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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, $261 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
668
Rank: 102nd
out of 659 providers in this state & specialty
Services
Performed
2,652
Rank: 214th
out of 659 providers in this state & specialty
Avg Services
Per Patient
4 This Provider
Avg 5.3
Total Paid
by Medicare
$121K
Rank: 249th
out of 659 providers in this state & specialty
Avg Paid
Per Patient
$182 This Provider
Avg $261

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.

Mark S. Lemel
Average for Orthopedic Surgery Providers in North Carolina

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.

Individuals

G. BENTON

STEPHEN ARENDALE

JAMES KELLING

ANGUS GRAHAM

EMILY SAWYER

Organizations

TRANSYLVANIA COMMUNITY ...

ACCESS II CARE OF WESTE...

Patients saw before

Mark S. Lemel

Patients saw after

Individuals

E. VENTRE

ANGUS GRAHAM

MELITA RITTER

JAMES KELLING

G. BENTON

Organizations

TRANSYLVANIA COMMUNITY ...

ACCESS II CARE OF WESTE...

This Provider's Services

This provider performed 35 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

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
862
times performed,
33% of his services

1st 7th

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

451
patients got this service, 68% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.4)
$60,340an average of $70 per time performed $24,998
an average of $29 per time performed
DRUGS

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

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

Service Code: J3301
Performed in an office
326
times performed,
12% of his services

2nd 1st

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

147
patients got this service, 22% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$10,432an average of $32 per time performed $326
an average of $1 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
323
times performed,
12% of his services

3rd 2nd

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

265
patients got this service, 40% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$32,946an average of $102 per time performed $15,827
an average of $49 per time performed
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
238
times performed,
9% of his services

4th 8th

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

238
patients got this service, 36% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$38,556an average of $162 per time performed $16,660
an average of $70 per time performed
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
163
times performed,
6% of his services

5th 4th

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

117
patients got this service, 18% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$30,970an average of $190 per time performed $7,498
an average of $46 per time performed
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
67
times performed,
3% of his services

6th 12th

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

60
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$8,107an average of $121 per time performed $1,340
an average of $20 per time performed
RADIOLOGY

X-ray of knee, 4 or more views

Service Code: 73564
Performed in an office
65
times performed,
2% of his services

7th 22nd

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

63
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$8,840an average of $136 per time performed $1,885
an average of $29 per time performed
MUSCULOSKELETAL SYSTEM

Application of non-moveable, short arm splint (forearm to... +

Application of non-moveable, short arm splint (forearm to hand) ×

Service Code: 29125
Performed in an office
48
times performed,
2% of his services

8th 174th

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

46
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$5,856an average of $122 per time performed $2,016
an average of $42 per time performed
MUSCULOSKELETAL SYSTEM

Injections of tendon sheath, ligament, or muscle membrane +

Injections of tendon sheath, ligament, or muscle membrane ×

Service Code: 20550
Performed in an office
45
times performed,
2% of his services

9th 32nd

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

36
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$6,615an average of $147 per time performed $1,575
an average of $35 per time performed
RADIOLOGY

X-ray of fingers, minimum of 2 views

Service Code: 73140
Performed in an office
32
times performed,
1% of his services

10th 42nd

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

32
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$2,784an average of $87 per time performed $736
an average of $23 per time performed
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
29
times performed,
1% of his services

11th 26th

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

26
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$90,335an average of $3,115 per time performed $14,384
an average of $496 per time performed
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
29
times performed,
1% of his services

12th 15th

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

28
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$3,103an average of $107 per time performed $580
an average of $20 per time performed
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
29
times performed,
1% of his services

13th 9th

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

28
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$3,538an average of $122 per time performed $696
an average of $24 per time performed
TEMPORARY CODES

Cast supplies, short arm cast, adult (11 years +), fiberg... +

Cast supplies, short arm cast, adult (11 years +), fiberglass ×

Service Code: Q4010
Performed in an office
27
times performed,
1% of his services

14th 88th

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

21
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$1,053an average of $39 per time performed $378
an average of $14 per time performed
RADIOLOGY

X-ray of wrist, minimum of 3 views

Service Code: 73110
Performed in an office
27
times performed,
1% of his services

15th 29th

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

22
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$3,159an average of $117 per time performed $675
an average of $25 per time performed
RADIOLOGY

X-ray of ankle, minimum of 3 views

Service Code: 73610
Performed in an office
26
times performed,
0.98% of his services

16th 24th

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

22
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$2,782an average of $107 per time performed $598
an average of $23 per time performed
RADIOLOGY

X-ray of foot, minimum of 3 views

Service Code: 73630
Performed in an office
26
times performed,
0.98% of his services

17th 21st

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

23
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$2,834an average of $109 per time performed $546
an average of $21 per time performed
MUSCULOSKELETAL SYSTEM

Application of short leg splint (calf to foot)

Service Code: 29515
Performed in an office
25
times performed,
0.94% of his services

18th Alert

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

25
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$4,575an average of $183 per time performed $1,250
an average of $50 per time performed
MUSCULOSKELETAL SYSTEM

Application of cast, elbow to finger (short arm)

Service Code: 29075
Performed in an office
22
times performed,
0.83% of his services

19th 106th

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

19
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$4,796an average of $218 per time performed $1,474
an average of $67 per time performed
MUSCULOSKELETAL SYSTEM

Application of non-moveable, hinged finger splint

Service Code: 29130
Performed in an office
22
times performed,
0.83% of his services

20th Alert

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

17
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
$1,980an average of $90 per time performed $616
an average of $28 per time performed
TEMPORARY CODES

Finger splint, static

Service Code: Q4049
Performed in an office
19
times performed,
0.72% of his services

21st Alert

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

15
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
$76an average of $4 per time performed $38
an average of $2 per time performed
RADIOLOGY

X-ray of wrist, 2 views

Service Code: 73100
Performed in an office
19
times performed,
0.72% of his services

22nd 30th

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

16
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.8)
$1,843an average of $97 per time performed $361
an average of $19 per time performed
MUSCULOSKELETAL SYSTEM

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

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

Service Code: 20605
Performed in an office
18
times performed,
0.68% of his services

23rd 43rd

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

18
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,664an average of $148 per time performed $774
an average of $43 per time performed
NERVOUS SYSTEM

Release and/or relocation of median nerve of hand

Service Code: 64721
Performed in a facility
16
times performed,
0.6% of his services

24th 78th

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

15
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$30,144an average of $1,884 per time performed $5,104
an average of $319 per time performed
RADIOLOGY

X-ray of lower and sacral spine, minimum of 4 views

Service Code: 72110
Performed in an office
16
times performed,
0.6% of his services

25th 46th

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,944an average of $184 per time performed $608
an average of $38 per time performed
MUSCULOSKELETAL SYSTEM

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

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

Service Code: 20600
Performed in an office
16
times performed,
0.6% of his services

26th 58th

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

13
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,144an average of $134 per time performed $560
an average of $35 per time performed
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
16
times performed,
0.6% of his services

27th 143rd

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$3,072an average of $192 per time performed $1,168
an average of $73 per time performed
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
15
times performed,
0.57% of his services

28th 13th

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

14
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,530an average of $102 per time performed $360
an average of $24 per time performed
RADIOLOGY

X-ray of elbow, 2 views

Service Code: 73070
Performed in an office
13
times performed,
0.49% of his services

29th 68th

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$1,300an average of $100 per time performed $247
an average of $19 per time performed
MUSCULOSKELETAL SYSTEM

Injections of tendon attachment to bone

Service Code: 20551
Performed in an office
13
times performed,
0.49% of his services

30th 84th

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

11
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$1,898an average of $146 per time performed $468
an average of $36 per time performed
MUSCULOSKELETAL SYSTEM

Replacement of thigh bone and hip joint prosthesis

Service Code: 27130
Performed in a facility
12
times performed,
0.45% of his services

31st 41st

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)
$37,812an average of $3,151 per time performed $5,748
an average of $479 per time performed
MUSCULOSKELETAL SYSTEM

Shaving of shoulder bone using an endoscope

Service Code: 29826
Performed in a facility
12
times performed,
0.45% of his services

32nd 54th

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)
$37,644an average of $3,137 per time performed $1,620
an average of $135 per time performed
MUSCULOSKELETAL SYSTEM

Repair of shoulder rotator cuff using an endoscope

Service Code: 29827
Performed in a facility
12
times performed,
0.45% of his services

33rd 76th

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)
$47,436an average of $3,953 per time performed $9,744
an average of $812 per time performed
RADIOLOGY

X-ray of upper spine, 4 or 5 views

Service Code: 72050
Performed in an office
12
times performed,
0.45% of his services

34th 85th

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)
$2,076an average of $173 per time performed $300
an average of $25 per time performed
RADIOLOGY

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

Service Code: 73510
Performed in an office
12
times performed,
0.45% of his services

35th 17th

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)
$1,428an average of $119 per time performed $324
an average of $27 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 "Specialist." 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.


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