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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, $324 per patient in 2012.
They performed about 8 services per patient. Here’s how this provider compares.
Number of
Patients
1,564
Rank: 2nd
out of 179 providers in this state & specialty
Services
Performed
14,850
Rank: 5th
out of 179 providers in this state & specialty
Avg Services
Per Patient
9.5 This Provider
Avg 7.8
Total Paid
by Medicare
$273K
Rank: 20th
out of 179 providers in this state & specialty
Avg Paid
Per Patient
$175 This Provider
Avg $324

Office Visits

Story image rib 8a2c1e812d78fea39cf7fb4926cf598dbc8604e0a950a7f60c1e192c8c412b43

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.

Michael D. Gwinn
Average for Physical Medicine and Rehabilitation 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

PATRICK O'BRIEN

WING NG

HEATHER PFEIL

DANIELLE HOGAN

MURIEL LYNN LAMOUREUX

Organizations

WAKEMED

WAKEMED

Patients saw before

Michael D. Gwinn

Patients saw after

Individuals

PATRICK O'BRIEN

WING NG

TROY MOISE

DANIELLE HOGAN

HEATHER PFEIL

Organizations

WAKEMED

REX HOSPITAL, INC

This Provider's Services

This provider performed 30 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, onabotulinumtoxina (botox), 1 unit

Service Code: J0585
Performed in an office
10,699
times performed,
72% of his services

1st 1st

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

22
patients got this service, 1% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.2)
$74,893an average of $7 per time performed $42,796
an average of $4 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
800
times performed,
5% of his services

2nd 2nd

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

401
patients got this service, 26% of his patients
2
average number of visits a patient made for this service
(Peers: 3.7)
$104,000an average of $130 per time performed $42,400
an average of $53 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
547
times performed,
4% of his services

3rd 4th

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

217
patients got this service, 14% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.4)
$53,606an average of $98 per time performed $26,256
an average of $48 per time performed
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
448
times performed,
3% of his services

4th 51st

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

412
patients got this service, 26% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$107,968an average of $241 per time performed $54,656
an average of $122 per time performed
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
439
times performed,
3% of his services

5th 9th

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

412
patients got this service, 26% of his patients
1.1
average number of visits a patient made for this service
(Peers: 3.6)
$43,022an average of $98 per time performed $12,731
an average of $29 per time performed
MEDICINE

Needle measurement and recording of nerve sensory (feel) ... +

Needle measurement and recording of nerve sensory (feel) function ×

Service Code: 95904
Performed in an office
331
times performed,
2% of his services

6th 8th

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

131
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$32,438an average of $98 per time performed $13,571
an average of $41 per time performed
MEDICINE

Needle measurement and recording of nerve motor (movement... +

Needle measurement and recording of nerve motor (movement) function ×

Service Code: 95900
Performed in an office
267
times performed,
2% of his services

7th 11th

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

130
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$29,370an average of $110 per time performed $12,282
an average of $46 per time performed
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
203
times performed,
1% of his services

8th 21st

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

104
patients got this service, 7% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.1)
$2,436an average of $12 per time performed $609
an average of $3 per time performed
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
197
times performed,
1% of his services

9th 23rd

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

129
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$32,899an average of $167 per time performed $12,214
an average of $62 per time performed
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 1 or 2 muscles

Service Code: 20552
Performed in an office
149
times performed,
1% of his services

10th 48th

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

75
patients got this service, 5% of his patients
2
average number of visits a patient made for this service
(Peers: 1.7)
$17,880an average of $120 per time performed $5,364
an average of $36 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
129
times performed,
0.87% of his services

11th 5th

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

101
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.3)
$18,963an average of $147 per time performed $9,546
an average of $74 per time performed
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
102
times performed,
0.69% of his services

12th 25th

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

102
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$37,842an average of $371 per time performed $14,994
an average of $147 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
100
times performed,
0.67% of his services

13th 19th

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

51
patients got this service, 3% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$14,600an average of $146 per time performed $5,100
an average of $51 per time performed
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
92
times performed,
0.62% of his services

14th 28th

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

16
patients got this service, 1% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.1)
$828an average of $9 per time performed $0
an average of $0 per time performed
MEDICINE

Measurement and recording of nerve conduction patterns of... +

Measurement and recording of nerve conduction patterns of lower leg muscles ×

Service Code: 95934
Performed in an office
67
times performed,
0.45% of his services

15th 74th

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

66
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,936an average of $208 per time performed $4,489
an average of $67 per time performed
RADIOLOGY

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

Service Code: 72110
Performed in an office
32
times performed,
0.22% of his services

16th 92nd

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

32
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,208an average of $69 per time performed $832
an average of $26 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
30
times performed,
0.2% of his services

17th 22nd

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

30
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,500an average of $150 per time performed $1,980
an average of $66 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
28
times performed,
0.19% of his services

18th 61st

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

20
patients got this service, 1% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.1)
$812an average of $29 per time performed $420
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
25
times performed,
0.17% of his services

19th 17th

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

25
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,050an average of $202 per time performed $2,925
an average of $117 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
25
times performed,
0.17% of his services

20th 39th

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

17
patients got this service, 1% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$1,775an average of $71 per time performed $675
an average of $27 per time performed
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 3 or more muscles

Service Code: 20553
Performed in an office
23
times performed,
0.15% of his services

21st 62nd

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

14
patients got this service, 0.9% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.1)
$3,404an average of $148 per time performed $943
an average of $41 per time performed
NERVOUS SYSTEM

Injection of chemical for destruction of neck muscles

Service Code: 64613
Performed in an office
22
times performed,
0.15% of his services

22nd 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, 0.77% of his patients
1.8
average number of visits a patient made for this service
$8,756an average of $398 per time performed $2,530
an average of $115 per time performed
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
14
times performed,
0.09% of his services

23rd 139th

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

13
patients got this service, 0.83% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$616an average of $44 per time performed $266
an average of $19 per time performed
RADIOLOGY

X-ray of upper spine, 4 or 5 views

Service Code: 72050
Performed in an office
13
times performed,
0.09% of his services

24th 135th

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

13
patients got this service, 0.83% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$858an average of $66 per time performed $351
an average of $27 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,
0.08% of his services

25th 132nd

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

12
patients got this service, 0.77% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$552an average of $46 per time performed $252
an average of $21 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 10 minutes p... +

Subsequent nursing facility visit, typically 10 minutes per day ×

Service Code: 99307
Performed in a facility
12
times performed,
0.08% of his services

26th 142nd

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

12
patients got this service, 0.77% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,044an average of $87 per time performed $396
an average of $33 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
11
times performed,
0.07% of his services

27th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 0.7% of his patients
1
average number of visits a patient made for this service
$2,200an average of $200 per time performed $616
an average of $56 per time performed
PROCEDURES

Drug screen, other than chromatographic; any number of dr... +

Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter ×

Service Code: G0434
Performed in an office
11
times performed,
0.07% of his services

28th 18th

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

11
patients got this service, 0.7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.7)
$484an average of $44 per time performed $231
an average of $21 per time performed
RADIOLOGY

X-ray of middle spine, 3 views

Service Code: 72070
Performed in an office
11
times performed,
0.07% of his services

29th 149th

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

11
patients got this service, 0.7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$451an average of $41 per time performed $187
an average of $17 per time performed
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
11
times performed,
0.07% of his services

30th 53rd

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

11
patients got this service, 0.7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$550an average of $50 per time performed $187
an average of $17 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 "Physical Medicine & Rehabilitation." 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.