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, $334 per patient in 2015.
They performed about 8 services per patient. Here’s how this provider compares.

Number of
Patients
237
Rank: 66th
out of 76 providers in this state & specialty
Services
Performed
7,018
Rank: 10th
out of 76 providers in this state & specialty
Avg Services
Per Patient
29.6 This Provider is in the top 10%
Avg 8.2
Total Paid
by Medicare
$192K
Rank: 20th
out of 76 providers in this state & specialty
Avg Paid
Per Patient
$811 This Provider is in the top 10%
Avg $334

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 58 different services in 2015
(34 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, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
2,412
times performed,
34% of his services

1st 1st

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

75
patients got this service, 32% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.2)
$434.16an average of $0.18 per time performed $241.20
an average of $0.10 per time performed
drug
TEMPORARY CODES

Low osmolar contrast material, 200-299 mg/ml iodine conce... +

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ×

Service Code: Q9966
Performed in an office
1,254
times performed,
18% of his services

2nd 3rd

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

117
patients got this service, 49% of his patients
3
average number of visits a patient made for this service
(Peers: 2.4)
$1,467.18an average of $1.17 per time performed $200.64
an average of $0.16 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
533
times performed,
8% of his services

3rd 12th

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

189
patients got this service, 80% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2)
$25,157.60an average of $47.20 per time performed $16,032.64
an average of $30.08 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
419
times performed,
6% of his services

4th 2nd

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

165
patients got this service, 70% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.9)
$33,796.54an average of $80.66 per time performed $20,882.96
an average of $49.84 per time performed
medical
MEDICINE

Moderate sedation services by physician also performing a... +

Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes ×

Service Code: 99144
Performed in an office
263
times performed,
4% of his services

5th 21st

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

84
patients got this service, 35% of his patients
3.1
average number of visits a patient made for this service
(Peers: 2.7)
$19,980.11an average of $75.97 per time performed $12,871.22
an average of $48.94 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64483
Performed in an office
174
times performed,
2% of his services

6th 17th

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

69
patients got this service, 29% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.1)
$56,012.34an average of $321.91 per time performed $32,156.94
an average of $184.81 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
147
times performed,
2% of his services

7th 26th

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

85
patients got this service, 36% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$742.35an average of $5.05 per time performed $391.02
an average of $2.66 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injection procedure into sacroiliac joint for anesthetic ... +

Injection procedure into sacroiliac joint for anesthetic or steroid ×

Service Code: 27096
Performed in an office
87
times performed,
1% of his services

8th 50th

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

56
patients got this service, 24% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$21,120.12an average of $242.76 per time performed $11,985.12
an average of $137.76 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
82
times performed,
1% of his services

9th 9th

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

52
patients got this service, 22% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.1)
$850.34an average of $10.37 per time performed $415.74
an average of $5.07 per time performed
medical
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
74
times performed,
1% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

33
patients got this service, 14% of his patients
2.2
average number of visits a patient made for this service
$5,061.60an average of $68.40 per time performed $3,233.80
an average of $43.70 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64493
Performed in an office
68
times performed,
0.97% of his services

11th 38th

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

39
patients got this service, 16% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.8)
$19,657.44an average of $289.08 per time performed $12,072.04
an average of $177.53 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64494
Performed in an office
67
times performed,
0.95% of his services

12th 45th

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

39
patients got this service, 16% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.8)
$10,249.66an average of $152.98 per time performed $6,239.04
an average of $93.12 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
65
times performed,
0.93% of his services

13th 27th

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

65
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,945.05an average of $183.77 per time performed $7,094.75
an average of $109.15 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64495
Performed in an office
62
times performed,
0.88% of his services

14th 60th

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

36
patients got this service, 15% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.9)
$8,534.92an average of $137.66 per time performed $5,863.34
an average of $94.57 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves with imaging guidance ×

Service Code: 64636
Performed in an office
52
times performed,
0.74% of his services

15th 72nd

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

28
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$14,279.72an average of $274.61 per time performed $9,279.92
an average of $178.46 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 3 or more muscles

Service Code: 20553
Performed in an office
52
times performed,
0.74% of his services

16th 91st

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

21
patients got this service, 9% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.1)
$3,851.64an average of $74.07 per time performed $2,284.88
an average of $43.94 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 1 or 2 muscles

Service Code: 20552
Performed in an office
50
times performed,
0.71% of his services

17th 77th

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

24
patients got this service, 10% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.4)
$2,951.00an average of $59.02 per time performed $2,052.00
an average of $41.04 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves using imaging guidance ×

Service Code: 64635
Performed in an office
33
times performed,
0.47% of his services

18th 81st

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

28
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$22,060.50an average of $668.50 per time performed $14,527.59
an average of $440.23 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
25
times performed,
0.36% of his services

19th 55th

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

22
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$2,262.25an average of $90.49 per time performed $1,168.25
an average of $46.73 per time performed
medical
NERVOUS SYSTEM

Destruction of peripheral nerve or branch

Service Code: 64640
Performed in an office
21
times performed,
0.3% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

19
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
$6,809.67an average of $324.27 per time performed $1,444.38
an average of $68.78 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64490
Performed in an office
20
times performed,
0.28% of his services

21st 79th

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

13
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.8)
$5,078.80an average of $253.94 per time performed $3,162.20
an average of $158.11 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64491
Performed in an office
20
times performed,
0.28% of his services

22nd 84th

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

13
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.8)
$2,427.80an average of $121.39 per time performed $1,578.60
an average of $78.93 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64492
Performed in an office
19
times performed,
0.27% of his services

23rd 89th

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

13
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.8)
$2,338.14an average of $123.06 per time performed $1,512.21
an average of $79.59 per time performed
medical

Aspiration and/or injection of major joint or joint capsu... +

Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance ×

Service Code: 20611
Performed in an office
18
times performed,
0.26% of his services

24th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
$3,000.06an average of $166.67 per time performed $1,272.06
an average of $70.67 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.

Thomas G Johans
Average for Pain Medicine Providers in Missouri

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.

Read our methodology.