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, $407 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
2,626
Rank: 3rd
out of 265 providers in this state & specialty
Services
Performed
26,702
Rank: 3rd
out of 265 providers in this state & specialty
Avg Services
Per Patient
10.2 This Provider is in the top 10%
Avg 4.4
Total Paid
by Medicare
$1.96M
Rank: 6th
out of 265 providers in this state & specialty
Avg Paid
Per Patient
$748 This Provider
Avg $407

Note: About 43% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

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 65 different services in 2015
(41 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
MEDICINE

Examination of eye by ophthalmoscope with retinal drawing +

Examination of eye by ophthalmoscope with retinal drawing ×

Service Code: 92226
Performed in an office
8,597
times performed,
32% of his services

1st 4th

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

2,364
patients got this service, 90% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.9)
$515,820.00an average of $60.00 per time performed $141,076.77
an average of $16.41 per time performed
medical
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, established patient ×

Service Code: 92012
Performed in an office
4,616
times performed,
17% of his services

2nd 2nd

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

1,561
patients got this service, 59% of his patients
3
average number of visits a patient made for this service
(Peers: 1.6)
$369,280.00an average of $80.00 per time performed $253,880.00
an average of $55.00 per time performed
medical
MEDICINE

Diagnostic imaging of retina

Service Code: 92134
Performed in an office
1,948
times performed,
7% of his services

3rd 3rd

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

752
patients got this service, 29% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2.1)
$175,320.00an average of $90.00 per time performed $58,946.48
an average of $30.26 per time performed
medical
EYE

Injection of drug into eye

Service Code: 67028
Performed in an office
1,947
times performed,
7% of his services

4th 7th

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

495
patients got this service, 19% of his patients
3.9
average number of visits a patient made for this service
(Peers: 4.2)
$2,432,095.05an average of $1,249.15 per time performed $153,034.20
an average of $78.60 per time performed
medical
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits ×

Service Code: 92014
Performed in an office
1,836
times performed,
7% of his services

5th 1st

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

1,831
patients got this service, 70% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$211,140.00an average of $115.00 per time performed $140,325.48
an average of $76.43 per time performed
medical
DRUGS

Unclassified biologics

Service Code: J3590
Performed in an office
1,480
times performed,
6% of his services

6th 20th

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

386
patients got this service, 15% of his patients
3.6
average number of visits a patient made for this service
(Peers: 3.3)
$233,706.80an average of $157.91 per time performed $58,578.40
an average of $39.58 per time performed
medical
MEDICINE

Examination of retinal blood vessels by ophthalmoscope

Service Code: 92235
Performed in an office
1,450
times performed,
5% of his services

7th 22nd

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

502
patients got this service, 19% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.4)
$319,000.00an average of $220.00 per time performed $104,530.50
an average of $72.09 per time performed
drug

Injection, aflibercept, 1 mg

Service Code: J0178
Performed in an office
964
times performed,
4% of his services

8th 12th

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

100
patients got this service, 4% of his patients
4.5
average number of visits a patient made for this service
(Peers: 4.2)
$1,025,455.00an average of $1,063.75 per time performed $741,036.44
an average of $768.71 per time performed
medical
MEDICINE

Photography of the retina

Service Code: 92250
Performed in an office
927
times performed,
3% of his services

9th 14th

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

524
patients got this service, 20% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.2)
$83,430.00an average of $90.00 per time performed $43,290.90
an average of $46.70 per time performed
medical
MEDICINE

Examination of eye by ophthalmoscope with retinal drawing +

Examination of eye by ophthalmoscope with retinal drawing ×

Service Code: 92225
Performed in an office
530
times performed,
2% of his services

10th 19th

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

290
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$31,800.00an average of $60.00 per time performed $10,345.60
an average of $19.52 per time performed
medical
MEDICINE

Diagnostic imaging of optic nerve of eye

Service Code: 92133
Performed in an office
252
times performed,
0.94% of his services

11th 11th

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

249
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$22,680.00an average of $90.00 per time performed $7,625.52
an average of $30.26 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
229
times performed,
0.86% of his services

12th 21st

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

229
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$41,220.00an average of $180.00 per time performed $24,651.85
an average of $107.65 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
116
times performed,
0.43% of his services

13th 26th

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

95
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$5,800.00an average of $50.00 per time performed $3,306.00
an average of $28.50 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
90
times performed,
0.34% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

58
patients got this service, 2% of his patients
1.6
average number of visits a patient made for this service
$276.30an average of $3.07 per time performed $125.10
an average of $1.39 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
68
times performed,
0.25% of his services

15th 5th

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

38
patients got this service, 1% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.4)
$4,760.00an average of $70.00 per time performed $3,413.60
an average of $50.20 per time performed
medical
MEDICINE

Measurement of field of vision during daylight conditions +

Measurement of field of vision during daylight conditions ×

Service Code: 92083
Performed in an office
66
times performed,
0.25% of his services

16th 9th

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

48
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.1)
$7,920.00an average of $120.00 per time performed $2,654.52
an average of $40.22 per time performed
medical
EYE

Removal of recurring cataract in lens capsule using laser +

Removal of recurring cataract in lens capsule using laser ×

Service Code: 66821
Performed in an office
40
times performed,
0.15% of his services

17th 29th

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

39
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$24,000.00an average of $600.00 per time performed $9,360.80
an average of $234.02 per time performed
medical
RADIOLOGY

Ultrasound of eye disease, growth, or structure

Service Code: 76512
Performed in an office
36
times performed,
0.13% of his services

18th 50th

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

24
patients got this service, 0.91% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$9,000.00an average of $250.00 per time performed $2,248.56
an average of $62.46 per time performed
medical
EYE

Removal of membrane from the retina

Service Code: 67041
Performed in a facility
31
times performed,
0.12% of his services

19th 90th

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

31
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$150,500.04an average of $4,854.84 per time performed $23,243.49
an average of $749.79 per time performed
medical
EYE

Laser destruction of leaking retinal blood vessels, 1 or ... +

Laser destruction of leaking retinal blood vessels, 1 or more sessions ×

Service Code: 67228
Performed in an office
24
times performed,
0.09% of his services

20th 74th

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

23
patients got this service, 0.88% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$48,000.00an average of $2,000.00 per time performed $17,451.36
an average of $727.14 per time performed
medical
EYE

Laser destruction of retinal growth, 1 or more sessions

Service Code: 67210
Performed in an office
23
times performed,
0.09% of his services

21st 63rd

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

21
patients got this service, 0.8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$34,500.00an average of $1,500.00 per time performed $8,514.37
an average of $370.19 per time performed
medical
EYE

Aspiration of eye fluid

Service Code: 65800
Performed in an office
16
times performed,
0.06% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 0.5% of his patients
1.2
average number of visits a patient made for this service
$5,600.00an average of $350.00 per time performed $1,289.60
an average of $80.60 per time performed
medical
EYE

Preventive retinal detachment treatment by heat or laser,... +

Preventive retinal detachment treatment by heat or laser, 1 or more sessions ×

Service Code: 67145
Performed in an office
15
times performed,
0.06% of his services

23rd 119th

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

15
patients got this service, 0.57% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$22,500.00an average of $1,500.00 per time performed $5,698.65
an average of $379.91 per time performed
medical
EYE

Repair of detached retina and drainage of eye fluid betwe... +

Repair of detached retina and drainage of eye fluid between lens and retina ×

Service Code: 67108
Performed in a facility
11
times performed,
0.04% of his services

24th 95th

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

11
patients got this service, 0.42% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$50,500.01an average of $4,590.91 per time performed $10,110.65
an average of $919.15 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 John Westrich
Average for Ophthalmology Providers in Missouri

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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