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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, $491 per patient in 2012.
They performed about 15 services per patient. Here’s how this provider compares.
Number of
Patients
832
Rank: 25th
out of 170 providers in this state & specialty
Services
Performed
31,131
Rank: 11th
out of 170 providers in this state & specialty
Avg Services
Per Patient
37.4 This Provider is in the top 10%
Avg 14.6
Total Paid
by Medicare
$435K
Rank: 14th
out of 170 providers in this state & specialty
Avg Paid
Per Patient
$523 This Provider
Avg $491

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.

Ernest N. Henry
Average for Nephrology Providers in Virginia

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

Ernest N. Henry

Patients saw after

This Provider's Services

This provider performed 31 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
21,120
times performed,
68% of his services

1st 2nd

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

47
patients got this service, 6% of his patients
2.8
average number of visits a patient made for this service
(Peers: 3.1)
$126,720an average of $6 per time performed $63,360
an average of $3 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
1,362
times performed,
4% of his services

2nd 14th

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

537
patients got this service, 65% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.6)
$4,086an average of $3 per time performed $4,086
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 15 minutes ×

Service Code: 99213
Performed in an office
1,070
times performed,
3% of his services

3rd 11th

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

517
patients got this service, 62% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.7)
$81,320an average of $76 per time performed $48,150
an average of $45 per time performed
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
1,007
times performed,
3% of his services

4th 28th

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

497
patients got this service, 60% of his patients
2
average number of visits a patient made for this service
(Peers: 2.2)
$25,175an average of $25 per time performed $9,063
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
1,007
times performed,
3% of his services

5th 32nd

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

495
patients got this service, 59% of his patients
2
average number of visits a patient made for this service
(Peers: 2.2)
$58,406an average of $58 per time performed $12,084
an average of $12 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
723
times performed,
2% of his services

6th 6th

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

177
patients got this service, 21% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.7)
$58,563an average of $81 per time performed $39,042
an average of $54 per time performed
MEDICINE

Dialysis services (2-3 physician visits per month), patie... +

Dialysis services (2-3 physician visits per month), patient 20 years of age and older ×

Service Code: 90961
Performed in an office
710
times performed,
2% of his services

7th 15th

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

100
patients got this service, 12% of his patients
7.1
average number of visits a patient made for this service
(Peers: 2)
$319,500an average of $450 per time performed $127,090
an average of $179 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
673
times performed,
2% of his services

8th 25th

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

291
patients got this service, 35% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2)
$51,148an average of $76 per time performed $7,403
an average of $11 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
528
times performed,
2% of his services

9th 8th

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

253
patients got this service, 30% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2)
$55,968an average of $106 per time performed $37,488
an average of $71 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
393
times performed,
1% of his services

10th 61st

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

198
patients got this service, 24% of his patients
2
average number of visits a patient made for this service
(Peers: 1.5)
$28,689an average of $73 per time performed $6,288
an average of $16 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
350
times performed,
1% of his services

11th Alert

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

219
patients got this service, 26% of his patients
1.6
average number of visits a patient made for this service
$25,900an average of $74 per time performed $4,900
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Phosphate level

Service Code: 84100
Performed in an office
327
times performed,
1% of his services

12th 38th

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

164
patients got this service, 20% of his patients
2
average number of visits a patient made for this service
(Peers: 2.2)
$12,753an average of $39 per time performed $1,962
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81000
Performed in an office
271
times performed,
0.87% of his services

13th 22nd

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

174
patients got this service, 21% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.7)
$7,588an average of $28 per time performed $1,084
an average of $4 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
267
times performed,
0.86% of his services

14th 16th

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

185
patients got this service, 22% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.1)
$43,521an average of $163 per time performed $26,433
an average of $99 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
200
times performed,
0.64% of his services

15th Alert

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

38
patients got this service, 5% of his patients
5.3
average number of visits a patient made for this service
$8,000an average of $40 per time performed $1,200
an average of $6 per time performed
MEDICINE

Dialysis services (1 physician visit per month), patient ... +

Dialysis services (1 physician visit per month), patient 20 years of age and older ×

Service Code: 90962
Performed in an office
179
times performed,
0.57% of his services

16th 49th

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

73
patients got this service, 9% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.6)
$80,550an average of $450 per time performed $24,881
an average of $139 per time performed
PATHOLOGY AND LABORATORY

Bacterial colony count, urine

Service Code: 87086
Performed in an office
172
times performed,
0.55% of his services

17th 84th

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

106
patients got this service, 13% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$4,300an average of $25 per time performed $1,892
an average of $11 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
157
times performed,
0.5% of his services

18th 18th

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

52
patients got this service, 6% of his patients
3
average number of visits a patient made for this service
(Peers: 4)
$3,140an average of $20 per time performed $2,512
an average of $16 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
122
times performed,
0.39% of his services

19th 53rd

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

121
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,440an average of $20 per time performed $2,440
an average of $20 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
122
times performed,
0.39% of his services

20th 56th

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

121
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,708an average of $14 per time performed $1,708
an average of $14 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
95
times performed,
0.31% of his services

21st 27th

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

95
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,625an average of $175 per time performed $10,735
an average of $113 per time performed
PROCEDURES

Physician re-certification for medicare-covered home heal... +

Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per re-certification period ×

Service Code: G0179
Performed in an office
84
times performed,
0.27% of his services

22nd Alert

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

29
patients got this service, 3% of his patients
2.9
average number of visits a patient made for this service
$5,712an average of $68 per time performed $2,604
an average of $31 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
41
times performed,
0.13% of his services

23rd 47th

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

34
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$2,173an average of $53 per time performed $451
an average of $11 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
32
times performed,
0.1% of his services

24th Alert

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

27
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
$800an average of $25 per time performed $160
an average of $5 per time performed
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per certification period ×

Service Code: G0180
Performed in an office
32
times performed,
0.1% of his services

25th Alert

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

24
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
$2,560an average of $80 per time performed $1,312
an average of $41 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
18
times performed,
0.06% of his services

26th 54th

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

15
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$1,890an average of $105 per time performed $900
an average of $50 per time performed
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
16
times performed,
0.05% of his services

27th Alert

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$416an average of $26 per time performed $416
an average of $26 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
15
times performed,
0.05% of his services

28th 17th

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: 1.1)
$3,240an average of $216 per time performed $2,100
an average of $140 per time performed
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
14
times performed,
0.04% of his services

29th 42nd

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$238an average of $17 per time performed $56
an average of $4 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
12
times performed,
0.04% of his services

30th 34th

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: 2.3)
$696an average of $58 per time performed $336
an average of $28 per time performed
PATHOLOGY AND LABORATORY

Urine volume measurement

Service Code: 81050
Performed in an office
12
times performed,
0.04% of his services

31st Alert

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$120an average of $10 per time performed $48
an average of $4 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 "Internal Medicine." 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.