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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, $98 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
463
Rank: 90th
out of 1,200 providers in this state & specialty
Services
Performed
28,166
Rank: 2nd
out of 1,200 providers in this state & specialty
Avg Services
Per Patient
60.8 This Provider is in the top 10%
Avg 2.8
Total Paid
by Medicare
$122K
Rank: 17th
out of 1,200 providers in this state & specialty
Avg Paid
Per Patient
$264 This Provider is in the top 10%
Avg $98

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.

Kathleen M. Haden
Average for Nurse Practitioner Providers in Virginia

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

EMANUEL CIRENZA

JAMES BOYER

STEFAN GORSCH

RODNEY JAMIL

MAYA GHAEMMAGHAMI

Organizations

AUGUSTA HEALTH CARE, INC

RECTOR AND VISITORS OF ...

Patients saw before

Kathleen M. Haden

Patients saw after

Individuals

JAMES BOYER

STEFAN GORSCH

EMANUEL CIRENZA

RODNEY JAMIL

TODD WOLF

Organizations

RECTOR AND VISITORS OF ...

AUGUSTA HEALTH CARE, INC

This Provider's Services

This provider performed 23 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
DRUGS

Injection, darbepoetin alfa, 1 microgram (non-end-stage r... +

Injection, darbepoetin alfa, 1 microgram (non-end-stage renal disease use) ×

Service Code: J0881
Performed in an office
20,600
times performed,
73% of her services

1st Alert

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

33
patients got this service, 7% of her patients
1.5
average number of visits a patient made for this service
$164,800an average of $8 per time performed $61,800
an average of $3 per time performed
DRUGS

Injection, fosaprepitant (emend), 1 mg

Service Code: J1453
Performed in an office
3,450
times performed,
12% of her services

2nd Alert

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

15
patients got this service, 3% of her patients
1.5
average number of visits a patient made for this service
$13,800an average of $4 per time performed $3,450
an average of $1 per time performed
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
1,253
times performed,
4% of her services

3rd 17th

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

48
patients got this service, 10% of her patients
2.2
average number of visits a patient made for this service
(Peers: 1.5)
$1,253an average of $1 per time performed $0
an average of $0 per time performed
DRUGS

Injection, palonosetron hydrochloride, 25 mcg

Service Code: J2469
Performed in an office
760
times performed,
3% of her services

4th Alert

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

36
patients got this service, 8% of her patients
2.1
average number of visits a patient made for this service
$38,760an average of $51 per time performed $11,400
an average of $15 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
380
times performed,
1% of her services

5th 16th

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

159
patients got this service, 34% of her patients
2.4
average number of visits a patient made for this service
(Peers: 1.4)
$9,500an average of $25 per time performed $4,180
an average of $11 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 a facility
202
times performed,
0.72% of her services

6th 14th

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

170
patients got this service, 37% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$29,492an average of $146 per time performed $6,666
an average of $33 per time performed
MEDICINE

Infusion into a vein for therapy prevention or diagnosis ... +

Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour ×

Service Code: 96367
Performed in an office
183
times performed,
0.65% of her services

7th Alert

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

50
patients got this service, 11% of her patients
2.2
average number of visits a patient made for this service
$16,104an average of $88 per time performed $3,843
an average of $21 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
137
times performed,
0.49% of her services

8th Alert

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

50
patients got this service, 11% of her patients
2.7
average number of visits a patient made for this service
$65,623an average of $479 per time performed $12,467
an average of $91 per time performed
CHEMOTHERAPY DRUGS

Injection, carboplatin, 50 mg

Service Code: J9045
Performed in an office
132
times performed,
0.47% of her services

9th Alert

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

13
patients got this service, 3% of her patients
1.2
average number of visits a patient made for this service
$33,000an average of $250 per time performed $396
an average of $3 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
131
times performed,
0.47% of her services

10th 18th

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

65
patients got this service, 14% of her patients
1.7
average number of visits a patient made for this service
(Peers: 1.7)
$5,109an average of $39 per time performed $1,965
an average of $15 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
130
times performed,
0.46% of her services

11th 4th

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

94
patients got this service, 20% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$2,340an average of $18 per time performed $390
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 25 minutes ×

Service Code: 99214
Performed in a facility
128
times performed,
0.45% of her services

12th 13th

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

100
patients got this service, 22% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$28,032an average of $219 per time performed $6,528
an average of $51 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
122
times performed,
0.43% of her services

13th 1st

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

86
patients got this service, 19% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$17,812an average of $146 per time performed $5,490
an average of $45 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
91
times performed,
0.32% of her services

14th 32nd

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

60
patients got this service, 13% of her patients
1.5
average number of visits a patient made for this service
(Peers: 2.2)
$3,913an average of $43 per time performed $1,092
an average of $12 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
67
times performed,
0.24% of her services

15th 3rd

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

52
patients got this service, 11% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$14,673an average of $219 per time performed $4,355
an average of $65 per time performed
DRUGS

Injection, ranitidine hydrochloride, 25 mg

Service Code: J2780
Performed in an office
67
times performed,
0.24% of her services

16th Alert

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

25
patients got this service, 5% of her patients
1.4
average number of visits a patient made for this service
$1,072an average of $16 per time performed $67
an average of $1 per time performed
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
51
times performed,
0.18% of her services

17th Alert

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

24
patients got this service, 5% of her patients
1.3
average number of visits a patient made for this service
$5,151an average of $101 per time performed $1,020
an average of $20 per time performed
DRUGS

Injection, diphenhydramine hydrochloride, up to 50 mg

Service Code: J1200
Performed in an office
47
times performed,
0.17% of her services

18th Alert

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

33
patients got this service, 7% of her patients
1.4
average number of visits a patient made for this service
$658an average of $14 per time performed $47
an average of $1 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 a facility
46
times performed,
0.16% of her services

19th 67th

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

44
patients got this service, 10% of her patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$4,002an average of $87 per time performed $736
an average of $16 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
46
times performed,
0.16% of her services

20th 10th

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

41
patients got this service, 9% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$4,002an average of $87 per time performed $1,104
an average of $24 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
39
times performed,
0.14% of her services

21st 11th

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

15
patients got this service, 3% of her patients
2.6
average number of visits a patient made for this service
(Peers: 4.8)
$585an average of $15 per time performed $195
an average of $5 per time performed
MEDICINE

Infusion of different chemotherapy drug or substance into... +

Infusion of different chemotherapy drug or substance into a vein up to 1 hour ×

Service Code: 96417
Performed in an office
32
times performed,
0.11% of her services

22nd Alert

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

22
patients got this service, 5% of her patients
1.4
average number of visits a patient made for this service
$6,784an average of $212 per time performed $1,504
an average of $47 per time performed
DRUGS

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

Service Code: J3420
Performed in an office
30
times performed,
0.11% of her services

23rd 86th

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

19
patients got this service, 4% of her patients
1.6
average number of visits a patient made for this service
(Peers: 3.1)
$270an average of $9 per time performed $0
an average of $0 per time performed
DRUGS

Infusion, normal saline solution , 250 cc

Service Code: J7050
Performed in an office
16
times performed,
0.06% of her services

24th Alert

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

14
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
$384an average of $24 per time performed $0
an average of $0 per time performed
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour ×

Service Code: 96365
Performed in an office
14
times performed,
0.05% of her services

25th Alert

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

12
patients got this service, 3% of her patients
1.2
average number of visits a patient made for this service
$2,226an average of $159 per time performed $672
an average of $48 per time performed
MEDICINE

Injection of drug or substance into a vein for therapy, d... +

Injection of drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96374
Performed in an office
12
times performed,
0.04% of her services

26th Alert

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

11
patients got this service, 2% of her patients
1.1
average number of visits a patient made for this service
$1,428an average of $119 per time performed $432
an average of $36 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 "Nurse Practitioner, Adult Health." 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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Credits: Warning icon designed by Stefan Parnarov from the Noun Project.