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, $250 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
716
Rank: 195th
out of 1,858 providers in this state & specialty
Services
Performed
12,275
Rank: 36th
out of 1,858 providers in this state & specialty
Avg Services
Per Patient
17.1 This Provider is in the top 10%
Avg 5.3
Total Paid
by Medicare
$245K
Rank: 133rd
out of 1,858 providers in this state & specialty
Avg Paid
Per Patient
$342 This Provider
Avg $250

Note: About 19% 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.

This Provider's Services

This provider performed 63 different services in 2015
(27 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
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
2,353
times performed,
19% of his services

1st 4th

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

699
patients got this service, 98% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.1)
$30,612.53an average of $13.01 per time performed $6,894.29
an average of $2.93 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
1,237
times performed,
10% of his services

2nd 1st

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

621
patients got this service, 87% of his patients
2
average number of visits a patient made for this service
(Peers: 2.2)
$236,464.92an average of $191.16 per time performed $82,458.42
an average of $66.66 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
1,088
times performed,
9% of his services

3rd 7th

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

603
patients got this service, 84% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.6)
$40,245.12an average of $36.99 per time performed $11,260.80
an average of $10.35 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
964
times performed,
8% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

575
patients got this service, 80% of his patients
1.7
average number of visits a patient made for this service
$42,425.64an average of $44.01 per time performed $5,465.88
an average of $5.67 per time performed
medical
PATHOLOGY AND LABORATORY

Blood creatinine level

Service Code: 82565
Performed in an office
864
times performed,
7% of his services

5th 109th

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

536
patients got this service, 75% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$18,290.88an average of $21.17 per time performed $2,151.36
an average of $2.49 per time performed
medical
PATHOLOGY AND LABORATORY

Urea nitrogen level to assess kidney function

Service Code: 84520
Performed in an office
863
times performed,
7% of his services

6th 115th

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

537
patients got this service, 75% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$17,415.34an average of $20.18 per time performed $2,045.31
an average of $2.37 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
689
times performed,
6% of his services

7th 2nd

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

393
patients got this service, 55% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.1)
$73,922.81an average of $107.29 per time performed $30,316.00
an average of $44.00 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
481
times performed,
4% of his services

8th 16th

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

422
patients got this service, 59% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$43,049.50an average of $89.50 per time performed $5,300.62
an average of $11.02 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
437
times performed,
4% of his services

9th 6th

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

369
patients got this service, 52% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$27,059.04an average of $61.92 per time performed $4,199.57
an average of $9.61 per time performed
medical
PATHOLOGY AND LABORATORY

Liver enzyme (sgot), level

Service Code: 84450
Performed in an office
310
times performed,
3% of his services

10th 79th

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

266
patients got this service, 37% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$8,227.40an average of $26.54 per time performed $967.20
an average of $3.12 per time performed
medical
PATHOLOGY AND LABORATORY

Liver enzyme (sgpt), level

Service Code: 84460
Performed in an office
307
times performed,
3% of his services

11th 75th

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

264
patients got this service, 37% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$6,560.59an average of $21.37 per time performed $767.50
an average of $2.50 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
289
times performed,
2% of his services

12th 8th

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

289
patients got this service, 40% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,982.00an average of $38.00 per time performed $7,092.06
an average of $24.54 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
272
times performed,
2% of his services

13th 29th

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

272
patients got this service, 38% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,018.88an average of $51.54 per time performed $9,645.12
an average of $35.46 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
243
times performed,
2% of his services

14th 25th

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

199
patients got this service, 28% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$62,601.66an average of $257.62 per time performed $20,951.46
an average of $86.22 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
220
times performed,
2% of his services

15th 11th

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

24
patients got this service, 3% of his patients
9.2
average number of visits a patient made for this service
(Peers: 6.8)
$5,359.20an average of $24.36 per time performed $1,152.80
an average of $5.24 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
210
times performed,
2% of his services

16th 17th

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

210
patients got this service, 29% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$38,532.90an average of $183.49 per time performed $34,353.90
an average of $163.59 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
187
times performed,
2% of his services

17th 54th

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

156
patients got this service, 22% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$4,297.26an average of $22.98 per time performed $789.14
an average of $4.22 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
182
times performed,
1% of his services

18th 27th

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

66
patients got this service, 9% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.7)
$7,558.46an average of $41.53 per time performed $3,110.38
an average of $17.09 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
137
times performed,
1% of his services

19th 15th

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

137
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,206.00an average of $38.00 per time performed $3,345.54
an average of $24.42 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
111
times performed,
0.9% of his services

20th 9th

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

96
patients got this service, 13% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$6,412.47an average of $57.77 per time performed $1,435.23
an average of $12.93 per time performed
medical
PATHOLOGY AND LABORATORY

Blood glucose (sugar) level

Service Code: 82947
Performed in an office
108
times performed,
0.88% of his services

21st 60th

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

104
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 2)
$2,295.00an average of $21.25 per time performed $298.08
an average of $2.76 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
90
times performed,
0.73% of his services

22nd 89th

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

71
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$6,954.30an average of $77.27 per time performed $2,307.60
an average of $25.64 per time performed
medical
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
75
times performed,
0.61% of his services

23rd 76th

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

75
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,998.00an average of $26.64 per time performed $1,170.75
an average of $15.61 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
68
times performed,
0.55% of his services

24th 88th

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

54
patients got this service, 8% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$1,559.24an average of $22.93 per time performed $320.96
an average of $4.72 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
68
times performed,
0.55% of his services

25th 86th

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

53
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$1,479.68an average of $21.76 per time performed $218.96
an average of $3.22 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
64
times performed,
0.52% of his services

26th 122nd

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

48
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$1,672.32an average of $26.13 per time performed $305.92
an average of $4.78 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
32
times performed,
0.26% of his services

27th 23rd

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

14
patients got this service, 2% of his patients
2.3
average number of visits a patient made for this service
(Peers: 3.1)
$1,168.00an average of $36.50 per time performed $376.96
an average of $11.78 per time performed
medical
PATHOLOGY AND LABORATORY

Calcium level

Service Code: 82310
Performed in an office
29
times performed,
0.24% of his services

28th 145th

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

28
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$798.95an average of $27.55 per time performed $136.88
an average of $4.72 per time performed
medical
PATHOLOGY AND LABORATORY

Stool analysis for blood

Service Code: 82274
Performed in an office
27
times performed,
0.22% of his services

29th 118th

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: 1)
$918.00an average of $34.00 per time performed $572.94
an average of $21.22 per time performed
medical
PATHOLOGY AND LABORATORY

Albumin (protein) level

Service Code: 82040
Performed in an office
26
times performed,
0.21% of his services

30th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

22
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
$580.06an average of $22.31 per time performed $85.80
an average of $3.30 per time performed
medical
PATHOLOGY AND LABORATORY

Detection test for influenza virus

Service Code: 87804
Performed in an office
26
times performed,
0.21% of his services

31st 114th

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: 1)
$764.92an average of $29.42 per time performed $415.74
an average of $15.99 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
24
times performed,
0.2% of his services

32nd 24th

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

24
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.7)
$1,080.00an average of $45.00 per time performed $240.24
an average of $10.01 per time performed
drug
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
19
times performed,
0.15% of his services

33rd 95th

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)
$855.00an average of $45.00 per time performed $258.59
an average of $13.61 per time performed
medical
PROCEDURES

Colorectal cancer screening; fecal occult blood test, imm... +

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ×

Service Code: G0328
Performed in an office
16
times performed,
0.13% of his services

34th 124th

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$896.00an average of $56.00 per time performed $339.52
an average of $21.22 per time performed
medical
PATHOLOGY AND LABORATORY

Strep test (streptococcus, group a)

Service Code: 87880
Performed in an office
15
times performed,
0.12% of his services

35th 142nd

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: 1.1)
$453.00an average of $30.20 per time performed $239.85
an average of $15.99 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,
0.11% of his services

36th 133rd

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,638.06an average of $331.29 per time performed $1,932.70
an average of $138.05 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 [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.

Read our methodology.