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, $440 per patient in 2015.
They performed about 9 services per patient. Here’s how this provider compares.

Number of
Patients
1,171
Rank: 10th
out of 212 providers in this state & specialty
Services
Performed
19,865
Rank: 13th
out of 212 providers in this state & specialty
Avg Services
Per Patient
17 This Provider
Avg 9.3
Total Paid
by Medicare
$385K
Rank: 20th
out of 212 providers in this state & specialty
Avg Paid
Per Patient
$329 This Provider
Avg $440

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 55 different services in 2015
(13 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
DRUGS

Injection, iron sucrose, 1 mg

Service Code: J1756
Performed in an office
11,000
times performed,
55% of his services

1st 3rd

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

43
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$11,550.00an average of $1.05 per time performed $2,200.00
an average of $0.20 per time performed
drug
DRUGS

Injection, darbepoetin alfa, 1 microgram (non-esrd use)

Service Code: J0881
Performed in an office
1,800
times performed,
9% of his services

2nd 2nd

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

16
patients got this service, 1% of his patients
3.3
average number of visits a patient made for this service
(Peers: 2.3)
$13,320.00an average of $7.40 per time performed $5,382.00
an average of $2.99 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
701
times performed,
4% of his services

3rd 4th

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

331
patients got this service, 28% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.6)
$92,693.23an average of $132.23 per time performed $39,522.38
an average of $56.38 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
547
times performed,
3% of his services

4th 13th

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

259
patients got this service, 22% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.9)
$101,195.00an average of $185.00 per time performed $44,307.00
an average of $81.00 per time performed
medical
MEDICINE

Dialysis services (4 or more physician visits per month),... +

Dialysis services (4 or more physician visits per month), patient 20 years of age and older ×

Service Code: 90960
Performed in an office
460
times performed,
2% of his services

5th 5th

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

103
patients got this service, 9% of his patients
4.5
average number of visits a patient made for this service
(Peers: 4.8)
$405,260.00an average of $881.00 per time performed $99,833.80
an average of $217.03 per time performed
medical
PATHOLOGY AND LABORATORY

Kidney function blood test panel

Service Code: 80069
Performed in an office
424
times performed,
2% of his services

6th 23rd

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

314
patients got this service, 27% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$19,080.00an average of $45.00 per time performed $4,812.40
an average of $11.35 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
386
times performed,
2% of his services

7th 16th

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

324
patients got this service, 28% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$80,288.00an average of $208.00 per time performed $40,888.98
an average of $105.93 per time performed
medical
MEDICINE

Hemodialysis procedure with one physician evaluation

Service Code: 90935
Performed in a facility
380
times performed,
2% of his services

8th 9th

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

175
patients got this service, 15% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.3)
$101,840.00an average of $268.00 per time performed $21,557.40
an average of $56.73 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
357
times performed,
2% of his services

9th 14th

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

234
patients got this service, 20% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$30,345.00an average of $85.00 per time performed $10,795.68
an average of $30.24 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
350
times performed,
2% of his services

10th 24th

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

263
patients got this service, 22% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$7,000.00an average of $20.00 per time performed $1,477.00
an average of $4.22 per time performed
medical
PATHOLOGY AND LABORATORY

Parathormone (parathyroid hormone) level

Service Code: 83970
Performed in an office
313
times performed,
2% of his services

11th 29th

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

246
patients got this service, 21% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$56,340.00an average of $180.00 per time performed $17,130.49
an average of $54.73 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
296
times performed,
1% of his services

12th 52nd

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

243
patients got this service, 21% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$8,880.00an average of $30.00 per time performed $2,554.48
an average of $8.63 per time performed
medical
PATHOLOGY AND LABORATORY

Total protein level, urine

Service Code: 84156
Performed in an office
281
times performed,
1% of his services

13th 37th

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

208
patients got this service, 18% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$9,835.00an average of $35.00 per time performed $1,371.28
an average of $4.88 per time performed
medical
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
257
times performed,
1% of his services

14th 26th

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

207
patients got this service, 18% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$10,280.00an average of $40.00 per time performed $1,768.16
an average of $6.88 per time performed
medical
MEDICINE

Dialysis services (2-3 physician visits per month), patie... +

Dialysis services (2-3 physician visits per month), patient 20 years of age and older ×

Service Code: 90961
Performed in an office
204
times performed,
1% of his services

15th 15th

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

126
patients got this service, 11% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2)
$149,532.00an average of $733.00 per time performed $37,605.36
an average of $184.34 per time performed
medical
MEDICINE

Dialysis services, per day (less than full month service)... +

Dialysis services, per day (less than full month service), patient 20 years of age or older ×

Service Code: 90970
Performed in an office
195
times performed,
0.98% of his services

16th 12th

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

14
patients got this service, 1% of his patients
1.6
average number of visits a patient made for this service
(Peers: 3.6)
$4,875.00an average of $25.00 per time performed $1,187.55
an average of $6.09 per time performed
medical
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
190
times performed,
0.96% of his services

17th 41st

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

93
patients got this service, 8% of his patients
2
average number of visits a patient made for this service
(Peers: 1.8)
$8,740.00an average of $46.00 per time performed $1,696.70
an average of $8.93 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
187
times performed,
0.94% of his services

18th 7th

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

157
patients got this service, 13% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2)
$28,050.00an average of $150.00 per time performed $13,744.50
an average of $73.50 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
159
times performed,
0.8% of his services

19th 8th

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

148
patients got this service, 13% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$15,264.00an average of $96.00 per time performed $7,023.03
an average of $44.17 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin measurement

Service Code: 85018
Performed in an office
148
times performed,
0.75% of his services

20th 30th

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

81
patients got this service, 7% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.1)
$4,440.00an average of $30.00 per time performed $469.16
an average of $3.17 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
130
times performed,
0.65% of his services

21st 38th

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

122
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$8,970.00an average of $69.00 per time performed $4,063.80
an average of $31.26 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
94
times performed,
0.47% of his services

22nd 17th

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

83
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$1,410.00an average of $15.00 per time performed $276.36
an average of $2.94 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
83
times performed,
0.42% of his services

23rd 31st

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

33
patients got this service, 3% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.7)
$3,154.00an average of $38.00 per time performed $851.58
an average of $10.26 per time performed
medical
PATHOLOGY AND LABORATORY

Ferritin (blood protein) level

Service Code: 82728
Performed in an office
81
times performed,
0.41% of his services

24th 69th

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

69
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$6,480.00an average of $80.00 per time performed $1,471.77
an average of $18.17 per time performed
medical
PATHOLOGY AND LABORATORY

Iron level

Service Code: 83540
Performed in an office
81
times performed,
0.41% of his services

25th 68th

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

69
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$3,726.00an average of $46.00 per time performed $699.03
an average of $8.63 per time performed
medical
PATHOLOGY AND LABORATORY

Iron binding capacity

Service Code: 83550
Performed in an office
81
times performed,
0.41% of his services

26th 70th

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

69
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$4,050.00an average of $50.00 per time performed $941.22
an average of $11.62 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
71
times performed,
0.36% of his services

27th 60th

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

32
patients got this service, 3% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.9)
$3,408.00an average of $48.00 per time performed $457.24
an average of $6.44 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
67
times performed,
0.34% of his services

28th 25th

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

67
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,683.00an average of $249.00 per time performed $7,855.75
an average of $117.25 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
66
times performed,
0.33% of his services

29th 61st

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

29
patients got this service, 2% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.8)
$2,310.00an average of $35.00 per time performed $295.68
an average of $4.48 per time performed
medical
PATHOLOGY AND LABORATORY

Phosphate level

Service Code: 84100
Performed in an office
65
times performed,
0.33% of his services

30th 55th

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

27
patients got this service, 2% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.7)
$2,275.00an average of $35.00 per time performed $296.40
an average of $4.56 per time performed
medical
MEDICINE

Injection of drug or substance into a vein for therapy, d... +

Injection of drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96374
Performed in an office
54
times performed,
0.27% of his services

31st 75th

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

43
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$8,694.00an average of $161.00 per time performed $2,300.40
an average of $42.60 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
48
times performed,
0.24% of his services

32nd 27th

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

15
patients got this service, 1% of his patients
3.2
average number of visits a patient made for this service
(Peers: 3.1)
$1,680.00an average of $35.00 per time performed $884.16
an average of $18.42 per time performed
medical
MEDICINE

Dialysis procedure including one evaluation

Service Code: 90945
Performed in a facility
47
times performed,
0.24% of his services

33rd 35th

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

27
patients got this service, 2% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.5)
$11,844.00an average of $252.00 per time performed $3,159.81
an average of $67.23 per time performed
medical
PATHOLOGY AND LABORATORY

Creatinine clearance measurement to test for kidney function +

Creatinine clearance measurement to test for kidney function ×

Service Code: 82575
Performed in an office
44
times performed,
0.22% of his services

34th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

44
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$3,080.00an average of $70.00 per time performed $554.40
an average of $12.60 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
42
times performed,
0.21% of his services

35th 62nd

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

26
patients got this service, 2% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$1,764.00an average of $42.00 per time performed $473.76
an average of $11.28 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
40
times performed,
0.2% of his services

36th 79th

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

32
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$2,600.00an average of $65.00 per time performed $440.80
an average of $11.02 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
19
times performed,
0.1% of his services

37th 74th

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

14
patients got this service, 1% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$1,330.00an average of $70.00 per time performed $146.49
an average of $7.71 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
17
times performed,
0.09% of his services

38th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

17
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$510.00an average of $30.00 per time performed $80.24
an average of $4.72 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 30 minutes per... +

Initial hospital inpatient care, typically 30 minutes per day ×

Service Code: 99221
Performed in a facility
15
times performed,
0.08% of his services

39th 34th

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,875.00an average of $125.00 per time performed $1,190.85
an average of $79.39 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
14
times performed,
0.07% of his services

40th 44th

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$280.00an average of $20.00 per time performed $274.40
an average of $19.60 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 (fluvirin) ×

Service Code: Q2037
Performed in an office
14
times performed,
0.07% of his services

41st 65th

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$448.00an average of $32.00 per time performed $217.14
an average of $15.51 per time performed
medical
MEDICINE

Dialysis services (1 physician visit per month), patient ... +

Dialysis services (1 physician visit per month), patient 20 years of age and older ×

Service Code: 90962
Performed in an office
11
times performed,
0.06% of his services

42nd 47th

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

11
patients got this service, 0.94% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$6,446.00an average of $586.00 per time performed $1,585.87
an average of $144.17 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.

Edgar R Escasinas
Average for Nephrology Providers in 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.

Read our methodology.