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, $175 per patient in 2015.
They performed about 3 services per patient. Here’s how this provider compares.

Number of
Patients
498
Rank: 31st
out of 1,118 providers in this state & specialty
Services
Performed
4,441
Rank: 10th
out of 1,118 providers in this state & specialty
Avg Services
Per Patient
8.9 This Provider is in the top 10%
Avg 3.2
Total Paid
by Medicare
$343K
Rank: 3rd
out of 1,118 providers in this state & specialty
Avg Paid
Per Patient
$690 This Provider is in the top 10%
Avg $175

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 48 different services in 2015
(22 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
455
times performed,
10% of his services

1st 3rd

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

301
patients got this service, 60% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$95,049.50an average of $208.90 per time performed $36,295.35
an average of $79.77 per time performed
medical
URINARY SYSTEM

Assessment of muscle signal of pelvic nerves

Service Code: 51792
Performed in an office
268
times performed,
6% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

264
patients got this service, 53% of his patients
1
average number of visits a patient made for this service
$127,396.48an average of $475.36 per time performed $40,671.68
an average of $151.76 per time performed
medical
URINARY SYSTEM

Insertion of device into bladder to measure pressure of u... +

Insertion of device into bladder to measure pressure of urine flow ×

Service Code: 51725
Performed in an office
264
times performed,
6% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

258
patients got this service, 52% of his patients
1
average number of visits a patient made for this service
$104,353.92an average of $395.28 per time performed $20,526.00
an average of $77.75 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
205
times performed,
5% of his services

4th 1st

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

152
patients got this service, 31% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$30,520.40an average of $148.88 per time performed $9,237.30
an average of $45.06 per time performed
medical
URINARY SYSTEM

Non-needle measurement and recording of electrical activi... +

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings ×

Service Code: 51784
Performed in an office
187
times performed,
4% of his services

5th 21st

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

175
patients got this service, 35% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2)
$74,541.94an average of $398.62 per time performed $15,221.80
an average of $81.40 per time performed
medical
URINARY SYSTEM

Insertion of electronic device into bladder with voiding ... +

Insertion of electronic device into bladder with voiding and bladder canal (urethra) pressure studies ×

Service Code: 51729
Performed in an office
170
times performed,
4% of his services

6th 32nd

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

168
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$115,542.20an average of $679.66 per time performed $43,929.70
an average of $258.41 per time performed
medical
URINARY SYSTEM

Electronic assessment of bladder emptying

Service Code: 51741
Performed in an office
170
times performed,
4% of his services

7th 33rd

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

168
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,489.80an average of $49.94 per time performed $1,057.40
an average of $6.22 per time performed
medical
URINARY SYSTEM

Insertion of device into the abdomen with measurement of ... +

Insertion of device into the abdomen with measurement of pressure and urine flow rate ×

Service Code: 51797
Performed in an office
170
times performed,
4% of his services

8th 35th

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

168
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$41,367.80an average of $243.34 per time performed $14,620.00
an average of $86.00 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
167
times performed,
4% of his services

9th 15th

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

167
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$57,461.36an average of $344.08 per time performed $21,260.77
an average of $127.31 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
166
times performed,
4% of his services

10th 30th

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

93
patients got this service, 19% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.4)
$6,889.00an average of $41.50 per time performed $2,222.74
an average of $13.39 per time performed
medical
URINARY SYSTEM

Insertion of temporary bladder catheter

Service Code: 51701
Performed in an office
161
times performed,
4% of his services

11th 29th

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

121
patients got this service, 24% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$18,318.58an average of $113.78 per time performed $5,578.65
an average of $34.65 per time performed
medical
MEDICINE

Electronic analysis and programming of implanted complex ... +

Electronic analysis and programming of implanted complex spinal cord or peripheral neurostimulator generator system during or after surgery, first hour ×

Service Code: 95972
Performed in an office
161
times performed,
4% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

85
patients got this service, 17% of his patients
1.9
average number of visits a patient made for this service
$35,162.40an average of $218.40 per time performed $6,206.55
an average of $38.55 per time performed
medical
URINARY SYSTEM

Diagnostic examination of the bladder and bladder canal (... +

Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope ×

Service Code: 52000
Performed in an office
125
times performed,
3% of his services

13th 44th

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

124
patients got this service, 25% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$55,320.00an average of $442.56 per time performed $19,893.75
an average of $159.15 per time performed
medical
PROSTHETIC PROCEDURES

Injectable bulking agent, synthetic implant, urinary trac... +

Injectable bulking agent, synthetic implant, urinary tract, 1 ml syringe, includes shipping and necessary supplies ×

Service Code: L8606
Performed in an office
61
times performed,
1% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

25
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
$25,307.68an average of $414.88 per time performed $10,497.49
an average of $172.09 per time performed
medical
FEMALE GENITAL SYSTEM

Fitting and insertion of vaginal support device

Service Code: 57160
Performed in an office
34
times performed,
0.77% of his services

15th 38th

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

30
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$5,363.84an average of $157.76 per time performed $1,273.30
an average of $37.45 per time performed
medical
NERVOUS SYSTEM

Insertion or replacement of peripheral or gastric neurost... +

Insertion or replacement of peripheral or gastric neurostimulator generator ×

Service Code: 64590
Performed in a facility
30
times performed,
0.68% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

28
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$16,539.00an average of $551.30 per time performed $2,700.90
an average of $90.03 per time performed
medical
URINARY SYSTEM

Injection or implant of synthetic material into bladder a... +

Injection or implant of synthetic material into bladder and/or bladder canal (urethra) using an endoscope ×

Service Code: 51715
Performed in an office
29
times performed,
0.65% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

25
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
$17,177.86an average of $592.34 per time performed $6,478.89
an average of $223.41 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for insertion of needle

Service Code: 77002
Performed in a facility
27
times performed,
0.61% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

26
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$4,158.00an average of $154.00 per time performed $588.06
an average of $21.78 per time performed
medical
NERVOUS SYSTEM

Incision to insert sacral nerve neurostimulator electrodes +

Incision to insert sacral nerve neurostimulator electrodes ×

Service Code: 64581
Performed in a facility
27
times performed,
0.61% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

25
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$38,178.54an average of $1,414.02 per time performed $13,999.50
an average of $518.50 per time performed
medical
MEDICINE

Electronic analysis and programming of implanted complex ... +

Electronic analysis and programming of implanted complex spinal cord or peripheral neurostimulator generator system during or after surgery, first hour ×

Service Code: 95972
Performed in a facility
25
times performed,
0.56% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

25
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$5,460.00an average of $218.40 per time performed $818.75
an average of $32.75 per time performed
medical
NERVOUS SYSTEM

Insertion of sacral nerve neurostimulator electrodes, acc... +

Insertion of sacral nerve neurostimulator electrodes, accessed through the skin ×

Service Code: 64561
Performed in an office
21
times performed,
0.47% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

21
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$74,416.44an average of $3,543.64 per time performed $19,260.99
an average of $917.19 per time performed
medical
MEDICINE

Testing of tone and sensation of rectum and anus

Service Code: 91120
Performed in an office
19
times performed,
0.43% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

19
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$15,132.74an average of $796.46 per time performed $6,121.61
an average of $322.19 per time performed
medical
MEDICINE

Study of anorectal pressure generated by muscles surround... +

Study of anorectal pressure generated by muscles surrounding anus (sphincter) ×

Service Code: 91122
Performed in an office
19
times performed,
0.43% of his services

23rd 47th

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

19
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 3.3)
$8,494.90an average of $447.10 per time performed $3,306.19
an average of $174.01 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for insertion of needle

Service Code: 77002
Performed in an office
18
times performed,
0.41% of his services

24th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$2,777.04an average of $154.28 per time performed $1,240.92
an average of $68.94 per time performed
medical
MEDICAL AND SURGICAL SUPPLIES

Pessary, non rubber, any type

Service Code: A4562
Performed in an office
16
times performed,
0.36% of his services

25th 60th

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

15
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,718.08an average of $107.38 per time performed $489.92
an average of $30.62 per time performed
medical
DIGESTIVE SYSTEM

Repair of herniated rectum

Service Code: 45560
Performed in a facility
13
times performed,
0.29% of his services

26th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$18,870.54an average of $1,451.58 per time performed $5,810.74
an average of $446.98 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 Zipper
Average for Obstetrics & Gynecology Providers in Florida

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.