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, $518 per patient in 2015.
They performed about 14 services per patient. Here’s how this provider compares.

Number of
Patients
918
Rank: 3rd
out of 75 providers in this state & specialty
Services
Performed
18,540
Rank: 8th
out of 75 providers in this state & specialty
Avg Services
Per Patient
20.2 This Provider
Avg 13.9
Total Paid
by Medicare
$723K
Rank: 4th
out of 75 providers in this state & specialty
Avg Paid
Per Patient
$788 This Provider
Avg $518

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 62 different services in 2015
(22 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
3,000
times performed,
16% of his services

1st Alert

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

14
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
$33,000.00an average of $11.00 per time performed $10,980.00
an average of $3.66 per time performed
drug
DRUGS

Injection, midazolam hydrochloride, per 1 mg

Service Code: J2250
Performed in an office
2,663
times performed,
14% of his services

2nd 4th

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

489
patients got this service, 53% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.4)
$26,630.00an average of $10.00 per time performed $239.67
an average of $0.09 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
2,234
times performed,
12% of his services

3rd 3rd

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

747
patients got this service, 81% of his patients
3
average number of visits a patient made for this service
(Peers: 2.5)
$301,590.00an average of $135.00 per time performed $105,958.62
an average of $47.43 per time performed
drug
DRUGS

Hyaluronan or derivative, synvisc or synvisc-one, for int... +

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ×

Service Code: J7325
Performed in an office
1,824
times performed,
10% of his services

4th Alert

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

27
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
$45,600.00an average of $25.00 per time performed $18,039.36
an average of $9.89 per time performed
medical
MEDICINE

Moderate sedation services by physician also performing a... +

Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes ×

Service Code: 99144
Performed in an office
1,218
times performed,
7% of his services

5th 14th

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

489
patients got this service, 53% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.3)
$231,420.00an average of $190.00 per time performed $31,326.96
an average of $25.72 per time performed
drug
DRUGS

Injection, fentanyl citrate, 0.1 mg

Service Code: J3010
Performed in an office
1,172
times performed,
6% of his services

6th 9th

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

478
patients got this service, 52% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.3)
$11,720.00an average of $10.00 per time performed $457.08
an average of $0.39 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64484
Performed in an office
866
times performed,
5% of his services

7th 20th

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

323
patients got this service, 35% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.8)
$386,002.18an average of $445.73 per time performed $57,692.92
an average of $66.62 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
681
times performed,
4% of his services

8th 19th

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

397
patients got this service, 43% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.9)
$17,025.00an average of $25.00 per time performed $3,377.76
an average of $4.96 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64483
Performed in an office
635
times performed,
3% of his services

9th 21st

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

346
patients got this service, 38% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.8)
$572,897.00an average of $902.20 per time performed $107,067.35
an average of $168.61 per time performed
drug
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
600
times performed,
3% of his services

10th 1st

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

98
patients got this service, 11% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.9)
$6,000.00an average of $10.00 per time performed $66.00
an average of $0.11 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves with imaging guidance ×

Service Code: 64636
Performed in an office
505
times performed,
3% of his services

11th 38th

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

89
patients got this service, 10% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.7)
$151,500.00an average of $300.00 per time performed $60,903.00
an average of $120.60 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
371
times performed,
2% of his services

12th 18th

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

216
patients got this service, 24% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$7,420.00an average of $20.00 per time performed $1,005.41
an average of $2.71 per time performed
drug
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
258
times performed,
1% of his services

13th 12th

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

65
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.8)
$3,870.00an average of $15.00 per time performed $283.80
an average of $1.10 per time performed
medical
NERVOUS SYSTEM

Destruction of upper or middle spinal facet joint nerves ... +

Destruction of upper or middle spinal facet joint nerves with imaging guidance ×

Service Code: 64634
Performed in an office
202
times performed,
1% of his services

14th 91st

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

40
patients got this service, 4% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$70,700.00an average of $350.00 per time performed $27,336.66
an average of $135.33 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves using imaging guidance ×

Service Code: 64635
Performed in an office
172
times performed,
0.93% of his services

15th 55th

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

89
patients got this service, 10% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.7)
$121,100.04an average of $704.07 per time performed $49,656.40
an average of $288.70 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64493
Performed in an office
137
times performed,
0.74% of his services

16th 46th

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

89
patients got this service, 10% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$122,399.91an average of $893.43 per time performed $16,241.35
an average of $118.55 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64494
Performed in an office
137
times performed,
0.74% of his services

17th 49th

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

89
patients got this service, 10% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$57,600.28an average of $420.44 per time performed $8,906.37
an average of $65.01 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64495
Performed in an office
131
times performed,
0.71% of his services

18th 63rd

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

86
patients got this service, 9% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$54,799.92an average of $418.32 per time performed $8,517.62
an average of $65.02 per time performed
medical
NERVOUS SYSTEM

Electronic analysis reprogramming and refill of spinal ca... +

Electronic analysis reprogramming and refill of spinal canal drug infusion pump ×

Service Code: 62369
Performed in an office
123
times performed,
0.66% of his services

19th 75th

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

16
patients got this service, 2% of his patients
7.7
average number of visits a patient made for this service
(Peers: 3.9)
$26,445.00an average of $215.00 per time performed $10,421.79
an average of $84.73 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
120
times performed,
0.65% of his services

20th 34th

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

73
patients got this service, 8% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.7)
$39,600.00an average of $330.00 per time performed $4,897.20
an average of $40.81 per time performed
medical
NERVOUS SYSTEM

Injections of substances into upper or middle spine

Service Code: 62310
Performed in an office
101
times performed,
0.54% of his services

21st 52nd

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

73
patients got this service, 8% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$68,175.00an average of $675.00 per time performed $17,263.93
an average of $170.93 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
85
times performed,
0.46% of his services

22nd 35th

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

85
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$20,400.00an average of $240.00 per time performed $5,910.90
an average of $69.54 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 2... +

New patient office or other outpatient visit, typically 20 minutes ×

Service Code: 99202
Performed in an office
77
times performed,
0.42% of his services

23rd Alert

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

77
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
$8,855.00an average of $115.00 per time performed $4,097.17
an average of $53.21 per time performed
medical
NERVOUS SYSTEM

Destruction of upper or middle spinal facet joint nerves ... +

Destruction of upper or middle spinal facet joint nerves using imaging guidance ×

Service Code: 64633
Performed in an office
75
times performed,
0.4% of his services

24th 114th

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

41
patients got this service, 4% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$56,250.00an average of $750.00 per time performed $22,601.25
an average of $301.35 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 1 or 2 muscles

Service Code: 20552
Performed in an office
72
times performed,
0.39% of his services

25th 77th

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

53
patients got this service, 6% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$13,320.00an average of $185.00 per time performed $2,365.92
an average of $32.86 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64490
Performed in an office
67
times performed,
0.36% of his services

26th 87th

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

46
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$40,800.32an average of $608.96 per time performed $9,126.07
an average of $136.21 per time performed
medical
NERVOUS SYSTEM

Injections of substances into lower or sacral spine

Service Code: 62311
Performed in an office
64
times performed,
0.35% of his services

27th 45th

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

47
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$38,400.00an average of $600.00 per time performed $9,558.40
an average of $149.35 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64491
Performed in an office
61
times performed,
0.33% of his services

28th 92nd

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

41
patients got this service, 4% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$18,600.12an average of $304.92 per time performed $4,221.20
an average of $69.20 per time performed
medical
DRUGS

Noc drugs, other than inhalation drugs, administered thro... +

Noc drugs, other than inhalation drugs, administered through dme ×

Service Code: J7799
Performed in an office
61
times performed,
0.33% of his services

29th 72nd

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

14
patients got this service, 2% of his patients
4.4
average number of visits a patient made for this service
(Peers: 2.4)
$12,200.00an average of $200.00 per time performed $3,814.33
an average of $62.53 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64492
Performed in an office
59
times performed,
0.32% of his services

30th 100th

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

41
patients got this service, 4% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$17,999.72an average of $305.08 per time performed $4,094.60
an average of $69.40 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
58
times performed,
0.31% of his services

31st 6th

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

50
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.2)
$10,150.00an average of $175.00 per time performed $3,381.40
an average of $58.30 per time performed
medical

Compounded drug, not otherwise classified

Service Code: Q9977
Performed in an office
53
times performed,
0.29% of his services

32nd Alert

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

13
patients got this service, 1% of his patients
4.1
average number of visits a patient made for this service
$10,600.00an average of $200.00 per time performed $4,757.81
an average of $89.77 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into upper o... +

Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance ×

Service Code: 64479
Performed in an office
42
times performed,
0.23% of his services

33rd Alert

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

29
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
$36,550.08an average of $870.24 per time performed $7,138.74
an average of $169.97 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into upper o... +

Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance ×

Service Code: 64480
Performed in an office
35
times performed,
0.19% of his services

34th Alert

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

20
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
$11,550.00an average of $330.00 per time performed $2,945.60
an average of $84.16 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 20 mg

Service Code: J1020
Performed in an office
34
times performed,
0.18% of his services

35th 48th

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

27
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$408.00an average of $12.00 per time performed $69.70
an average of $2.05 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 3 or more muscles

Service Code: 20553
Performed in an office
27
times performed,
0.15% of his services

36th 51st

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

21
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$6,750.00an average of $250.00 per time performed $1,007.64
an average of $37.32 per time performed
medical
MEDICINE

Electronic analysis of implanted brain spinal cord or per... +

Electronic analysis of implanted brain spinal cord or peripheral neurostimulator generator system ×

Service Code: 95970
Performed in an office
22
times performed,
0.12% of his services

37th Alert

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

19
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
$2,640.00an average of $120.00 per time performed $972.62
an average of $44.21 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injection procedure into sacroiliac joint for anesthetic ... +

Injection procedure into sacroiliac joint for anesthetic or steroid ×

Service Code: 27096
Performed in an office
22
times performed,
0.12% of his services

38th 62nd

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

18
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$15,599.98an average of $709.09 per time performed $1,724.14
an average of $78.37 per time performed
medical
NERVOUS SYSTEM

Implantation of spinal neurostimulator electrodes, access... +

Implantation of spinal neurostimulator electrodes, accessed through the skin ×

Service Code: 63650
Performed in an office
22
times performed,
0.12% of his services

39th 112th

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)
$33,000.00an average of $1,500.00 per time performed $16,446.54
an average of $747.57 per time performed
medical

Injection of chemical for destruction of nerve muscles on... +

Injection of chemical for destruction of nerve muscles on one side of neck excluding voice box accessed through the skin ×

Service Code: 64616
Performed in an office
17
times performed,
0.09% of his services

40th Alert

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

12
patients got this service, 1% of his patients
1.4
average number of visits a patient made for this service
$23,800.00an average of $1,400.00 per time performed $2,369.80
an average of $139.40 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.

Thomas E Merriman
Average for Pain Medicine Providers in Texas

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.

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