Treatment Tracker

The Doctors and Services in Medicare Part B

This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $2,413 per patient in 2015.
They performed about 22 services per patient. Here’s how this provider compares.

Number of
Patients
334
Rank: 27th
out of 267 providers in this state & specialty
Services
Performed
24,707
Rank: 5th
out of 267 providers in this state & specialty
Avg Services
Per Patient
74 This Provider is in the top 10%
Avg 22.1
Total Paid
by Medicare
$1.7M
Rank: 13th
out of 267 providers in this state & specialty
Avg Paid
Per Patient
$5,098 This Provider
Avg $2,413

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 Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 82 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
drug
TEMPORARY CODES

Low osmolar contrast material, 300-399 mg/ml iodine conce... +

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ×

Service Code: Q9967
Performed in an office
15,400
times performed,
62% of his services

1st 1st

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

115
patients got this service, 34% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$46,200.00an average of $3.00 per time performed $1,848.00
an average of $0.12 per time performed
medical

Intensity modulated treatment delivery, single or multipl... +

Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session ×

Service Code: G6015
Performed in an office
2,123
times performed,
9% of his services

2nd 2nd

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

91
patients got this service, 27% of his patients
23.3
average number of visits a patient made for this service
(Peers: 21.7)
$5,777,935.57an average of $2,721.59 per time performed $673,458.06
an average of $317.22 per time performed
medical
RADIOLOGY

Calculation of radiation therapy dose

Service Code: 77300
Performed in an office
1,086
times performed,
4% of his services

3rd 5th

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

128
patients got this service, 38% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$395,944.74an average of $364.59 per time performed $54,245.70
an average of $49.95 per time performed
medical

Stereoscopic x-ray guidance for localization of target vo... +

Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy ×

Service Code: G6002
Performed in an office
1,058
times performed,
4% of his services

4th 4th

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

56
patients got this service, 17% of his patients
18.9
average number of visits a patient made for this service
(Peers: 12.7)
$680,643.14an average of $643.33 per time performed $62,771.14
an average of $59.33 per time performed
medical
RADIOLOGY

Ct scan guidance for insertion of radiation therapy fields +

Ct scan guidance for insertion of radiation therapy fields ×

Service Code: 77014
Performed in an office
1,021
times performed,
4% of his services

5th 3rd

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

50
patients got this service, 15% of his patients
20.4
average number of visits a patient made for this service
(Peers: 18.2)
$624,249.61an average of $611.41 per time performed $94,830.48
an average of $92.88 per time performed
medical
RADIOLOGY

Radiation therapy consultation per week

Service Code: 77336
Performed in an office
546
times performed,
2% of his services

6th 8th

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

130
patients got this service, 39% of his patients
4.2
average number of visits a patient made for this service
(Peers: 4.4)
$187,278.00an average of $343.00 per time performed $33,540.78
an average of $61.43 per time performed
medical
RADIOLOGY

Radiation treatment management, 5 treatments

Service Code: 77427
Performed in an office
503
times performed,
2% of his services

7th 6th

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

111
patients got this service, 33% of his patients
4.5
average number of visits a patient made for this service
(Peers: 4.6)
$536,701.00an average of $1,067.00 per time performed $73,116.08
an average of $145.36 per time performed
medical
RADIOLOGY

Radiation treatment devices, design and construction, com... +

Radiation treatment devices, design and construction, complex ×

Service Code: 77334
Performed in an office
353
times performed,
1% of his services

8th 10th

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

134
patients got this service, 40% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$227,003.71an average of $643.07 per time performed $37,866.31
an average of $107.27 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
272
times performed,
1% of his services

9th 19th

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

176
patients got this service, 53% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$41,344.00an average of $152.00 per time performed $15,014.40
an average of $55.20 per time performed
medical

Radiation treatment delivery,3 or more separate treatment... +

Radiation treatment delivery,3 or more separate treatment areas, custom blocking, tangential ports, wedges, rotational beam, compensators, electron beam; 11-19mev ×

Service Code: G6013
Performed in an office
251
times performed,
1% of his services

10th 7th

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

17
patients got this service, 5% of his patients
14.7
average number of visits a patient made for this service
(Peers: 14.3)
$155,474.42an average of $619.42 per time performed $51,382.21
an average of $204.71 per time performed
medical
RADIOLOGY

Management of radiation therapy, complex

Service Code: 77263
Performed in an office
141
times performed,
0.57% of his services

11th 18th

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

129
patients got this service, 39% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$144,102.00an average of $1,022.00 per time performed $18,060.69
an average of $128.09 per time performed
medical
RADIOLOGY

Design and construction of device for radiation therapy

Service Code: 77338
Performed in an office
126
times performed,
0.51% of his services

12th 21st

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

98
patients got this service, 29% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$331,245.18an average of $2,628.93 per time performed $49,691.88
an average of $394.38 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
110
times performed,
0.45% of his services

13th 28th

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

110
patients got this service, 33% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$48,950.00an average of $445.00 per time performed $17,296.40
an average of $157.24 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
109
times performed,
0.44% of his services

14th 52nd

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

81
patients got this service, 24% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$9,919.00an average of $91.00 per time performed $3,402.98
an average of $31.22 per time performed
medical
RADIOLOGY

Management of radiation therapy simulation, simple

Service Code: 77280
Performed in an office
108
times performed,
0.44% of his services

15th 16th

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

82
patients got this service, 25% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$70,749.72an average of $655.09 per time performed $23,191.92
an average of $214.74 per time performed
medical
RADIOLOGY

Management of modulation radiotherapy planning

Service Code: 77301
Performed in an office
107
times performed,
0.43% of his services

16th 27th

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

97
patients got this service, 29% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$683,554.52an average of $6,388.36 per time performed $161,236.16
an average of $1,506.88 per time performed
medical
RADIOLOGY

Stereotactic body radiation therapy 1 or more lesions usi... +

Stereotactic body radiation therapy 1 or more lesions using imaging guidance ×

Service Code: 77373
Performed in an office
107
times performed,
0.43% of his services

17th 53rd

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

28
patients got this service, 8% of his patients
3.8
average number of visits a patient made for this service
(Peers: 4.4)
$878,470.00an average of $8,210.00 per time performed $113,670.38
an average of $1,062.34 per time performed
medical
RADIOLOGY

Management of radiation therapy, simulation, complex

Service Code: 77290
Performed in an office
94
times performed,
0.38% of his services

18th 17th

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

83
patients got this service, 25% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$112,800.00an average of $1,200.00 per time performed $37,830.30
an average of $402.45 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
88
times performed,
0.36% of his services

19th 22nd

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

63
patients got this service, 19% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$1,760.00an average of $20.00 per time performed $258.72
an average of $2.94 per time performed
medical
RADIOLOGY

Special radiation treatment procedure

Service Code: 77470
Performed in an office
82
times performed,
0.33% of his services

20th 34th

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

78
patients got this service, 23% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$147,026.00an average of $1,793.00 per time performed $9,889.20
an average of $120.60 per time performed
medical

Respiratory motion management simulation

Service Code: 77293
Performed in an office
51
times performed,
0.21% of his services

21st 68th

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

46
patients got this service, 14% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$92,908.23an average of $1,821.73 per time performed $18,399.27
an average of $360.77 per time performed
medical
PATHOLOGY AND LABORATORY

Blood creatinine level

Service Code: 82565
Performed in an office
47
times performed,
0.19% of his services

22nd 64th

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

40
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$1,457.00an average of $31.00 per time performed $309.26
an average of $6.58 per time performed
medical
RADIOLOGY

Ct scan chest with contrast

Service Code: 71260
Performed in an office
42
times performed,
0.17% of his services

23rd 66th

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

33
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$34,482.00an average of $821.00 per time performed $4,906.02
an average of $116.81 per time performed
medical
RADIOLOGY

Radiation therapy consultation

Service Code: 77370
Performed in an office
38
times performed,
0.15% of his services

24th 55th

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

32
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$15,276.00an average of $402.00 per time performed $3,548.82
an average of $93.39 per time performed
medical
RADIOLOGY

Nuclear medicine study with ct imaging skull base to mid-... +

Nuclear medicine study with ct imaging skull base to mid-thigh ×

Service Code: 78815
Performed in an office
37
times performed,
0.15% of his services

25th 47th

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

32
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$170,618.10an average of $4,611.30 per time performed $36,051.32
an average of $974.36 per time performed
medical
ADMINISTRATIVE

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, ... +

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ×

Service Code: A9552
Performed in an office
35
times performed,
0.14% of his services

26th 44th

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

30
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$22,995.00an average of $657.00 per time performed $3,235.05
an average of $92.43 per time performed
medical
RADIOLOGY

Management of radiation therapy, 3d

Service Code: 77295
Performed in an office
30
times performed,
0.12% of his services

27th 33rd

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

26
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$131,220.00an average of $4,374.00 per time performed $11,635.80
an average of $387.86 per time performed
medical
RADIOLOGY

Therapeutic radiology port films

Service Code: 77417
Performed in an office
29
times performed,
0.12% of his services

28th 20th

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

17
patients got this service, 5% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.8)
$3,654.00an average of $126.00 per time performed $247.37
an average of $8.53 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: 85025
Performed in an office
28
times performed,
0.11% of his services

29th 37th

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

20
patients got this service, 6% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.8)
$1,008.00an average of $36.00 per time performed $290.36
an average of $10.37 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
25
times performed,
0.1% of his services

30th 54th

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

19
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$1,600.00an average of $64.00 per time performed $342.75
an average of $13.71 per time performed
medical
RADIOLOGY

Radiation treatment devices, design and construction, com... +

Radiation treatment devices, design and construction, complex ×

Service Code: 77334
Performed in a facility
25
times performed,
0.1% of his services

31st 15th

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

11
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$8,275.00an average of $331.00 per time performed $1,256.50
an average of $50.26 per time performed
medical
RADIOLOGY

Ct scan of neck with contrast

Service Code: 70491
Performed in an office
21
times performed,
0.08% of his services

32nd 104th

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

12
patients got this service, 4% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.2)
$13,818.00an average of $658.00 per time performed $2,563.26
an average of $122.06 per time performed
medical
RADIOLOGY

Stereotactic radiation treatment management of 1 or more ... +

Stereotactic radiation treatment management of 1 or more lesions using imaging guidance, per treatment course ×

Service Code: 77435
Performed in an office
19
times performed,
0.08% of his services

33rd 72nd

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

18
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$68,571.00an average of $3,609.00 per time performed $8,632.27
an average of $454.33 per time performed
medical
RADIOLOGY

Management of radiation therapy, complex

Service Code: 77263
Performed in a facility
13
times performed,
0.05% of his services

34th 24th

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

12
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$13,286.00an average of $1,022.00 per time performed $1,684.28
an average of $129.56 per time performed
medical
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
11
times performed,
0.04% of his services

35th 75th

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

11
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,664.00an average of $424.00 per time performed $1,757.58
an average of $159.78 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.

This provider did not bill Medicare for any 5’s.

1234512345
Ryan Menzies Tierney
Average for Radiation Oncology Providers in Texas

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 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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