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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
1,007
Rank: 20th
out of 363 providers in this state & specialty
Services
Performed
60,656
Rank: 4th
out of 363 providers in this state & specialty
Avg Services
Per Patient
60.2 This Provider is in the top 10%
Avg 9.6
Total Paid
by Medicare
$580K
Rank: 4th
out of 363 providers in this state & specialty
Avg Paid
Per Patient
$576 This Provider is in the top 10%
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.

Misty L. Sinclair
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.

Patients saw before

Misty L. Sinclair

Patients saw after

Individuals

BRUCE SOLOMON

CAROLYN MAYNOR

MICHAEL EDWARDS

SAMUEL WAHL

LACEY MOORE

Organizations

FIRSTHEALTH OF THE CARO...

LABORATORY CORPORATION ...

This Provider's Services

This provider performed 21 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
28,950
times performed,
48% of her services

1st 1st

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

46
patients got this service, 5% of her patients
2.9
average number of visits a patient made for this service
(Peers: 2.3)
$173,700an average of $6 per time performed $115,800
an average of $4 per time performed
DRUGS

Injection, natalizumab (tysabri), 1 mg

Service Code: J2323
Performed in an office
28,500
times performed,
47% of her services

2nd 2nd

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

13
patients got this service, 1% of her patients
7.3
average number of visits a patient made for this service
(Peers: 4.4)
$712,500an average of $25 per time performed $228,000
an average of $8 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
613
times performed,
1% of her services

3rd 4th

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

409
patients got this service, 41% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$45,362an average of $74 per time performed $27,585
an average of $45 per time performed
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
446
times performed,
0.74% of her services

4th 3rd

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

322
patients got this service, 32% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$50,844an average of $114 per time performed $30,328
an average of $68 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
321
times performed,
0.53% of her services

5th 5th

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

69
patients got this service, 7% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$32,421an average of $101 per time performed $12,840
an average of $40 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
317
times performed,
0.52% of her services

6th 6th

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

69
patients got this service, 7% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$33,602an average of $106 per time performed $16,484
an average of $52 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
222
times performed,
0.37% of her services

7th 23rd

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

123
patients got this service, 12% of her patients
1.8
average number of visits a patient made for this service
(Peers: 1.9)
$15,762an average of $71 per time performed $6,438
an average of $29 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
191
times performed,
0.31% of her services

8th 9th

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

191
patients got this service, 19% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$35,717an average of $187 per time performed $21,010
an average of $110 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
133
times performed,
0.22% of her services

9th 16th

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

132
patients got this service, 13% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$44,023an average of $331 per time performed $19,950
an average of $150 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
122
times performed,
0.2% of her services

10th 51st

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

14
patients got this service, 1% of her patients
8.7
average number of visits a patient made for this service
(Peers: 4.7)
$48,800an average of $400 per time performed $11,590
an average of $95 per time performed
DRUGS

Infusion, normal saline solution, sterile (500 ml=1 unit) +

Infusion, normal saline solution, sterile (500 ml=1 unit) ×

Service Code: J7040
Performed in an office
120
times performed,
0.2% of her services

11th Alert

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

17
patients got this service, 2% of her patients
7.1
average number of visits a patient made for this service
$3,120an average of $26 per time performed $0
an average of $0 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
119
times performed,
0.2% of her services

12th 7th

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

83
patients got this service, 8% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$16,303an average of $137 per time performed $6,426
an average of $54 per time performed
NERVOUS SYSTEM

Injection of chemical for destruction of nerve muscles on... +

Injection of chemical for destruction of nerve muscles on one side of face ×

Service Code: 64612
Performed in an office
94
times performed,
0.15% of her services

13th 66th

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

32
patients got this service, 3% of her patients
2.9
average number of visits a patient made for this service
(Peers: 2.4)
$28,200an average of $300 per time performed $14,288
an average of $152 per time performed
NERVOUS SYSTEM

Injection of chemical for destruction of neck muscles

Service Code: 64613
Performed in an office
91
times performed,
0.15% of her services

14th 61st

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

30
patients got this service, 3% of her patients
3
average number of visits a patient made for this service
(Peers: 2.4)
$27,300an average of $300 per time performed $6,097
an average of $67 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 a facility
86
times performed,
0.14% of her services

15th 24th

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

20
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,912an average of $92 per time performed $1,978
an average of $23 per time performed
MEDICINE

Measurement and recording of brain wave (eeg) activity, a... +

Measurement and recording of brain wave (eeg) activity, awake and drowsy ×

Service Code: 95816
Performed in a facility
77
times performed,
0.13% of her services

16th 25th

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

77
patients got this service, 8% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,399an average of $187 per time performed $3,080
an average of $40 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 a facility
59
times performed,
0.1% of her services

17th 21st

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

20
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,723an average of $97 per time performed $767
an average of $13 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
39
times performed,
0.06% of her services

18th 39th

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

39
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$46,800an average of $1,200 per time performed $18,759
an average of $481 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
38
times performed,
0.06% of her services

19th 26th

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

37
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$40,052an average of $1,054 per time performed $3,914
an average of $103 per time performed
MEDICINE

Measurement and recording of brain wave (eeg) activity, a... +

Measurement and recording of brain wave (eeg) activity, awake and asleep ×

Service Code: 95819
Performed in an office
37
times performed,
0.06% of her services

20th 63rd

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

36
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,800an average of $400 per time performed $10,138
an average of $274 per time performed
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
32
times performed,
0.05% of her services

21st 19th

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

32
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,744an average of $242 per time performed $4,544
an average of $142 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
31
times performed,
0.05% of her services

22nd 40th

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

31
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$40,300an average of $1,300 per time performed $15,934
an average of $514 per time performed
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
18
times performed,
0.03% of her services

23rd 54th

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

11
patients got this service, 1% of her patients
1.6
average number of visits a patient made for this service
(Peers: 3)
$648an average of $36 per time performed $306
an average of $17 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.


Read our methodology.


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