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, $327 per patient in 2015.
They performed about 11 services per patient. Here’s how this provider compares.

Number of
Patients
565
Rank: 51st
out of 162 providers in this state & specialty
Services
Performed
13,010
Rank: 18th
out of 162 providers in this state & specialty
Avg Services
Per Patient
23 This Provider is in the top 10%
Avg 11
Total Paid
by Medicare
$227K
Rank: 32nd
out of 162 providers in this state & specialty
Avg Paid
Per Patient
$403 This Provider
Avg $327

Note: About 11% 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 129 different services in 2015
(92 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
TEMPORARY CODES

Low osmolar contrast material, 300-399 mg/ml iodine conce... +

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ×

Service Code: Q9967
Performed in an office
6,550
times performed,
50% of his services

1st 4th

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

54
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$7,270.50an average of $1.11 per time performed $786.00
an average of $0.12 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
335
times performed,
3% of his services

2nd 2nd

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

251
patients got this service, 44% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$53,600.00an average of $160.00 per time performed $16,605.95
an average of $49.57 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
329
times performed,
3% of his services

3rd 8th

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

279
patients got this service, 49% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$5,593.00an average of $17.00 per time performed $1,085.70
an average of $3.30 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
231
times performed,
2% of his services

4th 10th

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

192
patients got this service, 34% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$115,500.00an average of $500.00 per time performed $34,375.11
an average of $148.81 per time performed
medical
URINARY SYSTEM

Ultrasound measurement of bladder capacity after voiding +

Ultrasound measurement of bladder capacity after voiding ×

Service Code: 51798
Performed in an office
221
times performed,
2% of his services

5th 5th

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

190
patients got this service, 34% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$10,829.00an average of $49.00 per time performed $3,133.78
an average of $14.18 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
219
times performed,
2% of his services

6th 7th

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

175
patients got this service, 31% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$3,723.00an average of $17.00 per time performed $617.58
an average of $2.82 per time performed
drug
CHEMOTHERAPY DRUGS

Leuprolide acetate (for depot suspension), 7.5 mg

Service Code: J9217
Performed in an office
138
times performed,
1% of his services

7th 15th

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

16
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.7)
$75,900.00an average of $550.00 per time performed $24,729.60
an average of $179.20 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
133
times performed,
1% of his services

8th 11th

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

102
patients got this service, 18% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$8,911.00an average of $67.00 per time performed $3,106.88
an average of $23.36 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
126
times performed,
0.97% of his services

9th 13th

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

126
patients got this service, 22% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$45,108.00an average of $358.00 per time performed $15,387.12
an average of $122.12 per time performed
drug
DRUGS

Injection, ceftriaxone sodium, per 250 mg

Service Code: J0696
Performed in an office
105
times performed,
0.81% of his services

10th 48th

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

27
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$315.00an average of $3.00 per time performed $51.45
an average of $0.49 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
103
times performed,
0.79% of his services

11th 20th

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

103
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$24,308.00an average of $236.00 per time performed $8,243.09
an average of $80.03 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
91
times performed,
0.7% of his services

12th 3rd

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

78
patients got this service, 14% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$21,385.00an average of $235.00 per time performed $6,770.40
an average of $74.40 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
73
times performed,
0.56% of his services

13th 6th

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

67
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$1,679.00an average of $23.00 per time performed $299.30
an average of $4.10 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
58
times performed,
0.45% of his services

14th 64th

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

56
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,856.00an average of $32.00 per time performed $459.94
an average of $7.93 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
55
times performed,
0.42% of his services

15th 23rd

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

50
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$5,225.00an average of $95.00 per time performed $1,683.00
an average of $30.60 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
52
times performed,
0.4% of his services

16th 26th

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

29
patients got this service, 5% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.5)
$2,964.00an average of $57.00 per time performed $966.68
an average of $18.59 per time performed
medical
RADIOLOGY

X-ray of abdomen, single view

Service Code: 74000
Performed in an office
45
times performed,
0.35% of his services

17th 44th

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

37
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$2,205.00an average of $49.00 per time performed $461.25
an average of $10.25 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
41
times performed,
0.32% of his services

18th 55th

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

38
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,189.00an average of $29.00 per time performed $416.97
an average of $10.17 per time performed
medical
URINARY SYSTEM

Electronic assessment of bladder emptying

Service Code: 51741
Performed in an office
37
times performed,
0.28% of his services

19th 19th

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

37
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$8,510.00an average of $230.00 per time performed $230.51
an average of $6.23 per time performed
medical
RADIOLOGY

Ct scan of abdomen and pelvis before and after contrast

Service Code: 74178
Performed in an office
33
times performed,
0.25% of his services

20th 73rd

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

33
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$30,261.00an average of $917.00 per time performed $6,226.44
an average of $188.68 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: 85027
Performed in an office
31
times performed,
0.24% of his services

21st 89th

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

30
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,085.00an average of $35.00 per time performed $243.35
an average of $7.85 per time performed
medical
RADIOLOGY

Ultrasound of rectum

Service Code: 76872
Performed in an office
28
times performed,
0.22% of his services

22nd 31st

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

28
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$8,708.00an average of $311.00 per time performed $1,879.92
an average of $67.14 per time performed
medical
PATHOLOGY AND LABORATORY

Blood creatinine level

Service Code: 82565
Performed in an office
28
times performed,
0.22% of his services

23rd 74th

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

28
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$700.00an average of $25.00 per time performed $191.24
an average of $6.83 per time performed
medical
MALE GENITAL SYSTEM

Biopsy of prostate gland

Service Code: 55700
Performed in an office
27
times performed,
0.21% of his services

24th 36th

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

27
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,416.00an average of $608.00 per time performed $3,976.56
an average of $147.28 per time performed
medical
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
27
times performed,
0.21% of his services

25th 33rd

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

27
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,448.00an average of $424.00 per time performed $1,104.30
an average of $40.90 per time performed
medical
URINARY SYSTEM

Electro-removal of prostate through bladder canal (urethr... +

Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope ×

Service Code: 52601
Performed in a facility
25
times performed,
0.19% of his services

26th 56th

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

25
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$50,725.00an average of $2,029.00 per time performed $16,087.50
an average of $643.50 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
25
times performed,
0.19% of his services

27th 12th

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

22
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$575.00an average of $23.00 per time performed $102.00
an average of $4.08 per time performed
medical
URINARY SYSTEM

Insertion of stent in urinary duct (ureter) using an endo... +

Insertion of stent in urinary duct (ureter) using an endoscope ×

Service Code: 52332
Performed in a facility
25
times performed,
0.19% of his services

28th 37th

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

21
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$43,045.00an average of $1,721.80 per time performed $2,045.50
an average of $81.82 per time performed
medical
MEDICINE

Hormonal anti-neoplastic chemotherapy administration bene... +

Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle ×

Service Code: 96402
Performed in an office
24
times performed,
0.18% of his services

29th 29th

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

16
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.8)
$2,208.00an average of $92.00 per time performed $489.12
an average of $20.38 per time performed
medical
URINARY SYSTEM

Removal of foreign body, stone, or stent from bladder can... +

Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope ×

Service Code: 52310
Performed in an office
21
times performed,
0.16% of his services

30th 59th

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

21
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,267.00an average of $727.00 per time performed $4,002.60
an average of $190.60 per time performed
medical
URINARY SYSTEM

Shock wave crushing of kidney stones

Service Code: 50590
Performed in a facility
17
times performed,
0.13% of his services

31st 68th

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

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$38,388.04an average of $2,258.12 per time performed $7,320.54
an average of $430.62 per time performed
medical
URINARY SYSTEM

Destruction and/or removal of (2.0 to 5.0 centimeters) me... +

Destruction and/or removal of (2.0 to 5.0 centimeters) medium growths of the bladder and bladder canal (urethra) using an endoscope ×

Service Code: 52235
Performed in a facility
14
times performed,
0.11% of his services

32nd 114th

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

12
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$10,276.00an average of $734.00 per time performed $2,826.88
an average of $201.92 per time performed
medical
RADIOLOGY

Ct scan of abdomen and pelvis with contrast

Service Code: 74177
Performed in an office
13
times performed,
0.1% of his services

33rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$9,412.00an average of $724.00 per time performed $2,098.98
an average of $161.46 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
13
times performed,
0.1% of his services

34th 47th

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

11
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$546.00an average of $42.00 per time performed $143.91
an average of $11.07 per time performed
medical
URINARY SYSTEM

Bladder irrigation and/or instillation

Service Code: 51700
Performed in an office
11
times performed,
0.08% of his services

35th 38th

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$2,618.00an average of $238.00 per time performed $719.18
an average of $65.38 per time performed
medical
URINARY SYSTEM

Laser vaporization of prostate including control of bleed... +

Laser vaporization of prostate including control of bleeding using an endoscope ×

Service Code: 52648
Performed in a facility
11
times performed,
0.08% of his services

36th 110th

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,271.00an average of $1,661.00 per time performed $5,907.33
an average of $537.03 per time performed
medical
RADIOLOGY

Ct scan of abdomen and pelvis

Service Code: 74176
Performed in an office
11
times performed,
0.08% of his services

37th 86th

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$5,060.00an average of $460.00 per time performed $723.91
an average of $65.81 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.

Dirk Spencer Sypherd
Average for Urology Providers in Washington

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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