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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, $234 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
607
Rank: 414th
out of 2,169 providers in this state & specialty
Services
Performed
17,420
Rank: 12th
out of 2,169 providers in this state & specialty
Avg Services
Per Patient
28.7 This Provider is in the top 10%
Avg 5
Total Paid
by Medicare
$258K
Rank: 115th
out of 2,169 providers in this state & specialty
Avg Paid
Per Patient
$424 This Provider is in the top 10%
Avg $234

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.

Michael A. Caplan
Average for Internal Medicine 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

Michael A. Caplan

Patients saw after

This Provider's Services

This provider performed 42 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, denosumab (prolia, xgeva), 1 mg

Service Code: J0897
Performed in an office
2,521
times performed,
14% of his services

1st 18th

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

26
patients got this service, 4% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$83,193an average of $33 per time performed $27,731
an average of $11 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
1,913
times performed,
11% of his services

2nd 4th

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

562
patients got this service, 93% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.2)
$22,956an average of $12 per time performed $5,739
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Blood creatinine level

Service Code: 82565
Performed in an office
1,369
times performed,
8% of his services

3rd 96th

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

518
patients got this service, 85% of his patients
2.6
average number of visits a patient made for this service
(Peers: 1.7)
$27,380an average of $20 per time performed $4,107
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Urea nitrogen level to assess kidney function

Service Code: 84520
Performed in an office
1,361
times performed,
8% of his services

4th 100th

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

517
patients got this service, 85% of his patients
2.6
average number of visits a patient made for this service
(Peers: 1.8)
$25,859an average of $19 per time performed $2,722
an average of $2 per time performed
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
1,358
times performed,
8% of his services

5th 121st

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

516
patients got this service, 85% of his patients
2.6
average number of visits a patient made for this service
(Peers: 1.8)
$62,468an average of $46 per time performed $8,148
an average of $6 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
1,146
times performed,
7% of his services

6th 9th

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

505
patients got this service, 83% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.7)
$41,256an average of $36 per time performed $12,606
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
1,078
times performed,
6% of his services

7th 1st

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

492
patients got this service, 81% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.2)
$156,310an average of $145 per time performed $71,148
an average of $66 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
876
times performed,
5% of his services

8th 2nd

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

415
patients got this service, 68% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.3)
$79,716an average of $91 per time performed $42,048
an average of $48 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
531
times performed,
3% of his services

9th 11th

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

323
patients got this service, 53% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$28,143an average of $53 per time performed $4,779
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Liver enzyme (sgpt), level

Service Code: 84460
Performed in an office
492
times performed,
3% of his services

10th 68th

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

352
patients got this service, 58% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$9,348an average of $19 per time performed $984
an average of $2 per time performed
PATHOLOGY AND LABORATORY

Liver enzyme (sgot), level

Service Code: 84450
Performed in an office
490
times performed,
3% of his services

11th 73rd

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

352
patients got this service, 58% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$12,740an average of $26 per time performed $1,470
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
488
times performed,
3% of his services

12th 23rd

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

200
patients got this service, 33% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.8)
$23,424an average of $48 per time performed $6,832
an average of $14 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
371
times performed,
2% of his services

13th 13th

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

362
patients got this service, 60% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,646an average of $26 per time performed $8,904
an average of $24 per time performed
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
363
times performed,
2% of his services

14th 16th

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

330
patients got this service, 54% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$25,773an average of $71 per time performed $4,356
an average of $12 per time performed
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
337
times performed,
2% of his services

15th 78th

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

337
patients got this service, 56% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,795an average of $35 per time performed $10,447
an average of $31 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
329
times performed,
2% of his services

16th 8th

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

42
patients got this service, 7% of his patients
7.8
average number of visits a patient made for this service
(Peers: 6.7)
$6,580an average of $20 per time performed $1,974
an average of $6 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
325
times performed,
2% of his services

17th 34th

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

118
patients got this service, 19% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.9)
$9,425an average of $29 per time performed $5,850
an average of $18 per time performed
DRUGS

Injection, testosterone cypionate, 1 cc, 200 mg

Service Code: J1080
Performed in an office
301
times performed,
2% of his services

18th Alert

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
$6,923an average of $23 per time performed $1,505
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
293
times performed,
2% of his services

19th 27th

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

192
patients got this service, 32% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$16,408an average of $56 per time performed $7,032
an average of $24 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
172
times performed,
0.99% of his services

20th 63rd

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

132
patients got this service, 22% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$3,784an average of $22 per time performed $688
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Blood glucose (sugar) level

Service Code: 82947
Performed in an office
164
times performed,
0.94% of his services

21st 62nd

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

159
patients got this service, 26% of his patients
1
average number of visits a patient made for this service
(Peers: 2.1)
$3,116an average of $19 per time performed $492
an average of $3 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
125
times performed,
0.72% of his services

22nd 70th

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

93
patients got this service, 15% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$2,750an average of $22 per time performed $625
an average of $5 per time performed
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
94
times performed,
0.54% of his services

23rd 139th

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

73
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$1,786an average of $19 per time performed $470
an average of $5 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
94
times performed,
0.54% of his services

24th 24th

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

86
patients got this service, 14% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$19,458an average of $207 per time performed $7,708
an average of $82 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
90
times performed,
0.52% of his services

25th 12th

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

52
patients got this service, 9% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$5,040an average of $56 per time performed $1,350
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Ferritin (blood protein) level

Service Code: 82728
Performed in an office
76
times performed,
0.44% of his services

26th 125th

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

60
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$4,788an average of $63 per time performed $1,444
an average of $19 per time performed
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
68
times performed,
0.39% of his services

27th 136th

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

60
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$5,440an average of $80 per time performed $1,768
an average of $26 per time performed
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
67
times performed,
0.38% of his services

28th 60th

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

67
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,025an average of $75 per time performed $4,154
an average of $62 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
66
times performed,
0.38% of his services

29th 104th

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

42
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$1,320an average of $20 per time performed $198
an average of $3 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
64
times performed,
0.37% of his services

30th 59th

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

64
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,664an average of $26 per time performed $1,536
an average of $24 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
56
times performed,
0.32% of his services

31st 84th

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

56
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,192an average of $57 per time performed $1,456
an average of $26 per time performed
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
51
times performed,
0.29% of his services

32nd 109th

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

21
patients got this service, 3% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.7)
$1,326an average of $26 per time performed $459
an average of $9 per time performed
MEDICINE

Vaccine for influenza for injection into muscle, patient ... +

Vaccine for influenza for injection into muscle, patient 3 years and older ×

Service Code: 90656
Performed in an office
44
times performed,
0.25% of his services

33rd 72nd

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

43
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,012an average of $23 per time performed $528
an average of $12 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
41
times performed,
0.24% of his services

34th 87th

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

41
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,389an average of $229 per time performed $2,583
an average of $63 per time performed
PATHOLOGY AND LABORATORY

Albumin (protein) level

Service Code: 82040
Performed in an office
39
times performed,
0.22% of his services

35th Alert

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

31
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
$1,014an average of $26 per time performed $117
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Stool analysis for blood

Service Code: 82274
Performed in an office
39
times performed,
0.22% of his services

36th 124th

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

38
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,326an average of $34 per time performed $897
an average of $23 per time performed
PATHOLOGY AND LABORATORY

Calcium level

Service Code: 82310
Performed in an office
34
times performed,
0.2% of his services

37th 190th

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

29
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$884an average of $26 per time performed $136
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Blood glucose (sugar) level after receiving dose of glucose +

Blood glucose (sugar) level after receiving dose of glucose ×

Service Code: 82950
Performed in an office
27
times performed,
0.15% of his services

38th 205th

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

27
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 2)
$540an average of $20 per time performed $189
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
19
times performed,
0.11% of his services

39th 151st

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

19
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$779an average of $41 per time performed $399
an average of $21 per time performed
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
17
times performed,
0.1% of his services

40th 81st

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

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$442an average of $26 per time performed $306
an average of $18 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
17
times performed,
0.1% of his services

41st 31st

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

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$1,122an average of $66 per time performed $493
an average of $29 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
14
times performed,
0.08% of his services

42nd 17th

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

13
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 3.1)
$448an average of $32 per time performed $154
an average of $11 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.


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