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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, $234 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
1,166
Rank: 67th
out of 2,169 providers in this state & specialty
Services
Performed
56,125
Rank: 4th
out of 2,169 providers in this state & specialty
Avg Services
Per Patient
48.1 This Provider is in the top 10%
Avg 5
Total Paid
by Medicare
$1.77M
Rank: 4th
out of 2,169 providers in this state & specialty
Avg Paid
Per Patient
$1,515 This Provider is in the top 10%
Avg $234

Office Visits

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Top Billing

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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 Internal Medicine Providers in Virginia

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, from Jan. 2012 to June 2013.

Patients saw before

Elena F. Flagg

Patients saw after

This Provider's Services

This provider performed 44 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
DRUGS

Injection, abatacept (orencia), 10 mg

Service Code: J0129
Performed in an office
22,201
times performed,
40% of her services

1st 19th

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

55
patients got this service, 5% of her patients
5.4
average number of visits a patient made for this service
(Peers: 5)
$688,231an average of $31 per time performed $355,216
an average of $16 per time performed
DRUGS

Injection, infliximab (remicade), 10 mg

Service Code: J1745
Performed in an office
18,010
times performed,
32% of her services

2nd 14th

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

61
patients got this service, 5% of her patients
5.1
average number of visits a patient made for this service
(Peers: 4)
$1,945,080an average of $108 per time performed $900,500
an average of $50 per time performed
DRUGS

Injection, denosumab (prolia, xgeva), 1 mg

Service Code: J0897
Performed in an office
3,961
times performed,
7% of her services

3rd 18th

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

51
patients got this service, 4% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$63,376an average of $16 per time performed $43,571
an average of $11 per time performed
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
1,856
times performed,
3% of her services

4th 9th

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

738
patients got this service, 63% of her patients
2.5
average number of visits a patient made for this service
(Peers: 1.7)
$76,096an average of $41 per time performed $20,416
an average of $11 per time performed
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
1,782
times performed,
3% of her services

5th 1st

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

835
patients got this service, 72% of her patients
2.1
average number of visits a patient made for this service
(Peers: 2.2)
$292,248an average of $164 per time performed $128,304
an average of $72 per time performed
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
1,265
times performed,
2% of her services

6th 70th

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

658
patients got this service, 56% of her patients
1.9
average number of visits a patient made for this service
(Peers: 1.6)
$39,215an average of $31 per time performed $6,325
an average of $5 per time performed
CHEMOTHERAPY DRUGS

Methotrexate sodium, 50 mg

Service Code: J9260
Performed in an office
973
times performed,
2% of her services

7th Alert

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

59
patients got this service, 5% of her patients
16.5
average number of visits a patient made for this service
$18,487an average of $19 per time performed $973
an average of $1 per time performed
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
822
times performed,
1% of her services

8th 34th

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

56
patients got this service, 5% of her patients
14.7
average number of visits a patient made for this service
(Peers: 2.9)
$29,592an average of $36 per time performed $13,974
an average of $17 per time performed
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
670
times performed,
1% of her services

9th 126th

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

68
patients got this service, 6% of her patients
4.8
average number of visits a patient made for this service
(Peers: 3.7)
$117,250an average of $175 per time performed $16,080
an average of $24 per time performed
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
630
times performed,
1% of her services

10th 82nd

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

266
patients got this service, 23% of her patients
2.3
average number of visits a patient made for this service
(Peers: 1.6)
$120,330an average of $191 per time performed $32,760
an average of $52 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
615
times performed,
1% of her services

11th 112th

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

118
patients got this service, 10% of her patients
5.2
average number of visits a patient made for this service
(Peers: 4.6)
$356,085an average of $579 per time performed $64,575
an average of $105 per time performed
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
438
times performed,
0.78% of her services

12th 2nd

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

355
patients got this service, 30% of her patients
1.2
average number of visits a patient made for this service
(Peers: 2.3)
$49,056an average of $112 per time performed $21,900
an average of $50 per time performed
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
423
times performed,
0.75% of her services

13th 110th

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

232
patients got this service, 20% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$8,883an average of $21 per time performed $1,269
an average of $3 per time performed
DRUGS

Hyaluronan or derivative (hyalgan or supartz), for intra-... +

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

Service Code: J7321
Performed in an office
353
times performed,
0.63% of her services

14th Alert

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

91
patients got this service, 8% of her patients
3.9
average number of visits a patient made for this service
$97,075an average of $275 per time performed $25,063
an average of $71 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
304
times performed,
0.54% of her services

15th 87th

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

304
patients got this service, 26% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$60,800an average of $200 per time performed $19,152
an average of $63 per time performed
DRUGS

Injection, zoledronic acid (reclast), 1 mg

Service Code: J3488
Performed in an office
285
times performed,
0.51% of her services

16th 133rd

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

57
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$126,255an average of $443 per time performed $50,730
an average of $178 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
150
times performed,
0.27% of her services

17th 13th

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

150
patients got this service, 13% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,600an average of $24 per time performed $3,450
an average of $23 per time performed
RADIOLOGY

X-ray of hand, 2 views

Service Code: 73120
Performed in an office
117
times performed,
0.21% of her services

18th 284th

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

59
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,413an average of $89 per time performed $2,457
an average of $21 per time performed
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
113
times performed,
0.2% of her services

19th 145th

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

30
patients got this service, 3% of her patients
3.3
average number of visits a patient made for this service
(Peers: 4.8)
$11,978an average of $106 per time performed $1,921
an average of $17 per time performed
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
106
times performed,
0.19% of her services

20th 264th

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

56
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,660an average of $110 per time performed $2,332
an average of $22 per time performed
DRUGS

Injection, methylprednisolone sodium succinate, up to 40 mg +

Injection, methylprednisolone sodium succinate, up to 40 mg ×

Service Code: J2920
Performed in an office
106
times performed,
0.19% of her services

21st Alert

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

29
patients got this service, 2% of her patients
3.5
average number of visits a patient made for this service
$1,272an average of $12 per time performed $212
an average of $2 per time performed
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
102
times performed,
0.18% of her services

22nd 37th

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

102
patients got this service, 9% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,876an average of $38 per time performed $1,428
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Rheumatoid factor analysis

Service Code: 86430
Performed in an office
79
times performed,
0.14% of her services

23rd 371st

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

78
patients got this service, 7% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,844an average of $36 per time performed $632
an average of $8 per time performed
DRUGS

Injection, ibandronate sodium (boniva), 1 mg

Service Code: J1740
Performed in an office
78
times performed,
0.14% of her services

24th Alert

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
average number of visits a patient made for this service
$13,260an average of $170 per time performed $8,892
an average of $114 per time performed
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
66
times performed,
0.12% of her services

25th Alert

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

50
patients got this service, 4% of her patients
1.3
average number of visits a patient made for this service
$9,900an average of $150 per time performed $3,696
an average of $56 per time performed
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
59
times performed,
0.11% of her services

26th 57th

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

59
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,172an average of $308 per time performed $6,136
an average of $104 per time performed
RADIOLOGY

X-ray of foot, 2 views

Service Code: 73620
Performed in an office
58
times performed,
0.1% of her services

27th Alert

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

33
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
$5,394an average of $93 per time performed $1,160
an average of $20 per time performed
RADIOLOGY

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

Service Code: 73510
Performed in an office
57
times performed,
0.1% of her services

28th 277th

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

39
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,011an average of $123 per time performed $1,710
an average of $30 per time performed
RADIOLOGY

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

Service Code: 72110
Performed in an office
55
times performed,
0.1% of her services

29th 324th

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

55
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,055an average of $201 per time performed $2,090
an average of $38 per time performed
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
54
times performed,
0.1% of her services

30th 160th

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

54
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
(Peers: 1.8)
$9,450an average of $175 per time performed $3,078
an average of $57 per time performed
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 (flulaval) ×

Service Code: Q2036
Performed in an office
48
times performed,
0.09% of her services

31st 76th

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

48
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,440an average of $30 per time performed $432
an average of $9 per time performed
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
39
times performed,
0.07% of her services

32nd 317th

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

28
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,719an average of $121 per time performed $936
an average of $24 per time performed
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
32
times performed,
0.06% of her services

33rd 139th

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

29
patients got this service, 2% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$768an average of $24 per time performed $160
an average of $5 per time performed
RADIOLOGY

X-ray of ankle, minimum of 3 views

Service Code: 73610
Performed in an office
28
times performed,
0.05% of her services

34th Alert

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

15
patients got this service, 1% of her patients
1.1
average number of visits a patient made for this service
$4,088an average of $146 per time performed $756
an average of $27 per time performed
MEDICINE

Injection of drug or substance into a vein for therapy, d... +

Injection of drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96374
Performed in an office
28
times performed,
0.05% of her services

35th 249th

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: 1.3)
$4,116an average of $147 per time performed $1,232
an average of $44 per time performed
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
27
times performed,
0.05% of her services

36th 304th

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

24
patients got this service, 2% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$3,780an average of $140 per time performed $999
an average of $37 per time performed
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
25
times performed,
0.04% of her services

37th 4th

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: 2.2)
$500an average of $20 per time performed $75
an average of $3 per time performed
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
23
times performed,
0.04% of her services

38th 202nd

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

22
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$3,588an average of $156 per time performed $966
an average of $42 per time performed
PATHOLOGY AND LABORATORY

Skin test for tuberculosis

Service Code: 86580
Performed in an office
20
times performed,
0.04% of her services

39th 258th

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

20
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$680an average of $34 per time performed $120
an average of $6 per time performed
RADIOLOGY

X-ray of upper spine, 4 or 5 views

Service Code: 72050
Performed in an office
18
times performed,
0.03% of her services

40th 465th

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

18
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,384an average of $188 per time performed $702
an average of $39 per time performed
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
14
times performed,
0.02% of her services

41st 17th

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

14
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 3.1)
$798an average of $57 per time performed $210
an average of $15 per time performed
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
13
times performed,
0.02% of her services

42nd 24th

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

12
patients got this service, 1% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$2,899an average of $223 per time performed $1,313
an average of $101 per time performed
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
11
times performed,
0.02% of her services

43rd 64th

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

11
patients got this service, 0.94% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,310an average of $210 per time performed $803
an average of $73 per time performed
MUSCULOSKELETAL SYSTEM

Injections of tendon sheath, ligament, or muscle membrane +

Injections of tendon sheath, ligament, or muscle membrane ×

Service Code: 20550
Performed in an office
11
times performed,
0.02% of her services

44th 327th

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

11
patients got this service, 0.94% of her patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,771an average of $161 per time performed $462
an average of $42 per time performed

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.

Notes: This provider has a self-reported specialty of "Rheumatology." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

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.


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