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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, $233 per patient in 2013.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
654
Rank: 269th
out of 1,839 providers in this state & specialty
Services
Performed
19,745
Rank: 6th
out of 1,839 providers in this state & specialty
Avg Services
Per Patient
30.2 This Provider is in the top 10%
Avg 5.1
Total Paid
by Medicare
$305K
Rank: 55th
out of 1,839 providers in this state & specialty
Avg Paid
Per Patient
$466 This Provider is in the top 10%
Avg $233

Note: About 16% 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.

Office Visits

Story image rib 8a2c1e812d78fea39cf7fb4926cf598dbc8604e0a950a7f60c1e192c8c412b43

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

This Provider's Services

This provider performed 78 different services in 2013
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
3,120
times performed,
16% of his services

1st 23rd

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

29
patients got this service, 4% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.5)
$62,400an average of $20 per time performed $34,601
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
2,087
times performed,
11% of his services

2nd 4th

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

611
patients got this service, 93% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.2)
$25,044an average of $12 per time performed $6,136
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Blood creatinine level

Service Code: 82565
Performed in an office
1,513
times performed,
8% of his services

3rd 81st

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

575
patients got this service, 88% of his patients
2.6
average number of visits a patient made for this service
(Peers: 1.8)
$30,260an average of $20 per time performed $3,737
an average of $2 per time performed
medical
PATHOLOGY AND LABORATORY

Urea nitrogen level to assess kidney function

Service Code: 84520
Performed in an office
1,511
times performed,
8% of his services

4th 87th

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

575
patients got this service, 88% of his patients
2.6
average number of visits a patient made for this service
(Peers: 1.8)
$28,709an average of $19 per time performed $3,536
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
1,509
times performed,
8% of his services

5th 101st

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

575
patients got this service, 88% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2)
$69,414an average of $46 per time performed $8,541
an average of $6 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
1,339
times performed,
7% of his services

6th 8th

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

542
patients got this service, 83% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.6)
$48,204an average of $36 per time performed $14,073
an average of $11 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
1,205
times performed,
6% of his services

7th 2nd

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

487
patients got this service, 74% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.2)
$109,655an average of $91 per time performed $60,202
an average of $50 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
1,128
times performed,
6% of his services

8th 1st

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

516
patients got this service, 79% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.2)
$163,560an average of $145 per time performed $77,415
an average of $69 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
583
times performed,
3% of his services

9th 7th

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

363
patients got this service, 56% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$30,899an average of $53 per time performed $5,025
an average of $9 per time performed
medical
PATHOLOGY AND LABORATORY

Liver enzyme (sgot), level

Service Code: 84450
Performed in an office
543
times performed,
3% of his services

10th 67th

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

373
patients got this service, 57% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$14,118an average of $26 per time performed $1,705
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Liver enzyme (sgpt), level

Service Code: 84460
Performed in an office
543
times performed,
3% of his services

11th 64th

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

373
patients got this service, 57% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$10,317an average of $19 per time performed $1,249
an average of $2 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
490
times performed,
2% of his services

12th 17th

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

220
patients got this service, 34% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.7)
$23,520an average of $48 per time performed $6,409
an average of $13 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
477
times performed,
2% of his services

13th 14th

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

397
patients got this service, 61% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$33,867an average of $71 per time performed $5,891
an average of $12 per time performed
medical
MEDICINE

Injection into tissue or muscle for therapy, diagnosis, o... +

Injection into tissue or muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
394
times performed,
2% of his services

14th 25th

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

124
patients got this service, 19% of his patients
3.2
average number of visits a patient made for this service
(Peers: 2.7)
$11,426an average of $29 per time performed $7,368
an average of $19 per time performed
drug
DRUGS

Injection, testosterone cypionate, 1 cc, 200 mg

Service Code: J1080
Performed in an office
351
times performed,
2% of his services

15th 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
8.6
average number of visits a patient made for this service
$7,778an average of $22 per time performed $1,376
an average of $4 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
331
times performed,
2% of his services

16th 11th

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

331
patients got this service, 51% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,606an average of $26 per time performed $8,159
an average of $25 per time performed
drug
MEDICINE

Vaccine for influenza injection

Service Code: 90662
Performed in an office
320
times performed,
2% of his services

17th 48th

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

320
patients got this service, 49% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,200an average of $35 per time performed $9,875
an average of $31 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
298
times performed,
2% of his services

18th 18th

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

206
patients got this service, 31% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$16,688an average of $56 per time performed $6,785
an average of $23 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
262
times performed,
1% of his services

19th 6th

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

39
patients got this service, 6% of his patients
6.7
average number of visits a patient made for this service
(Peers: 6.8)
$5,240an average of $20 per time performed $1,394
an average of $5 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
219
times performed,
1% of his services

20th 50th

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

162
patients got this service, 25% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$4,818an average of $22 per time performed $931
an average of $4 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
191
times performed,
0.97% of his services

21st 21st

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

162
patients got this service, 25% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$39,537an average of $207 per time performed $19,033
an average of $100 per time performed
medical
PATHOLOGY AND LABORATORY

Blood glucose (sugar) level

Service Code: 82947
Performed in an office
158
times performed,
0.8% of his services

22nd 59th

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

144
patients got this service, 22% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.2)
$3,002an average of $19 per time performed $409
an average of $3 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
145
times performed,
0.73% of his services

23rd 83rd

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

79
patients got this service, 12% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.4)
$3,190an average of $22 per time performed $697
an average of $5 per time performed
medical
PATHOLOGY AND LABORATORY

Ferritin (blood protein) level

Service Code: 82728
Performed in an office
103
times performed,
0.52% of his services

24th 102nd

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

74
patients got this service, 11% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$6,489an average of $63 per time performed $1,885
an average of $18 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
96
times performed,
0.49% of his services

25th 114th

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

73
patients got this service, 11% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$1,824an average of $19 per time performed $379
an average of $4 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
89
times performed,
0.45% of his services

26th 95th

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

70
patients got this service, 11% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$7,120an average of $80 per time performed $2,399
an average of $27 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
86
times performed,
0.44% of his services

27th 9th

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

61
patients got this service, 9% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$4,816an average of $56 per time performed $1,195
an average of $14 per time performed
medical
PROCEDURES

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

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

Service Code: G0103
Performed in an office
69
times performed,
0.35% of his services

28th 70th

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

69
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,933an average of $57 per time performed $1,716
an average of $25 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
63
times performed,
0.32% of his services

29th 82nd

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

45
patients got this service, 7% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$1,260an average of $20 per time performed $181
an average of $3 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
50
times performed,
0.25% of his services

30th 15th

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

26
patients got this service, 4% of his patients
1.9
average number of visits a patient made for this service
(Peers: 3.2)
$1,600an average of $32 per time performed $705
an average of $14 per time performed
medical
PATHOLOGY AND LABORATORY

Albumin (protein) level

Service Code: 82040
Performed in an office
45
times performed,
0.23% of his services

31st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

32
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
$1,170an average of $26 per time performed $135
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Stool analysis for blood

Service Code: 82274
Performed in an office
39
times performed,
0.2% of his services

32nd 103rd

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

36
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,326an average of $34 per time performed $837
an average of $21 per time performed
drug
MEDICINE

Vaccine for pneumococcal polysaccharide for injection int... +

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

Service Code: 90732
Performed in an office
30
times performed,
0.15% of his services

33rd 49th

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

30
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,250an average of $75 per time performed $2,086
an average of $70 per time performed
medical
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
27
times performed,
0.14% of his services

34th 85th

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

17
patients got this service, 3% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$702an average of $26 per time performed $246
an average of $9 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
26
times performed,
0.13% of his services

35th 46th

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

26
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$676an average of $26 per time performed $648
an average of $25 per time performed
medical
RADIOLOGY

Bone density measurement spine or hips using dedicated x-... +

Bone density measurement spine or hips using dedicated x-ray machine ×

Service Code: 77080
Performed in an office
26
times performed,
0.13% of his services

36th 78th

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

26
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,954an average of $229 per time performed $1,257
an average of $48 per time performed
medical
MEDICINE

Hydration infusion into a vein 31 minutes to 1 hour

Service Code: 96360
Performed in an office
17
times performed,
0.09% of his services

37th 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
1.1
average number of visits a patient made for this service
$1,785an average of $105 per time performed $687
an average of $40 per time performed
medical
PATHOLOGY AND LABORATORY

Calcium level

Service Code: 82310
Performed in an office
16
times performed,
0.08% of his services

38th 152nd

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

15
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$416an average of $26 per time performed $64
an average of $4 per time performed
medical
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
15
times performed,
0.08% of his services

39th 71st

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)
$390an average of $26 per time performed $299
an average of $20 per time performed
drug
MEDICINE

Vaccine for influenza injection into muscle, patient 3 ye... +

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

Service Code: 90656
Performed in an office
13
times performed,
0.07% of his services

40th 66th

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)
$299an average of $23 per time performed $146
an average of $11 per time performed
medical
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
12
times performed,
0.06% of his services

41st 110th

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$492an average of $41 per time performed $245
an average of $20 per time performed
medical
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
12
times performed,
0.06% of his services

42nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$240an average of $20 per time performed $78
an average of $6 per time performed
medical
PATHOLOGY AND LABORATORY

Strep test (streptococcus, group a)

Service Code: 87880
Performed in an office
12
times performed,
0.06% of his services

43rd 129th

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

11
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$336an average of $28 per time performed $183
an average of $15 per time performed

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.

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