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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, $367 per patient in 2012.
They performed about 7 services per patient. Here’s how this provider compares.
Number of
Patients
644
Rank: 2nd
out of 23 providers in this state & specialty
Services
Performed
13,338
Rank: 1st
out of 23 providers in this state & specialty
Avg Services
Per Patient
20.7 This Provider is in the top 10%
Avg 6.9
Total Paid
by Medicare
$865K
Rank: 1st
out of 23 providers in this state & specialty
Avg Paid
Per Patient
$1,343 This Provider is in the top 10%
Avg $367

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.

David Spivey
Average for Pain Management 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

David Spivey

Patients saw after

This Provider's Services

This provider performed 36 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
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
2,388
times performed,
18% of his services

1st 1st

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

487
patients got this service, 76% of his patients
4.9
average number of visits a patient made for this service
(Peers: 3)
$367,752an average of $154 per time performed $117,012
an average of $49 per time performed
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
1,987
times performed,
15% of his services

2nd Alert

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

236
patients got this service, 37% of his patients
1.9
average number of visits a patient made for this service
$17,883an average of $9 per time performed $1,987
an average of $1 per time performed
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
1,512
times performed,
11% of his services

3rd Alert

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

475
patients got this service, 74% of his patients
3.2
average number of visits a patient made for this service
$25,704an average of $17 per time performed $10,584
an average of $7 per time performed
PROCEDURES

Drug screen, qualitative; multiple drug classes by high c... +

Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter ×

Service Code: G0431
Performed in an office
1,494
times performed,
11% of his services

4th 6th

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

471
patients got this service, 73% of his patients
3.2
average number of visits a patient made for this service
(Peers: 2.4)
$310,752an average of $208 per time performed $152,388
an average of $102 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
919
times performed,
7% of his services

5th Alert

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

195
patients got this service, 30% of his patients
1.1
average number of visits a patient made for this service
$73,520an average of $80 per time performed $38,598
an average of $42 per time performed
PATHOLOGY AND LABORATORY

Body fluid ph level

Service Code: 83986
Performed in an office
495
times performed,
4% of his services

6th Alert

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

317
patients got this service, 49% of his patients
1.6
average number of visits a patient made for this service
$7,425an average of $15 per time performed $2,475
an average of $5 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
444
times performed,
3% of his services

7th Alert

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

112
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
$44,400an average of $100 per time performed $24,864
an average of $56 per time performed
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64483
Performed in an office
426
times performed,
3% of his services

8th 17th

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

212
patients got this service, 33% of his patients
2
average number of visits a patient made for this service
(Peers: 1.8)
$353,580an average of $830 per time performed $96,276
an average of $226 per time performed
MEDICINE

Needle measurement and recording of nerve motor (movement... +

Needle measurement and recording of nerve motor (movement) function ×

Service Code: 95900
Performed in an office
399
times performed,
3% of his services

9th Alert

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

90
patients got this service, 14% of his patients
1.1
average number of visits a patient made for this service
$39,900an average of $100 per time performed $18,354
an average of $46 per time performed
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles of arm or leg complete study ×

Service Code: 95886
Performed in an office
380
times performed,
3% of his services

10th Alert

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

189
patients got this service, 29% of his patients
1.1
average number of visits a patient made for this service
$64,600an average of $170 per time performed $24,320
an average of $64 per time performed
PROSTHETIC PROCEDURES

Implantable neurostimulator electrode, each

Service Code: L8680
Performed in an office
353
times performed,
3% of his services

11th Alert

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

23
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$353,000an average of $1,000 per time performed $115,784
an average of $328 per time performed
MEDICINE

Measurement and recording of nerve conduction patterns of... +

Measurement and recording of nerve conduction patterns of lower leg muscles ×

Service Code: 95934
Performed in an office
259
times performed,
2% of his services

12th Alert

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

130
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
$52,059an average of $201 per time performed $11,655
an average of $45 per time performed
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
236
times performed,
2% of his services

13th Alert

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

134
patients got this service, 21% of his patients
1.8
average number of visits a patient made for this service
$89,916an average of $381 per time performed $35,636
an average of $151 per time performed
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves with imaging guidance ×

Service Code: 64636
Performed in an office
225
times performed,
2% of his services

14th Alert

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

59
patients got this service, 9% of his patients
1.4
average number of visits a patient made for this service
$116,775an average of $519 per time performed $35,100
an average of $156 per time performed
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
210
times performed,
2% of his services

15th 32nd

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

116
patients got this service, 18% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.6)
$35,490an average of $169 per time performed $10,710
an average of $51 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
189
times performed,
1% of his services

16th 9th

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

143
patients got this service, 22% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$17,388an average of $92 per time performed $5,481
an average of $29 per time performed
RADIOLOGY

Fluoroscopic guidance for spine or spinal canal injection +

Fluoroscopic guidance for spine or spinal canal injection ×

Service Code: 77003
Performed in an office
149
times performed,
1% of his services

17th 20th

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

89
patients got this service, 14% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.7)
$22,201an average of $149 per time performed $7,003
an average of $47 per time performed
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
148
times performed,
1% of his services

18th 33rd

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

148
patients got this service, 23% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$33,892an average of $229 per time performed $10,656
an average of $72 per time performed
RADIOLOGY

Ultrasound of leg or arm

Service Code: 76881
Performed in an office
148
times performed,
1% of his services

19th Alert

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

106
patients got this service, 16% of his patients
1.4
average number of visits a patient made for this service
$35,224an average of $238 per time performed $13,468
an average of $91 per time performed
NERVOUS SYSTEM

Injections of substances into upper or middle spine

Service Code: 62310
Performed in an office
104
times performed,
0.78% of his services

20th Alert

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

58
patients got this service, 9% of his patients
1.8
average number of visits a patient made for this service
$53,144an average of $511 per time performed $17,888
an average of $172 per time performed
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64493
Performed in an office
91
times performed,
0.68% of his services

21st 26th

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

78
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$61,334an average of $674 per time performed $16,744
an average of $184 per time performed
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64494
Performed in an office
91
times performed,
0.68% of his services

22nd 30th

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

78
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$30,849an average of $339 per time performed $8,281
an average of $91 per time performed
RADIOLOGY

Ultrasound of arm or leg

Service Code: 76882
Performed in an office
88
times performed,
0.66% of his services

23rd Alert

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

62
patients got this service, 10% of his patients
1.4
average number of visits a patient made for this service
$5,896an average of $67 per time performed $2,288
an average of $26 per time performed
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves using imaging guidance ×

Service Code: 64635
Performed in an office
83
times performed,
0.62% of his services

24th Alert

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

59
patients got this service, 9% of his patients
1.4
average number of visits a patient made for this service
$102,671an average of $1,237 per time performed $30,793
an average of $371 per time performed
MEDICINE

Electronic analysis and programming of implanted complex ... +

Electronic analysis and programming of implanted complex spinal cord or peripheral neurostimulator generator system during or after surgery, first hour ×

Service Code: 95972
Performed in an office
76
times performed,
0.57% of his services

25th Alert

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

52
patients got this service, 8% of his patients
1.5
average number of visits a patient made for this service
$17,936an average of $236 per time performed $5,624
an average of $74 per time performed
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64495
Performed in an office
75
times performed,
0.56% of his services

26th 39th

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

67
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$25,575an average of $341 per time performed $6,900
an average of $92 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
71
times performed,
0.53% of his services

27th 11th

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

71
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$24,992an average of $352 per time performed $8,307
an average of $117 per time performed
NERVOUS SYSTEM

Implantation of spinal neurostimulator electrodes, access... +

Implantation of spinal neurostimulator electrodes, accessed through the skin ×

Service Code: 63650
Performed in an office
50
times performed,
0.37% of his services

28th Alert

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

23
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$46,200an average of $924 per time performed $11,150
an average of $223 per time performed
NERVOUS SYSTEM

Injections of substances into lower or sacral spine

Service Code: 62311
Performed in an office
47
times performed,
0.35% of his services

29th 21st

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

35
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$20,633an average of $439 per time performed $7,050
an average of $150 per time performed
NERVOUS SYSTEM

Injection of dye for x-ray imaging of spine disc

Service Code: 62290
Performed in an office
35
times performed,
0.26% of his services

30th Alert

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$25,725an average of $735 per time performed $6,090
an average of $174 per time performed
RADIOLOGY

Radiological supervision and interpretation x-ray of disc... +

Radiological supervision and interpretation x-ray of disc of vertebra, lower spine ×

Service Code: 72295
Performed in an office
35
times performed,
0.26% of his services

31st Alert

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$11,095an average of $317 per time performed $3,150
an average of $90 per time performed
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64483
Performed in a facility
29
times performed,
0.22% of his services

32nd 31st

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

18
patients got this service, 3% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$24,998an average of $862 per time performed $3,248
an average of $112 per time performed
NERVOUS SYSTEM

Application of skin surface neurostimulator electrodes

Service Code: 64550
Performed in an office
27
times performed,
0.2% of his services

33rd Alert

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

27
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$945an average of $35 per time performed $297
an average of $11 per time performed
MUSCULOSKELETAL SYSTEM

Injection procedure into sacroiliac joint for anesthetic ... +

Injection procedure into sacroiliac joint for anesthetic or steroid ×

Service Code: 27096
Performed in an office
23
times performed,
0.17% of his services

34th Alert

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

15
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
$13,363an average of $581 per time performed $3,312
an average of $144 per time performed
MUSCULOSKELETAL SYSTEM

Injection of carpal tunnel

Service Code: 20526
Performed in an office
20
times performed,
0.15% of his services

35th Alert

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

13
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
$3,260an average of $163 per time performed $1,120
an average of $56 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
17
times performed,
0.13% of his services

36th Alert

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

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$748an average of $44 per time performed $255
an average of $15 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
15
times performed,
0.11% of his services

37th Alert

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

11
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
$225an average of $15 per time performed $45
an average of $3 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 "Interventional Pain 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.


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