Treatment Tracker

The Doctors and Services in Medicare Part B

Treatment Tracker » Missouri » Saint louis

STEPHEN PIEPER MD

450 N NEW BALLAS RD STE 270 W, SAINT LOUIS, MO, 63141 | (314) 991-6969

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $226 per patient in 2015.
They performed about 3 services per patient. Here’s how this provider compares.

Number of
Patients
1,181
Rank: 13th
out of 44 providers in this state & specialty
Services
Performed
5,360
Rank: 8th
out of 44 providers in this state & specialty
Avg Services
Per Patient
4.5 This Provider
Avg 3.4
Total Paid
by Medicare
$257K
Rank: 11th
out of 44 providers in this state & specialty
Avg Paid
Per Patient
$218 This Provider
Avg $226

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 81 different services in 2015
(47 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
medical
MEDICINE

Remote evaluations of defibrillator transmissions, techni... +

Remote evaluations of defibrillator transmissions, technician review, support and distribution of results up to 90 days ×

Service Code: 93296
Performed in an office
1,061
times performed,
20% of his services

1st 2nd

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

510
patients got this service, 43% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.7)
$65,569.80an average of $61.80 per time performed $18,556.89
an average of $17.49 per time performed
medical
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
738
times performed,
14% of his services

2nd 3rd

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

568
patients got this service, 48% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$34,479.36an average of $46.72 per time performed $8,701.02
an average of $11.79 per time performed
medical
MEDICINE

Remote evaluations of single, dual, or multiple lead pace... +

Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days ×

Service Code: 93294
Performed in an office
633
times performed,
12% of his services

3rd 4th

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

304
patients got this service, 26% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.6)
$47,886.45an average of $75.65 per time performed $14,521.02
an average of $22.94 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
540
times performed,
10% of his services

4th 5th

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

449
patients got this service, 38% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$77,673.60an average of $143.84 per time performed $27,567.00
an average of $51.05 per time performed
medical
MEDICINE

Evaluation, testing, and programming adjustment of perman... +

Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report ×

Service Code: 93280
Performed in an office
471
times performed,
9% of his services

5th 7th

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

347
patients got this service, 29% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$59,642.73an average of $126.63 per time performed $18,411.39
an average of $39.09 per time performed
medical
MEDICINE

Remote evaluations of defibrillator up to 90 days with an... +

Remote evaluations of defibrillator up to 90 days with analysis, review and report ×

Service Code: 93295
Performed in an office
434
times performed,
8% of his services

6th 6th

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

212
patients got this service, 18% of his patients
2
average number of visits a patient made for this service
(Peers: 1.8)
$64,019.34an average of $147.51 per time performed $20,176.66
an average of $46.49 per time performed
medical
MEDICINE

Evaluation, testing and programming adjustment of defibri... +

Evaluation, testing and programming adjustment of defibrillator with analysis, review and report ×

Service Code: 93283
Performed in an office
172
times performed,
3% of his services

7th 12th

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

118
patients got this service, 10% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$30,547.20an average of $177.60 per time performed $9,458.28
an average of $54.99 per time performed
medical
MEDICINE

Evaluation, testing, and programming adjustment of perman... +

Evaluation, testing, and programming adjustment of permanent single lead pacemaker system with physician analysis, review, and report ×

Service Code: 93279
Performed in an office
113
times performed,
2% of his services

8th 24th

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

79
patients got this service, 7% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$12,163.32an average of $107.64 per time performed $3,776.46
an average of $33.42 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
112
times performed,
2% of his services

9th 8th

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

108
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$23,808.96an average of $212.58 per time performed $8,986.88
an average of $80.24 per time performed
medical
MEDICINE

Evaluation, testing and programming adjustment of defibri... +

Evaluation, testing and programming adjustment of defibrillator with analysis, review and report ×

Service Code: 93284
Performed in an office
112
times performed,
2% of his services

10th 14th

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

82
patients got this service, 7% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$21,627.20an average of $193.10 per time performed $6,855.52
an average of $61.21 per time performed
medical
MEDICINE

Remote evaluations of implantable heart recorder system i... +

Remote evaluations of implantable heart recorder system including physician analysis, review, and report up to 30 days ×

Service Code: 93298
Performed in an office
95
times performed,
2% of his services

11th 15th

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

48
patients got this service, 4% of his patients
2
average number of visits a patient made for this service
(Peers: 3.1)
$5,643.00an average of $59.40 per time performed $1,769.85
an average of $18.63 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
73
times performed,
1% of his services

12th 9th

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

46
patients got this service, 4% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.8)
$10,671.14an average of $146.18 per time performed $4,133.26
an average of $56.62 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
69
times performed,
1% of his services

13th 53rd

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

69
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,678.18an average of $227.22 per time performed $5,173.62
an average of $74.98 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
59
times performed,
1% of his services

14th 26th

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

59
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$19,290.05an average of $326.95 per time performed $7,157.29
an average of $121.31 per time performed
medical
MEDICINE

Evaluation, testing and programming adjustment of defibri... +

Evaluation, testing and programming adjustment of defibrillator with analysis, review and report ×

Service Code: 93282
Performed in an office
57
times performed,
1% of his services

15th 22nd

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

32
patients got this service, 3% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.4)
$7,790.19an average of $136.67 per time performed $2,401.98
an average of $42.14 per time performed
medical
MEDICINE

Remote evaluations of implantable heart recorder system i... +

Remote evaluations of implantable heart recorder system including transmissions, technician review, support, and distribution of results up to 30 days ×

Service Code: 93299
Performed in an office
56
times performed,
1% of his services

16th 10th

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

37
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 4.6)
$14,840.00an average of $265.00 per time performed $5,699.68
an average of $101.78 per time performed
medical
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
47
times performed,
0.88% of his services

17th 20th

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

46
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,010.07an average of $276.81 per time performed $5,055.32
an average of $107.56 per time performed
medical
MEDICINE

Evaluation of implantable heart recorder system including... +

Evaluation of implantable heart recorder system including physician analysis, review, and report ×

Service Code: 93291
Performed in an office
41
times performed,
0.76% of his services

18th 63rd

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

26
patients got this service, 2% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$3,441.95an average of $83.95 per time performed $936.44
an average of $22.84 per time performed
medical
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
36
times performed,
0.67% of his services

19th 42nd

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

34
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$3,151.08an average of $87.53 per time performed $1,158.12
an average of $32.17 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of left heart electrode for pacing defibrillato... +

Insertion of left heart electrode for pacing defibrillator device ×

Service Code: 33225
Performed in a facility
30
times performed,
0.56% of his services

20th 39th

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)
$31,683.00an average of $1,056.10 per time performed $11,340.60
an average of $378.02 per time performed
medical
CARDIOVASCULAR SYSTEM

Implantation patient-activated heart monitoring device

Service Code: 33282
Performed in a facility
25
times performed,
0.47% of his services

21st 49th

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)
$14,544.00an average of $581.76 per time performed $4,524.75
an average of $180.99 per time performed
medical
CARDIOVASCULAR SYSTEM

Removal and replacement of dual lead permanent pacemaker ... +

Removal and replacement of dual lead permanent pacemaker pulse generator ×

Service Code: 33228
Performed in a facility
23
times performed,
0.43% of his services

22nd 52nd

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

23
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,017.97an average of $783.39 per time performed $6,228.17
an average of $270.79 per time performed
medical
MEDICINE

Evaluation of single or dual chamber pacing cardioverter-... +

Evaluation of single or dual chamber pacing cardioverter-defibrillator and generator at time of implantation or replacement ×

Service Code: 93641
Performed in a facility
22
times performed,
0.41% of his services

23rd 51st

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

22
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$24,962.96an average of $1,134.68 per time performed $3,086.82
an average of $140.31 per time performed
medical
MEDICINE

Evaluation, testing, and programming adjustment of perman... +

Evaluation, testing, and programming adjustment of permanent multiple lead pacemaker system with physician analysis, review, and report ×

Service Code: 93281
Performed in an office
22
times performed,
0.41% of his services

24th 57th

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

17
patients got this service, 1% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$2,332.00an average of $106.00 per time performed $765.82
an average of $34.81 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of new or replacement of permanent pacemaker in... +

Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes ×

Service Code: 33208
Performed in a facility
21
times performed,
0.39% of his services

25th 27th

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)
$25,214.91an average of $1,200.71 per time performed $8,359.47
an average of $398.07 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion or replacement of single or dual chamber pacing... +

Insertion or replacement of single or dual chamber pacing defibrillator leads ×

Service Code: 33249
Performed in a facility
21
times performed,
0.39% of his services

26th 37th

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)
$42,917.07an average of $2,043.67 per time performed $15,498.84
an average of $738.04 per time performed
medical
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 an office
17
times performed,
0.32% of his services

27th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

17
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$7,497.00an average of $441.00 per time performed $2,846.14
an average of $167.42 per time performed
medical
MEDICINE

Evaluation of defibrillator including connection, recordi... +

Evaluation of defibrillator including connection, recording and disconnection ×

Service Code: 93289
Performed in an office
16
times performed,
0.3% of his services

28th 65th

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$2,168.96an average of $135.56 per time performed $741.44
an average of $46.34 per time performed
medical
CARDIOVASCULAR SYSTEM

Removal and replacement of defibrillator pulse generator +

Removal and replacement of defibrillator pulse generator ×

Service Code: 33264
Performed in a facility
15
times performed,
0.28% of his services

29th 76th

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,516.05an average of $901.07 per time performed $4,574.70
an average of $304.98 per time performed
medical
MEDICINE

Evaluation of parameters of single, dual, or multiple lea... +

Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection ×

Service Code: 93288
Performed in an office
14
times performed,
0.26% of his services

30th 33rd

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$1,140.02an average of $81.43 per time performed $379.96
an average of $27.14 per time performed
medical
MEDICINE

Heart rhythm tracing of 48-hour ekg

Service Code: 93225
Performed in an office
12
times performed,
0.22% of his services

31st 35th

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

11
patients got this service, 0.93% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$624.00an average of $52.00 per time performed $243.12
an average of $20.26 per time performed
medical
MEDICINE

Heart rhythm tracing, analysis, and interpretation of 48-... +

Heart rhythm tracing, analysis, and interpretation of 48-hour ekg ×

Service Code: 93227
Performed in an office
12
times performed,
0.22% of his services

32nd 30th

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

11
patients got this service, 0.93% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$648.00an average of $54.00 per time performed $252.84
an average of $21.07 per time performed
medical
CARDIOVASCULAR SYSTEM

Removal of defibrillator pulse generator

Service Code: 33241
Performed in a facility
11
times performed,
0.21% of his services

33rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 0.93% of his patients
1
average number of visits a patient made for this service
$5,456.00an average of $496.00 per time performed $1,007.49
an average of $91.59 per time performed
medical
CARDIOVASCULAR SYSTEM

Removal and replacement of defibrillator pulse generator +

Removal and replacement of defibrillator pulse generator ×

Service Code: 33263
Performed in a facility
11
times performed,
0.21% of his services

34th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 0.93% of his patients
1
average number of visits a patient made for this service
$9,646.01an average of $876.91 per time performed $3,417.26
an average of $310.66 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.

Stephen J Pieper
Average for Clinical Cardiac Electrophysiology Providers in Missouri

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.