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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, $261 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
896
Rank: 50th
out of 659 providers in this state & specialty
Services
Performed
12,929
Rank: 9th
out of 659 providers in this state & specialty
Avg Services
Per Patient
14.4 This Provider is in the top 10%
Avg 5.3
Total Paid
by Medicare
$323K
Rank: 46th
out of 659 providers in this state & specialty
Avg Paid
Per Patient
$360 This Provider
Avg $261

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.

Clifford R. Wheeless
Average for Orthopedic Surgery 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

KATHRYN MURPHY

CLIFFORD WHEELESS

KARI LOOMIS

JOHN SPARGO

ANDREW KRONENBERG

Organizations

DLP MARIA PARHAM MEDICA...

LOUISBURG NOVANT LLC

Patients saw before

Clifford R. Wheeless

Patients saw after

Individuals

KATHRYN MURPHY

CLIFFORD WHEELESS

KARI LOOMIS

STEVEN SCHWAM

JOHN SPARGO

Organizations

LOUISBURG NOVANT LLC

DLP MARIA PARHAM MEDICA...

This Provider's Services

This provider performed 30 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, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
7,401
times performed,
57% of his services

1st 1st

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

557
patients got this service, 62% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.4)
$51,807an average of $7 per time performed $7,401
an average of $1 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
2,289
times performed,
18% of his services

2nd 2nd

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

785
patients got this service, 88% of his patients
2.9
average number of visits a patient made for this service
(Peers: 1.7)
$288,414an average of $126 per time performed $112,161
an average of $49 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
1,126
times performed,
9% of his services

3rd 4th

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

456
patients got this service, 51% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.6)
$177,908an average of $158 per time performed $61,930
an average of $55 per time performed
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 1 or 2 muscles

Service Code: 20552
Performed in an office
298
times performed,
2% of his services

4th 56th

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

177
patients got this service, 20% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$36,952an average of $124 per time performed $9,834
an average of $33 per time performed
DRUGS

Hyaluronan or derivative (euflexxa), for intra-articular ... +

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

Service Code: J7323
Performed in an office
279
times performed,
2% of his services

5th 39th

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

91
patients got this service, 10% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.6)
$124,713an average of $447 per time performed $32,922
an average of $118 per time performed
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
262
times performed,
2% of his services

6th 9th

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

201
patients got this service, 22% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$22,270an average of $85 per time performed $7,074
an average of $27 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
186
times performed,
1% of his services

7th 8th

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

186
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$35,526an average of $191 per time performed $13,578
an average of $73 per time performed
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
141
times performed,
1% of his services

8th 16th

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

135
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$14,241an average of $101 per time performed $3,807
an average of $27 per time performed
RADIOLOGY

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

Service Code: 73510
Performed in an office
121
times performed,
0.94% of his services

9th 17th

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

91
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$9,559an average of $79 per time performed $3,509
an average of $29 per time performed
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
119
times performed,
0.92% of his services

10th 12th

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

97
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$10,115an average of $85 per time performed $2,737
an average of $23 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
93
times performed,
0.72% of his services

11th 7th

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

82
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$7,254an average of $78 per time performed $2,976
an average of $32 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
88
times performed,
0.68% of his services

12th 43rd

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

57
patients got this service, 6% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$10,648an average of $121 per time performed $3,168
an average of $36 per time performed
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
76
times performed,
0.59% of his services

13th 13th

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

69
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$5,396an average of $71 per time performed $1,672
an average of $22 per time performed
RADIOLOGY

X-ray of ankle, minimum of 3 views

Service Code: 73610
Performed in an office
60
times performed,
0.46% of his services

14th 24th

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

45
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$4,680an average of $78 per time performed $1,380
an average of $23 per time performed
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
56
times performed,
0.43% of his services

15th 6th

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$0an average of $0 per time performed $0
an average of $0 per time performed
RADIOLOGY

X-ray of foot, minimum of 3 views

Service Code: 73630
Performed in an office
40
times performed,
0.31% of his services

16th 21st

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

36
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$3,160an average of $79 per time performed $840
an average of $21 per time performed
RADIOLOGY

X-ray of spine of neck, 2 or 3 views

Service Code: 72040
Performed in an office
35
times performed,
0.27% of his services

17th 33rd

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

35
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$2,870an average of $82 per time performed $1,015
an average of $29 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
30
times performed,
0.23% of his services

18th 58th

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

21
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$3,540an average of $118 per time performed $930
an average of $31 per time performed
RADIOLOGY

X-ray of wrist, minimum of 3 views

Service Code: 73110
Performed in an office
27
times performed,
0.21% of his services

19th 29th

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

16
patients got this service, 2% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$2,106an average of $78 per time performed $729
an average of $27 per time performed
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
26
times performed,
0.2% of his services

20th 26th

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

23
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$136,760an average of $5,260 per time performed $28,444
an average of $1,094 per time performed
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
24
times performed,
0.19% of his services

21st 15th

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

20
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$1,680an average of $70 per time performed $480
an average of $20 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
23
times performed,
0.18% of his services

22nd 32nd

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

20
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,760an average of $120 per time performed $690
an average of $30 per time performed
RADIOLOGY

X-ray of lower leg, 2 views

Service Code: 73590
Performed in an office
21
times performed,
0.16% of his services

23rd 105th

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

15
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$1,743an average of $83 per time performed $399
an average of $19 per time performed
MUSCULOSKELETAL SYSTEM

Repair of shoulder rotator cuff using an endoscope

Service Code: 29827
Performed in a facility
21
times performed,
0.16% of his services

24th 76th

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

17
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$65,100an average of $3,100 per time performed $15,057
an average of $717 per time performed
RADIOLOGY

X-ray of hand, minimum of 3 views

Service Code: 73130
Performed in an office
18
times performed,
0.14% of his services

25th 37th

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

17
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,188an average of $66 per time performed $360
an average of $20 per time performed
NERVOUS SYSTEM

Release and/or relocation of median nerve of hand

Service Code: 64721
Performed in a facility
16
times performed,
0.12% of his services

26th 78th

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

15
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$27,200an average of $1,700 per time performed $5,424
an average of $339 per time performed
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 3 or more muscles

Service Code: 20553
Performed in an office
15
times performed,
0.12% of his services

27th 179th

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)
$2,250an average of $150 per time performed $660
an average of $44 per time performed
RADIOLOGY

X-ray of both hips minimum 2 views

Service Code: 73520
Performed in an office
13
times performed,
0.1% of his services

28th 34th

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

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,365an average of $105 per time performed $377
an average of $29 per time performed
RADIOLOGY

X-ray of foot, 2 views

Service Code: 73620
Performed in an office
13
times performed,
0.1% of his services

29th 49th

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

11
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$832an average of $64 per time performed $221
an average of $17 per time performed
RADIOLOGY

Fluoroscopic guidance for insertion of needle

Service Code: 77002
Performed in a facility
12
times performed,
0.09% of his services

30th Alert

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$1,632an average of $136 per time performed $240
an average of $20 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 "Orthopaedic Surgery." 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.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.