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, $193 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
289
Rank: 5th
out of 25 providers in this state & specialty
Services
Performed
2,701
Rank: 6th
out of 25 providers in this state & specialty
Avg Services
Per Patient
9.3 This Provider
Avg 6.7
Total Paid
by Medicare
$58.6K
Rank: 5th
out of 25 providers in this state & specialty
Avg Paid
Per Patient
$203 This Provider
Avg $193

Note: About 30% 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 48 different services in 2015
(37 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

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
1,680
times performed,
62% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

25
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
$57,120.00an average of $34.00 per time performed $16,783.20
an average of $9.99 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
203
times performed,
8% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

152
patients got this service, 53% of his patients
1.2
average number of visits a patient made for this service
$4,466.00an average of $22.00 per time performed $980.49
an average of $4.83 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
200
times performed,
7% of his services

3rd 7th

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

200
patients got this service, 69% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$35,800.00an average of $179.00 per time performed $14,284.00
an average of $71.42 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
179
times performed,
7% of his services

4th 6th

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

146
patients got this service, 51% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$36,363.85an average of $203.15 per time performed $8,291.28
an average of $46.32 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
155
times performed,
6% of his services

5th 3rd

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

117
patients got this service, 40% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$18,445.00an average of $119.00 per time performed $7,684.90
an average of $49.58 per time performed
medical
RADIOLOGY

X-ray of knee, 4 or more views

Service Code: 73564
Performed in an office
49
times performed,
2% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

46
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
$4,081.21an average of $83.29 per time performed $859.46
an average of $17.54 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
39
times performed,
1% of his services

7th 12th

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

32
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$2,125.11an average of $54.49 per time performed $430.56
an average of $11.04 per time performed
medical

Aspiration and/or injection of major joint or joint capsu... +

Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance ×

Service Code: 20611
Performed in an office
31
times performed,
1% of his services

8th 5th

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

28
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.3)
$6,118.47an average of $197.37 per time performed $2,108.31
an average of $68.01 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
21
times performed,
0.78% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

20
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
$231.00an average of $11.00 per time performed $53.55
an average of $2.55 per time performed
medical
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
16
times performed,
0.59% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

16
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$698.08an average of $43.63 per time performed $182.88
an average of $11.43 per time performed
medical
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
13
times performed,
0.48% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$836.94an average of $64.38 per time performed $206.57
an average of $15.89 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.

Eric M Gifford
Average for Sports Medicine 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.

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