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, $189 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
698
Rank: 42nd
out of 713 providers in this state & specialty
Services
Performed
3,268
Rank: 100th
out of 713 providers in this state & specialty
Avg Services
Per Patient
4.7 This Provider
Avg 5.3
Total Paid
by Medicare
$187K
Rank: 36th
out of 713 providers in this state & specialty
Avg Paid
Per Patient
$268 This Provider
Avg $189

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 49 different services in 2015
(20 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 25 minutes ×

Service Code: 99214
Performed in an office
880
times performed,
27% of his services

1st 1st

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

407
patients got this service, 58% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.2)
$123,244.00an average of $140.05 per time performed $57,235.20
an average of $65.04 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
323
times performed,
10% of his services

2nd 5th

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

85
patients got this service, 12% of his patients
3.8
average number of visits a patient made for this service
(Peers: 3.1)
$40,375.00an average of $125.00 per time performed $17,710.09
an average of $54.83 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 10 minutes p... +

Subsequent nursing facility visit, typically 10 minutes per day ×

Service Code: 99307
Performed in an office
309
times performed,
9% of his services

3rd 75th

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

97
patients got this service, 14% of his patients
3.2
average number of visits a patient made for this service
(Peers: 2.3)
$24,720.00an average of $80.00 per time performed $9,962.16
an average of $32.24 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 (fluzone) ×

Service Code: Q2038
Performed in an office
229
times performed,
7% of his services

4th 56th

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

229
patients got this service, 33% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,015.00an average of $35.00 per time performed $2,642.66
an average of $11.54 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
218
times performed,
7% of his services

5th 10th

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

218
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,450.00an average of $25.00 per time performed $4,804.72
an average of $22.04 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in an office
203
times performed,
6% of his services

6th 36th

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

97
patients got this service, 14% of his patients
2.1
average number of visits a patient made for this service
(Peers: 3.3)
$17,255.00an average of $85.00 per time performed $10,283.98
an average of $50.66 per time performed
medical
PROCEDURES

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

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

Service Code: G0438
Performed in an office
90
times performed,
3% of his services

7th 70th

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

90
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,000.00an average of $200.00 per time performed $14,339.70
an average of $159.33 per time performed
drug
DRUGS

Injection, betamethasone acetate 3mg and betamethasone so... +

Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg ×

Service Code: J0702
Performed in an office
76
times performed,
2% of his services

8th 67th

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

16
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$1,140.00an average of $15.00 per time performed $274.36
an average of $3.61 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
72
times performed,
2% of his services

9th 2nd

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

64
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.3)
$7,200.00an average of $100.00 per time performed $2,882.16
an average of $40.03 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 35 minutes per day +

Initial nursing facility visit, typically 35 minutes per day ×

Service Code: 99305
Performed in a facility
57
times performed,
2% of his services

10th 71st

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

47
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$8,550.00an average of $150.00 per time performed $5,651.55
an average of $99.15 per time performed
medical
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
54
times performed,
2% of his services

11th 33rd

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

54
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,450.00an average of $175.00 per time performed $5,766.66
an average of $106.79 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
54
times performed,
2% of his services

12th 42nd

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

49
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$9,720.00an average of $180.00 per time performed $4,743.90
an average of $87.85 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in an office
48
times performed,
1% of his services

13th 20th

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

32
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
(Peers: 6.1)
$4,800.00an average of $100.00 per time performed $3,283.20
an average of $68.40 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
43
times performed,
1% of his services

14th 49th

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

39
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$6,185.12an average of $143.84 per time performed $3,501.06
an average of $81.42 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
40
times performed,
1% of his services

15th 41st

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

39
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$6,180.00an average of $154.50 per time performed $3,952.00
an average of $98.80 per time performed
drug
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
39
times performed,
1% of his services

16th 91st

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

39
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,875.00an average of $125.00 per time performed $3,144.57
an average of $80.63 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
38
times performed,
1% of his services

17th 31st

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

38
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$950.00an average of $25.00 per time performed $837.14
an average of $22.03 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
38
times performed,
1% of his services

18th 65th

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

25
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$5,700.00an average of $150.00 per time performed $1,525.70
an average of $40.15 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in a facility
38
times performed,
1% of his services

19th 19th

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

25
patients got this service, 4% of his patients
1.5
average number of visits a patient made for this service
(Peers: 4)
$3,230.00an average of $85.00 per time performed $1,903.80
an average of $50.10 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 35 minutes per day +

Initial nursing facility visit, typically 35 minutes per day ×

Service Code: 99305
Performed in an office
36
times performed,
1% of his services

20th 151st

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

31
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$5,400.00an average of $150.00 per time performed $3,570.12
an average of $99.17 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
35
times performed,
1% of his services

21st 29th

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

32
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$9,625.00an average of $275.00 per time performed $5,405.75
an average of $154.45 per time performed
medical

Transitional care management services, highly complexity,... +

Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge ×

Service Code: 99496
Performed in an office
34
times performed,
1% of his services

22nd 131st

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

26
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$9,350.00an average of $275.00 per time performed $5,328.14
an average of $156.71 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in a facility
29
times performed,
0.89% of his services

23rd 30th

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

19
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.8)
$2,900.00an average of $100.00 per time performed $1,982.44
an average of $68.36 per time performed
medical

Transitional care management services, moderately complex... +

Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge ×

Service Code: 99495
Performed in an office
27
times performed,
0.83% of his services

24th 142nd

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

27
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,725.00an average of $175.00 per time performed $3,144.96
an average of $116.48 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 30 minutes

Service Code: 99218
Performed in a facility
26
times performed,
0.8% of his services

25th 189th

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

22
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$3,900.00an average of $150.00 per time performed $1,918.80
an average of $73.80 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent observation care, typically 15 minutes per day +

Subsequent observation care, typically 15 minutes per day ×

Service Code: 99224
Performed in a facility
24
times performed,
0.73% of his services

26th 209th

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

15
patients got this service, 2% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$2,400.00an average of $100.00 per time performed $694.08
an average of $28.92 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
16
times performed,
0.49% of his services

27th 35th

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

15
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$960.00an average of $60.00 per time performed $169.28
an average of $10.58 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
15
times performed,
0.46% of his services

28th 61st

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,325.00an average of $155.00 per time performed $818.70
an average of $54.58 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in a facility
15
times performed,
0.46% of his services

29th 69th

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

13
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$2,625.00an average of $175.00 per time performed $1,899.15
an average of $126.61 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.

Jonathan Paul Lilly
Average for Family Medicine Providers in West Virginia

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.

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