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, $324 per patient in 2015.
They performed about 21 services per patient. Here’s how this provider compares.

Number of
Patients
681
Rank: 84th
out of 200 providers in this state & specialty
Services
Performed
4,181
Rank: 125th
out of 200 providers in this state & specialty
Avg Services
Per Patient
6.1 This Provider
Avg 21
Total Paid
by Medicare
$176K
Rank: 106th
out of 200 providers in this state & specialty
Avg Paid
Per Patient
$259 This Provider
Avg $324

Note: About 19% 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 84 different services in 2015
(67 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
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
997
times performed,
24% of his services

1st 10th

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

584
patients got this service, 86% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$12,961.00an average of $13.00 per time performed $2,961.09
an average of $2.97 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
560
times performed,
13% of his services

2nd 3rd

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

441
patients got this service, 65% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$73,920.00an average of $132.00 per time performed $25,552.80
an average of $45.63 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
438
times performed,
10% of his services

3rd 6th

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

286
patients got this service, 42% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$85,848.00an average of $196.00 per time performed $31,176.84
an average of $71.18 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
149
times performed,
4% of his services

4th 8th

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

106
patients got this service, 16% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$1,490.00an average of $10.00 per time performed $432.10
an average of $2.90 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
142
times performed,
3% of his services

5th 12th

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

97
patients got this service, 14% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$14,200.00an average of $100.00 per time performed $3,439.24
an average of $24.22 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
132
times performed,
3% of his services

6th 20th

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

132
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$25,872.00an average of $196.00 per time performed $8,770.08
an average of $66.44 per time performed
drug
CHEMOTHERAPY DRUGS

Leuprolide acetate (for depot suspension), 7.5 mg

Service Code: J9217
Performed in an office
123
times performed,
3% of his services

7th 13th

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

18
patients got this service, 3% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.7)
$89,175.00an average of $725.00 per time performed $22,115.40
an average of $179.80 per time performed
medical
URINARY SYSTEM

Diagnostic examination of the bladder and bladder canal (... +

Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope ×

Service Code: 52000
Performed in an office
103
times performed,
2% of his services

8th 16th

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

89
patients got this service, 13% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$39,552.00an average of $384.00 per time performed $15,135.85
an average of $146.95 per time performed
medical
URINARY SYSTEM

Ultrasound measurement of bladder capacity after voiding +

Ultrasound measurement of bladder capacity after voiding ×

Service Code: 51798
Performed in an office
90
times performed,
2% of his services

9th 9th

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

64
patients got this service, 9% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$3,600.00an average of $40.00 per time performed $1,166.40
an average of $12.96 per time performed
medical
MEDICINE

Hormonal anti-neoplastic chemotherapy administration bene... +

Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle ×

Service Code: 96402
Performed in an office
50
times performed,
1% of his services

10th 26th

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

18
patients got this service, 3% of his patients
2.8
average number of visits a patient made for this service
(Peers: 1.8)
$3,750.00an average of $75.00 per time performed $1,169.00
an average of $23.38 per time performed
medical
URINARY SYSTEM

Bladder irrigation and/or instillation

Service Code: 51700
Performed in an office
29
times performed,
0.69% of his services

11th 32nd

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

19
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.7)
$3,596.00an average of $124.00 per time performed $1,701.14
an average of $58.66 per time performed
medical
URINARY SYSTEM

Diagnostic examination of the bladder and bladder canal (... +

Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope ×

Service Code: 52000
Performed in a facility
27
times performed,
0.65% of his services

12th 31st

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

25
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$10,368.00an average of $384.00 per time performed $2,363.58
an average of $87.54 per time performed
medical
URINARY SYSTEM

Insertion of stent in urinary duct (ureter) using an endo... +

Insertion of stent in urinary duct (ureter) using an endoscope ×

Service Code: 52332
Performed in a facility
21
times performed,
0.5% of his services

13th 38th

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

17
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$16,737.00an average of $797.00 per time performed $2,177.28
an average of $103.68 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
20
times performed,
0.48% of his services

14th 28th

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

18
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$5,280.00an average of $264.00 per time performed $1,938.00
an average of $96.90 per time performed
medical
URINARY SYSTEM

Shock wave crushing of kidney stones

Service Code: 50590
Performed in a facility
17
times performed,
0.41% of his services

15th 67th

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

13
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$57,103.00an average of $3,359.00 per time performed $6,833.83
an average of $401.99 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
15
times performed,
0.36% of his services

16th 19th

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,185.00an average of $79.00 per time performed $481.05
an average of $32.07 per time performed
medical

Crushing of stone in urinary duct (ureter) with stent usi... +

Crushing of stone in urinary duct (ureter) with stent using an endoscope ×

Service Code: 52356
Performed in a facility
14
times performed,
0.33% of his services

17th 70th

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$15,000.02an average of $1,071.43 per time performed $4,288.48
an average of $306.32 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.

Stephen H Heffington
Average for Urology Providers in Tennessee

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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