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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, $497 per patient in 2012.
They performed about 18 services per patient. Here’s how this provider compares.
Number of
Patients
822
Rank: 5th
out of 90 providers in this state & specialty
Services
Performed
19,062
Rank: 13th
out of 90 providers in this state & specialty
Avg Services
Per Patient
23.2 This Provider
Avg 17.7
Total Paid
by Medicare
$951K
Rank: 4th
out of 90 providers in this state & specialty
Avg Paid
Per Patient
$1,157 This Provider
Avg $497

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.

Steven Maestrello
Average for Rheumatology Providers in Virginia

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.

This Provider's Services

This provider performed 23 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
DRUGS

Injection, infliximab (remicade), 10 mg

Service Code: J1745
Performed in an office
11,775
times performed,
62% of his services

1st 2nd

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

70
patients got this service, 9% of his patients
3.5
average number of visits a patient made for this service
(Peers: 5)
$1,436,550an average of $122 per time performed $600,525
an average of $51 per time performed
DRUGS

Injection, denosumab (prolia, xgeva), 1 mg

Service Code: J0897
Performed in an office
2,101
times performed,
11% of his services

2nd 6th

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

24
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$42,020an average of $20 per time performed $23,111
an average of $11 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
1,709
times performed,
9% of his services

3rd 5th

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

635
patients got this service, 77% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.4)
$254,641an average of $149 per time performed $124,757
an average of $73 per time performed
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
583
times performed,
3% of his services

4th 18th

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

78
patients got this service, 9% of his patients
3.4
average number of visits a patient made for this service
(Peers: 4.2)
$43,142an average of $74 per time performed $13,992
an average of $24 per time performed
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
568
times performed,
3% of his services

5th 11th

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

202
patients got this service, 25% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.9)
$78,384an average of $138 per time performed $23,856
an average of $42 per time performed
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
526
times performed,
3% of his services

6th 17th

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

233
patients got this service, 28% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$4,208an average of $8 per time performed $1,578
an average of $3 per time performed
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
352
times performed,
2% of his services

7th 29th

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

214
patients got this service, 26% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.7)
$112,288an average of $319 per time performed $55,968
an average of $159 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
352
times performed,
2% of his services

8th 14th

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

94
patients got this service, 11% of his patients
3.7
average number of visits a patient made for this service
(Peers: 5.5)
$117,216an average of $333 per time performed $38,016
an average of $108 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
210
times performed,
1% of his services

9th 7th

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

157
patients got this service, 19% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$18,690an average of $89 per time performed $10,290
an average of $49 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
190
times performed,
1% of his services

10th 21st

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

190
patients got this service, 23% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,400an average of $60 per time performed $1,900
an average of $10 per time performed
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
132
times performed,
0.69% of his services

11th 20th

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

132
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$31,680an average of $240 per time performed $15,576
an average of $118 per time performed
DRUGS

Injection, zoledronic acid (reclast), 1 mg

Service Code: J3488
Performed in an office
110
times performed,
0.58% of his services

12th 23rd

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

22
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$38,170an average of $347 per time performed $19,690
an average of $179 per time performed
RADIOLOGY

Ultrasound of arm or leg

Service Code: 76882
Performed in an office
99
times performed,
0.52% of his services

13th Alert

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

70
patients got this service, 9% of his patients
1.4
average number of visits a patient made for this service
$5,148an average of $52 per time performed $2,673
an average of $27 per time performed
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
84
times performed,
0.44% of his services

14th 28th

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

63
patients got this service, 8% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$17,472an average of $208 per time performed $8,316
an average of $99 per time performed
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
56
times performed,
0.29% of his services

15th Alert

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

12
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
$392an average of $7 per time performed $0
an average of $0 per time performed
MEDICINE

Injection of different drug or substance into a vein for ... +

Injection of different drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96375
Performed in an office
42
times performed,
0.22% of his services

16th Alert

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

15
patients got this service, 2% of his patients
1.9
average number of visits a patient made for this service
$2,142an average of $51 per time performed $756
an average of $18 per time performed
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of medium joint or joint capsule +

Aspiration and/or injection of medium joint or joint capsule ×

Service Code: 20605
Performed in an office
38
times performed,
0.2% of his services

17th 43rd

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

24
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$4,484an average of $118 per time performed $1,178
an average of $31 per time performed
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of small joint or joint capsule +

Aspiration and/or injection of small joint or joint capsule ×

Service Code: 20600
Performed in an office
34
times performed,
0.18% of his services

18th 40th

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

27
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$3,638an average of $107 per time performed $1,190
an average of $35 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
31
times performed,
0.16% of his services

19th 33rd

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

24
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$1,116an average of $36 per time performed $558
an average of $18 per time performed
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour ×

Service Code: 96365
Performed in an office
21
times performed,
0.11% of his services

20th 59th

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

21
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,108an average of $148 per time performed $1,197
an average of $57 per time performed
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
19
times performed,
0.1% of his services

21st 31st

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

19
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,795an average of $305 per time performed $2,964
an average of $156 per time performed
MEDICINE

Non-hormonal anti-neoplastic chemotherapy beneath the ski... +

Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle ×

Service Code: 96401
Performed in an office
17
times performed,
0.09% of his services

22nd 46th

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

11
patients got this service, 1% of his patients
1.5
average number of visits a patient made for this service
(Peers: 4.2)
$2,074an average of $122 per time performed $969
an average of $57 per time performed
DRUGS

Infusion, normal saline solution , 1000 cc

Service Code: J7030
Performed in an office
13
times performed,
0.07% of his services

23rd Alert

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

11
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
$143an average of $11 per time performed $13
an average of $1 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 "Rheumatology." 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.


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