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, $281 per patient in 2015.
They performed about 6 services per patient. Here’s how this provider compares.

Number of
Patients
863
Rank: 139th
out of 3,993 providers in this state & specialty
Services
Performed
6,274
Rank: 202nd
out of 3,993 providers in this state & specialty
Avg Services
Per Patient
7.3 This Provider
Avg 6.2
Total Paid
by Medicare
$418K
Rank: 63rd
out of 3,993 providers in this state & specialty
Avg Paid
Per Patient
$484 This Provider is in the top 10%
Avg $281

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 39 different services in 2015
(20 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
2,835
times performed,
45% of his services

1st 2nd

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

567
patients got this service, 66% of his patients
5
average number of visits a patient made for this service
(Peers: 2)
$382,725.00an average of $135.00 per time performed $158,816.70
an average of $56.02 per time performed
medical
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
1,582
times performed,
25% of his services

2nd 3rd

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

316
patients got this service, 37% of his patients
5
average number of visits a patient made for this service
(Peers: 2.7)
$300,580.00an average of $190.00 per time performed $93,954.98
an average of $59.39 per time performed
medical
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
368
times performed,
6% of his services

3rd 22nd

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

266
patients got this service, 31% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.1)
$97,152.00an average of $264.00 per time performed $41,396.32
an average of $112.49 per time performed
medical
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in an office
295
times performed,
5% of his services

4th 18th

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

295
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$73,750.00an average of $250.00 per time performed $35,535.70
an average of $120.46 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
286
times performed,
5% of his services

5th 17th

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

201
patients got this service, 23% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$39,182.00an average of $137.00 per time performed $17,065.62
an average of $59.67 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
113
times performed,
2% of his services

6th 25th

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

85
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$4,520.00an average of $40.00 per time performed $1,437.36
an average of $12.72 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
103
times performed,
2% of his services

7th 1st

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

93
patients got this service, 11% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.2)
$20,703.00an average of $201.00 per time performed $9,039.28
an average of $87.76 per time performed
medical

Transitional care management services, highly complexity,... +

Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge ×

Service Code: 99496
Performed in an office
101
times performed,
2% of his services

8th 115th

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

85
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$50,500.00an average of $500.00 per time performed $19,140.51
an average of $189.51 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
101
times performed,
2% of his services

9th 11th

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

29
patients got this service, 3% of his patients
3.5
average number of visits a patient made for this service
(Peers: 5.8)
$2,020.00an average of $20.00 per time performed $529.24
an average of $5.24 per time performed
drug
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
64
times performed,
1% of his services

10th 48th

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

64
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,920.00an average of $30.00 per time performed $992.64
an average of $15.51 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
64
times performed,
1% of his services

11th 9th

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

64
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,800.00an average of $75.00 per time performed $1,673.60
an average of $26.15 per time performed
medical
PROCEDURES

Annual wellness visit; includes a personalized prevention... +

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ×

Service Code: G0438
Performed in an office
53
times performed,
0.84% of his services

12th 52nd

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

53
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,357.61an average of $346.37 per time performed $9,116.00
an average of $172.00 per time performed
medical
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
48
times performed,
0.77% of his services

13th 4th

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

28
patients got this service, 3% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.5)
$9,504.00an average of $198.00 per time performed $4,144.80
an average of $86.35 per time performed
medical
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient,... +

Critical care delivery critically ill or injured patient, first 30-74 minutes ×

Service Code: 99291
Performed in a facility
41
times performed,
0.65% of his services

14th 37th

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

37
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.9)
$21,443.00an average of $523.00 per time performed $7,574.75
an average of $184.75 per time performed
medical

Transitional care management services, moderately complex... +

Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge ×

Service Code: 99495
Performed in an office
31
times performed,
0.49% of his services

15th 106th

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

29
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$9,300.00an average of $300.00 per time performed $3,936.69
an average of $126.99 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
30
times performed,
0.48% of his services

16th 86th

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

30
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,090.00an average of $203.00 per time performed $2,717.70
an average of $90.59 per time performed
medical
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 imple ×

Service Code: G0180
Performed in an office
29
times performed,
0.46% of his services

17th 36th

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

26
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,987.00an average of $103.00 per time performed $1,291.66
an average of $44.54 per time performed
medical
PROCEDURES

Initial preventive physical examination; face-to-face vis... +

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment ×

Service Code: G0402
Performed in an office
26
times performed,
0.41% of his services

18th 124th

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

26
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,566.00an average of $291.00 per time performed $4,500.08
an average of $173.08 per time performed
medical
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
13
times performed,
0.21% of his services

19th 102nd

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,274.00an average of $98.00 per time performed $418.86
an average of $32.22 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.

Sunil Shah
Average for Internal Medicine Providers in Illinois

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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