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, $687 per patient in 2015.
They performed about 30 services per patient. Here’s how this provider compares.

Number of
Patients
518
Rank: 70th
out of 421 providers in this state & specialty
Services
Performed
19,422
Rank: 80th
out of 421 providers in this state & specialty
Avg Services
Per Patient
37.5 This Provider
Avg 30.3
Total Paid
by Medicare
$445K
Rank: 82nd
out of 421 providers in this state & specialty
Avg Paid
Per Patient
$858 This Provider
Avg $687

Note: About 38% 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 77 different services in 2015
(34 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
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
2,940
times performed,
15% of his services

1st 4th

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

35
patients got this service, 7% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$58,800.00an average of $20.00 per time performed $34,339.20
an average of $11.68 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
1,212
times performed,
6% of his services

2nd 5th

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

405
patients got this service, 78% of his patients
3
average number of visits a patient made for this service
(Peers: 2.6)
$242,400.00an average of $200.00 per time performed $103,904.76
an average of $85.73 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
993
times performed,
5% of his services

3rd 7th

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

133
patients got this service, 26% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.8)
$9,930.00an average of $10.00 per time performed $1,330.62
an average of $1.34 per time performed
medical
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
670
times performed,
3% of his services

4th 10th

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

289
patients got this service, 56% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2.3)
$10,050.00an average of $15.00 per time performed $1,949.70
an average of $2.91 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
591
times performed,
3% of his services

5th 15th

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

263
patients got this service, 51% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.5)
$20,685.00an average of $35.00 per time performed $2,759.97
an average of $4.67 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
512
times performed,
3% of his services

6th 64th

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

251
patients got this service, 48% of his patients
2
average number of visits a patient made for this service
(Peers: 1.6)
$33,280.00an average of $65.00 per time performed $11,304.96
an average of $22.08 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
510
times performed,
3% of his services

7th 31st

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

231
patients got this service, 45% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2)
$40,800.00an average of $80.00 per time performed $4,411.50
an average of $8.65 per time performed
medical
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
509
times performed,
3% of his services

8th 45th

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

258
patients got this service, 50% of his patients
2
average number of visits a patient made for this service
(Peers: 1.6)
$41,738.00an average of $82.00 per time performed $19,851.00
an average of $39.00 per time performed
medical
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82550
Performed in an office
508
times performed,
3% of his services

9th 41st

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

241
patients got this service, 47% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.2)
$20,320.00an average of $40.00 per time performed $2,204.72
an average of $4.34 per time performed
medical
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
505
times performed,
3% of his services

10th 14th

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

228
patients got this service, 44% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.5)
$22,725.00an average of $45.00 per time performed $5,181.30
an average of $10.26 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
474
times performed,
2% of his services

11th 46th

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

230
patients got this service, 44% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.1)
$16,590.00an average of $35.00 per time performed $1,758.54
an average of $3.71 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81000
Performed in an office
443
times performed,
2% of his services

12th 105th

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

221
patients got this service, 43% of his patients
2
average number of visits a patient made for this service
(Peers: 1.7)
$15,505.00an average of $35.00 per time performed $1,847.31
an average of $4.17 per time performed
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
407
times performed,
2% of his services

13th 8th

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

206
patients got this service, 40% of his patients
2
average number of visits a patient made for this service
(Peers: 2.3)
$61,050.00an average of $150.00 per time performed $24,371.16
an average of $59.88 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
338
times performed,
2% of his services

14th 79th

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

185
patients got this service, 36% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$23,660.00an average of $70.00 per time performed $2,727.66
an average of $8.07 per time performed
medical
PATHOLOGY AND LABORATORY

Parathormone (parathyroid hormone) level

Service Code: 83970
Performed in an office
186
times performed,
0.96% of his services

15th 67th

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

134
patients got this service, 26% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$21,390.00an average of $115.00 per time performed $10,084.92
an average of $54.22 per time performed
medical
PATHOLOGY AND LABORATORY

Collagen cross links test, (urine test to evaluate bone h... +

Collagen cross links test, (urine test to evaluate bone health) ×

Service Code: 82523
Performed in an office
183
times performed,
0.94% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

133
patients got this service, 26% of his patients
1.4
average number of visits a patient made for this service
$13,725.00an average of $75.00 per time performed $4,457.88
an average of $24.36 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
143
times performed,
0.74% of his services

17th 53rd

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

24
patients got this service, 5% of his patients
6
average number of visits a patient made for this service
(Peers: 4.4)
$14,300.00an average of $100.00 per time performed $8,787.35
an average of $61.45 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
136
times performed,
0.7% of his services

18th 24th

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

68
patients got this service, 13% of his patients
1.7
average number of visits a patient made for this service
(Peers: 3.3)
$32,174.88an average of $236.58 per time performed $10,178.24
an average of $74.84 per time performed
medical
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
126
times performed,
0.65% of his services

19th 16th

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

45
patients got this service, 9% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.1)
$7,560.00an average of $60.00 per time performed $2,435.58
an average of $19.33 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
115
times performed,
0.59% of his services

20th 35th

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

114
patients got this service, 22% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$40,250.00an average of $350.00 per time performed $5,291.15
an average of $46.01 per time performed
drug
DRUGS

Infusion, normal saline solution , 250 cc

Service Code: J7050
Performed in an office
93
times performed,
0.48% of his services

21st 26th

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

27
patients got this service, 5% of his patients
3.4
average number of visits a patient made for this service
(Peers: 4.9)
$4,185.00an average of $45.00 per time performed $28.83
an average of $0.31 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
91
times performed,
0.47% of his services

22nd 29th

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

91
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$21,331.31an average of $234.41 per time performed $11,884.60
an average of $130.60 per time performed
medical
PATHOLOGY AND LABORATORY

Cortisol (hormone) measurement

Service Code: 82533
Performed in an office
84
times performed,
0.43% of his services

23rd 154th

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

50
patients got this service, 10% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2)
$3,360.00an average of $40.00 per time performed $1,807.68
an average of $21.52 per time performed
medical
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
77
times performed,
0.4% of his services

24th 113th

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

26
patients got this service, 5% of his patients
3
average number of visits a patient made for this service
(Peers: 2.4)
$11,550.00an average of $150.00 per time performed $3,852.31
an average of $50.03 per time performed
medical
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
73
times performed,
0.38% of his services

25th 27th

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

27
patients got this service, 5% of his patients
2.7
average number of visits a patient made for this service
(Peers: 3.8)
$14,600.00an average of $200.00 per time performed $4,603.38
an average of $63.06 per time performed
drug
DRUGS

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

Service Code: J3420
Performed in an office
62
times performed,
0.32% of his services

26th 91st

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

16
patients got this service, 3% of his patients
3.9
average number of visits a patient made for this service
(Peers: 2.9)
$2,480.00an average of $40.00 per time performed $125.24
an average of $2.02 per time performed
medical
MEDICINE

Non-hormonal anti-neoplastic chemotherapy beneath the ski... +

Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle ×

Service Code: 96401
Performed in an office
51
times performed,
0.26% of his services

27th 28th

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

36
patients got this service, 7% of his patients
1.4
average number of visits a patient made for this service
(Peers: 3)
$9,690.00an average of $190.00 per time performed $3,446.58
an average of $67.58 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 1 or 2 muscles

Service Code: 20552
Performed in an office
50
times performed,
0.26% of his services

28th 68th

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

38
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$6,250.00an average of $125.00 per time performed $2,200.50
an average of $44.01 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
48
times performed,
0.25% of his services

29th 60th

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

47
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,880.00an average of $60.00 per time performed $1,356.00
an average of $28.25 per time performed
drug
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
47
times performed,
0.24% of his services

30th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

46
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
$1,410.00an average of $30.00 per time performed $599.25
an average of $12.75 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroid hormone, t3 measurement

Service Code: 84480
Performed in an office
43
times performed,
0.22% of his services

31st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

31
patients got this service, 6% of his patients
1.4
average number of visits a patient made for this service
$1,720.00an average of $40.00 per time performed $812.70
an average of $18.90 per time performed
medical
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
41
times performed,
0.21% of his services

32nd 134th

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

35
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$5,125.00an average of $125.00 per time performed $574.82
an average of $14.02 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84436
Performed in an office
40
times performed,
0.21% of his services

33rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

31
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
$1,800.00an average of $45.00 per time performed $366.40
an average of $9.16 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 3 or more muscles

Service Code: 20553
Performed in an office
38
times performed,
0.2% of his services

34th 120th

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

26
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.8)
$5,700.00an average of $150.00 per time performed $2,040.22
an average of $53.69 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
36
times performed,
0.19% of his services

35th 43rd

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

28
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.3)
$4,500.00an average of $125.00 per time performed $1,341.00
an average of $37.25 per time performed
medical
RADIOLOGY

Ultrasound of arm or leg

Service Code: 76882
Performed in an office
35
times performed,
0.18% of his services

36th 151st

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

28
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$5,250.00an average of $150.00 per time performed $1,045.80
an average of $29.88 per time performed
medical
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
35
times performed,
0.18% of his services

37th 86th

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

24
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.8)
$7,000.00an average of $200.00 per time performed $3,098.55
an average of $88.53 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
33
times performed,
0.17% of his services

38th 99th

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

26
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$2,145.00an average of $65.00 per time performed $396.66
an average of $12.02 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroid hormone, t3 measurement

Service Code: 84481
Performed in an office
33
times performed,
0.17% of his services

39th 139th

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

26
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$2,145.00an average of $65.00 per time performed $745.47
an average of $22.59 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
33
times performed,
0.17% of his services

40th 11th

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

17
patients got this service, 3% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.3)
$5,775.00an average of $175.00 per time performed $1,460.58
an average of $44.26 per time performed
medical
MUSCULOSKELETAL SYSTEM

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

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

Service Code: 20605
Performed in an office
26
times performed,
0.13% of his services

41st 90th

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

19
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$3,749.98an average of $144.23 per time performed $914.94
an average of $35.19 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
24
times performed,
0.12% of his services

42nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

21
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$1,560.00an average of $65.00 per time performed $588.72
an average of $24.53 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of tendon sheath, ligament, or muscle membrane +

Injections of tendon sheath, ligament, or muscle membrane ×

Service Code: 20550
Performed in an office
15
times performed,
0.08% of his services

43rd 75th

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

13
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$2,625.00an average of $175.00 per time performed $569.55
an average of $37.97 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.

David S Hallegua
Average for Rheumatology Providers in California

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.