Treatment Tracker
The Doctors and Services in Medicare Part B
This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.
PHILLIP SUTTON M.D.
HOUSTON, TX, 77090
How This Provider Compares
This Provider
Avg in State & Specialty
Providers in this state and specialty were reimbursed, on average, $435 per patient in 2015.
They performed about 11 services per patient. Here’s how this provider compares.
Number of
Patients
Services
Performed
Avg Services
Per Patient
Total Paid
by Medicare
Avg Paid
Per Patient
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 38 different services in 2015
(22 were redacted as they were performed on less than 11 patients)
Show Only:
CATEGORYDescription of Service |
Times Performed (or Units) | This Service's Rank | Patients | Unique Visits Per Patient |
Billed to Medicare | Payments from Medicare |
|---|---|---|---|---|---|---|
MEDICINEUltrasound study of veins of both arms or legs including ... + Ultrasound study of veins of both arms or legs including assessment of functional maneuvers × Service Code: 93965Performed in a facility |
294 times performed, 20% of his services |
1st
most performed service for this provider 5 or fewer providers in this specialty in TX perform this service |
270 patients got this service, 34% of his patients |
1.1 average number of visits a patient made for this service |
$25,378.08an average of $86.32 per time performed |
$3,807.30 an average of $12.95 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 15 minutes × Service Code: 99213Performed in an office |
256 times performed, 17% of his services |
2nd 2nd most performed service for this provider most performed service in this state & specialty |
243 patients got this service, 31% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.8) |
$20,480.00an average of $80.00 per time performed |
$13,022.72 an average of $50.87 per time performed |
MEDICINEUltrasound scanning of blood flow (outside the brain) on ... + Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck × Service Code: 93880Performed in a facility |
161 times performed, 11% of his services |
3rd 233rd most performed service for this provider most performed service in this state & specialty |
159 patients got this service, 20% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$22,021.58an average of $136.78 per time performed |
$4,776.87 an average of $29.67 per time performed |
MEDICINEUltrasound scan of veins of both arms or legs including a... + Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers × Service Code: 93970Performed in a facility |
156 times performed, 11% of his services |
4th 248th most performed service for this provider most performed service in this state & specialty |
144 patients got this service, 18% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1) |
$10,422.36an average of $66.81 per time performed |
$4,049.76 an average of $25.96 per time performed |
MEDICINEUltrasound scan of veins of one arm or leg or limited inc... + Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers × Service Code: 93971Performed in a facility |
136 times performed, 9% of his services |
5th 252nd most performed service for this provider most performed service in this state & specialty |
130 patients got this service, 16% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$5,003.44an average of $36.79 per time performed |
$2,298.40 an average of $16.90 per time performed |
MEDICINEUltrasound study of arteries of both arms and legs Service Code: 93923Performed in a facility |
48 times performed, 3% of his services |
6th
most performed service for this provider 5 or fewer providers in this specialty in TX perform this service |
48 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service |
$2,955.84an average of $61.58 per time performed |
$834.24 an average of $17.38 per time performed |
SKIN, HAIR AND NAILSService Code: 19301Performed in a facility |
47 times performed, 3% of his services |
7th
most performed service for this provider 5 or fewer providers in this specialty in TX perform this service |
46 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service |
$46,550.21an average of $990.43 per time performed |
$20,130.10 an average of $428.30 per time performed |
HEMIC AND LYMPHATIC SYSTEMSBiopsy or removal of lymph nodes of under the arm, open p... + Biopsy or removal of lymph nodes of under the arm, open procedure × Service Code: 38525Performed in a facility |
44 times performed, 3% of his services |
8th
most performed service for this provider 5 or fewer providers in this specialty in TX perform this service |
44 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service |
$33,000.00an average of $750.00 per time performed |
$8,330.08 an average of $189.32 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 6... + New patient office or other outpatient visit, typically 60 minutes × Service Code: 99205Performed in an office |
44 times performed, 3% of his services |
9th 96th most performed service for this provider most performed service in this state & specialty |
44 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$11,000.00an average of $250.00 per time performed |
$7,096.32 an average of $161.28 per time performed |
HEMIC AND LYMPHATIC SYSTEMSLymph node imaging during surgery Service Code: 38900Performed in a facility |
43 times performed, 3% of his services |
10th
most performed service for this provider 5 or fewer providers in this specialty in TX perform this service |
43 patients got this service, 5% of his patients |
1 average number of visits a patient made for this service |
$9,159.00an average of $213.00 per time performed |
$4,736.45 an average of $110.15 per time performed |
MEDICINEUltrasound study of arteries and arterial grafts of both ... + Ultrasound study of arteries and arterial grafts of both legs × Service Code: 93925Performed in a facility |
42 times performed, 3% of his services |
11th 504th most performed service for this provider most performed service in this state & specialty |
42 patients got this service, 5% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$6,108.06an average of $145.43 per time performed |
$1,252.02 an average of $29.81 per time performed |
RADIOLOGYUltrasonic guidance during surgery Service Code: 76998Performed in a facility |
41 times performed, 3% of his services |
12th
most performed service for this provider 5 or fewer providers in this specialty in TX perform this service |
41 patients got this service, 5% of his patients |
1 average number of visits a patient made for this service |
$10,250.00an average of $250.00 per time performed |
$2,092.64 an average of $51.04 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 2... + New patient office or other outpatient visit, typically 20 minutes × Service Code: 99202Performed in an office |
21 times performed, 1% of his services |
13th 68th most performed service for this provider most performed service in this state & specialty |
21 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$1,785.00an average of $85.00 per time performed |
$1,180.83 an average of $56.23 per time performed |
SKIN, HAIR AND NAILSService Code: 19303Performed in a facility |
15 times performed, 1% of his services |
14th
most performed service for this provider 5 or fewer providers in this specialty in TX perform this service |
15 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service |
$22,000.05an average of $1,466.67 per time performed |
$12,995.10 an average of $866.34 per time performed |
SKIN, HAIR AND NAILSInsertion of drug delivery implant into tissue Service Code: 11981Performed in a facility |
13 times performed, 0.88% of his services |
15th
most performed service for this provider 5 or fewer providers in this specialty in TX perform this service |
13 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service |
$2,145.00an average of $165.00 per time performed |
$435.50 an average of $33.50 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 3... + New patient office or other outpatient visit, typically 30 minutes × Service Code: 99203Performed in an office |
11 times performed, 0.74% of his services |
16th 27th most performed service for this provider most performed service in this state & specialty |
11 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$1,320.00an average of $120.00 per time performed |
$942.48 an average of $85.68 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.
This provider did not bill Medicare for any 5’s.
Phillip G Sutton
Average for Specialist Providers in Texas
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 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.
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.