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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, $675 per patient in 2014.
They performed about 37 services per patient. Here’s how this provider compares.
Number of
Patients
957
Rank: 5th
out of 101 providers in this state & specialty
Services
Performed
106,453
Rank: 4th
out of 101 providers in this state & specialty
Avg Services
Per Patient
111.2 This Provider is in the top 10%
Avg 37.4
Total Paid
by Medicare
$2.05M
Rank: 4th
out of 101 providers in this state & specialty
Avg Paid
Per Patient
$2,147 This Provider is in the top 10%
Avg $675

Note: About 83% 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.

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 in 2014.

This Provider's Services

This provider performed 63 different services in 2014
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, tocilizumab, 1 mg

Service Code: J3262
Performed in an office
56,810
times performed,
53% of his services

1st 1st

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

14
patients got this service, 1% of his patients
6.6
average number of visits a patient made for this service
(Peers: 6.9)
$340,860an average of $6 per time performed $150,547
an average of $3 per time performed
drug
DRUGS

Injection infliximab, 10 mg

Service Code: J1745
Performed in an office
20,605
times performed,
19% of his services

2nd 3rd

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

74
patients got this service, 8% of his patients
5.5
average number of visits a patient made for this service
(Peers: 5.1)
$2,513,810an average of $122 per time performed $1,142,135
an average of $55 per time performed
drug
DRUGS

Injection, abatacept, 10 mg (code may be used for medicar... +

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ×

Service Code: J0129
Performed in an office
5,400
times performed,
5% of his services

3rd 4th

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

12
patients got this service, 1% of his patients
6.4
average number of visits a patient made for this service
(Peers: 7)
$201,906an average of $37 per time performed $118,746
an average of $22 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
2,366
times performed,
2% of his services

4th 6th

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

830
patients got this service, 87% of his patients
2.9
average number of visits a patient made for this service
(Peers: 2.3)
$387,929an average of $164 per time performed $175,581
an average of $74 per time performed
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
2,220
times performed,
2% of his services

5th 5th

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

23
patients got this service, 2% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$44,400an average of $20 per time performed $24,797
an average of $11 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
947
times performed,
0.89% of his services

6th 17th

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

84
patients got this service, 9% of his patients
5.3
average number of visits a patient made for this service
(Peers: 4.3)
$70,078an average of $74 per time performed $19,925
an average of $21 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
619
times performed,
0.58% of his services

7th 14th

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

109
patients got this service, 11% of his patients
5.7
average number of visits a patient made for this service
(Peers: 5.4)
$206,127an average of $333 per time performed $61,399
an average of $99 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
560
times performed,
0.53% of his services

8th 10th

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

238
patients got this service, 25% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2)
$77,280an average of $138 per time performed $22,462
an average of $40 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
546
times performed,
0.51% of his services

9th 19th

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

258
patients got this service, 27% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$4,368an average of $8 per time performed $1,234
an average of $2 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
354
times performed,
0.33% of his services

10th 25th

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

218
patients got this service, 23% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.8)
$112,218an average of $317 per time performed $19,353
an average of $55 per time performed
drug
DRUGS

Infusion, normal saline solution , 1000 cc

Service Code: J7030
Performed in an office
168
times performed,
0.16% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

70
patients got this service, 7% of his patients
2.4
average number of visits a patient made for this service
$1,848an average of $11 per time performed $151
an average of $1 per time performed
medical
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
132
times performed,
0.12% of his services

12th 24th

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

15
patients got this service, 2% of his patients
8.5
average number of visits a patient made for this service
(Peers: 2.4)
$16,104an average of $122 per time performed $7,224
an average of $55 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
125
times performed,
0.12% of his services

13th 27th

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

125
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,500an average of $60 per time performed $1,246
an average of $10 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
112
times performed,
0.11% of his services

14th 32nd

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

90
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$25,648an average of $229 per time performed $11,219
an average of $100 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
106
times performed,
0.1% of his services

15th 22nd

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

106
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$25,440an average of $240 per time performed $12,657
an average of $119 per time performed
drug
NA

Injection, zoledronic acid, 1 mg

Service Code: J3489
Performed in an office
95
times performed,
0.09% of his services

16th 21st

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)
$26,765an average of $282 per time performed $5,079
an average of $53 per time performed
medical
RADIOLOGY

Ultrasound of arm or leg

Service Code: 76882
Performed in an office
86
times performed,
0.08% of his services

17th 42nd

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

68
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$4,300an average of $50 per time performed $2,342
an average of $27 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
86
times performed,
0.08% of his services

18th 20th

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

34
patients got this service, 4% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.6)
$3,096an average of $36 per time performed $1,661
an average of $19 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
80
times performed,
0.08% of his services

19th 7th

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

56
patients got this service, 6% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.8)
$7,840an average of $98 per time performed $3,727
an average of $47 per time performed
medical
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
72
times performed,
0.07% of his services

20th 62nd

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

21
patients got this service, 2% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2.8)
$3,672an average of $51 per time performed $1,194
an average of $17 per time performed
medical
RADIOLOGY

Ultrasound of leg or arm

Service Code: 76881
Performed in an office
68
times performed,
0.06% of his services

21st 75th

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

62
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$12,308an average of $181 per time performed $6,091
an average of $90 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
46
times performed,
0.04% of his services

22nd 9th

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

27
patients got this service, 3% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.4)
$552an average of $12 per time performed $69
an average of $2 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
44
times performed,
0.04% of his services

23rd 15th

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

27
patients got this service, 3% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.3)
$1,628an average of $37 per time performed $301
an average of $7 per time performed
medical
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
42
times performed,
0.04% of his services

24th 46th

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

27
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$4,494an average of $107 per time performed $1,247
an average of $30 per time performed
medical
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,
0.04% of his services

25th 47th

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

24
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$4,484an average of $118 per time performed $1,091
an average of $29 per time performed
medical
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85027
Performed in an office
38
times performed,
0.04% of his services

26th 39th

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

23
patients got this service, 2% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.2)
$684an average of $18 per time performed $142
an average of $4 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement c-reactive protein for detection of infection... +

Measurement c-reactive protein for detection of infection or inflammation ×

Service Code: 86140
Performed in an office
37
times performed,
0.03% of his services

27th 23rd

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

21
patients got this service, 2% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.1)
$814an average of $22 per time performed $119
an average of $3 per time performed
drug
DRUGS

Injection, diphenhydramine hcl, up to 50 mg

Service Code: J1200
Performed in an office
36
times performed,
0.03% of his services

28th 107th

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

13
patients got this service, 1% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.3)
$72an average of $2 per time performed $15
an average of $0 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85652
Performed in an office
34
times performed,
0.03% of his services

29th 28th

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

19
patients got this service, 2% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.7)
$442an average of $13 per time performed $52
an average of $2 per time performed
drug
DRUGS

Injection, methylprednisolone sodium succinate, up to 125 mg +

Injection, methylprednisolone sodium succinate, up to 125 mg ×

Service Code: J2930
Performed in an office
29
times performed,
0.03% of his services

30th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
2.6
average number of visits a patient made for this service
$174an average of $6 per time performed $63
an average of $2 per time performed
medical
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
18
times performed,
0.02% of his services

31st 51st

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,664an average of $148 per time performed $950
an average of $53 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
15
times performed,
0.01% of his services

32nd 54th

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,250an average of $150 per time performed $1,106
an average of $74 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
15
times performed,
0.01% of his services

33rd 29th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.7)
$255an average of $17 per time performed $50
an average of $3 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
12
times performed,
0.01% of his services

34th 43rd

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,660an average of $305 per time performed $1,913
an average of $159 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.

Steven Maestrello
Average for Rheumatology Providers in Virginia

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 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.

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.

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