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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, $233 per patient in 2012.
They performed about 6 services per patient. Here’s how this provider compares.
Number of
Patients
1,544
Rank: 34th
out of 2,711 providers in this state & specialty
Services
Performed
15,959
Rank: 75th
out of 2,711 providers in this state & specialty
Avg Services
Per Patient
10.3 This Provider
Avg 5.9
Total Paid
by Medicare
$251K
Rank: 216th
out of 2,711 providers in this state & specialty
Avg Paid
Per Patient
$162 This Provider
Avg $233

Office Visits

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Top Billing

Related story »

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.

Robert A. Rostand
Average for Internal Medicine Providers in North Carolina

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.

Patients saw before

Robert A. Rostand

Patients saw after

This Provider's Services

This provider performed 52 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
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
3,731
times performed,
23% of his services

1st 8th

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

652
patients got this service, 42% of his patients
5.7
average number of visits a patient made for this service
(Peers: 5.5)
$134,316an average of $36 per time performed $18,655
an average of $5 per time performed
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
2,078
times performed,
13% of his services

2nd 38th

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

588
patients got this service, 38% of his patients
3.5
average number of visits a patient made for this service
(Peers: 1.8)
$151,694an average of $73 per time performed $60,262
an average of $29 per time performed
DRUGS

Injection, enoxaparin sodium, 10 mg

Service Code: J1650
Performed in an office
1,925
times performed,
12% of his services

3rd Alert

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

52
patients got this service, 3% of his patients
3.3
average number of visits a patient made for this service
$48,125an average of $25 per time performed $7,700
an average of $4 per time performed
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
1,642
times performed,
10% of his services

4th 2nd

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

792
patients got this service, 51% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.1)
$164,200an average of $100 per time performed $73,890
an average of $45 per time performed
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
975
times performed,
6% of his services

5th 3rd

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

645
patients got this service, 42% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.3)
$13,650an average of $14 per time performed $2,925
an average of $3 per time performed
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
844
times performed,
5% of his services

6th 16th

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

365
patients got this service, 24% of his patients
2.3
average number of visits a patient made for this service
(Peers: 3.3)
$34,604an average of $41 per time performed $11,816
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
447
times performed,
3% of his services

7th 22nd

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

316
patients got this service, 20% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$20,115an average of $45 per time performed $4,023
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
419
times performed,
3% of his services

8th 9th

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

306
patients got this service, 20% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$35,615an average of $85 per time performed $5,447
an average of $13 per time performed
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
335
times performed,
2% of his services

9th 18th

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

164
patients got this service, 11% of his patients
2
average number of visits a patient made for this service
(Peers: 3)
$16,415an average of $49 per time performed $5,695
an average of $17 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
320
times performed,
2% of his services

10th 1st

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

249
patients got this service, 16% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.4)
$49,920an average of $156 per time performed $20,160
an average of $63 per time performed
PATHOLOGY AND LABORATORY

Liver enzyme (sgpt), level

Service Code: 84460
Performed in an office
265
times performed,
2% of his services

11th 81st

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

195
patients got this service, 13% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$10,070an average of $38 per time performed $1,325
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
251
times performed,
2% of his services

12th 7th

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

225
patients got this service, 15% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$9,036an average of $36 per time performed $2,761
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
237
times performed,
1% of his services

13th 12th

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

155
patients got this service, 10% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.8)
$16,590an average of $70 per time performed $3,318
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
219
times performed,
1% of his services

14th 17th

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

174
patients got this service, 11% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$23,652an average of $108 per time performed $5,037
an average of $23 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
210
times performed,
1% of his services

15th 13th

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

210
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,510an average of $31 per time performed $4,620
an average of $22 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (afluria) ×

Service Code: Q2035
Performed in an office
206
times performed,
1% of his services

16th 115th

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

206
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,120an average of $20 per time performed $2,472
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
195
times performed,
1% of his services

17th 25th

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

168
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$5,070an average of $26 per time performed $585
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85027
Performed in an office
169
times performed,
1% of his services

18th 55th

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

155
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$5,408an average of $32 per time performed $1,521
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
162
times performed,
1% of his services

19th 10th

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

138
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$9,720an average of $60 per time performed $1,620
an average of $10 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) analysis

Service Code: 82044
Performed in an office
99
times performed,
0.62% of his services

20th 91st

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

70
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$2,970an average of $30 per time performed $396
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
99
times performed,
0.62% of his services

21st 51st

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

70
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$2,079an average of $21 per time performed $693
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
98
times performed,
0.61% of his services

22nd 42nd

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

77
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$7,546an average of $77 per time performed $1,274
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Bacterial colony count, urine

Service Code: 87086
Performed in an office
89
times performed,
0.56% of his services

23rd 126th

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

69
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$5,429an average of $61 per time performed $979
an average of $11 per time performed
PROCEDURES

Colorectal cancer screening; fecal occult blood test, imm... +

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ×

Service Code: G0328
Performed in an office
61
times performed,
0.38% of his services

24th 112th

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

61
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,379an average of $39 per time performed $1,403
an average of $23 per time performed
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
60
times performed,
0.38% of his services

25th 23rd

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

60
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,500an average of $75 per time performed $720
an average of $12 per time performed
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
59
times performed,
0.37% of his services

26th 35th

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

31
patients got this service, 2% of his patients
1.9
average number of visits a patient made for this service
(Peers: 4.7)
$118an average of $2 per time performed $0
an average of $0 per time performed
PATHOLOGY AND LABORATORY

Red blood count, automated test

Service Code: 85045
Performed in an office
54
times performed,
0.34% of his services

27th Alert

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

50
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$1,458an average of $27 per time performed $324
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Iron level

Service Code: 83540
Performed in an office
52
times performed,
0.33% of his services

28th 97th

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

46
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$1,664an average of $32 per time performed $468
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Transferrin (iron binding protein) level

Service Code: 84466
Performed in an office
52
times performed,
0.33% of his services

29th 374th

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

46
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$3,120an average of $60 per time performed $936
an average of $18 per time performed
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
48
times performed,
0.3% of his services

30th 130th

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

45
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$960an average of $20 per time performed $96
an average of $2 per time performed
PATHOLOGY AND LABORATORY

Ferritin (blood protein) level

Service Code: 82728
Performed in an office
45
times performed,
0.28% of his services

31st 92nd

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

42
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$2,025an average of $45 per time performed $855
an average of $19 per time performed
PATHOLOGY AND LABORATORY

Thyroid hormone, t3 measurement

Service Code: 84481
Performed in an office
43
times performed,
0.27% of his services

32nd 152nd

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

36
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.1)
$2,150an average of $50 per time performed $1,032
an average of $24 per time performed
PATHOLOGY AND LABORATORY

Bacterial culture for aerobic isolates

Service Code: 87077
Performed in an office
42
times performed,
0.26% of his services

33rd 383rd

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

37
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$3,486an average of $83 per time performed $462
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Evaluation of antimicrobial drug (antibiotic, antifungal,... +

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) ×

Service Code: 87186
Performed in an office
42
times performed,
0.26% of his services

34th 253rd

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

37
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,260an average of $30 per time performed $504
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
37
times performed,
0.23% of his services

35th 141st

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

33
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,147an average of $31 per time performed $333
an average of $9 per time performed
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
34
times performed,
0.21% of his services

36th 72nd

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

34
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,856an average of $84 per time performed $884
an average of $26 per time performed
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
33
times performed,
0.21% of his services

37th 80th

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

32
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,485an average of $45 per time performed $495
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85652
Performed in an office
31
times performed,
0.19% of his services

38th 102nd

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: 1.5)
$992an average of $32 per time performed $124
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
30
times performed,
0.19% of his services

39th 82nd

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

26
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$1,800an average of $60 per time performed $630
an average of $21 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin measurement

Service Code: 85018
Performed in an office
24
times performed,
0.15% of his services

40th 147th

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

20
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$384an average of $16 per time performed $72
an average of $3 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 2... +

New patient office or other outpatient visit, typically 20 minutes ×

Service Code: 99202
Performed in an office
22
times performed,
0.14% of his services

41st 195th

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

22
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,706an average of $123 per time performed $836
an average of $38 per time performed
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
22
times performed,
0.14% of his services

42nd 83rd

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

20
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$660an average of $30 per time performed $110
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
21
times performed,
0.13% of his services

43rd 111th

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

21
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,667an average of $127 per time performed $546
an average of $26 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
19
times performed,
0.12% of his services

44th 90th

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

17
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$399an average of $21 per time performed $76
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Folic acid level

Service Code: 82746
Performed in an office
19
times performed,
0.12% of his services

45th 145th

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

19
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$1,064an average of $56 per time performed $399
an average of $21 per time performed
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82550
Performed in an office
17
times performed,
0.11% of his services

46th 79th

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

15
patients got this service, 0.97% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$595an average of $35 per time performed $102
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Stool analysis for blood

Service Code: 82274
Performed in an office
15
times performed,
0.09% of his services

47th 283rd

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

15
patients got this service, 0.97% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$585an average of $39 per time performed $345
an average of $23 per time performed
PATHOLOGY AND LABORATORY

Blood creatinine level

Service Code: 82565
Performed in an office
13
times performed,
0.08% of his services

48th 96th

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

13
patients got this service, 0.84% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$455an average of $35 per time performed $78
an average of $6 per time performed
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in an office
13
times performed,
0.08% of his services

49th 41st

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

13
patients got this service, 0.84% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,028an average of $156 per time performed $1,378
an average of $106 per time performed
PATHOLOGY AND LABORATORY

Liver enzyme (sgot), level

Service Code: 84450
Performed in an office
13
times performed,
0.08% of his services

50th 89th

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

12
patients got this service, 0.78% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$494an average of $38 per time performed $52
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Red blood cell concentration measurement

Service Code: 85014
Performed in an office
12
times performed,
0.08% of his services

51st 265th

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

12
patients got this service, 0.78% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$192an average of $16 per time performed $36
an average of $3 per time performed
MEDICINE

Respiratory inhaled pressure or nonpressure treatment to ... +

Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen ×

Service Code: 94640
Performed in an office
11
times performed,
0.07% of his services

52nd 153rd

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

11
patients got this service, 0.71% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$451an average of $41 per time performed $143
an average of $13 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 "Internal Medicine." 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.


Read our methodology.


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