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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, $233 per patient in 2012.
They performed about 6 services per patient. Here’s how this provider compares.
Number of
Patients
1,567
Rank: 32nd
out of 2,711 providers in this state & specialty
Services
Performed
10,483
Rank: 165th
out of 2,711 providers in this state & specialty
Avg Services
Per Patient
6.7 This Provider
Avg 5.9
Total Paid
by Medicare
$271K
Rank: 188th
out of 2,711 providers in this state & specialty
Avg Paid
Per Patient
$173 This Provider
Avg $233

Office Visits

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Top Billing

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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.

Rufus S. Lefler
Average for Internal Medicine 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

JOHN GREEN

PETER GUSMER

WADE WILKERSON

PAUL D'AMICO

NALIN MEHTA

Organizations

STANLY REGIONAL MEDICAL...

LABORATORY CORPORATION ...

Patients saw before

Rufus S. Lefler

Patients saw after

Individuals

PETER GUSMER

WADE WILKERSON

JOHN GREEN

CORWIN RANKIN

KEITH HANDLER

Organizations

STANLY REGIONAL MEDICAL...

LABORATORY CORPORATION ...

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
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
2,279
times performed,
22% of his services

1st 3rd

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

670
patients got this service, 43% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.3)
$6,837an average of $3 per time performed $6,837
an average of $3 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
2,034
times performed,
19% of his services

2nd 1st

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

670
patients got this service, 43% of his patients
3
average number of visits a patient made for this service
(Peers: 2.4)
$203,400an average of $100 per time performed $132,210
an average of $65 per time performed
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
1,459
times performed,
14% of his services

3rd 20th

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

928
patients got this service, 59% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$36,475an average of $25 per time performed $8,754
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
892
times performed,
9% of his services

4th 8th

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

92
patients got this service, 6% of his patients
9.7
average number of visits a patient made for this service
(Peers: 5.5)
$5,352an average of $6 per time performed $4,460
an average of $5 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
876
times performed,
8% of his services

5th 16th

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

136
patients got this service, 9% of his patients
6.4
average number of visits a patient made for this service
(Peers: 3.3)
$16,644an average of $19 per time performed $11,388
an average of $13 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
827
times performed,
8% of his services

6th 2nd

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

391
patients got this service, 25% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.1)
$56,236an average of $68 per time performed $38,869
an average of $47 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
269
times performed,
3% of his services

7th 18th

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

38
patients got this service, 2% of his patients
7.1
average number of visits a patient made for this service
(Peers: 3)
$6,187an average of $23 per time performed $4,304
an average of $16 per time performed
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
247
times performed,
2% of his services

8th 35th

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

30
patients got this service, 2% of his patients
8.2
average number of visits a patient made for this service
(Peers: 4.7)
$0an average of $0 per time performed $0
an average of $0 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
235
times performed,
2% of his services

9th 4th

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

68
patients got this service, 4% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.3)
$15,980an average of $68 per time performed $12,455
an average of $53 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81000
Performed in an office
200
times performed,
2% of his services

10th 74th

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

139
patients got this service, 9% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$1,000an average of $5 per time performed $800
an average of $4 per time performed
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
115
times performed,
1% of his services

11th 5th

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

47
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.1)
$11,155an average of $97 per time performed $8,855
an average of $77 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in a facility
115
times performed,
1% of his services

12th 47th

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

32
patients got this service, 2% of his patients
3.6
average number of visits a patient made for this service
(Peers: 2.9)
$7,360an average of $64 per time performed $5,060
an average of $44 per time performed
MEDICINE

Routine electrocardiogram (ekg) with tracing using at lea... +

Routine electrocardiogram (ekg) with tracing using at least 12 leads ×

Service Code: 93005
Performed in an office
99
times performed,
0.94% of his services

13th 117th

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

84
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$990an average of $10 per time performed $693
an average of $7 per time performed
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in an office
99
times performed,
0.94% of his services

14th 95th

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

84
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$792an average of $8 per time performed $594
an average of $6 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
89
times performed,
0.85% of his services

15th 29th

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

69
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$6,052an average of $68 per time performed $4,717
an average of $53 per time performed
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in a facility
85
times performed,
0.81% of his services

16th 125th

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

83
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$25,330an average of $298 per time performed $4,250
an average of $50 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in a facility
76
times performed,
0.72% of his services

17th 60th

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

44
patients got this service, 3% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.8)
$6,384an average of $84 per time performed $4,560
an average of $60 per time performed
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per certification period ×

Service Code: G0180
Performed in an office
61
times performed,
0.58% of his services

18th 84th

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

50
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$3,050an average of $50 per time performed $2,257
an average of $37 per time performed
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
59
times performed,
0.56% of his services

19th 83rd

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

33
patients got this service, 2% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.4)
$354an average of $6 per time performed $236
an average of $4 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
55
times performed,
0.52% of his services

20th 11th

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

44
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$10,340an average of $188 per time performed $7,920
an average of $144 per time performed
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring and physician supervision ×

Service Code: 93016
Performed in a facility
49
times performed,
0.47% of his services

21st 203rd

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)
$9,849an average of $201 per time performed $784
an average of $16 per time performed
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report ×

Service Code: 93018
Performed in a facility
49
times performed,
0.47% of his services

22nd 178th

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)
$9,555an average of $195 per time performed $539
an average of $11 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
33
times performed,
0.31% of his services

23rd 71st

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

33
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$660an average of $20 per time performed $660
an average of $20 per time performed
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
32
times performed,
0.31% of his services

24th 68th

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)
$1,728an average of $54 per time performed $1,728
an average of $54 per time performed
PATHOLOGY AND LABORATORY

Stool analysis for blood to screen for colon tumors

Service Code: 82270
Performed in an office
29
times performed,
0.28% of his services

25th 99th

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)
$145an average of $5 per time performed $145
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Skin test for tuberculosis

Service Code: 86580
Performed in an office
25
times performed,
0.24% of his services

26th 346th

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: 1.1)
$175an average of $7 per time performed $125
an average of $5 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
22
times performed,
0.21% of his services

27th 88th

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

22
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,200an average of $100 per time performed $1,364
an average of $62 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
21
times performed,
0.2% of his services

28th 59th

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

18
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$1,428an average of $68 per time performed $1,092
an average of $52 per time performed
MEDICINE

Measurement and graphic recording of total and timed exha... +

Measurement and graphic recording of total and timed exhaled air capacity ×

Service Code: 94010
Performed in an office
19
times performed,
0.18% of his services

29th 129th

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

19
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$646an average of $34 per time performed $437
an average of $23 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
18
times performed,
0.17% of his services

30th 48th

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

18
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,304an average of $128 per time performed $1,854
an average of $103 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
15
times performed,
0.14% of his services

31st 61st

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

15
patients got this service, 0.96% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,550an average of $170 per time performed $1,905
an average of $127 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 "Internal Medicine." 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.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.