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, $322 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
740
Rank: 34th
out of 397 providers in this state & specialty
Services
Performed
4,986
Rank: 23rd
out of 397 providers in this state & specialty
Avg Services
Per Patient
6.7 This Provider
Avg 4.1
Total Paid
by Medicare
$339K
Rank: 14th
out of 397 providers in this state & specialty
Avg Paid
Per Patient
$459 This Provider
Avg $322

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 88 different services in 2015
(66 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
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
657
times performed,
13% of his services

1st 12th

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

246
patients got this service, 33% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$30,340.26an average of $46.18 per time performed $10,163.79
an average of $15.47 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
515
times performed,
10% of his services

2nd 1st

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

412
patients got this service, 56% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$86,839.30an average of $168.62 per time performed $28,464.05
an average of $55.27 per time performed
drug
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
375
times performed,
8% of his services

3rd 2nd

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

123
patients got this service, 17% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$2,047.50an average of $5.46 per time performed $502.50
an average of $1.34 per time performed
medical
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
325
times performed,
7% of his services

4th 10th

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

138
patients got this service, 19% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$20,562.75an average of $63.27 per time performed $5,190.25
an average of $15.97 per time performed
medical
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
324
times performed,
6% of his services

5th 16th

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

152
patients got this service, 21% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$16,012.08an average of $49.42 per time performed $3,518.64
an average of $10.86 per time performed
medical
RADIOLOGY

X-ray of knee, 4 or more views

Service Code: 73564
Performed in an office
324
times performed,
6% of his services

6th 17th

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

138
patients got this service, 19% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$27,274.32an average of $84.18 per time performed $6,379.56
an average of $19.69 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
256
times performed,
5% of his services

7th 4th

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

199
patients got this service, 27% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$90,775.04an average of $354.59 per time performed $12,400.64
an average of $48.44 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
245
times performed,
5% of his services

8th 11th

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

87
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$14,545.65an average of $59.37 per time performed $4,111.10
an average of $16.78 per time performed
medical
RADIOLOGY

X-ray of thigh, 2 views

Service Code: 73550
Performed in an office
219
times performed,
4% of his services

9th 51st

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

77
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$13,109.34an average of $59.86 per time performed $3,508.38
an average of $16.02 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
205
times performed,
4% of his services

10th 9th

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

159
patients got this service, 21% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$22,133.85an average of $107.97 per time performed $6,978.20
an average of $34.04 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
203
times performed,
4% of his services

11th 7th

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

171
patients got this service, 23% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$48,113.03an average of $237.01 per time performed $17,001.25
an average of $83.75 per time performed
medical
RADIOLOGY

X-ray of ankle, 2 views

Service Code: 73600
Performed in an office
145
times performed,
3% of his services

12th 43rd

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

58
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$10,018.05an average of $69.09 per time performed $2,663.65
an average of $18.37 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
136
times performed,
3% of his services

13th 15th

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

65
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$1,883.60an average of $13.85 per time performed $666.40
an average of $4.90 per time performed
medical
RADIOLOGY

X-ray of both hips minimum 2 views

Service Code: 73520
Performed in an office
129
times performed,
3% of his services

14th 53rd

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

65
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$8,579.79an average of $66.51 per time performed $2,209.77
an average of $17.13 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
112
times performed,
2% of his services

15th 5th

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

112
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$32,640.16an average of $291.43 per time performed $8,746.08
an average of $78.09 per time performed
medical
MUSCULOSKELETAL SYSTEM

Replacement of thigh bone and hip joint prosthesis

Service Code: 27130
Performed in a facility
68
times performed,
1% of his services

16th 34th

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

67
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$671,584.32an average of $9,876.24 per time performed $74,247.84
an average of $1,091.88 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
62
times performed,
1% of his services

17th 44th

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

61
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$26,350.00an average of $425.00 per time performed $10,191.56
an average of $164.38 per time performed
medical
PROCEDURES

Physician 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: G0180
Performed in an office
62
times performed,
1% of his services

18th 76th

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

61
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,200.00an average of $100.00 per time performed $2,751.56
an average of $44.38 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
56
times performed,
1% of his services

19th 33rd

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

29
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$3,096.24an average of $55.29 per time performed $868.56
an average of $15.51 per time performed
medical
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
48
times performed,
0.96% of his services

20th 21st

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

45
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$437,370.24an average of $9,111.88 per time performed $54,132.48
an average of $1,127.76 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
35
times performed,
0.7% of his services

21st 20th

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

35
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,434.10an average of $355.26 per time performed $4,371.50
an average of $124.90 per time performed
medical
MUSCULOSKELETAL SYSTEM

Open treatment of broken thigh bone with insertion of har... +

Open treatment of broken thigh bone with insertion of hardware or prosthetic replacement ×

Service Code: 27236
Performed in a facility
12
times performed,
0.24% of his services

22nd 78th

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)
$91,140.00an average of $7,595.00 per time performed $11,790.12
an average of $982.51 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.

David J Prybyla
Average for Orthopaedic Surgery Providers in Massachusetts

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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