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Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $314 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
1,157
Rank: 35th
out of 371 providers in this state & specialty
Services
Performed
3,421
Rank: 91st
out of 371 providers in this state & specialty
Avg Services
Per Patient
3 This Provider
Avg 4.5
Total Paid
by Medicare
$367K
Rank: 38th
out of 371 providers in this state & specialty
Avg Paid
Per Patient
$318 This Provider
Avg $314

Office Visits

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Top Billing

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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.

Andrew L. Sherman
Average for Pulmonary Disease Providers in Illinois

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Patients saw before

Andrew L. Sherman

Patients saw after

Individuals

JAMES PILLARS

B KESALA

LARRY JANKELOWITZ

JEREMY TOPIN

DANIEL KATZMAN

Organizations

PRESENCE RESURRECTION M...

SUPERIOR AIR-GROUND AMB...

This Provider's Services

This provider performed 9 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
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
1,495
times performed,
44% of his services

1st 2nd

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

667
patients got this service, 58% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.5)
$251,160an average of $168 per time performed $128,570
an average of $86 per time performed
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient,... +

Critical care delivery critically ill or injured patient, first 30-74 minutes ×

Service Code: 99291
Performed in a facility
706
times performed,
21% of his services

2nd 3rd

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

383
patients got this service, 33% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.4)
$275,340an average of $390 per time performed $133,434
an average of $189 per time performed
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
678
times performed,
20% of his services

3rd 1st

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

313
patients got this service, 27% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.9)
$80,004an average of $118 per time performed $40,680
an average of $60 per time performed
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
237
times performed,
7% of his services

4th 7th

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

231
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$80,343an average of $339 per time performed $40,053
an average of $169 per time performed
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
150
times performed,
4% of his services

5th 6th

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

101
patients got this service, 9% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.8)
$19,350an average of $129 per time performed $8,250
an average of $55 per time performed
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
94
times performed,
3% of his services

6th 4th

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

59
patients got this service, 5% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.8)
$16,356an average of $174 per time performed $7,802
an average of $83 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
31
times performed,
0.91% of his services

7th 31st

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

31
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,323an average of $333 per time performed $5,270
an average of $170 per time performed
RESPIRATORY SYSTEM

Insertion of catheter between ribs for removal of fluid f... +

Insertion of catheter between ribs for removal of fluid from chest cavity ×

Service Code: 32422
Performed in a facility
18
times performed,
0.53% of his services

8th 71st

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

17
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$6,750an average of $375 per time performed $1,944
an average of $108 per time performed
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
12
times performed,
0.35% of his services

9th 18th

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,952an average of $246 per time performed $1,284
an average of $107 per time performed

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 2013 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.

Notes: This provider has a self-reported specialty of "Pulmonary Disease." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

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.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.