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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, $272 per patient in 2012.
They performed about 10 services per patient. Here’s how this provider compares.
Number of
Patients
585
Rank: 100th
out of 363 providers in this state & specialty
Services
Performed
10,626
Rank: 27th
out of 363 providers in this state & specialty
Avg Services
Per Patient
18.2 This Provider is in the top 10%
Avg 9.6
Total Paid
by Medicare
$209K
Rank: 52nd
out of 363 providers in this state & specialty
Avg Paid
Per Patient
$356 This Provider
Avg $272

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.

Mark A. Pithan
Average for Neurology Providers in North Carolina

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.

Individuals

ZHICHENG LI

SANDIP PATEL

ALFRED DE MARIA

KATHY LEWIS

JAMES PENCE

Organizations

NEW HANOVER REGIONAL ME...

LABORATORY CORPORATION ...

Patients saw before

Mark A. Pithan

Patients saw after

Individuals

ZHICHENG LI

ALFRED DE MARIA

FRED SCIALABBA

KATHY LEWIS

JOSEPH WEHNER

Organizations

NEW HANOVER REGIONAL ME...

LABORATORY CORPORATION ...

This Provider's Services

This provider performed 22 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, onabotulinumtoxina (botox), 1 unit

Service Code: J0585
Performed in an office
7,500
times performed,
71% of his services

1st 1st

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

20
patients got this service, 3% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.3)
$60,000an average of $8 per time performed $30,000
an average of $4 per time performed
MEDICINE

Needle measurement and recording of nerve sensory (feel) ... +

Needle measurement and recording of nerve sensory (feel) function ×

Service Code: 95904
Performed in an office
1,037
times performed,
10% of his services

2nd 5th

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

253
patients got this service, 43% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$133,773an average of $129 per time performed $43,554
an average of $42 per time performed
MEDICINE

Needle measurement, rate, and recording of nerve motor (m... +

Needle measurement, rate, and recording of nerve motor (movement) function, with f-wave study ×

Service Code: 95903
Performed in an office
674
times performed,
6% of his services

3rd 6th

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

252
patients got this service, 43% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$119,972an average of $178 per time performed $37,744
an average of $56 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
339
times performed,
3% of his services

4th 4th

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

210
patients got this service, 36% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$34,578an average of $102 per time performed $16,611
an average of $49 per time performed
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles of arm or leg complete study ×

Service Code: 95886
Performed in an office
268
times performed,
3% of his services

5th 12th

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

241
patients got this service, 41% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$42,880an average of $160 per time performed $17,420
an average of $65 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
200
times performed,
2% of his services

6th 9th

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

200
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$53,800an average of $269 per time performed $23,000
an average of $115 per time performed
MEDICINE

Needle measurement and recording of nerve motor (movement... +

Needle measurement and recording of nerve motor (movement) function ×

Service Code: 95900
Performed in an office
189
times performed,
2% of his services

7th 10th

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

145
patients got this service, 25% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$22,680an average of $120 per time performed $8,883
an average of $47 per time performed
MEDICINE

Measurement and recording of nerve conduction patterns of... +

Measurement and recording of nerve conduction patterns of lower leg muscles ×

Service Code: 95934
Performed in an office
63
times performed,
0.59% of his services

8th 38th

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

63
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$60,354an average of $958 per time performed $4,032
an average of $64 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
56
times performed,
0.53% of his services

9th 29th

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

50
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,400an average of $25 per time performed $168
an average of $3 per time performed
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles of arm or leg limited study ×

Service Code: 95885
Performed in an office
52
times performed,
0.49% of his services

10th 42nd

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

48
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,252an average of $101 per time performed $2,132
an average of $41 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
33
times performed,
0.31% of his services

11th 23rd

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

33
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.9)
$4,092an average of $124 per time performed $957
an average of $29 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep lab +

Sleep monitoring of patient (6 years or older) in sleep lab ×

Service Code: 95810
Performed in an office
30
times performed,
0.28% of his services

12th 39th

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

30
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$15,720an average of $524 per time performed $3,960
an average of $132 per time performed
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
23
times performed,
0.22% of his services

13th 81st

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

22
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,001an average of $87 per time performed $483
an average of $21 per time performed
RADIOLOGY

Mri scan brain

Service Code: 70551
Performed in an office
22
times performed,
0.21% of his services

14th 49th

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

22
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$26,950an average of $1,225 per time performed $5,236
an average of $238 per time performed
PATHOLOGY AND LABORATORY

Folic acid level

Service Code: 82746
Performed in an office
21
times performed,
0.2% of his services

15th 132nd

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

21
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,638an average of $78 per time performed $441
an average of $21 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
21
times performed,
0.2% of his services

16th 92nd

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

21
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,163an average of $103 per time performed $483
an average of $23 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep l... +

Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube ×

Service Code: 95811
Performed in an office
20
times performed,
0.19% of his services

17th 40th

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

19
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$16,480an average of $824 per time performed $4,540
an average of $227 per time performed
NERVOUS SYSTEM

Spinal tap for diagnosis

Service Code: 62270
Performed in an office
20
times performed,
0.19% of his services

18th Alert

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

20
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$7,800an average of $390 per time performed $2,140
an average of $107 per time performed
NERVOUS SYSTEM

Injection of chemical for destruction of arms legs and/or... +

Injection of chemical for destruction of arms legs and/or torso muscles ×

Service Code: 64614
Performed in an office
19
times performed,
0.18% of his services

19th 115th

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

11
patients got this service, 2% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.5)
$11,932an average of $628 per time performed $3,002
an average of $158 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
15
times performed,
0.14% of his services

20th 48th

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

15
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,790an average of $186 per time performed $1,035
an average of $69 per time performed
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82550
Performed in an office
12
times performed,
0.11% of his services

21st 144th

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

11
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$432an average of $36 per time performed $84
an average of $7 per time performed
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
12
times performed,
0.11% of his services

22nd 35th

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$900an average of $75 per time performed $384
an average of $32 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 "Neurology." 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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Credits: Warning icon designed by Stefan Parnarov from the Noun Project.