ProPublica

Journalism in the Public Interest

Cancel

Treatment Tracker

Treatment Tracker » Georgia » Lake spivey

Lijo Simpson MBBS

7813 spivey station blvd, Lake spivey, Ga., 30236 | (770) 507-0070

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $844 per patient in 2012.
They performed about 73 services per patient. Here’s how this provider compares.
Number of
Patients
458
Rank: 109th
out of 214 providers in this state & specialty
Services
Performed
25,549
Rank: 109th
out of 214 providers in this state & specialty
Avg Services
Per Patient
55.8 This Provider
Avg 72.5
Total Paid
by Medicare
$329K
Rank: 101st
out of 214 providers in this state & specialty
Avg Paid
Per Patient
$718 This Provider
Avg $844

Office Visits

Story image rib

Top Billing

Related story »

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.

Lijo Simpson
Average for Hematology/Oncology Providers in Georgia

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

Lijo Simpson

Patients saw after

Individuals

ROTONDA KEATON WILLIAMS

HIBA TAMIM

CHRISTOPHER KREBS

GURINDERJIT KAUR-SIDHU

JOHN REID

Organizations

QUEST DIAGNOSTICS CLINI...

NORTHSIDE HOSPITAL INC

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
DRUGS

Injection, fosaprepitant (emend), 1 mg

Service Code: J1453
Performed in an office
11,100
times performed,
43% of his services

1st 2nd

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

17
patients got this service, 4% of his patients
4.4
average number of visits a patient made for this service
(Peers: 3.6)
$55,500an average of $5 per time performed $11,100
an average of $1 per time performed
DRUGS

Injection, epoetin alfa, (for non-end-stage renal disease... +

Injection, epoetin alfa, (for non-end-stage renal disease use), 1000 units ×

Service Code: J0885
Performed in an office
3,110
times performed,
12% of his services

2nd 6th

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

28
patients got this service, 6% of his patients
2.6
average number of visits a patient made for this service
(Peers: 5.2)
$77,750an average of $25 per time performed $24,880
an average of $8 per time performed
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
2,570
times performed,
10% of his services

3rd 5th

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

41
patients got this service, 9% of his patients
5.4
average number of visits a patient made for this service
(Peers: 4.6)
$5,140an average of $2 per time performed $0
an average of $0 per time performed
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
1,578
times performed,
6% of his services

4th 8th

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

337
patients got this service, 74% of his patients
4.7
average number of visits a patient made for this service
(Peers: 4)
$75,744an average of $48 per time performed $17,358
an average of $11 per time performed
DRUGS

Injection, palonosetron hydrochloride, 25 mcg

Service Code: J2469
Performed in an office
1,400
times performed,
5% of his services

5th 10th

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

31
patients got this service, 7% of his patients
4.5
average number of visits a patient made for this service
(Peers: 4.3)
$60,200an average of $43 per time performed $21,000
an average of $15 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
738
times performed,
3% of his services

6th 18th

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

240
patients got this service, 52% of his patients
3.1
average number of visits a patient made for this service
(Peers: 2.4)
$73,800an average of $100 per time performed $39,114
an average of $53 per time performed
DRUGS

Injection, granisetron hydrochloride, 100 mcg

Service Code: J1626
Performed in an office
720
times performed,
3% of his services

7th 21st

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

21
patients got this service, 5% of his patients
3.4
average number of visits a patient made for this service
(Peers: 4.3)
$32,400an average of $45 per time performed $720
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 25 minutes ×

Service Code: 99214
Performed in an office
704
times performed,
3% of his services

8th 17th

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

200
patients got this service, 44% of his patients
3.5
average number of visits a patient made for this service
(Peers: 2.7)
$106,304an average of $151 per time performed $56,320
an average of $80 per time performed
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
635
times performed,
2% of his services

9th 23rd

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

52
patients got this service, 11% of his patients
5.3
average number of visits a patient made for this service
(Peers: 4.4)
$57,785an average of $91 per time performed $16,510
an average of $26 per time performed
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
492
times performed,
2% of his services

10th 12th

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

208
patients got this service, 45% of his patients
2.4
average number of visits a patient made for this service
(Peers: 3.2)
$7,380an average of $15 per time performed $1,476
an average of $3 per time performed
CHEMOTHERAPY DRUGS

Injection, carboplatin, 50 mg

Service Code: J9045
Performed in an office
311
times performed,
1% of his services

11th 28th

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

12
patients got this service, 3% of his patients
4.6
average number of visits a patient made for this service
(Peers: 3.6)
$46,650an average of $150 per time performed $933
an average of $3 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
270
times performed,
1% of his services

12th 33rd

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

122
patients got this service, 27% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.6)
$36,720an average of $136 per time performed $15,120
an average of $56 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
266
times performed,
1% of his services

13th 27th

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

47
patients got this service, 10% of his patients
5.7
average number of visits a patient made for this service
(Peers: 5.3)
$99,484an average of $374 per time performed $29,526
an average of $111 per time performed
DRUGS

Injection, zoledronic acid, 1 mg

Service Code: J3487
Performed in an office
216
times performed,
0.85% of his services

14th 41st

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

14
patients got this service, 3% of his patients
3.9
average number of visits a patient made for this service
(Peers: 3.2)
$86,400an average of $400 per time performed $38,880
an average of $180 per time performed
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
163
times performed,
0.64% of his services

15th 24th

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

74
patients got this service, 16% of his patients
2.2
average number of visits a patient made for this service
(Peers: 4.1)
$6,357an average of $39 per time performed $3,097
an average of $19 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
124
times performed,
0.49% of his services

16th 35th

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

20
patients got this service, 4% of his patients
6.2
average number of visits a patient made for this service
(Peers: 5.2)
$1,736an average of $14 per time performed $744
an average of $6 per time performed
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
123
times performed,
0.48% of his services

17th 46th

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

23
patients got this service, 5% of his patients
5.2
average number of visits a patient made for this service
(Peers: 3.6)
$22,386an average of $182 per time performed $7,011
an average of $57 per time performed
DRUGS

Unclassified drugs

Service Code: J3490
Performed in an office
100
times performed,
0.39% of his services

18th 60th

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

11
patients got this service, 2% of his patients
4.5
average number of visits a patient made for this service
(Peers: 4)
$400an average of $4 per time performed $100
an average of $1 per time performed
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
95
times performed,
0.37% of his services

19th 36th

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

23
patients got this service, 5% of his patients
3.2
average number of visits a patient made for this service
(Peers: 3.4)
$7,885an average of $83 per time performed $2,375
an average of $25 per time performed
DRUGS

Injection, diphenhydramine hydrochloride, up to 50 mg

Service Code: J1200
Performed in an office
92
times performed,
0.36% of his services

20th 38th

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

18
patients got this service, 4% of his patients
5.1
average number of visits a patient made for this service
(Peers: 3.8)
$460an average of $5 per time performed $92
an average of $1 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
84
times performed,
0.33% of his services

21st 89th

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

73
patients got this service, 16% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$27,888an average of $332 per time performed $8,904
an average of $106 per time performed
MEDICINE

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

Infusion into a vein for therapy, prevention, or diagnosis ×

Service Code: 96366
Performed in an office
77
times performed,
0.3% of his services

22nd 50th

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

13
patients got this service, 3% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.6)
$4,235an average of $55 per time performed $1,309
an average of $17 per time performed
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
75
times performed,
0.29% of his services

23rd 42nd

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

23
patients got this service, 5% of his patients
3.3
average number of visits a patient made for this service
(Peers: 2.7)
$12,450an average of $166 per time performed $4,200
an average of $56 per time performed
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
75
times performed,
0.29% of his services

24th 29th

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

14
patients got this service, 3% of his patients
4.9
average number of visits a patient made for this service
(Peers: 3.9)
$4,350an average of $58 per time performed $1,350
an average of $18 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
73
times performed,
0.29% of his services

25th 59th

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

29
patients got this service, 6% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.5)
$2,628an average of $36 per time performed $1,095
an average of $15 per time performed
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
71
times performed,
0.28% of his services

26th 84th

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

71
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,460an average of $260 per time performed $8,733
an average of $123 per time performed
DRUGS

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

Service Code: J3420
Performed in an office
57
times performed,
0.22% of his services

27th 47th

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

28
patients got this service, 6% of his patients
2
average number of visits a patient made for this service
(Peers: 3.8)
$285an average of $5 per time performed $0
an average of $0 per time performed
DRUGS

Infusion, normal saline solution , 1000 cc

Service Code: J7030
Performed in an office
40
times performed,
0.16% of his services

28th 64th

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

19
patients got this service, 4% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.7)
$600an average of $15 per time performed $40
an average of $1 per time performed
MEDICINE

Hydration infusion into a vein 31 minutes to 1 hour

Service Code: 96360
Performed in an office
39
times performed,
0.15% of his services

29th 73rd

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

20
patients got this service, 4% of his patients
2
average number of visits a patient made for this service
(Peers: 2.4)
$5,304an average of $136 per time performed $1,755
an average of $45 per time performed
MEDICINE

Hydration infusion into a vein

Service Code: 96361
Performed in an office
39
times performed,
0.15% of his services

30th 48th

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

15
patients got this service, 3% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.7)
$1,677an average of $43 per time performed $468
an average of $12 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
33
times performed,
0.13% of his services

31st 51st

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

24
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.7)
$6,237an average of $189 per time performed $2,640
an average of $80 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
26
times performed,
0.1% of his services

32nd 58th

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

22
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.9)
$6,162an average of $237 per time performed $2,938
an average of $113 per time performed
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
21
times performed,
0.08% of his services

33rd 44th

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

16
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$1,470an average of $70 per time performed $714
an average of $34 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
19
times performed,
0.07% of his services

34th 113th

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

12
patients got this service, 3% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.3)
$3,040an average of $160 per time performed $1,026
an average of $54 per time performed
DRUGS

Injection, filgrastim (g-csf), 480 mcg

Service Code: J1441
Performed in an office
13
times performed,
0.05% of his services

35th 123rd

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: 3.4)
$5,928an average of $456 per time performed $4,329
an average of $333 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 "Hematology." 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.