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, $1,581 per patient in 2014.
They performed about 126 services per patient. Here’s how this provider compares.

Number of
Patients
469
Rank: 165th
out of 698 providers in this state & specialty
Services
Performed
113,469
Rank: 110th
out of 698 providers in this state & specialty
Avg Services
Per Patient
241.9 This Provider
Avg 125.7
Total Paid
by Medicare
$1.36M
Rank: 104th
out of 698 providers in this state & specialty
Avg Paid
Per Patient
$2,904 This Provider
Avg $1,581

Note: About 76% 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.

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 within 30 days before or after this provider in 2014.

Patients saw before

RAM LALCHANDANI M.D.

Patients saw after

This Provider's Services

This provider performed 107 different services in 2014

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
drug
DRUGS

Injection, heparin sodium, (heparin lock flush), per 10 u... +

Injection, heparin sodium, (heparin lock flush), per 10 units ×

Service Code: J1642
Performed in an office
27,913
times performed,
25% of his services

1st 9th

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

70
patients got this service, 15% of his patients
8.1
average number of visits a patient made for this service
(Peers: 7.9)
$9,770an average of $0 per time performed $3,350
an average of $0 per time performed
drug
DRUGS

Injection, ondansetron hydrochloride, per 1 mg

Service Code: J2405
Performed in an office
5,662
times performed,
5% of his services

2nd 10th

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

46
patients got this service, 10% of his patients
7.8
average number of visits a patient made for this service
(Peers: 6.7)
$42,465an average of $8 per time performed $396
an average of $0 per time performed
drug
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
4,859
times performed,
4% of his services

3rd 6th

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

52
patients got this service, 11% of his patients
8.3
average number of visits a patient made for this service
(Peers: 5.7)
$27,259an average of $6 per time performed $486
an average of $0 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
1,993
times performed,
2% of his services

4th 12th

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

313
patients got this service, 67% of his patients
6.4
average number of visits a patient made for this service
(Peers: 3.8)
$29,895an average of $15 per time performed $5,859
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
1,951
times performed,
2% of his services

5th 11th

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

312
patients got this service, 67% of his patients
6.2
average number of visits a patient made for this service
(Peers: 4.3)
$68,285an average of $35 per time performed $20,290
an average of $10 per time performed
drug
DRUGS

Injection, leucovorin calcium, per 50 mg

Service Code: J0640
Performed in an office
1,400
times performed,
1% of his services

6th 71st

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

11
patients got this service, 2% of his patients
16.5
average number of visits a patient made for this service
(Peers: 7.5)
$35,000an average of $25 per time performed $4,270
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
951
times performed,
0.84% of his services

7th 25th

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

258
patients got this service, 55% of his patients
3.7
average number of visits a patient made for this service
(Peers: 2.9)
$57,060an average of $60 per time performed $13,428
an average of $14 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
934
times performed,
0.82% of his services

8th 21st

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

312
patients got this service, 67% of his patients
3
average number of visits a patient made for this service
(Peers: 2.6)
$117,684an average of $126 per time performed $50,193
an average of $54 per time performed
medical
MEDICINE

Infusion into a vein for therapy prevention or diagnosis ... +

Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour ×

Service Code: 96367
Performed in an office
692
times performed,
0.61% of his services

9th 22nd

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

47
patients got this service, 10% of his patients
9.2
average number of visits a patient made for this service
(Peers: 5.8)
$51,900an average of $75 per time performed $17,390
an average of $25 per time performed
medical
MEDICINE

Injection of different drug or substance into a vein for ... +

Injection of different drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96375
Performed in an office
677
times performed,
0.6% of his services

10th 31st

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

56
patients got this service, 12% of his patients
8.5
average number of visits a patient made for this service
(Peers: 5.2)
$27,080an average of $40 per time performed $12,464
an average of $18 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, carboplatin, 50 mg

Service Code: J9045
Performed in an office
652
times performed,
0.57% of his services

11th 36th

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

20
patients got this service, 4% of his patients
6.1
average number of visits a patient made for this service
(Peers: 4.1)
$97,800an average of $150 per time performed $1,715
an average of $3 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, fluorouracil, 500 mg

Service Code: J9190
Performed in an office
646
times performed,
0.57% of his services

12th 57th

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

12
patients got this service, 3% of his patients
15.3
average number of visits a patient made for this service
(Peers: 7.3)
$5,491an average of $9 per time performed $988
an average of $2 per time performed
drug
DRUGS

Infusion, normal saline solution , 250 cc

Service Code: J7050
Performed in an office
498
times performed,
0.44% of his services

13th 28th

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

63
patients got this service, 13% of his patients
5.3
average number of visits a patient made for this service
(Peers: 6.1)
$7,470an average of $15 per time performed $129
an average of $0 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
486
times performed,
0.43% of his services

14th 29th

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

53
patients got this service, 11% of his patients
9.2
average number of visits a patient made for this service
(Peers: 6)
$136,080an average of $280 per time performed $54,393
an average of $112 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, paclitaxel, 30 mg

Service Code: J9265
Performed in an office
444
times performed,
0.39% of his services

15th 56th

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

11
patients got this service, 2% of his patients
8.1
average number of visits a patient made for this service
(Peers: 5.4)
$97,680an average of $220 per time performed $1,518
an average of $3 per time performed
drug
NA

Injection, zoledronic acid, 1 mg

Service Code: J3489
Performed in an office
386
times performed,
0.34% of his services

16th 44th

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

32
patients got this service, 7% of his patients
2.9
average number of visits a patient made for this service
(Peers: 2.7)
$133,402an average of $346 per time performed $21,570
an average of $56 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, rituximab, 100 mg

Service Code: J9310
Performed in an office
351
times performed,
0.31% of his services

17th 47th

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

12
patients got this service, 3% of his patients
4.8
average number of visits a patient made for this service
(Peers: 3.8)
$343,808an average of $980 per time performed $191,246
an average of $545 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
291
times performed,
0.26% of his services

18th 13th

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

138
patients got this service, 29% of his patients
2.1
average number of visits a patient made for this service
(Peers: 3.1)
$52,380an average of $180 per time performed $24,205
an average of $83 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
276
times performed,
0.24% of his services

19th 42nd

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

29
patients got this service, 6% of his patients
6
average number of visits a patient made for this service
(Peers: 3.9)
$22,080an average of $80 per time performed $6,409
an average of $23 per time performed
medical
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour ×

Service Code: 96365
Performed in an office
248
times performed,
0.22% of his services

20th 38th

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

52
patients got this service, 11% of his patients
4.8
average number of visits a patient made for this service
(Peers: 4.2)
$37,200an average of $150 per time performed $14,062
an average of $57 per time performed
medical
DRUGS

Unclassified drugs

Service Code: J3490
Performed in an office
236
times performed,
0.21% of his services

21st 26th

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

18
patients got this service, 4% of his patients
6.5
average number of visits a patient made for this service
(Peers: 3.8)
$7,080an average of $30 per time performed $68
an average of $0 per time performed
medical
MEDICINE

Infusion of different chemotherapy drug or substance into... +

Infusion of different chemotherapy drug or substance into a vein up to 1 hour ×

Service Code: 96417
Performed in an office
227
times performed,
0.2% of his services

22nd 51st

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

30
patients got this service, 6% of his patients
5.6
average number of visits a patient made for this service
(Peers: 4.3)
$40,860an average of $180 per time performed $11,786
an average of $52 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
212
times performed,
0.19% of his services

23rd 107th

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

73
patients got this service, 16% of his patients
2.9
average number of visits a patient made for this service
(Peers: 2.6)
$31,800an average of $150 per time performed $6,695
an average of $32 per time performed
drug
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
190
times performed,
0.17% of his services

24th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 3% of his patients
4.7
average number of visits a patient made for this service
$1,995an average of $11 per time performed $46
an average of $0 per time performed
drug
DRUGS

Injection, diphenhydramine hcl, up to 50 mg

Service Code: J1200
Performed in an office
189
times performed,
0.17% of his services

25th 46th

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

27
patients got this service, 6% of his patients
6.7
average number of visits a patient made for this service
(Peers: 4.9)
$945an average of $5 per time performed $89
an average of $0 per time performed
medical
MEDICINE

Irrigation of implanted venous access drug delivery device +

Irrigation of implanted venous access drug delivery device ×

Service Code: 96523
Performed in an office
161
times performed,
0.14% of his services

26th 96th

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

39
patients got this service, 8% of his patients
4.1
average number of visits a patient made for this service
(Peers: 3.1)
$12,880an average of $80 per time performed $3,053
an average of $19 per time performed
medical
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
154
times performed,
0.14% of his services

27th 23rd

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

41
patients got this service, 9% of his patients
3.7
average number of visits a patient made for this service
(Peers: 5.4)
$6,160an average of $40 per time performed $3,083
an average of $20 per time performed
medical
MEDICINE

Hydration infusion into a vein

Service Code: 96361
Performed in an office
126
times performed,
0.11% of his services

28th 40th

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

30
patients got this service, 6% of his patients
3.9
average number of visits a patient made for this service
(Peers: 5.9)
$6,300an average of $50 per time performed $1,550
an average of $12 per time performed
medical
MEDICINE

Infusion of different chemotherapy drug or substance into... +

Infusion of different chemotherapy drug or substance into a vein ×

Service Code: 96411
Performed in an office
121
times performed,
0.11% of his services

29th 102nd

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

17
patients got this service, 4% of his patients
6.8
average number of visits a patient made for this service
(Peers: 4.2)
$18,150an average of $150 per time performed $6,211
an average of $51 per time performed
drug
DRUGS

Infusion, normal saline solution, sterile (500 ml=1 unit) +

Infusion, normal saline solution, sterile (500 ml=1 unit) ×

Service Code: J7040
Performed in an office
107
times performed,
0.09% of his services

30th 50th

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

29
patients got this service, 6% of his patients
3.5
average number of visits a patient made for this service
(Peers: 5.4)
$2,675an average of $25 per time performed $56
an average of $1 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein using push technique +

Infusion of chemotherapy into a vein using push technique ×

Service Code: 96409
Performed in an office
106
times performed,
0.09% of his services

31st 130th

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

13
patients got this service, 3% of his patients
8.2
average number of visits a patient made for this service
(Peers: 7.5)
$25,440an average of $240 per time performed $9,580
an average of $90 per time performed
medical
MEDICINE

Prolonged chemotherapy infusion into a vein by portable o... +

Prolonged chemotherapy infusion into a vein by portable or implanted pump more than 8 hours ×

Service Code: 96416
Performed in an office
100
times performed,
0.09% of his services

32nd 131st

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

12
patients got this service, 3% of his patients
8.3
average number of visits a patient made for this service
(Peers: 5.9)
$30,000an average of $300 per time performed $11,684
an average of $117 per time performed
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
88
times performed,
0.08% of his services

33rd 34th

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

53
patients got this service, 11% of his patients
1.7
average number of visits a patient made for this service
(Peers: 3.7)
$15,840an average of $180 per time performed $5,075
an average of $58 per time performed
medical
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis, concurrent with another infusion ×

Service Code: 96368
Performed in an office
83
times performed,
0.07% of his services

34th 108th

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

21
patients got this service, 4% of his patients
4
average number of visits a patient made for this service
(Peers: 4.7)
$4,150an average of $50 per time performed $1,406
an average of $17 per time performed
drug
DRUGS

Infusion, normal saline solution , 1000 cc

Service Code: J7030
Performed in an office
78
times performed,
0.07% of his services

35th 86th

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

20
patients got this service, 4% of his patients
3.9
average number of visits a patient made for this service
(Peers: 4.3)
$2,340an average of $30 per time performed $80
an average of $1 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
75
times performed,
0.07% of his services

36th 99th

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

75
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$21,000an average of $280 per time performed $9,443
an average of $126 per time performed
medical
MEDICINE

Hydration infusion into a vein 31 minutes to 1 hour

Service Code: 96360
Performed in an office
72
times performed,
0.06% of his services

37th 93rd

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

17
patients got this service, 4% of his patients
4.2
average number of visits a patient made for this service
(Peers: 3.8)
$7,200an average of $100 per time performed $3,341
an average of $46 per time performed
medical
MEDICINE

Injection of drug or substance into a vein for therapy, d... +

Injection of drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96374
Performed in an office
57
times performed,
0.05% of his services

38th 92nd

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

15
patients got this service, 3% of his patients
3.8
average number of visits a patient made for this service
(Peers: 3)
$5,130an average of $90 per time performed $2,685
an average of $47 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
29
times performed,
0.03% of his services

39th 69th

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

29
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$7,250an average of $250 per time performed $4,740
an average of $163 per time performed
drug
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
24
times performed,
0.02% of his services

40th 73rd

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

13
patients got this service, 3% of his patients
1.8
average number of visits a patient made for this service
(Peers: 4.5)
$84an average of $4 per time performed $27
an average of $1 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.

Ram Lalchandani
Average for Hematology & Oncology Providers in California

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 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.

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