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, $191 per patient in 2015.
They performed about 9 services per patient. Here’s how this provider compares.

Number of
Patients
1,660
Rank: 1st
out of 96 providers in this state & specialty
Services
Performed
19,387
Rank: 3rd
out of 96 providers in this state & specialty
Avg Services
Per Patient
11.7 This Provider
Avg 9.4
Total Paid
by Medicare
$472K
Rank: 1st
out of 96 providers in this state & specialty
Avg Paid
Per Patient
$284 This Provider
Avg $191

Note: About 23% 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 31 different services in 2015
(7 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, denosumab, 1 mg

Service Code: J0897
Performed in an office
9,242
times performed,
48% of his services

1st 2nd

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

104
patients got this service, 6% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$184,840.00an average of $20.00 per time performed $106,098.16
an average of $11.48 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
1,846
times performed,
10% of his services

2nd 4th

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

1,184
patients got this service, 71% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.8)
$277,158.44an average of $150.14 per time performed $126,100.26
an average of $68.31 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
1,607
times performed,
8% of his services

3rd 12th

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

281
patients got this service, 17% of his patients
2.5
average number of visits a patient made for this service
(Peers: 3)
$176,770.00an average of $110.00 per time performed $84,833.53
an average of $52.79 per time performed
medical
PATHOLOGY AND LABORATORY

Blood glucose (sugar) test performed by hand-held instrument +

Blood glucose (sugar) test performed by hand-held instrument ×

Service Code: 82962
Performed in an office
1,502
times performed,
8% of his services

4th 9th

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

871
patients got this service, 52% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2)
$22,530.00an average of $15.00 per time performed $4,521.02
an average of $3.01 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
1,388
times performed,
7% of his services

5th 5th

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

845
patients got this service, 51% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.9)
$55,520.00an average of $40.00 per time performed $17,266.72
an average of $12.44 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
503
times performed,
3% of his services

6th 24th

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

438
patients got this service, 26% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$25,150.00an average of $50.00 per time performed $1,438.58
an average of $2.86 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) analysis

Service Code: 82044
Performed in an office
490
times performed,
3% of his services

7th 31st

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

429
patients got this service, 26% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$39,200.00an average of $80.00 per time performed $1,078.00
an average of $2.20 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
474
times performed,
2% of his services

8th 19th

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

417
patients got this service, 25% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$16,590.00an average of $35.00 per time performed $3,104.70
an average of $6.55 per time performed
medical
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
376
times performed,
2% of his services

9th 41st

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

293
patients got this service, 18% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$60,581.12an average of $161.12 per time performed $28,703.84
an average of $76.34 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
372
times performed,
2% of his services

10th 25th

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

120
patients got this service, 7% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.5)
$29,760.00an average of $80.00 per time performed $10,650.36
an average of $28.63 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
287
times performed,
1% of his services

11th 29th

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

286
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$86,100.00an average of $300.00 per time performed $10,452.54
an average of $36.42 per time performed
medical
RADIOLOGY

Ultrasound of head and neck

Service Code: 76536
Performed in an office
228
times performed,
1% of his services

12th 21st

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

222
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$68,400.00an average of $300.00 per time performed $18,354.00
an average of $80.50 per time performed
medical
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
227
times performed,
1% of his services

13th 3rd

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

215
patients got this service, 13% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2)
$2,270.00an average of $10.00 per time performed $642.41
an average of $2.83 per time performed
medical
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
199
times performed,
1% of his services

14th 17th

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

122
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$39,800.00an average of $200.00 per time performed $18,914.95
an average of $95.05 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
131
times performed,
0.68% of his services

15th 26th

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

62
patients got this service, 4% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.5)
$3,930.00an average of $30.00 per time performed $2,161.50
an average of $16.50 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
120
times performed,
0.62% of his services

16th 37th

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

120
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$36,099.60an average of $300.83 per time performed $16,611.60
an average of $138.43 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
76
times performed,
0.39% of his services

17th 40th

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

76
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,280.00an average of $30.00 per time performed $1,714.56
an average of $22.56 per time performed
drug
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
75
times performed,
0.39% of his services

18th 50th

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

75
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,875.00an average of $25.00 per time performed $1,151.25
an average of $15.35 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
61
times performed,
0.31% of his services

19th 15th

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

61
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,325.03an average of $251.23 per time performed $6,198.82
an average of $101.62 per time performed
medical
GENERAL

Fine needle aspiration using imaging guidance

Service Code: 10022
Performed in an office
59
times performed,
0.3% of his services

20th 46th

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

53
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$11,800.00an average of $200.00 per time performed $6,007.97
an average of $101.83 per time performed
medical
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
49
times performed,
0.25% of his services

21st 54th

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

49
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$17,150.00an average of $350.00 per time performed $2,127.58
an average of $43.42 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
30
times performed,
0.15% of his services

22nd 6th

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

29
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$3,000.00an average of $100.00 per time performed $1,330.80
an average of $44.36 per time performed
medical
MEDICINE

Ambulatory continuous glucose (sugar) monitoring for a mi... +

Ambulatory continuous glucose (sugar) monitoring for a minimum of 72 hours ×

Service Code: 95250
Performed in an office
16
times performed,
0.08% of his services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

16
patients got this service, 0.96% of his patients
1
average number of visits a patient made for this service
$6,000.00an average of $375.00 per time performed $1,569.60
an average of $98.10 per time performed
medical
MEDICINE

Ambulatory continuous glucose (sugar) including interpret... +

Ambulatory continuous glucose (sugar) including interpretation and report for a minimum of 72 hours ×

Service Code: 95251
Performed in an office
13
times performed,
0.07% of his services

24th 71st

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

13
patients got this service, 0.78% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,300.00an average of $100.00 per time performed $361.79
an average of $27.83 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.

Maher Ghawji
Average for Endocrinology, Diabetes & Metabolism Providers in Tennessee

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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