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, $780 per patient in 2015.
They performed about 45 services per patient. Here’s how this provider compares.

Number of
Patients
1,160
Rank: 2nd
out of 104 providers in this state & specialty
Services
Performed
134,264
Rank: 3rd
out of 104 providers in this state & specialty
Avg Services
Per Patient
115.7 This Provider is in the top 10%
Avg 44.8
Total Paid
by Medicare
$3.26M
Rank: 2nd
out of 104 providers in this state & specialty
Avg Paid
Per Patient
$2,811 This Provider is in the top 10%
Avg $780

Note: About 89% of this provider’s Medicare payments were for drugs administered in her 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 her Part B patients.

This Provider's Services

This provider performed 76 different services in 2015
(33 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
DRUGS

Injection, tocilizumab, 1 mg

Service Code: J3262
Performed in an office
28,462
times performed,
21% of her services

1st 1st

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

12
patients got this service, 1% of her patients
4.1
average number of visits a patient made for this service
(Peers: 6.5)
$199,234.00an average of $7.00 per time performed $85,101.38
an average of $2.99 per time performed
drug
DRUGS

Injection infliximab, 10 mg

Service Code: J1745
Performed in an office
26,740
times performed,
20% of her services

2nd 3rd

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

99
patients got this service, 9% of her patients
4.2
average number of visits a patient made for this service
(Peers: 4.7)
$2,941,400.00an average of $110.00 per time performed $1,593,436.60
an average of $59.59 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
26,000
times performed,
19% of her services

3rd 5th

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

54
patients got this service, 5% of her patients
6.4
average number of visits a patient made for this service
(Peers: 6.2)
$1,033,240.00an average of $39.74 per time performed $706,160.00
an average of $27.16 per time performed
drug

Injection, certolizumab pegol, 1 mg (code may be used for... +

Injection, certolizumab pegol, 1 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: J0717
Performed in an office
25,200
times performed,
19% of her services

4th 2nd

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

11
patients got this service, 0.95% of her patients
5.8
average number of visits a patient made for this service
(Peers: 5.1)
$195,300.00an average of $7.75 per time performed $124,488.00
an average of $4.94 per time performed
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
14,700
times performed,
11% of her services

5th 4th

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

180
patients got this service, 16% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$246,666.00an average of $16.78 per time performed $170,814.00
an average of $11.62 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
1,684
times performed,
1% of her services

6th 14th

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

720
patients got this service, 62% of her patients
2.3
average number of visits a patient made for this service
(Peers: 2.2)
$69,044.00an average of $41.00 per time performed $17,345.20
an average of $10.30 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
1,590
times performed,
1% of her services

7th 6th

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

843
patients got this service, 73% of her patients
1.9
average number of visits a patient made for this service
(Peers: 2.3)
$262,350.00an average of $165.00 per time performed $115,322.70
an average of $72.53 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
1,005
times performed,
0.75% of her services

8th 24th

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

55
patients got this service, 5% of her patients
18.3
average number of visits a patient made for this service
(Peers: 2.7)
$36,180.00an average of $36.00 per time performed $18,632.70
an average of $18.54 per time performed
drug
CHEMOTHERAPY DRUGS

Methotrexate sodium, 50 mg

Service Code: J9260
Performed in an office
999
times performed,
0.74% of her services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

53
patients got this service, 5% of her patients
18.8
average number of visits a patient made for this service
$18,981.00an average of $19.00 per time performed $1,738.26
an average of $1.74 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: 85651
Performed in an office
992
times performed,
0.74% of her services

10th 17th

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

605
patients got this service, 52% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.9)
$30,781.76an average of $31.03 per time performed $4,642.56
an average of $4.68 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
859
times performed,
0.64% of her services

11th 15th

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

173
patients got this service, 15% of her patients
5
average number of visits a patient made for this service
(Peers: 5.1)
$497,361.00an average of $579.00 per time performed $86,140.52
an average of $100.28 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
512
times performed,
0.38% of her services

12th 19th

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

110
patients got this service, 9% of her patients
4.1
average number of visits a patient made for this service
(Peers: 3.9)
$89,600.00an average of $175.00 per time performed $10,813.44
an average of $21.12 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
369
times performed,
0.27% of her services

13th 20th

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

188
patients got this service, 16% of her patients
1.6
average number of visits a patient made for this service
(Peers: 2.4)
$55,350.00an average of $150.00 per time performed $19,741.50
an average of $53.50 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
367
times performed,
0.27% of her services

14th 13th

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

180
patients got this service, 16% of her patients
1.9
average number of visits a patient made for this service
(Peers: 1.8)
$70,097.00an average of $191.00 per time performed $15,689.25
an average of $42.75 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
366
times performed,
0.27% of her services

15th 8th

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

288
patients got this service, 25% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$42,090.00an average of $115.00 per time performed $18,709.92
an average of $51.12 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, rituximab, 100 mg

Service Code: J9310
Performed in an office
250
times performed,
0.19% of her services

16th 32nd

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

11
patients got this service, 0.95% of her patients
2.3
average number of visits a patient made for this service
(Peers: 2.6)
$188,000.00an average of $752.00 per time performed $140,622.50
an average of $562.49 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
230
times performed,
0.17% of her services

17th 21st

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

158
patients got this service, 14% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$4,830.00an average of $21.00 per time performed $618.70
an average of $2.69 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
229
times performed,
0.17% of her services

18th 31st

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

229
patients got this service, 20% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$45,800.00an average of $200.00 per time performed $9,155.42
an average of $39.98 per time performed
drug
DRUGS

Hyaluronan or derivative, hyalgan or supartz, for intra-a... +

Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose ×

Service Code: J7321
Performed in an office
157
times performed,
0.12% of her services

19th 43rd

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

45
patients got this service, 4% of her patients
3.5
average number of visits a patient made for this service
(Peers: 3.5)
$43,175.00an average of $275.00 per time performed $10,583.37
an average of $67.41 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
131
times performed,
0.1% of her services

20th 46th

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

130
patients got this service, 11% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,537.00an average of $27.00 per time performed $3,226.53
an average of $24.63 per time performed
drug
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
130
times performed,
0.1% of her services

21st 55th

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

129
patients got this service, 11% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,732.00an average of $36.40 per time performed $1,996.80
an average of $15.36 per time performed
medical
RADIOLOGY

X-ray of hand, 2 views

Service Code: 73120
Performed in an office
121
times performed,
0.09% of her services

22nd 30th

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

61
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,769.00an average of $89.00 per time performed $2,332.88
an average of $19.28 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
111
times performed,
0.08% of her services

23rd 69th

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

31
patients got this service, 3% of her patients
2.6
average number of visits a patient made for this service
(Peers: 2.8)
$11,766.00an average of $106.00 per time performed $1,883.67
an average of $16.97 per time performed
drug

Injection, zoledronic acid, 1 mg

Service Code: J3489
Performed in an office
95
times performed,
0.07% of her services

24th 26th

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

19
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,025.00an average of $95.00 per time performed $2,586.85
an average of $27.23 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
88
times performed,
0.07% of her services

25th 76th

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

78
patients got this service, 7% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,376.00an average of $27.00 per time performed $2,160.40
an average of $24.55 per time performed
medical
PATHOLOGY AND LABORATORY

Rheumatoid factor analysis

Service Code: 86430
Performed in an office
83
times performed,
0.06% of her services

26th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

83
patients got this service, 7% of her patients
1
average number of visits a patient made for this service
$2,988.00an average of $36.00 per time performed $621.67
an average of $7.49 per time performed
drug
DRUGS

Injection, methylprednisolone sodium succinate, up to 40 mg +

Injection, methylprednisolone sodium succinate, up to 40 mg ×

Service Code: J2920
Performed in an office
77
times performed,
0.06% of her services

27th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

21
patients got this service, 2% of her patients
2.8
average number of visits a patient made for this service
$924.00an average of $12.00 per time performed $131.67
an average of $1.71 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
66
times performed,
0.05% of her services

28th 83rd

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

66
patients got this service, 6% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,625.24an average of $176.14 per time performed $10,518.42
an average of $159.37 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
56
times performed,
0.04% of her services

29th 61st

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

30
patients got this service, 3% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$6,160.00an average of $110.00 per time performed $1,218.00
an average of $21.75 per time performed
medical
RADIOLOGY

X-ray of foot, 2 views

Service Code: 73620
Performed in an office
50
times performed,
0.04% of her services

30th 38th

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

26
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,650.00an average of $93.00 per time performed $897.00
an average of $17.94 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,
0.04% of her services

31st 22nd

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

49
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,504.80an average of $255.20 per time performed $5,755.05
an average of $117.45 per time performed
medical
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
42
times performed,
0.03% of her services

32nd 106th

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

30
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,166.00an average of $123.00 per time performed $1,128.12
an average of $26.86 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
33
times performed,
0.02% of her services

33rd 74th

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

25
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,993.00an average of $121.00 per time performed $669.90
an average of $20.30 per time performed
drug
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
32
times performed,
0.02% of her services

34th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

32
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
$3,136.00an average of $98.00 per time performed $2,519.04
an average of $78.72 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, minimum of 4 views

Service Code: 72110
Performed in an office
30
times performed,
0.02% of her services

35th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

30
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
$6,030.00an average of $201.00 per time performed $1,059.30
an average of $35.31 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,
0.02% of her services

36th 97th

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

15
patients got this service, 1% of her patients
1.9
average number of visits a patient made for this service
(Peers: 2.1)
$609.00an average of $21.00 per time performed $75.11
an average of $2.59 per time performed
drug
DRUGS

Injection, diphenhydramine hcl, up to 50 mg

Service Code: J1200
Performed in an office
29
times performed,
0.02% of her services

37th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 1% of her patients
2.2
average number of visits a patient made for this service
$58.00an average of $2.00 per time performed $13.05
an average of $0.45 per time performed
medical
RADIOLOGY

X-ray of knee, 4 or more views

Service Code: 73564
Performed in an office
22
times performed,
0.02% of her services

38th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
$3,168.00an average of $144.00 per time performed $647.46
an average of $29.43 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
19
times performed,
0.01% of her services

39th 60th

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

19
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,325.00an average of $175.00 per time performed $1,027.52
an average of $54.08 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
17
times performed,
0.01% of her services

40th 27th

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

16
patients got this service, 1% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.8)
$408.00an average of $24.00 per time performed $86.19
an average of $5.07 per time performed
medical
RADIOLOGY

X-ray of upper spine, 4 or 5 views

Service Code: 72050
Performed in an office
16
times performed,
0.01% of her services

41st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

16
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
$3,008.00an average of $188.00 per time performed $495.52
an average of $30.97 per time performed
medical
RADIOLOGY

X-ray of middle spine, 3 views

Service Code: 72070
Performed in an office
14
times performed,
0.01% of her services

42nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
$2,044.00an average of $146.00 per time performed $276.78
an average of $19.77 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
14
times performed,
0.01% of her services

43rd 59th

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

13
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$1,960.00an average of $140.00 per time performed $503.72
an average of $35.98 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.

Elena F Flagg
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 [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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