Treatment Tracker

The Doctors and Services in Medicare Part B

This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $320 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
236
Rank: 491st
out of 611 providers in this state & specialty
Services
Performed
540
Rank: 519th
out of 611 providers in this state & specialty
Avg Services
Per Patient
2.3 This Provider
Avg 5
Total Paid
by Medicare
$35.5K
Rank: 526th
out of 611 providers in this state & specialty
Avg Paid
Per Patient
$151 This Provider
Avg $320

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 Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 24 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
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
97
times performed,
18% of his services

1st 1st

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

40
patients got this service, 17% of his patients
2.4
average number of visits a patient made for this service
(Peers: 3.4)
$10,078.30an average of $103.90 per time performed $5,387.38
an average of $55.54 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 a facility
65
times performed,
12% of his services

2nd 28th

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

63
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$8,515.00an average of $131.00 per time performed $2,401.10
an average of $36.94 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
63
times performed,
12% of his services

3rd 2nd

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

34
patients got this service, 14% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.7)
$9,666.72an average of $153.44 per time performed $5,046.93
an average of $80.11 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 a facility
62
times performed,
11% of his services

4th 21st

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

59
patients got this service, 25% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$12,714.96an average of $205.08 per time performed $3,587.94
an average of $57.87 per time performed
medical
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
50
times performed,
9% of his services

5th 4th

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

24
patients got this service, 10% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.4)
$16,420.00an average of $328.40 per time performed $8,627.50
an average of $172.55 per time performed
medical
MEDICINE

Determination of lung volumes using plethysmography

Service Code: 94726
Performed in a facility
39
times performed,
7% of his services

6th 22nd

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

39
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,425.21an average of $190.39 per time performed $366.99
an average of $9.41 per time performed
medical
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in a facility
39
times performed,
7% of his services

7th 16th

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

39
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,628.79an average of $195.61 per time performed $272.61
an average of $6.99 per time performed
medical
MEDICINE

Measurement and graphic recording of the amount and speed... +

Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94060
Performed in a facility
30
times performed,
6% of his services

8th 20th

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

30
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,981.10an average of $199.37 per time performed $299.70
an average of $9.99 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
30
times performed,
6% of his services

9th 6th

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

30
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$8,493.90an average of $283.13 per time performed $4,663.50
an average of $155.45 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 a facility
22
times performed,
4% of his services

10th 71st

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

22
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,573.06an average of $344.23 per time performed $2,132.24
an average of $96.92 per time performed
medical
MEDICINE

Measurement and graphic recording of total and timed exha... +

Measurement and graphic recording of total and timed exhaled air capacity ×

Service Code: 94010
Performed in a facility
11
times performed,
2% of his services

11th 24th

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

11
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,254.99an average of $114.09 per time performed $69.08
an average of $6.28 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.

This provider did not bill Medicare for any 5’s.

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Nayer B El-ashram
Average for Pulmonary Disease Providers in Texas

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 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.

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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