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, $339 per patient in 2015.
They performed about 10 services per patient. Here’s how this provider compares.

Number of
Patients
977
Rank: 10th
out of 187 providers in this state & specialty
Services
Performed
16,047
Rank: 7th
out of 187 providers in this state & specialty
Avg Services
Per Patient
16.4 This Provider
Avg 10.1
Total Paid
by Medicare
$221K
Rank: 28th
out of 187 providers in this state & specialty
Avg Paid
Per Patient
$226 This Provider
Avg $339

Note: About 28% 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.

This Provider's Services

This provider performed 69 different services in 2015
(42 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
drug
DRUGS

Injection, onabotulinumtoxina, 1 unit

Service Code: J0585
Performed in an office
13,101
times performed,
82% of his services

1st 1st

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

22
patients got this service, 2% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.3)
$91,707.00an average of $7.00 per time performed $56,072.28
an average of $4.28 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
868
times performed,
5% of his services

2nd 4th

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

470
patients got this service, 48% of his patients
1.8
average number of visits a patient made for this service
(Peers: 3.7)
$112,840.00an average of $130.00 per time performed $48,156.64
an average of $55.48 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
515
times performed,
3% of his services

3rd 6th

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

182
patients got this service, 19% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.4)
$58,277.40an average of $113.16 per time performed $24,797.25
an average of $48.15 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
163
times performed,
1% of his services

4th 31st

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

71
patients got this service, 7% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.6)
$1,626.74an average of $9.98 per time performed $417.28
an average of $2.56 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
108
times performed,
0.67% of his services

5th 28th

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

39
patients got this service, 4% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.5)
$17,046.72an average of $157.84 per time performed $4,362.12
an average of $40.39 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
107
times performed,
0.67% of his services

6th 7th

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

82
patients got this service, 8% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.4)
$17,902.17an average of $167.31 per time performed $7,864.50
an average of $73.50 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
95
times performed,
0.59% of his services

7th 45th

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

89
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$22,895.00an average of $241.00 per time performed $12,011.80
an average of $126.44 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 1 or 2 muscles

Service Code: 20552
Performed in an office
95
times performed,
0.59% of his services

8th 56th

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

53
patients got this service, 5% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.6)
$11,501.65an average of $121.07 per time performed $3,163.50
an average of $33.30 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
94
times performed,
0.59% of his services

9th 19th

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

86
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2)
$34,240.44an average of $364.26 per time performed $8,913.08
an average of $94.82 per time performed
drug
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
94
times performed,
0.59% of his services

10th 58th

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

17
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$1,105.44an average of $11.76 per time performed $36.66
an average of $0.39 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
92
times performed,
0.57% of his services

11th 21st

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

64
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,896.68an average of $172.79 per time performed $6,036.12
an average of $65.61 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
85
times performed,
0.53% of his services

12th 26th

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

84
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$31,535.00an average of $371.00 per time performed $13,248.10
an average of $155.86 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
69
times performed,
0.43% of his services

13th 9th

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

56
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 3.2)
$6,762.00an average of $98.00 per time performed $2,043.78
an average of $29.62 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
53
times performed,
0.33% of his services

14th 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
3.4
average number of visits a patient made for this service
$14,174.85an average of $267.45 per time performed $6,171.32
an average of $116.44 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
37
times performed,
0.23% of his services

15th 25th

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

37
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,413.95an average of $173.35 per time performed $2,783.51
an average of $75.23 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 3 or more muscles

Service Code: 20553
Performed in an office
36
times performed,
0.22% of his services

16th 60th

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

21
patients got this service, 2% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.2)
$5,208.12an average of $144.67 per time performed $1,647.36
an average of $45.76 per time performed
medical
RADIOLOGY

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

Service Code: 72110
Performed in an office
33
times performed,
0.21% of his services

17th 143rd

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

33
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,749.89an average of $83.33 per time performed $737.22
an average of $22.34 per time performed
medical

Nerve transmission studies, 5-6 studies

Service Code: 95909
Performed in an office
29
times performed,
0.18% of his services

18th 63rd

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

29
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,201.86an average of $248.34 per time performed $3,191.74
an average of $110.06 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
25
times performed,
0.16% of his services

19th 120th

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

17
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$1,200.00an average of $48.00 per time performed $358.25
an average of $14.33 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
21
times performed,
0.13% of his services

20th 44th

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

21
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$420.00an average of $20.00 per time performed $131.46
an average of $6.26 per time performed
medical
PATHOLOGY AND LABORATORY

Body fluid ph level

Service Code: 83986
Performed in an office
21
times performed,
0.13% of his services

21st 48th

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

21
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$375.06an average of $17.86 per time performed $90.93
an average of $4.33 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
20
times performed,
0.12% of his services

22nd 15th

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

20
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,090.00an average of $254.50 per time performed $2,502.00
an average of $125.10 per time performed
medical

Nerve transmission studies, 3-4 studies

Service Code: 95908
Performed in an office
17
times performed,
0.11% of his services

23rd 102nd

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

17
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,673.02an average of $216.06 per time performed $1,601.23
an average of $94.19 per time performed
medical

Nerve transmission studies, 1-2 studies

Service Code: 95907
Performed in an office
14
times performed,
0.09% of his services

24th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$2,361.94an average of $168.71 per time performed $955.22
an average of $68.23 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 limited study ×

Service Code: 95885
Performed in an office
13
times performed,
0.08% of his services

25th 117th

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

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,376.05an average of $105.85 per time performed $569.14
an average of $43.78 per time performed
medical
PATHOLOGY AND LABORATORY

Chemical analysis using spectrophotometry (light)

Service Code: 84311
Performed in an office
12
times performed,
0.07% of his services

26th 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
1
average number of visits a patient made for this service
$144.00an average of $12.00 per time performed $111.96
an average of $9.33 per time performed
medical
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
11
times performed,
0.07% of his services

27th 81st

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 2)
$957.00an average of $87.00 per time performed $373.34
an average of $33.94 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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. 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.

Read our methodology.