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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, $844 per patient in 2012.
They performed about 73 services per patient. Here’s how this provider compares.
Number of
Patients
318
Rank: 142nd
out of 214 providers in this state & specialty
Services
Performed
75,447
Rank: 35th
out of 214 providers in this state & specialty
Avg Services
Per Patient
237.3 This Provider is in the top 10%
Avg 72.5
Total Paid
by Medicare
$809K
Rank: 45th
out of 214 providers in this state & specialty
Avg Paid
Per Patient
$2,544 This Provider is in the top 10%
Avg $844

Office Visits

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Top Billing

Related story »

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.

Ethan W. Tolbert
Average for Hematology/Oncology Providers in Georgia

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

Ethan W. Tolbert

Patients saw after

This Provider's Services

This provider performed 52 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, darbepoetin alfa, 1 microgram (non-end-stage r... +

Injection, darbepoetin alfa, 1 microgram (non-end-stage renal disease use) ×

Service Code: J0881
Performed in an office
22,240
times performed,
29% of his services

1st 1st

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

25
patients got this service, 8% of his patients
2.4
average number of visits a patient made for this service
(Peers: 3.8)
$222,400an average of $10 per time performed $66,720
an average of $3 per time performed
DRUGS

Injection, fosaprepitant (emend), 1 mg

Service Code: J1453
Performed in an office
20,550
times performed,
27% of his services

2nd 2nd

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

27
patients got this service, 8% of his patients
5.1
average number of visits a patient made for this service
(Peers: 3.6)
$82,200an average of $4 per time performed $20,550
an average of $1 per time performed
TEMPORARY CODES

Injection, ferumoxytol, for treatment of iron deficiency ... +

Injection, ferumoxytol, for treatment of iron deficiency anemia, 1 mg (non-end-stage renal disease use) ×

Service Code: Q0138
Performed in an office
10,200
times performed,
14% of his services

3rd 3rd

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

11
patients got this service, 3% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2)
$20,400an average of $2 per time performed $10,200
an average of $1 per time performed
DRUGS

Injection, denosumab (prolia, xgeva), 1 mg

Service Code: J0897
Performed in an office
5,040
times performed,
7% of his services

4th 7th

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

11
patients got this service, 3% of his patients
4
average number of visits a patient made for this service
(Peers: 3)
$171,360an average of $34 per time performed $60,480
an average of $12 per time performed
CHEMOTHERAPY DRUGS

Injection, bortezomib (velcade), 0.1 mg

Service Code: J9041
Performed in an office
4,025
times performed,
5% of his services

5th 30th

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

13
patients got this service, 4% of his patients
8.8
average number of visits a patient made for this service
(Peers: 4)
$301,875an average of $75 per time performed $140,875
an average of $35 per time performed
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
2,134
times performed,
3% of his services

6th 5th

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

37
patients got this service, 12% of his patients
4.8
average number of visits a patient made for this service
(Peers: 4.6)
$6,402an average of $3 per time performed $0
an average of $0 per time performed
DRUGS

Injection, palonosetron hydrochloride, 25 mcg

Service Code: J2469
Performed in an office
2,050
times performed,
3% of his services

7th 10th

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

38
patients got this service, 12% of his patients
5.4
average number of visits a patient made for this service
(Peers: 4.3)
$133,250an average of $65 per time performed $30,750
an average of $15 per time performed
DRUGS

Injection, iron dextran, 50 mg

Service Code: J1750
Performed in an office
1,150
times performed,
2% of his services

8th 26th

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

30
patients got this service, 9% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2.3)
$64,400an average of $56 per time performed $10,350
an average of $9 per time performed
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
1,119
times performed,
1% of his services

9th 8th

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

246
patients got this service, 77% of his patients
4.5
average number of visits a patient made for this service
(Peers: 4)
$35,808an average of $32 per time performed $12,309
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
826
times performed,
1% of his services

10th 20th

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

210
patients got this service, 66% of his patients
3.9
average number of visits a patient made for this service
(Peers: 3)
$42,126an average of $51 per time performed $11,564
an average of $14 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
535
times performed,
0.71% of his services

11th 18th

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

152
patients got this service, 48% of his patients
3.5
average number of visits a patient made for this service
(Peers: 2.4)
$64,735an average of $121 per time performed $28,355
an average of $53 per time performed
MEDICINE

Infusion into a vein for therapy prevention or diagnosis ... +

Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour ×

Service Code: 96367
Performed in an office
508
times performed,
0.67% of his services

12th 23rd

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

69
patients got this service, 22% of his patients
4
average number of visits a patient made for this service
(Peers: 4.4)
$47,244an average of $93 per time performed $13,208
an average of $26 per time performed
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
504
times performed,
0.67% of his services

13th 12th

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

184
patients got this service, 58% of his patients
2.7
average number of visits a patient made for this service
(Peers: 3.2)
$11,088an average of $22 per time performed $1,512
an average of $3 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
363
times performed,
0.48% of his services

14th 17th

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

142
patients got this service, 45% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2.7)
$63,525an average of $175 per time performed $27,588
an average of $76 per time performed
MEDICINE

Injection of different drug or substance into a vein for ... +

Injection of different drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96375
Performed in an office
345
times performed,
0.46% of his services

15th 29th

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

44
patients got this service, 14% of his patients
4.8
average number of visits a patient made for this service
(Peers: 3.9)
$25,875an average of $75 per time performed $6,210
an average of $18 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
313
times performed,
0.41% of his services

16th 27th

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

52
patients got this service, 16% of his patients
6
average number of visits a patient made for this service
(Peers: 5.3)
$157,126an average of $502 per time performed $34,743
an average of $111 per time performed
DRUGS

Injection, magnesium sulfate, per 500 mg

Service Code: J3475
Performed in an office
246
times performed,
0.33% of his services

17th 55th

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

11
patients got this service, 3% of his patients
5.1
average number of visits a patient made for this service
(Peers: 3.9)
$984an average of $4 per time performed $0
an average of $0 per time performed
DRUGS

Injection, zoledronic acid, 1 mg

Service Code: J3487
Performed in an office
232
times performed,
0.31% of his services

18th 41st

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

22
patients got this service, 7% of his patients
2.6
average number of visits a patient made for this service
(Peers: 3.2)
$106,024an average of $457 per time performed $41,760
an average of $180 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
232
times performed,
0.31% of his services

19th 24th

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

71
patients got this service, 22% of his patients
3.2
average number of visits a patient made for this service
(Peers: 4.1)
$12,064an average of $52 per time performed $4,408
an average of $19 per time performed
PATHOLOGY AND LABORATORY

Iron binding capacity

Service Code: 83550
Performed in an office
211
times performed,
0.28% of his services

20th 68th

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

111
patients got this service, 35% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.7)
$6,330an average of $30 per time performed $2,532
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Iron level

Service Code: 83540
Performed in an office
210
times performed,
0.28% of his services

21st 70th

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

111
patients got this service, 35% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.7)
$6,720an average of $32 per time performed $1,890
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Ferritin (blood protein) level

Service Code: 82728
Performed in an office
209
times performed,
0.28% of his services

22nd 56th

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

109
patients got this service, 34% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.8)
$10,450an average of $50 per time performed $3,971
an average of $19 per time performed
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour ×

Service Code: 96365
Performed in an office
157
times performed,
0.21% of his services

23rd 42nd

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

66
patients got this service, 21% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.7)
$38,936an average of $248 per time performed $8,792
an average of $56 per time performed
DRUGS

Injection, diphenhydramine hydrochloride, up to 50 mg

Service Code: J1200
Performed in an office
153
times performed,
0.2% of his services

24th 38th

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

53
patients got this service, 17% of his patients
2.9
average number of visits a patient made for this service
(Peers: 3.8)
$765an average of $5 per time performed $153
an average of $1 per time performed
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
147
times performed,
0.19% of his services

25th 36th

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

23
patients got this service, 7% of his patients
4.2
average number of visits a patient made for this service
(Peers: 3.4)
$17,787an average of $121 per time performed $3,675
an average of $25 per time performed
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosis +

Infusion into a vein for therapy, prevention, or diagnosis ×

Service Code: 96366
Performed in an office
137
times performed,
0.18% of his services

26th 50th

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

39
patients got this service, 12% of his patients
3.1
average number of visits a patient made for this service
(Peers: 2.6)
$13,700an average of $100 per time performed $2,192
an average of $16 per time performed
MEDICINE

Hydration infusion into a vein

Service Code: 96361
Performed in an office
120
times performed,
0.16% of his services

27th 48th

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

30
patients got this service, 9% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.7)
$5,280an average of $44 per time performed $1,440
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Lactate dehydrogenase (enzyme) level

Service Code: 83615
Performed in an office
110
times performed,
0.15% of his services

28th 32nd

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

72
patients got this service, 23% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.3)
$3,190an average of $29 per time performed $550
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
105
times performed,
0.14% of his services

29th 35th

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

28
patients got this service, 9% of his patients
3.8
average number of visits a patient made for this service
(Peers: 5.2)
$2,625an average of $25 per time performed $630
an average of $6 per time performed
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
104
times performed,
0.14% of his services

30th 90th

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

13
patients got this service, 4% of his patients
8
average number of visits a patient made for this service
(Peers: 5.3)
$26,104an average of $251 per time performed $6,032
an average of $58 per time performed
MEDICINE

Infusion of different chemotherapy drug or substance into... +

Infusion of different chemotherapy drug or substance into a vein up to 1 hour ×

Service Code: 96417
Performed in an office
102
times performed,
0.14% of his services

31st 46th

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

22
patients got this service, 7% of his patients
4
average number of visits a patient made for this service
(Peers: 3.6)
$25,500an average of $250 per time performed $5,916
an average of $58 per time performed
DRUGS

Injection, pegfilgrastim, 6 mg

Service Code: J2505
Performed in an office
93
times performed,
0.12% of his services

32nd 76th

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

30
patients got this service, 9% of his patients
3.1
average number of visits a patient made for this service
(Peers: 2.5)
$548,700an average of $5,900 per time performed $210,087
an average of $2,259 per time performed
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
93
times performed,
0.12% of his services

33rd 85th

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

74
patients got this service, 23% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$5,115an average of $55 per time performed $1,953
an average of $21 per time performed
PATHOLOGY AND LABORATORY

Folic acid level

Service Code: 82746
Performed in an office
86
times performed,
0.11% of his services

34th 99th

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

72
patients got this service, 23% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$3,526an average of $41 per time performed $1,806
an average of $21 per time performed
MEDICINE

Infusion of different chemotherapy drug or substance into... +

Infusion of different chemotherapy drug or substance into a vein ×

Service Code: 96411
Performed in an office
75
times performed,
0.1% of his services

35th 79th

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

12
patients got this service, 4% of his patients
5.8
average number of visits a patient made for this service
(Peers: 4)
$24,525an average of $327 per time performed $3,750
an average of $50 per time performed
PATHOLOGY AND LABORATORY

Carcinoembryonic antigen (cea) protein level

Service Code: 82378
Performed in an office
67
times performed,
0.09% of his services

36th 88th

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

18
patients got this service, 6% of his patients
3.7
average number of visits a patient made for this service
(Peers: 2.3)
$6,030an average of $90 per time performed $1,809
an average of $27 per time performed
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
65
times performed,
0.09% of his services

37th 132nd

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

59
patients got this service, 19% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,430an average of $22 per time performed $325
an average of $5 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
65
times performed,
0.09% of his services

38th 51st

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

32
patients got this service, 10% of his patients
2
average number of visits a patient made for this service
(Peers: 2.7)
$11,050an average of $170 per time performed $5,200
an average of $80 per time performed
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
64
times performed,
0.08% of his services

39th 103rd

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

12
patients got this service, 4% of his patients
5.3
average number of visits a patient made for this service
(Peers: 2.1)
$960an average of $15 per time performed $256
an average of $4 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
64
times performed,
0.08% of his services

40th 74th

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

51
patients got this service, 16% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$20,800an average of $325 per time performed $10,048
an average of $157 per time performed
DRUGS

Infusion, normal saline solution , 1000 cc

Service Code: J7030
Performed in an office
63
times performed,
0.08% of his services

41st 64th

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

27
patients got this service, 8% of his patients
2
average number of visits a patient made for this service
(Peers: 2.7)
$1,260an average of $20 per time performed $63
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 40 minutes ×

Service Code: 99215
Performed in an office
59
times performed,
0.08% of his services

42nd 58th

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

55
patients got this service, 17% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.9)
$14,455an average of $245 per time performed $6,372
an average of $108 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
52
times performed,
0.07% of his services

43rd 75th

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

52
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,356an average of $353 per time performed $7,956
an average of $153 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
48
times performed,
0.06% of his services

44th 33rd

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

36
patients got this service, 11% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.6)
$5,760an average of $120 per time performed $2,688
an average of $56 per time performed
MEDICINE

Hydration infusion into a vein 31 minutes to 1 hour

Service Code: 96360
Performed in an office
34
times performed,
0.05% of his services

45th 73rd

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

21
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.4)
$4,692an average of $138 per time performed $1,564
an average of $46 per time performed
MEDICINE

Injection of drug or substance into a vein for therapy, d... +

Injection of drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96374
Performed in an office
24
times performed,
0.03% of his services

46th 91st

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

13
patients got this service, 4% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.2)
$3,000an average of $125 per time performed $1,080
an average of $45 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
24
times performed,
0.03% of his services

47th 89th

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

22
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$5,448an average of $227 per time performed $2,568
an average of $107 per time performed
PATHOLOGY AND LABORATORY

Bilirubin level

Service Code: 82248
Performed in an office
24
times performed,
0.03% of his services

48th Alert

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

24
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
$576an average of $24 per time performed $96
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Immunologic analysis for detection of tumor antigen

Service Code: 86300
Performed in an office
21
times performed,
0.03% of his services

49th 82nd

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

17
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2)
$1,239an average of $59 per time performed $588
an average of $28 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
18
times performed,
0.02% of his services

50th 81st

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

14
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.1)
$738an average of $41 per time performed $216
an average of $12 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
16
times performed,
0.02% of his services

51st 44th

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

15
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.8)
$1,392an average of $87 per time performed $544
an average of $34 per time performed
PATHOLOGY AND LABORATORY

Beta-2 microglobulin (protein) level

Service Code: 82232
Performed in an office
15
times performed,
0.02% of his services

52nd 109th

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

15
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.8)
$690an average of $46 per time performed $345
an average of $23 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 "Hematology & Oncology." 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.


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