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, $355 per patient in 2015.
They performed about 6 services per patient. Here’s how this provider compares.

Number of
Patients
569
Rank: 91st
out of 325 providers in this state & specialty
Services
Performed
1,690
Rank: 185th
out of 325 providers in this state & specialty
Avg Services
Per Patient
3 This Provider
Avg 5.8
Total Paid
by Medicare
$342K
Rank: 27th
out of 325 providers in this state & specialty
Avg Paid
Per Patient
$602 This Provider is in the top 10%
Avg $355

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 52 different services in 2015
(35 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
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
303
times performed,
18% of his services

1st 1st

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

228
patients got this service, 40% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$35,808.54an average of $118.18 per time performed $18,764.79
an average of $61.93 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
209
times performed,
12% of his services

2nd 5th

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

208
patients got this service, 37% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$38,489.44an average of $184.16 per time performed $18,981.38
an average of $90.82 per time performed
medical
RADIOLOGY

X-ray lower and sacral spine including bending views mini... +

X-ray lower and sacral spine including bending views minimum 6 views ×

Service Code: 72114
Performed in an office
205
times performed,
12% of his services

3rd 96th

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

204
patients got this service, 36% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$38,396.50an average of $187.30 per time performed $11,133.55
an average of $54.31 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
174
times performed,
10% of his services

4th 9th

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

174
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$36,707.04an average of $210.96 per time performed $15,271.98
an average of $87.77 per time performed
medical
RADIOLOGY

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

Service Code: 72100
Performed in an office
119
times performed,
7% of his services

5th 21st

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

96
patients got this service, 17% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$12,404.56an average of $104.24 per time performed $2,917.88
an average of $24.52 per time performed
medical
NERVOUS SYSTEM

Partial removal of spine bone with release of spinal cord... +

Partial removal of spine bone with release of spinal cord and/or nerves ×

Service Code: 63048
Performed in a facility
91
times performed,
5% of his services

6th 91st

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

49
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$99,565.83an average of $1,094.13 per time performed $17,296.37
an average of $190.07 per time performed
medical
MEDICINE

Therapeutic exercise to develop strength, endurance, rang... +

Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes ×

Service Code: 97110
Performed in an office
91
times performed,
5% of his services

7th 6th

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

13
patients got this service, 2% of his patients
2.9
average number of visits a patient made for this service
(Peers: 5.8)
$8,169.98an average of $89.78 per time performed $1,534.26
an average of $16.86 per time performed
medical
MUSCULOSKELETAL SYSTEM

Fusion of spine bones, posterior or posterolateral approach +

Fusion of spine bones, posterior or posterolateral approach ×

Service Code: 22614
Performed in a facility
79
times performed,
5% of his services

8th 103rd

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

41
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$155,726.38an average of $1,971.22 per time performed $27,854.61
an average of $352.59 per time performed
medical
NERVOUS SYSTEM

Partial removal of middle spine bone with release of spin... +

Partial removal of middle spine bone with release of spinal cord and/or nerves ×

Service Code: 63047
Performed in a facility
66
times performed,
4% of his services

9th 94th

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

65
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$370,269.24an average of $5,610.14 per time performed $40,345.80
an average of $611.30 per time performed
medical
RADIOLOGY

X-ray of upper spine, 6 or more views

Service Code: 72052
Performed in an office
62
times performed,
4% of his services

10th 114th

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

62
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,073.70an average of $146.35 per time performed $3,101.24
an average of $50.02 per time performed
medical
MUSCULOSKELETAL SYSTEM

Insertion of posterior spinal instrumentation for spinal ... +

Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments ×

Service Code: 22842
Performed in a facility
42
times performed,
2% of his services

11th 121st

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

41
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$151,840.08an average of $3,615.24 per time performed $28,331.10
an average of $674.55 per time performed
medical
MUSCULOSKELETAL SYSTEM

Fusion of lower spine bones, posterior or posterolateral ... +

Fusion of lower spine bones, posterior or posterolateral approach ×

Service Code: 22612
Performed in a facility
39
times performed,
2% of his services

12th 119th

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

39
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$321,769.11an average of $8,250.49 per time performed $53,878.89
an average of $1,381.51 per time performed
medical
MUSCULOSKELETAL SYSTEM

Insertion of spinal instrumentation for spinal stabilization +

Insertion of spinal instrumentation for spinal stabilization ×

Service Code: 22851
Performed in a facility
37
times performed,
2% of his services

13th 81st

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

34
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$71,079.96an average of $1,921.08 per time performed $13,703.32
an average of $370.36 per time performed
medical
RADIOLOGY

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

Service Code: 72040
Performed in an office
25
times performed,
1% of his services

14th 44th

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

20
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$2,260.00an average of $90.40 per time performed $622.00
an average of $24.88 per time performed
medical
MUSCULOSKELETAL SYSTEM

Fusion of lower spine bones with removal of disc, posteri... +

Fusion of lower spine bones with removal of disc, posterior or posterolateral approach ×

Service Code: 22633
Performed in a facility
24
times performed,
1% of his services

15th 131st

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

24
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$213,831.12an average of $8,909.63 per time performed $40,197.12
an average of $1,674.88 per time performed
medical
MUSCULOSKELETAL SYSTEM

Insertion of posterior spinal instrumentation at base of ... +

Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace ×

Service Code: 22840
Performed in a facility
21
times performed,
1% of his services

16th 160th

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

21
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$76,689.90an average of $3,651.90 per time performed $14,244.09
an average of $678.29 per time performed
medical
MUSCULOSKELETAL SYSTEM

Insertion of anterior spinal instrumentation for spinal s... +

Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments ×

Service Code: 22845
Performed in a facility
11
times performed,
0.65% of his services

17th 152nd

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$49,643.00an average of $4,513.00 per time performed $7,551.39
an average of $686.49 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.

Steven S Hughes
Average for Orthopaedic Surgery Providers in Virginia

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.