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, $1,449 per patient in 2015.
They performed about 78 services per patient. Here’s how this provider compares.

Number of
Patients
455
Rank: 30th
out of 69 providers in this state & specialty
Services
Performed
26,259
Rank: 33rd
out of 69 providers in this state & specialty
Avg Services
Per Patient
57.7 This Provider
Avg 77.7
Total Paid
by Medicare
$668K
Rank: 30th
out of 69 providers in this state & specialty
Avg Paid
Per Patient
$1,468 This Provider
Avg $1,449

Note: About 80% 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 40 different services in 2015
(21 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, denosumab, 1 mg

Service Code: J0897
Performed in an office
4,440
times performed,
17% of his services

1st 6th

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

43
patients got this service, 9% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$133,200.00an average of $30.00 per time performed $51,948.00
an average of $11.70 per time performed
drug
DRUGS

Injection infliximab, 10 mg

Service Code: J1745
Performed in an office
2,850
times performed,
11% of his services

2nd 3rd

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

11
patients got this service, 2% of his patients
5.5
average number of visits a patient made for this service
(Peers: 4.6)
$300,675.00an average of $105.50 per time performed $171,142.50
an average of $60.05 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
1,017
times performed,
4% of his services

3rd 7th

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

403
patients got this service, 89% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.3)
$132,210.00an average of $130.00 per time performed $69,135.66
an average of $67.98 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
739
times performed,
3% of his services

4th 9th

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

326
patients got this service, 72% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2.2)
$14,780.00an average of $20.00 per time performed $2,143.10
an average of $2.90 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of antibody for assessment of autoimmune diso... +

Measurement of antibody for assessment of autoimmune disorder ×

Service Code: 86235
Performed in an office
587
times performed,
2% of his services

5th 28th

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

83
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$20,545.00an average of $35.00 per time performed $13,906.03
an average of $23.69 per time performed
drug
DRUGS

Infusion, normal saline solution , 250 cc

Service Code: J7050
Performed in an office
180
times performed,
0.69% of his services

6th 17th

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

30
patients got this service, 7% of his patients
5.9
average number of visits a patient made for this service
(Peers: 4.4)
$4,500.00an average of $25.00 per time performed $55.80
an average of $0.31 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
177
times performed,
0.67% of his services

7th 12th

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

30
patients got this service, 7% of his patients
5.9
average number of visits a patient made for this service
(Peers: 4.9)
$44,250.00an average of $250.00 per time performed $16,365.42
an average of $92.46 per time performed
medical
PATHOLOGY AND LABORATORY

Analysis of substance using immunoassay technique

Service Code: 83516
Performed in an office
171
times performed,
0.65% of his services

8th 60th

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

86
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,286.00an average of $66.00 per time performed $2,606.04
an average of $15.24 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
92
times performed,
0.35% of his services

9th 48th

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

92
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$20,700.00an average of $225.00 per time performed $12,874.48
an average of $139.94 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of antibody for rheumatoid arthritis assessment +

Measurement of antibody for rheumatoid arthritis assessment ×

Service Code: 86200
Performed in an office
86
times performed,
0.33% of his services

10th 68th

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

86
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,730.00an average of $55.00 per time performed $1,471.46
an average of $17.11 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of dna antibody

Service Code: 86225
Performed in an office
85
times performed,
0.32% of his services

11th 70th

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

84
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$5,610.00an average of $66.00 per time performed $1,542.75
an average of $18.15 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of dna antibody

Service Code: 86226
Performed in an office
84
times performed,
0.32% of his services

12th 77th

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

83
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,620.00an average of $55.00 per time performed $1,344.00
an average of $16.00 per time performed
medical
PATHOLOGY AND LABORATORY

Rheumatoid factor level

Service Code: 86431
Performed in an office
83
times performed,
0.32% of his services

13th 51st

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

83
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,478.00an average of $66.00 per time performed $622.50
an average of $7.50 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
77
times performed,
0.29% of his services

14th 23rd

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

44
patients got this service, 10% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.6)
$7,315.00an average of $95.00 per time performed $3,743.74
an average of $48.62 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
70
times performed,
0.27% of his services

15th 15th

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

15
patients got this service, 3% of his patients
4.4
average number of visits a patient made for this service
(Peers: 4)
$10,500.00an average of $150.00 per time performed $1,375.50
an average of $19.65 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
59
times performed,
0.22% of his services

16th 18th

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

44
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$6,490.00an average of $110.00 per time performed $2,568.86
an average of $43.54 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of antibody for assessment of autoimmune diso... +

Measurement of antibody for assessment of autoimmune disorder ×

Service Code: 86039
Performed in an office
54
times performed,
0.21% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

54
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
$2,970.00an average of $55.00 per time performed $791.64
an average of $14.66 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
47
times performed,
0.18% of his services

18th 53rd

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

41
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$2,679.00an average of $57.00 per time performed $233.59
an average of $4.97 per time performed
medical
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
11
times performed,
0.04% of his services

19th 36th

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$1,705.00an average of $155.00 per time performed $1,181.18
an average of $107.38 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.

James M Wilson
Average for Rheumatology Providers in South 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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