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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, $334 per patient in 2014.
They performed about 11 services per patient. Here’s how this provider compares.
Number of
Patients
1,001
Rank: 7th
out of 184 providers in this state & specialty
Services
Performed
17,770
Rank: 5th
out of 184 providers in this state & specialty
Avg Services
Per Patient
17.8 This Provider
Avg 10.7
Total Paid
by Medicare
$230K
Rank: 24th
out of 184 providers in this state & specialty
Avg Paid
Per Patient
$230 This Provider
Avg $334

Note: About 30% 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 patients within 30 days before or after this provider in 2014.

Individuals

PATRICK O'BRIEN

WING NG

TROY MOISE

MURIEL LYNN LAMOUREUX

JEANIE YEN

Organizations

NASH HOSPITALS INC

WAKEMED

Patients saw before

MICHAEL GWINN MD

Patients saw after

This Provider's Services

This provider performed 75 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, onabotulinumtoxina, 1 unit

Service Code: J0585
Performed in an office
13,800
times performed,
78% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

23
patients got this service, 2% of his patients
2.3
average number of visits a patient made for this service
$96,600an average of $7 per time performed $58,236
an average of $4 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
689
times performed,
4% of his services

2nd 4th

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

353
patients got this service, 35% of his patients
2
average number of visits a patient made for this service
(Peers: 4)
$89,570an average of $130 per time performed $37,544
an average of $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 an office
586
times performed,
3% of his services

3rd 5th

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

191
patients got this service, 19% of his patients
3.1
average number of visits a patient made for this service
(Peers: 2.4)
$57,428an average of $98 per time performed $28,948
an average of $49 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
312
times performed,
2% of his services

4th 9th

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

294
patients got this service, 29% of his patients
1.1
average number of visits a patient made for this service
(Peers: 3)
$30,576an average of $98 per time performed $9,319
an average of $30 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
265
times performed,
1% of his services

5th 32nd

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

98
patients got this service, 10% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.6)
$3,180an average of $12 per time performed $591
an average of $2 per time performed
drug
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
146
times performed,
0.82% of his services

6th 59th

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

23
patients got this service, 2% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$1,314an average of $9 per time performed $32
an average of $0 per time performed
medical
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
141
times performed,
0.79% of his services

7th 21st

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

62
patients got this service, 6% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.5)
$20,286an average of $144 per time performed $6,159
an average of $44 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
114
times performed,
0.64% of his services

8th 7th

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

87
patients got this service, 9% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.5)
$16,758an average of $147 per time performed $8,238
an average of $72 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 1 or 2 muscles

Service Code: 20552
Performed in an office
113
times performed,
0.64% of his services

9th 57th

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

62
patients got this service, 6% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.6)
$13,560an average of $120 per time performed $4,101
an average of $36 per time performed
medical
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles of arm or leg complete study ×

Service Code: 95886
Performed in an office
101
times performed,
0.57% of his services

10th 17th

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

68
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,785an average of $166 per time performed $6,923
an average of $69 per time performed
medical
PROCEDURES

Drug screen, qualitative; multiple drug classes by high c... +

Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter ×

Service Code: G0431
Performed in an office
91
times performed,
0.51% of his services

11th 14th

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

81
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.3)
$36,400an average of $400 per time performed $8,472
an average of $93 per time performed
medical
PATHOLOGY AND LABORATORY

Alcohol (ethanol) level

Service Code: 82055
Performed in an office
88
times performed,
0.5% of his services

12th 50th

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

79
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$3,520an average of $40 per time performed $1,230
an average of $14 per time performed
medical
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
88
times performed,
0.5% of his services

13th 29th

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

79
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2)
$1,760an average of $20 per time performed $589
an average of $7 per time performed
medical
PATHOLOGY AND LABORATORY

Body fluid ph level

Service Code: 83986
Performed in an office
88
times performed,
0.5% of his services

14th 28th

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

79
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.9)
$1,320an average of $15 per time performed $407
an average of $5 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
77
times performed,
0.43% of his services

15th 23rd

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

76
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$28,567an average of $371 per time performed $11,549
an average of $150 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 3 or more muscles

Service Code: 20553
Performed in an office
60
times performed,
0.34% of his services

16th 67th

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

27
patients got this service, 3% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2)
$8,880an average of $148 per time performed $2,645
an average of $44 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in a facility
59
times performed,
0.33% of his services

17th 49th

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

58
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$14,219an average of $241 per time performed $7,452
an average of $126 per time performed
drug
DRUGS

Hyaluronan or derivative, euflexxa, for intra-articular i... +

Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose ×

Service Code: J7323
Performed in an office
55
times performed,
0.31% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 1% of his patients
3.9
average number of visits a patient made for this service
$19,250an average of $350 per time performed $6,607
an average of $120 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
44
times performed,
0.25% of his services

19th 93rd

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

30
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$1,654an average of $38 per time performed $670
an average of $15 per time performed
medical
RADIOLOGY

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

Service Code: 72110
Performed in an office
42
times performed,
0.24% of his services

20th 148th

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

41
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,898an average of $69 per time performed $983
an average of $23 per time performed
medical
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
30
times performed,
0.17% of his services

21st 24th

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

30
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,500an average of $150 per time performed $2,187
an average of $73 per time performed
medical
NA

Injection of chemical for destruction of facial and neck ... +

Injection of chemical for destruction of facial and neck nerve muscles on both sides of face ×

Service Code: 64615
Performed in an office
30
times performed,
0.17% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 1% of his patients
2.3
average number of visits a patient made for this service
$12,000an average of $400 per time performed $3,034
an average of $101 per time performed
medical
NA

Nerve transmission studies, 3-4 studies

Service Code: 95908
Performed in an office
26
times performed,
0.15% of his services

23rd 102nd

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

26
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,850an average of $225 per time performed $2,211
an average of $85 per time performed
medical
NA

Nerve transmission studies, 5-6 studies

Service Code: 95909
Performed in an office
24
times performed,
0.14% of his services

24th 71st

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

24
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,000an average of $250 per time performed $2,533
an average of $106 per time performed
medical
RADIOLOGY

X-ray of upper spine, 4 or 5 views

Service Code: 72050
Performed in an office
24
times performed,
0.14% of his services

25th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

24
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$1,584an average of $66 per time performed $581
an average of $24 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
18
times performed,
0.1% of his services

26th 15th

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,636an average of $202 per time performed $1,765
an average of $98 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
16
times performed,
0.09% of his services

27th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$560an average of $35 per time performed $254
an average of $16 per time performed
medical
RADIOLOGY

X-ray of middle spine, 3 views

Service Code: 72070
Performed in an office
15
times performed,
0.08% of his services

28th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$615an average of $41 per time performed $216
an average of $14 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
15
times performed,
0.08% of his services

29th 173rd

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$555an average of $37 per time performed $234
an average of $16 per time performed
medical
RADIOLOGY

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

Service Code: 73510
Performed in an office
13
times performed,
0.07% of his services

30th 151st

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$598an average of $46 per time performed $254
an average of $20 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.

Michael D Gwinn
Average for Physical Medicine & Rehabilitation Providers in North Carolina

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.

Read our methodology.