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, $1,449 per patient in 2015.
They performed about 78 services per patient. Here’s how this provider compares.

Number of
Patients
460
Rank: 29th
out of 69 providers in this state & specialty
Services
Performed
82,247
Rank: 12th
out of 69 providers in this state & specialty
Avg Services
Per Patient
178.8 This Provider
Avg 77.7
Total Paid
by Medicare
$704K
Rank: 27th
out of 69 providers in this state & specialty
Avg Paid
Per Patient
$1,530 This Provider
Avg $1,449

Note: About 69% 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 97 different services in 2015
(64 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, tocilizumab, 1 mg

Service Code: J3262
Performed in an office
64,640
times performed,
79% of his services

1st 1st

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

12
patients got this service, 3% of his patients
8.6
average number of visits a patient made for this service
(Peers: 5.2)
$478,336.00an average of $7.40 per time performed $193,273.60
an average of $2.99 per time performed
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
1,800
times performed,
2% of his services

2nd 6th

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

20
patients got this service, 4% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$55,800.00an average of $31.00 per time performed $21,024.00
an average of $11.68 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
965
times performed,
1% of his services

3rd 7th

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

415
patients got this service, 90% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2.3)
$189,140.00an average of $196.00 per time performed $70,821.35
an average of $73.39 per time performed
medical
RADIOLOGY

Ultrasound of leg or arm

Service Code: 76881
Performed in an office
786
times performed,
0.96% of his services

4th 42nd

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

341
patients got this service, 74% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$176,850.00an average of $225.00 per time performed $65,418.78
an average of $83.23 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
265
times performed,
0.32% of his services

5th 27th

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

176
patients got this service, 38% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.7)
$7,155.00an average of $27.00 per time performed $2,570.50
an average of $9.70 per time performed
medical
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
264
times performed,
0.32% of his services

6th 10th

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

174
patients got this service, 38% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.4)
$5,544.00an average of $21.00 per time performed $2,579.28
an average of $9.77 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
248
times performed,
0.3% of his services

7th 9th

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

169
patients got this service, 37% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.2)
$2,232.00an average of $9.00 per time performed $721.68
an average of $2.91 per time performed
drug
DRUGS

Infusion, normal saline solution , 250 cc

Service Code: J7050
Performed in an office
238
times performed,
0.29% of his services

8th 17th

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

32
patients got this service, 7% of his patients
3.9
average number of visits a patient made for this service
(Peers: 4.4)
$4,760.00an average of $20.00 per time performed $73.78
an average of $0.31 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85652
Performed in an office
233
times performed,
0.28% of his services

9th 29th

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

164
patients got this service, 36% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$2,094.67an average of $8.99 per time performed $831.81
an average of $3.57 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement c-reactive protein for detection of infection... +

Measurement c-reactive protein for detection of infection or inflammation ×

Service Code: 86140
Performed in an office
229
times performed,
0.28% of his services

10th 22nd

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

163
patients got this service, 35% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.8)
$3,435.00an average of $15.00 per time performed $1,564.07
an average of $6.83 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
196
times performed,
0.24% of his services

11th 12th

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

31
patients got this service, 7% of his patients
6.3
average number of visits a patient made for this service
(Peers: 4.9)
$54,488.00an average of $278.00 per time performed $18,463.20
an average of $94.20 per time performed
medical
RADIOLOGY

X-ray of hand, 2 views

Service Code: 73120
Performed in an office
145
times performed,
0.18% of his services

12th 35th

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

78
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,747.35an average of $53.43 per time performed $2,563.60
an average of $17.68 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
142
times performed,
0.17% of his services

13th 26th

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

142
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$43,115.46an average of $303.63 per time performed $17,095.38
an average of $120.39 per time performed
medical
PATHOLOGY AND LABORATORY

Rheumatoid factor level

Service Code: 86431
Performed in an office
139
times performed,
0.17% of his services

14th 51st

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

113
patients got this service, 25% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,056.61an average of $21.99 per time performed $1,039.72
an average of $7.48 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
139
times performed,
0.17% of his services

15th 24th

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

97
patients got this service, 21% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$2,641.00an average of $19.00 per time performed $386.42
an average of $2.78 per time performed
medical
RADIOLOGY

X-ray of foot, 2 views

Service Code: 73620
Performed in an office
139
times performed,
0.17% of his services

16th 46th

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

75
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,436.50an average of $53.50 per time performed $2,485.32
an average of $17.88 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of antibody for assessment of autoimmune diso... +

Measurement of antibody for assessment of autoimmune disorder ×

Service Code: 86235
Performed in an office
131
times performed,
0.16% of his services

17th 28th

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

77
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$6,681.00an average of $51.00 per time performed $3,071.95
an average of $23.45 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
116
times performed,
0.14% of his services

18th 59th

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

101
patients got this service, 22% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$2,532.28an average of $21.83 per time performed $528.96
an average of $4.56 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of antibody for rheumatoid arthritis assessment +

Measurement of antibody for rheumatoid arthritis assessment ×

Service Code: 86200
Performed in an office
114
times performed,
0.14% of his services

19th 68th

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

114
patients got this service, 25% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,218.00an average of $37.00 per time performed $1,939.14
an average of $17.01 per time performed
medical
PATHOLOGY AND LABORATORY

Analysis of substance using immunoassay technique

Service Code: 83516
Performed in an office
114
times performed,
0.14% of his services

20th 60th

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

79
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,026.48an average of $35.32 per time performed $1,728.24
an average of $15.16 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
79
times performed,
0.1% of his services

21st 18th

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

52
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.8)
$11,455.00an average of $145.00 per time performed $3,472.05
an average of $43.95 per time performed
medical
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82550
Performed in an office
76
times performed,
0.09% of his services

22nd 83rd

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

76
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,368.00an average of $18.00 per time performed $256.88
an average of $3.38 per time performed
medical
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
71
times performed,
0.09% of his services

23rd 40th

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

71
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$5,964.00an average of $84.00 per time performed $2,771.13
an average of $39.03 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of dna antibody

Service Code: 86225
Performed in an office
69
times performed,
0.08% of his services

24th 70th

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

69
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,855.91an average of $41.39 per time performed $1,233.03
an average of $17.87 per time performed
medical
PATHOLOGY AND LABORATORY

Hepatitis b core antibody measurement

Service Code: 86704
Performed in an office
55
times performed,
0.07% of his services

25th 109th

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

55
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,090.00an average of $38.00 per time performed $680.90
an average of $12.38 per time performed
medical
PATHOLOGY AND LABORATORY

Hepatitis b surface antibody measurement

Service Code: 86706
Performed in an office
55
times performed,
0.07% of his services

26th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

55
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
$1,650.00an average of $30.00 per time performed $763.95
an average of $13.89 per time performed
medical
PATHOLOGY AND LABORATORY

Hepatitis c antibody measurement

Service Code: 86803
Performed in an office
53
times performed,
0.06% of his services

27th 110th

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

53
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,120.00an average of $40.00 per time performed $992.16
an average of $18.72 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
49
times performed,
0.06% of his services

28th 52nd

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

34
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.2)
$15,680.00an average of $320.00 per time performed $3,394.72
an average of $69.28 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of dna antibody

Service Code: 86226
Performed in an office
43
times performed,
0.05% of his services

29th 77th

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

43
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,665.82an average of $38.74 per time performed $681.55
an average of $15.85 per time performed
medical
PATHOLOGY AND LABORATORY

Screening test for autoimmune disorder

Service Code: 86038
Performed in an office
38
times performed,
0.05% of his services

30th 99th

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

38
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,836.16an average of $48.32 per time performed $612.56
an average of $16.12 per time performed
medical
MEDICINE

Non-hormonal anti-neoplastic chemotherapy beneath the ski... +

Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle ×

Service Code: 96401
Performed in an office
35
times performed,
0.04% of his services

31st 23rd

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

21
patients got this service, 5% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.6)
$4,830.00an average of $138.00 per time performed $1,804.95
an average of $51.57 per time performed
medical
RADIOLOGY

Ultrasound of arm or leg

Service Code: 76882
Performed in an office
34
times performed,
0.04% of his services

32nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

23
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
$2,550.00an average of $75.00 per time performed $868.70
an average of $25.55 per time performed
medical
PATHOLOGY AND LABORATORY

Detection test for hepatitis b surface antigen

Service Code: 87340
Performed in an office
31
times performed,
0.04% of his services

33rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

31
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$868.00an average of $28.00 per time performed $396.49
an average of $12.79 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.

Colin Clark Edgerton
Average for Rheumatology Providers in South Carolina

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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