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, $256 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
764
Rank: 26th
out of 230 providers in this state & specialty
Services
Performed
4,908
Rank: 22nd
out of 230 providers in this state & specialty
Avg Services
Per Patient
6.4 This Provider
Avg 4.4
Total Paid
by Medicare
$205K
Rank: 14th
out of 230 providers in this state & specialty
Avg Paid
Per Patient
$268 This Provider
Avg $256

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 her Part B patients.

This Provider's Services

This provider performed 95 different services in 2015
(71 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
MEDICINE

Preparation and provision of single or multiple antigens ... +

Preparation and provision of single or multiple antigens for allergen immunotherapy ×

Service Code: 95165
Performed in an office
1,520
times performed,
31% of her services

1st 1st

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

31
patients got this service, 4% of her patients
2.7
average number of visits a patient made for this service
(Peers: 2.1)
$34,200.00an average of $22.50 per time performed $13,892.80
an average of $9.14 per time performed
medical
MEDICINE

Injection of allergenic extracts into skin, accessed thro... +

Injection of allergenic extracts into skin, accessed through the skin ×

Service Code: 95004
Performed in an office
577
times performed,
12% of her services

2nd 6th

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

15
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,193.00an average of $9.00 per time performed $2,619.58
an average of $4.54 per time performed
medical
MEDICINE

Injection of incremental dosages of allergen, 2 or more i... +

Injection of incremental dosages of allergen, 2 or more injections ×

Service Code: 95117
Performed in an office
459
times performed,
9% of her services

3rd 4th

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

85
patients got this service, 11% of her patients
5.4
average number of visits a patient made for this service
(Peers: 9.5)
$16,524.00an average of $36.00 per time performed $3,125.79
an average of $6.81 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
301
times performed,
6% of her services

4th 5th

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

238
patients got this service, 31% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$46,655.00an average of $155.00 per time performed $22,195.74
an average of $73.74 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
222
times performed,
5% of her services

5th 3rd

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

222
patients got this service, 29% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$40,404.00an average of $182.00 per time performed $16,614.48
an average of $74.84 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
191
times performed,
4% of her services

6th 2nd

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

149
patients got this service, 20% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$21,010.00an average of $110.00 per time performed $9,851.78
an average of $51.58 per time performed
medical
MEDICINE

Eardrum testing using ear probe

Service Code: 92567
Performed in an office
179
times performed,
4% of her services

7th 15th

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

175
patients got this service, 23% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$7,339.00an average of $41.00 per time performed $1,931.41
an average of $10.79 per time performed
medical
MEDICINE

Injection of allergenic extracts into skin for immediate ... +

Injection of allergenic extracts into skin for immediate reaction analysis ×

Service Code: 95024
Performed in an office
179
times performed,
4% of her services

8th 11th

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

33
patients got this service, 4% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$2,685.00an average of $15.00 per time performed $920.06
an average of $5.14 per time performed
medical
MEDICINE

Air and bone conduction assessment of hearing loss and sp... +

Air and bone conduction assessment of hearing loss and speech recognition ×

Service Code: 92557
Performed in an office
168
times performed,
3% of her services

9th 14th

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

166
patients got this service, 22% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,456.00an average of $92.00 per time performed $4,724.16
an average of $28.12 per time performed
medical
RESPIRATORY SYSTEM

Diagnostic examination of voice box using flexible endoscope +

Diagnostic examination of voice box using flexible endoscope ×

Service Code: 31575
Performed in an office
154
times performed,
3% of her services

10th 9th

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

118
patients got this service, 15% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$38,500.00an average of $250.00 per time performed $12,671.12
an average of $82.28 per time performed
medical
RESPIRATORY SYSTEM

Diagnostic examination of nasal passages using an endoscope +

Diagnostic examination of nasal passages using an endoscope ×

Service Code: 31231
Performed in an office
131
times performed,
3% of her services

11th 13th

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

95
patients got this service, 12% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$41,265.00an average of $315.00 per time performed $19,655.24
an average of $150.04 per time performed
medical
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
115
times performed,
2% of her services

12th 7th

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

109
patients got this service, 14% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$15,124.80an average of $131.52 per time performed $3,663.90
an average of $31.86 per time performed
medical
MEDICINE

Assessment and recording of balance system during irrigat... +

Assessment and recording of balance system during irrigation of both ears ×

Service Code: 92543
Performed in an office
56
times performed,
1% of her services

13th 34th

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

14
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,760.00an average of $85.00 per time performed $664.72
an average of $11.87 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
49
times performed,
1% of her services

14th 10th

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

49
patients got this service, 6% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,740.00an average of $260.00 per time performed $6,141.66
an average of $125.34 per time performed
medical
RADIOLOGY

Ct scan of face

Service Code: 70486
Performed in an office
46
times performed,
0.94% of her services

15th 24th

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

46
patients got this service, 6% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$29,900.00an average of $650.00 per time performed $4,537.44
an average of $98.64 per time performed
medical
MEDICINE

Examination of the nose and throat using an endoscope

Service Code: 92511
Performed in an office
39
times performed,
0.79% of her services

16th 20th

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

39
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$9,165.00an average of $235.00 per time performed $3,863.73
an average of $99.07 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
39
times performed,
0.79% of her services

17th 12th

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

23
patients got this service, 3% of her patients
1.7
average number of visits a patient made for this service
(Peers: 1.3)
$2,847.00an average of $73.00 per time performed $1,252.29
an average of $32.11 per time performed
medical
RESPIRATORY SYSTEM

Biopsy or removal of nasal polyp or tissue using an endos... +

Biopsy or removal of nasal polyp or tissue using an endoscope ×

Service Code: 31237
Performed in an office
35
times performed,
0.71% of her services

18th 33rd

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

18
patients got this service, 2% of her patients
1.9
average number of visits a patient made for this service
(Peers: 1.7)
$31,564.05an average of $901.83 per time performed $8,303.05
an average of $237.23 per time performed
medical
PROCEDURES

Removal of impacted cerumen (one or both ears) by physici... +

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ×

Service Code: G0268
Performed in an office
31
times performed,
0.63% of her services

19th 23rd

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

31
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,999.93an average of $129.03 per time performed $1,208.69
an average of $38.99 per time performed
medical
AUDITORY SYSTEM

Incision of eardrum with insertion of eardrum tube under ... +

Incision of eardrum with insertion of eardrum tube under local or topical anesthesia ×

Service Code: 69433
Performed in an office
24
times performed,
0.49% of her services

20th 42nd

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

23
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$9,630.00an average of $401.25 per time performed $4,074.72
an average of $169.78 per time performed
medical
RESPIRATORY SYSTEM

Removal of nasal air passage

Service Code: 30140
Performed in a facility
17
times performed,
0.35% of her services

21st 98th

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

17
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$30,600.00an average of $1,800.00 per time performed $5,496.61
an average of $323.33 per time performed
medical
RESPIRATORY SYSTEM

Reshaping of nasal cartilage

Service Code: 30520
Performed in a facility
14
times performed,
0.29% of her services

22nd 81st

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

14
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$35,000.00an average of $2,500.00 per time performed $3,317.58
an average of $236.97 per time performed
medical
RESPIRATORY SYSTEM

Exploration of nasal sinus using an endoscope

Service Code: 31276
Performed in a facility
14
times performed,
0.29% of her services

23rd 95th

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

14
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$53,999.96an average of $3,857.14 per time performed $7,826.00
an average of $559.00 per time performed
medical
MEDICINE

Observation, testing, and recording of abnormal eye movement +

Observation, testing, and recording of abnormal eye movement ×

Service Code: 92540
Performed in an office
14
times performed,
0.29% of her services

24th 60th

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

14
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,710.00an average of $265.00 per time performed $1,088.92
an average of $77.78 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.

Luna Bailey
Average for Otolaryngology Providers in North Carolina

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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