients got this service, 17% of his patients
4.2
average number of visits a patient made for this service
$34,870.50an average of $143.50 per time performed $4,813.83
an average of $19.81 per time performed
drug
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
225
times performed,
8% of his services

5th 22nd

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

120
patients got this service, 35% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$2,250.00an average of $10.00 per time performed $303.75
an average of $1.35 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
133
times performed,
5% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

58
patients got this service, 17% of his patients
2.3
average number of visits a patient made for this service
$7,182.00an average of $54.00 per time performed $1,666.49
an average of $12.53 per time performed
medical
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
108
times performed,
4% of his services

7th 35th

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

108
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$25,920.00an average of $240.00 per time performed $10,873.44
an average of $100.68 per time performed
medical

Aspiration and/or injection of major joint or joint capsu... +

Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance ×

Service Code: 20611
Performed in an office
101
times performed,
3% of his services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

72
patients got this service, 21% of his patients
1.3
average number of visits a patient made for this service
$15,229.79an average of $150.79 per time performed $6,166.05
an average of $61.05 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
69
times performed,
2% of his services

9th 4th

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

64
patients got this service, 19% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$10,031.91an average of $145.39 per time performed $4,869.33
an average of $70.57 per time performed
medical
RADIOLOGY

Radiological supervision and interpretation x-ray of knee... +

Radiological supervision and interpretation x-ray of knee joint ×

Service Code: 73580
Performed in an office
64
times performed,
2% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

35
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
$14,560.00an average of $227.50 per time performed $1,330.56
an average of $20.79 per time performed
medical
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
57
times performed,
2% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

47
patients got this service, 14% of his patients
1.2
average number of visits a patient made for this service
$18,950.22an average of $332.46 per time performed $1,960.80
an average of $34.40 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
43
times performed,
1% of his services

12th 11th

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

35
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$3,096.00an average of $72.00 per time performed $1,250.01
an average of $29.07 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injection of contract for x-ray imaging of knee

Service Code: 27370
Performed in an office
38
times performed,
1% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

35
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
$11,949.86an average of $314.47 per time performed $5,313.54
an average of $139.83 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 3 or more muscles

Service Code: 20553
Performed in an office
22
times performed,
0.75% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

20
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
$3,850.00an average of $175.00 per time performed $612.26
an average of $27.83 per time performed
medical
NERVOUS SYSTEM

Injection of anesthetic agent, other peripheral nerve or ... +

Injection of anesthetic agent, other peripheral nerve or branch ×

Service Code: 64450
Performed in an office
16
times performed,
0.54% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

14
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$6,000.00an average of $375.00 per time performed $864.80
an average of $54.05 per time performed
drug
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
15
times performed,
0.51% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

14
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$525.00an average of $35.00 per time performed $6.30
an average of $0.42 per time performed
medical
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles of arm or leg complete study ×

Service Code: 95886
Performed in an office
13
times performed,
0.44% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

13
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$3,250.00an average of $250.00 per time performed $751.27
an average of $57.79 per time performed
medical

Nerve transmission studies, 9-10 studies

Service Code: 95911
Performed in an office
12
times performed,
0.41% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

12
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$11,400.00an average of $950.00 per time performed $1,725.12
an average of $143.76 per time performed
medical
PROCEDURES

Drug screen, other than chromatographic; any number of dr... +

Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter ×

Service Code: G0434
Performed in an office
11
times performed,
0.37% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in IL perform this service

11
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$2,200.00an average of $200.00 per time performed $213.29
an average of $19.39 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.

Ralph Douglas Spafford
Average for Physician Assistant, Medical Providers in Illinois

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.

Read our methodology.