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, $417 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
1,070
Rank: 181st
out of 635 providers in this state & specialty
Services
Performed
9,169
Rank: 40th
out of 635 providers in this state & specialty
Avg Services
Per Patient
8.6 This Provider
Avg 4.4
Total Paid
by Medicare
$390K
Rank: 154th
out of 635 providers in this state & specialty
Avg Paid
Per Patient
$364 This Provider
Avg $417

Note: About 10% 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 66 different services in 2015
(44 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
EYE

Removal of cataract with insertion of lens

Service Code: 66984
Performed in a facility
3,991
times performed,
44% of his services

1st 4th

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

142
patients got this service, 13% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$172,012.10an average of $43.10 per time performed $111,269.08
an average of $27.88 per time performed
medical
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits ×

Service Code: 92014
Performed in an office
918
times performed,
10% of his services

2nd 1st

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

743
patients got this service, 69% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$109,600.02an average of $119.39 per time performed $72,962.64
an average of $79.48 per time performed
medical
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, established patient ×

Service Code: 92012
Performed in an office
410
times performed,
4% of his services

3rd 2nd

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

226
patients got this service, 21% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.6)
$33,402.70an average of $81.47 per time performed $22,636.10
an average of $55.21 per time performed
medical
MEDICINE

Diagnostic imaging of retina

Service Code: 92134
Performed in an office
342
times performed,
4% of his services

4th 3rd

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

182
patients got this service, 17% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.1)
$15,738.84an average of $46.02 per time performed $11,063.70
an average of $32.35 per time performed
medical
MEDICINE

Measurement of corneal curvature and depth of eye

Service Code: 92136
Performed in an office
251
times performed,
3% of his services

5th 14th

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

149
patients got this service, 14% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.3)
$15,745.23an average of $62.73 per time performed $11,114.28
an average of $44.28 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
204
times performed,
2% of his services

6th 24th

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

204
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$33,050.04an average of $162.01 per time performed $22,968.36
an average of $112.59 per time performed
medical
EYE

Injection of drug into eye

Service Code: 67028
Performed in an office
178
times performed,
2% of his services

7th 7th

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

46
patients got this service, 4% of his patients
3.9
average number of visits a patient made for this service
(Peers: 4.3)
$18,314.42an average of $102.89 per time performed $13,259.22
an average of $74.49 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, bevacizumab, 10 mg

Service Code: J9035
Performed in an office
138
times performed,
2% of his services

8th 17th

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

36
patients got this service, 3% of his patients
3.8
average number of visits a patient made for this service
(Peers: 3.7)
$11,040.00an average of $80.00 per time performed $7,262.94
an average of $52.63 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
110
times performed,
1% of his services

9th 27th

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

55
patients got this service, 5% of his patients
2
average number of visits a patient made for this service
(Peers: 1.4)
$4,623.30an average of $42.03 per time performed $3,556.30
an average of $32.33 per time performed
medical
EYE

Removal of recurring cataract in lens capsule using laser +

Removal of recurring cataract in lens capsule using laser ×

Service Code: 66821
Performed in a facility
89
times performed,
0.97% of his services

10th 37th

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

62
patients got this service, 6% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$31,235.44an average of $350.96 per time performed $20,748.57
an average of $233.13 per time performed
medical
MEDICINE

Diagnostic imaging of optic nerve of eye

Service Code: 92133
Performed in an office
88
times performed,
0.96% of his services

11th 8th

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

83
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$3,929.20an average of $44.65 per time performed $2,713.04
an average of $30.83 per time performed
medical
MEDICINE

Measurement of field of vision during daylight conditions +

Measurement of field of vision during daylight conditions ×

Service Code: 92083
Performed in an office
79
times performed,
0.86% of his services

12th 6th

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

73
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$5,492.08an average of $69.52 per time performed $3,260.33
an average of $41.27 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
70
times performed,
0.76% of his services

13th 9th

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

70
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$4,928.00an average of $70.40 per time performed $3,744.30
an average of $53.49 per time performed
medical
MEDICINE

Examination of cornea and iris using lens device and slit... +

Examination of cornea and iris using lens device and slit lamp ×

Service Code: 92020
Performed in an office
41
times performed,
0.45% of his services

14th 22nd

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

39
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,095.52an average of $26.72 per time performed $701.51
an average of $17.11 per time performed
medical
MEDICINE

Photography of the retina

Service Code: 92250
Performed in an office
38
times performed,
0.41% of his services

15th 11th

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

38
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,805.54an average of $73.83 per time performed $2,131.04
an average of $56.08 per time performed
medical
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits ×

Service Code: 92004
Performed in an office
36
times performed,
0.39% of his services

16th 15th

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

36
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,118.84an average of $142.19 per time performed $3,075.12
an average of $85.42 per time performed
medical
EYE

Laser repair to improve eye fluid flow, 1 or more sessions +

Laser repair to improve eye fluid flow, 1 or more sessions ×

Service Code: 65855
Performed in a facility
21
times performed,
0.23% of his services

17th 67th

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

14
patients got this service, 1% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$6,911.94an average of $329.14 per time performed $4,787.37
an average of $227.97 per time performed
medical
EYE

Removal of eyelid growth

Service Code: 67840
Performed in an office
17
times performed,
0.19% of his services

18th 78th

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)
$4,431.05an average of $260.65 per time performed $3,320.27
an average of $195.31 per time performed
medical
EYE

Repair duct opening

Service Code: 68760
Performed in an office
17
times performed,
0.19% of his services

19th Alert

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

16
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
$4,493.61an average of $264.33 per time performed $3,164.04
an average of $186.12 per time performed
medical
MEDICINE

Fitting of contact lens for treatment of ocular surface d... +

Fitting of contact lens for treatment of ocular surface disease ×

Service Code: 92071
Performed in an office
16
times performed,
0.17% of his services

20th 107th

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

13
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$593.28an average of $37.08 per time performed $435.36
an average of $27.21 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
15
times performed,
0.16% of his services

21st 74th

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: 1.2)
$294.00an average of $19.60 per time performed $175.50
an average of $11.70 per time performed
medical
EYE

Closure of tear duct opening using plug

Service Code: 68761
Performed in an office
12
times performed,
0.13% of his services

22nd 34th

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

11
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$2,550.00an average of $212.50 per time performed $1,877.64
an average of $156.47 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.

Scott Merrill Pinter
Average for Ophthalmology Providers in Illinois

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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