ProPublica

Journalism in the Public Interest

Treatment Tracker

This Provider: At A Glance

We aren’t showing our typical comparisons because this provider had an address in a different state in 2013.

Number of
Patients
750
Services
Performed
20,624
Avg Services
Per Patient
27.5
Total Paid
by Medicare
$310K
Avg Paid
Per Patient
$413

Note: About 14% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

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.

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 in 2014.

Individuals

ANN MARIE KNIGHT

CHOCKEO SYVANTHONG

ERIC DAVIDSON

TERRY ODOM

JOSEPH OBOYLE

Organizations

DANVILLE REGIONAL MEDIC...

DANVILLE DIAGNOSTIC IMA...

Patients saw before

Michael A. Caplan MD

Patients saw after

Individuals

ANN MARIE KNIGHT

TERRY ODOM

CHOCKEO SYVANTHONG

ERIC DAVIDSON

JOSEPH OBOYLE

Organizations

DANVILLE REGIONAL MEDIC...

DANVILLE DIAGNOSTIC IMA...

This Provider's Services

This provider performed 64 different services in 2014
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
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
2,820
times performed,
14% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

28
patients got this service, 4% of his patients
1.7
average number of visits a patient made for this service
$56,400an average of $20 per time performed $31,697
an average of $11 per time performed
medical
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
2,585
times performed,
13% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

711
patients got this service, 95% of his patients
3.6
average number of visits a patient made for this service
$31,020an average of $12 per time performed $7,574
an average of $3 per time performed
medical
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
1,774
times performed,
9% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

674
patients got this service, 90% of his patients
2.6
average number of visits a patient made for this service
$63,864an average of $36 per time performed $18,432
an average of $10 per time performed
medical
PATHOLOGY AND LABORATORY

Urea nitrogen level to assess kidney function

Service Code: 84520
Performed in an office
1,767
times performed,
9% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

658
patients got this service, 88% of his patients
2.7
average number of visits a patient made for this service
$33,573an average of $19 per time performed $4,099
an average of $2 per time performed
medical
PATHOLOGY AND LABORATORY

Blood creatinine level

Service Code: 82565
Performed in an office
1,766
times performed,
9% of his services

5th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

658
patients got this service, 88% of his patients
2.7
average number of visits a patient made for this service
$35,320an average of $20 per time performed $4,309
an average of $2 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test panel for electrolytes (sodium potassium, chlo... +

Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) ×

Service Code: 80051
Performed in an office
1,762
times performed,
9% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

658
patients got this service, 88% of his patients
2.7
average number of visits a patient made for this service
$81,052an average of $46 per time performed $9,885
an average of $6 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
1,246
times performed,
6% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

603
patients got this service, 80% of his patients
2.1
average number of visits a patient made for this service
$180,670an average of $145 per time performed $88,391
an average of $71 per time performed
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
1,209
times performed,
6% of his services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

565
patients got this service, 75% of his patients
2.1
average number of visits a patient made for this service
$110,019an average of $91 per time performed $58,915
an average of $49 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
758
times performed,
4% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

436
patients got this service, 58% of his patients
1.7
average number of visits a patient made for this service
$40,174an average of $53 per time performed $6,269
an average of $8 per time performed
medical
PATHOLOGY AND LABORATORY

Liver enzyme (sgot), level

Service Code: 84450
Performed in an office
625
times performed,
3% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

439
patients got this service, 59% of his patients
1.4
average number of visits a patient made for this service
$16,250an average of $26 per time performed $1,894
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Liver enzyme (sgpt), level

Service Code: 84460
Performed in an office
625
times performed,
3% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

439
patients got this service, 59% of his patients
1.4
average number of visits a patient made for this service
$11,875an average of $19 per time performed $1,381
an average of $2 per time performed
medical
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
497
times performed,
2% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

436
patients got this service, 58% of his patients
1.1
average number of visits a patient made for this service
$35,287an average of $71 per time performed $5,830
an average of $12 per time performed
medical
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
296
times performed,
1% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

124
patients got this service, 17% of his patients
2.4
average number of visits a patient made for this service
$8,584an average of $29 per time performed $5,088
an average of $17 per time performed
medical
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
293
times performed,
1% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

244
patients got this service, 33% of his patients
1.2
average number of visits a patient made for this service
$60,651an average of $207 per time performed $28,732
an average of $98 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81000
Performed in an office
291
times performed,
1% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

213
patients got this service, 28% of his patients
1.4
average number of visits a patient made for this service
$6,402an average of $22 per time performed $1,228
an average of $4 per time performed
medical
PATHOLOGY AND LABORATORY

Blood glucose (sugar) level

Service Code: 82947
Performed in an office
246
times performed,
1% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

218
patients got this service, 29% of his patients
1.1
average number of visits a patient made for this service
$4,674an average of $19 per time performed $593
an average of $2 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
236
times performed,
1% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

236
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
$8,260an average of $35 per time performed $7,618
an average of $32 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
235
times performed,
1% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

235
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
$6,110an average of $26 per time performed $5,574
an average of $24 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
226
times performed,
1% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

208
patients got this service, 28% of his patients
1.1
average number of visits a patient made for this service
$10,848an average of $48 per time performed $2,920
an average of $13 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
190
times performed,
0.92% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

27
patients got this service, 4% of his patients
7
average number of visits a patient made for this service
$3,800an average of $20 per time performed $999
an average of $5 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
175
times performed,
0.85% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

138
patients got this service, 18% of his patients
1.3
average number of visits a patient made for this service
$9,800an average of $56 per time performed $2,361
an average of $13 per time performed
drug
DRUGS

Injection, testosterone cypionate, 1 cc, 200 mg

Service Code: J1080
Performed in an office
137
times performed,
0.66% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
3.3
average number of visits a patient made for this service
$3,014an average of $22 per time performed $315
an average of $2 per time performed
medical
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
134
times performed,
0.65% of his services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

81
patients got this service, 11% of his patients
1.7
average number of visits a patient made for this service
$2,948an average of $22 per time performed $631
an average of $5 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
95
times performed,
0.46% of his services

24th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

75
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
$1,805an average of $19 per time performed $380
an average of $4 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
95
times performed,
0.46% of his services

25th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

58
patients got this service, 8% of his patients
1.6
average number of visits a patient made for this service
$1,900an average of $20 per time performed $264
an average of $3 per time performed
medical
MEDICINE

Measurement and graphic recording of total and timed exha... +

Measurement and graphic recording of total and timed exhaled air capacity ×

Service Code: 94010
Performed in an office
83
times performed,
0.4% of his services

26th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

70
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
$6,640an average of $80 per time performed $2,142
an average of $26 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
54
times performed,
0.26% of his services

27th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

51
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
$3,024an average of $56 per time performed $1,213
an average of $22 per time performed
medical
PATHOLOGY AND LABORATORY

Stool analysis for blood

Service Code: 82274
Performed in an office
44
times performed,
0.21% of his services

28th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

44
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$1,496an average of $34 per time performed $936
an average of $21 per time performed
medical
PATHOLOGY AND LABORATORY

Albumin (protein) level

Service Code: 82040
Performed in an office
37
times performed,
0.18% of his services

29th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

28
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
$962an average of $26 per time performed $108
an average of $3 per time performed
drug
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
35
times performed,
0.17% of his services

30th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

35
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$2,625an average of $75 per time performed $2,494
an average of $71 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
33
times performed,
0.16% of his services

31st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

33
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$858an average of $26 per time performed $796
an average of $24 per time performed
medical
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
29
times performed,
0.14% of his services

32nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 2% of his patients
1.6
average number of visits a patient made for this service
$928an average of $32 per time performed $356
an average of $12 per time performed
medical
PATHOLOGY AND LABORATORY

Calcium level

Service Code: 82310
Performed in an office
24
times performed,
0.12% of his services

33rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

21
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$624an average of $26 per time performed $84
an average of $4 per time performed
medical
PATHOLOGY AND LABORATORY

Detection test for influenza virus

Service Code: 87804
Performed in an office
22
times performed,
0.11% of his services

34th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
$638an average of $29 per time performed $353
an average of $16 per time performed
medical
PATHOLOGY AND LABORATORY

Ferritin (blood protein) level

Service Code: 82728
Performed in an office
20
times performed,
0.1% of his services

35th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

20
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$1,260an average of $63 per time performed $364
an average of $18 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
16
times performed,
0.08% of his services

36th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
$3,664an average of $229 per time performed $760
an average of $47 per time performed
medical
MEDICINE

Hydration infusion into a vein 31 minutes to 1 hour

Service Code: 96360
Performed in an office
15
times performed,
0.07% of his services

37th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$1,575an average of $105 per time performed $625
an average of $42 per time performed
medical
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
14
times performed,
0.07% of his services

38th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$4,018an average of $287 per time performed $1,902
an average of $136 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.

Michael A. Caplan
Average for Internal Medicine 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 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.

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.

Read our methodology.