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.
How This Provider Compares
This Provider
Avg in State & Specialty
Providers in this state and specialty were reimbursed, on average, $544 per patient in 2015.
They performed about 14 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 62 different services in 2015
(31 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 |
|---|---|---|---|---|---|---|
DRUGSInjection, triamcinolone acetonide, not otherwise specif... + Injection, triamcinolone acetonide, not otherwise specified, 10 mg × Service Code: J3301Performed in an office |
5,356 times performed, 40% of his services |
1st 3rd most performed service for this provider most performed service in this state & specialty |
335 patients got this service, 45% of his patients |
2.8 average number of visits a patient made for this service (Peers: 2.3) |
$26,780.00an average of $5.00 per time performed |
$7,444.84 an average of $1.39 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 25 minutes × Service Code: 99214Performed in an office |
2,210 times performed, 17% of his services |
2nd 1st most performed service for this provider most performed service in this state & specialty |
565 patients got this service, 76% of his patients |
3.9 average number of visits a patient made for this service (Peers: 2.8) |
$749,190.00an average of $339.00 per time performed |
$189,662.20 an average of $85.82 per time performed |
PROCEDURESDrug screen, qualitative; multiple drug classes by high c... + Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter × Service Code: G0431Performed in an office |
604 times performed, 5% of his services |
3rd 12th most performed service for this provider most performed service in this state & specialty |
336 patients got this service, 45% of his patients |
1.8 average number of visits a patient made for this service (Peers: 2) |
$151,000.00an average of $250.00 per time performed |
$58,575.92 an average of $96.98 per time performed |
RADIOLOGYRadiological supervision and interpretation x-ray of cove... + Radiological supervision and interpretation x-ray of covering of spinal cord × Service Code: 72275Performed in an office |
359 times performed, 3% of his services |
4th 100th most performed service for this provider most performed service in this state & specialty |
173 patients got this service, 23% of his patients |
2.1 average number of visits a patient made for this service (Peers: 1.7) |
$132,808.46an average of $369.94 per time performed |
$33,674.20 an average of $93.80 per time performed |
NERVOUS SYSTEMInjections of anesthetic and/or steroid drug into lower o... + Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance × Service Code: 64483Performed in an office |
310 times performed, 2% of his services |
5th 30th most performed service for this provider most performed service in this state & specialty |
148 patients got this service, 20% of his patients |
2.1 average number of visits a patient made for this service (Peers: 1.6) |
$219,771.40an average of $708.94 per time performed |
$59,324.70 an average of $191.37 per time performed |
RADIOLOGYUltrasonic guidance imaging supervision and interpretatio... + Ultrasonic guidance imaging supervision and interpretation for insertion of needle × Service Code: 76942Performed in an office |
275 times performed, 2% of his services |
6th 58th most performed service for this provider most performed service in this state & specialty |
153 patients got this service, 21% of his patients |
1.8 average number of visits a patient made for this service (Peers: 2.2) |
$63,879.75an average of $232.29 per time performed |
$13,439.25 an average of $48.87 per time performed |
NERVOUS SYSTEMInjections of anesthetic and/or steroid drug into lower o... + Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance × Service Code: 64484Performed in an office |
269 times performed, 2% of his services |
7th 40th most performed service for this provider most performed service in this state & specialty |
132 patients got this service, 18% of his patients |
2 average number of visits a patient made for this service (Peers: 1.7) |
$75,858.00an average of $282.00 per time performed |
$19,610.10 an average of $72.90 per time performed |
MUSCULOSKELETAL SYSTEMAspiration and/or injection of large joint or joint capsule + Aspiration and/or injection of large joint or joint capsule × Service Code: 20610Performed in an office |
229 times performed, 2% of his services |
8th 36th most performed service for this provider most performed service in this state & specialty |
121 patients got this service, 16% of his patients |
1.9 average number of visits a patient made for this service (Peers: 1.6) |
$44,884.00an average of $196.00 per time performed |
$12,086.62 an average of $52.78 per time performed |
RADIOLOGYFluoroscopic guidance for insertion of needle Service Code: 77002Performed in an office |
218 times performed, 2% of his services |
9th 75th most performed service for this provider most performed service in this state & specialty |
113 patients got this service, 15% of his patients |
1.9 average number of visits a patient made for this service (Peers: 1.6) |
$70,414.00an average of $323.00 per time performed |
$15,610.98 an average of $71.61 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 |
209 times performed, 2% of his services |
10th 71st most performed service for this provider most performed service in this state & specialty |
209 patients got this service, 28% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$136,895.00an average of $655.00 per time performed |
$34,282.27 an average of $164.03 per time performed |
NERVOUS SYSTEMInjections of lower or sacral spine facet joint using ima... + Injections of lower or sacral spine facet joint using imaging guidance × Service Code: 64493Performed in an office |
138 times performed, 1% of his services |
11th 33rd most performed service for this provider most performed service in this state & specialty |
88 patients got this service, 12% of his patients |
1.6 average number of visits a patient made for this service (Peers: 1.5) |
$77,004.00an average of $558.00 per time performed |
$23,905.74 an average of $173.23 per time performed |
NERVOUS SYSTEMInjections of lower or sacral spine facet joint using ima... + Injections of lower or sacral spine facet joint using imaging guidance × Service Code: 64494Performed in an office |
138 times performed, 1% of his services |
12th 35th most performed service for this provider most performed service in this state & specialty |
88 patients got this service, 12% of his patients |
1.6 average number of visits a patient made for this service (Peers: 1.5) |
$38,502.00an average of $279.00 per time performed |
$12,353.76 an average of $89.52 per time performed |
NERVOUS SYSTEMInjections of lower or sacral spine facet joint using ima... + Injections of lower or sacral spine facet joint using imaging guidance × Service Code: 64495Performed in an office |
135 times performed, 1% of his services |
13th 44th most performed service for this provider most performed service in this state & specialty |
88 patients got this service, 12% of his patients |
1.5 average number of visits a patient made for this service (Peers: 1.5) |
$37,800.00an average of $280.00 per time performed |
$12,144.60 an average of $89.96 per time performed |
PROCEDURESPhysician certification for medicare-covered home health ... + Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple × Service Code: G0180Performed in an office |
119 times performed, 0.9% of his services |
14th
most performed service for this provider 5 or fewer providers in this specialty in FL perform this service |
92 patients got this service, 12% of his patients |
1.3 average number of visits a patient made for this service |
$19,873.00an average of $167.00 per time performed |
$5,061.07 an average of $42.53 per time performed |
MUSCULOSKELETAL SYSTEMInjections of trigger points in 3 or more muscles Service Code: 20553Performed in an office |
118 times performed, 0.89% of his services |
15th 82nd most performed service for this provider most performed service in this state & specialty |
84 patients got this service, 11% of his patients |
1.4 average number of visits a patient made for this service (Peers: 1.6) |
$24,042.50an average of $203.75 per time performed |
$6,094.70 an average of $51.65 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 |
106 times performed, 0.8% of his services |
16th 2nd most performed service for this provider most performed service in this state & specialty |
57 patients got this service, 8% of his patients |
1.9 average number of visits a patient made for this service (Peers: 2.8) |
$24,598.36an average of $232.06 per time performed |
$6,123.62 an average of $57.77 per time performed |
NERVOUS SYSTEMElectronic analysis reprogramming and refill of spinal ca... + Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician × Service Code: 62370Performed in an office |
80 times performed, 0.6% of his services |
17th 69th most performed service for this provider most performed service in this state & specialty |
22 patients got this service, 3% of his patients |
3.6 average number of visits a patient made for this service (Peers: 4.1) |
$32,080.00an average of $401.00 per time performed |
$8,366.40 an average of $104.58 per time performed |
EVALUATION AND MANAGEMENTInitial hospital inpatient care, typically 70 minutes per... + Initial hospital inpatient care, typically 70 minutes per day × Service Code: 99223Performed in a facility |
66 times performed, 0.5% of his services |
18th 101st most performed service for this provider most performed service in this state & specialty |
62 patients got this service, 8% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.2) |
$42,570.00an average of $645.00 per time performed |
$11,155.98 an average of $169.03 per time performed |
RADIOLOGYFluoroscopic guidance for spine or spinal canal injection + Fluoroscopic guidance for spine or spinal canal injection × Service Code: 77003Performed in an office |
65 times performed, 0.49% of his services |
19th 48th most performed service for this provider most performed service in this state & specialty |
48 patients got this service, 6% of his patients |
1.4 average number of visits a patient made for this service (Peers: 1.5) |
$18,525.00an average of $285.00 per time performed |
$4,517.50 an average of $69.50 per time performed |
MUSCULOSKELETAL SYSTEMInjections of trigger points in 1 or 2 muscles Service Code: 20552Performed in an office |
60 times performed, 0.45% of his services |
20th 70th most performed service for this provider most performed service in this state & specialty |
53 patients got this service, 7% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.4) |
$10,680.00an average of $178.00 per time performed |
$1,826.40 an average of $30.44 per time performed |
NERVOUS SYSTEMInjections of substances into lower or sacral spine Service Code: 62311Performed in an office |
49 times performed, 0.37% of his services |
21st 26th most performed service for this provider most performed service in this state & specialty |
37 patients got this service, 5% of his patients |
1.3 average number of visits a patient made for this service (Peers: 1.8) |
$16,807.00an average of $343.00 per time performed |
$8,985.62 an average of $183.38 per time performed |
NERVOUS SYSTEMInjections of upper or middle spine facet joint using ima... + Injections of upper or middle spine facet joint using imaging guidance × Service Code: 64490Performed in an office |
46 times performed, 0.35% of his services |
22nd 91st most performed service for this provider most performed service in this state & specialty |
34 patients got this service, 5% of his patients |
1.4 average number of visits a patient made for this service (Peers: 1.6) |
$28,612.00an average of $622.00 per time performed |
$8,772.20 an average of $190.70 per time performed |
DRUGSHyaluronan or derivative, hyalgan or supartz, for intra-a... + Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose × Service Code: J7321Performed in an office |
46 times performed, 0.35% of his services |
23rd
most performed service for this provider 5 or fewer providers in this specialty in FL perform this service |
16 patients got this service, 2% of his patients |
2.9 average number of visits a patient made for this service |
$9,200.00an average of $200.00 per time performed |
$3,210.34 an average of $69.79 per time performed |
MUSCULOSKELETAL SYSTEMInjection procedure into sacroiliac joint for anesthetic ... + Injection procedure into sacroiliac joint for anesthetic or steroid × Service Code: 27096Performed in an office |
44 times performed, 0.33% of his services |
24th 52nd most performed service for this provider most performed service in this state & specialty |
41 patients got this service, 6% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.4) |
$22,880.00an average of $520.00 per time performed |
$7,040.88 an average of $160.02 per time performed |
NERVOUS SYSTEMInjections of upper or middle spine facet joint using ima... + Injections of upper or middle spine facet joint using imaging guidance × Service Code: 64491Performed in an office |
43 times performed, 0.32% of his services |
25th 96th most performed service for this provider most performed service in this state & specialty |
33 patients got this service, 4% of his patients |
1.3 average number of visits a patient made for this service (Peers: 1.6) |
$13,115.00an average of $305.00 per time performed |
$4,088.01 an average of $95.07 per time performed |
NERVOUS SYSTEMInjections of upper or middle spine facet joint using ima... + Injections of upper or middle spine facet joint using imaging guidance × Service Code: 64492Performed in an office |
42 times performed, 0.32% of his services |
26th 102nd most performed service for this provider most performed service in this state & specialty |
32 patients got this service, 4% of his patients |
1.3 average number of visits a patient made for this service (Peers: 1.5) |
$12,936.00an average of $308.00 per time performed |
$4,022.76 an average of $95.78 per time performed |
NERVOUS SYSTEMDestruction of lower or sacral spinal facet joint nerves ... + Destruction of lower or sacral spinal facet joint nerves with imaging guidance × Service Code: 64636Performed in an office |
34 times performed, 0.26% of his services |
27th 56th most performed service for this provider most performed service in this state & specialty |
12 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service (Peers: 1.3) |
$19,278.00an average of $567.00 per time performed |
$5,789.86 an average of $170.29 per time performed |
RADIOLOGYRadiological supervision and interpretation x-ray of cove... + Radiological supervision and interpretation x-ray of covering of spinal cord × Service Code: 72275Performed in a facility |
23 times performed, 0.17% of his services |
28th 162nd most performed service for this provider most performed service in this state & specialty |
11 patients got this service, 1% of his patients |
2.1 average number of visits a patient made for this service (Peers: 1.4) |
$8,510.00an average of $370.00 per time performed |
$758.31 an average of $32.97 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 40 minutes × Service Code: 99215Performed in an office |
21 times performed, 0.16% of his services |
29th 103rd 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: 1.6) |
$9,513.00an average of $453.00 per time performed |
$2,544.78 an average of $121.18 per time performed |
RADIOLOGYFluoroscopic guidance for spine or spinal canal injection + Fluoroscopic guidance for spine or spinal canal injection × Service Code: 77003Performed in a facility |
20 times performed, 0.15% of his services |
30th 37th most performed service for this provider most performed service in this state & specialty |
11 patients got this service, 1% of his patients |
1.8 average number of visits a patient made for this service (Peers: 1.7) |
$5,700.00an average of $285.00 per time performed |
$505.60 an average of $25.28 per time performed |
NERVOUS SYSTEMDestruction of lower or sacral spinal facet joint nerves ... + Destruction of lower or sacral spinal facet joint nerves using imaging guidance × Service Code: 64635Performed in an office |
12 times performed, 0.09% of his services |
31st 86th most performed service for this provider most performed service in this state & specialty |
12 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service (Peers: 1.3) |
$16,404.00an average of $1,367.00 per time performed |
$5,184.00 an average of $432.00 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 charged Medicare for about the same percentage of 5’s as his peers
Julian Fernando Naranjo
Average for Pain Medicine 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 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.