Treatment Tracker

The Doctors and Services in Medicare Part B

This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $269 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
1,188
Rank: 71st
out of 4,680 providers in this state & specialty
Services
Performed
10,424
Rank: 192nd
out of 4,680 providers in this state & specialty
Avg Services
Per Patient
8.8 This Provider
Avg 6.8
Total Paid
by Medicare
$395K
Rank: 108th
out of 4,680 providers in this state & specialty
Avg Paid
Per Patient
$333 This Provider
Avg $269

Note: About 17% of this provider’s Medicare payments were for drugs administered in her 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 her Part B patients.

This Provider's Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 113 different services in 2015
(69 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
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
2,040
times performed,
20% of her services

1st 6th

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

24
patients got this service, 2% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$58,956.00an average of $28.90 per time performed $23,602.80
an average of $11.57 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
1,971
times performed,
19% of her services

2nd 1st

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

941
patients got this service, 79% of her patients
2.1
average number of visits a patient made for this service
(Peers: 2.3)
$436,950.99an average of $221.69 per time performed $150,229.62
an average of $76.22 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
624
times performed,
6% of her services

3rd 3rd

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

476
patients got this service, 40% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$4,698.72an average of $7.53 per time performed $1,815.84
an average of $2.91 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
457
times performed,
4% of her services

4th 7th

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

388
patients got this service, 33% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$13,134.18an average of $28.74 per time performed $5,159.53
an average of $11.29 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
434
times performed,
4% of her services

5th 9th

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

377
patients got this service, 32% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$9,183.44an average of $21.16 per time performed $4,500.58
an average of $10.37 per time performed
medical
PROCEDURES

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

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

Service Code: G0439
Performed in an office
427
times performed,
4% of her services

6th 13th

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

427
patients got this service, 36% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$100,857.40an average of $236.20 per time performed $51,009.42
an average of $119.46 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
420
times performed,
4% of her services

7th 11th

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

360
patients got this service, 30% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$15,304.80an average of $36.44 per time performed $5,892.60
an average of $14.03 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
403
times performed,
4% of her services

8th 19th

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

368
patients got this service, 31% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$18,433.22an average of $45.74 per time performed $9,031.23
an average of $22.41 per time performed
medical
PROCEDURES

Annual depression screening, 15 minutes

Service Code: G0444
Performed in an office
355
times performed,
3% of her services

9th 53rd

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

355
patients got this service, 30% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,369.30an average of $37.66 per time performed $6,574.60
an average of $18.52 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
314
times performed,
3% of her services

10th 10th

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

312
patients got this service, 26% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,422.20an average of $52.30 per time performed $8,022.70
an average of $25.55 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
291
times performed,
3% of her services

11th 40th

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

291
patients got this service, 24% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$20,887.98an average of $71.78 per time performed $10,074.42
an average of $34.62 per time performed
medical
PATHOLOGY AND LABORATORY

Ldl cholesterol level

Service Code: 83721
Performed in an office
278
times performed,
3% of her services

12th 34th

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

250
patients got this service, 21% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$7,222.44an average of $25.98 per time performed $3,525.04
an average of $12.68 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
221
times performed,
2% of her services

13th 24th

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

221
patients got this service, 19% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,434.54an average of $51.74 per time performed $5,644.34
an average of $25.54 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
218
times performed,
2% of her services

14th 2nd

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

183
patients got this service, 15% of her patients
1.2
average number of visits a patient made for this service
(Peers: 2)
$32,872.22an average of $150.79 per time performed $11,536.56
an average of $52.92 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
180
times performed,
2% of her services

15th 30th

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

180
patients got this service, 15% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$56,644.20an average of $314.69 per time performed $30,124.80
an average of $167.36 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
176
times performed,
2% of her services

16th 12th

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

89
patients got this service, 7% of her patients
1.9
average number of visits a patient made for this service
(Peers: 2.2)
$9,062.24an average of $51.49 per time performed $3,439.04
an average of $19.54 per time performed
medical
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
111
times performed,
1% of her services

17th 67th

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

104
patients got this service, 9% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$8,944.38an average of $80.58 per time performed $4,382.28
an average of $39.48 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
111
times performed,
1% of her services

18th 20th

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

81
patients got this service, 7% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$2,932.62an average of $26.42 per time performed $1,437.45
an average of $12.95 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
100
times performed,
0.96% of her services

19th 29th

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

100
patients got this service, 8% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$22,858.00an average of $228.58 per time performed $7,970.00
an average of $79.70 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
92
times performed,
0.88% of her services

20th 27th

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

76
patients got this service, 6% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$640.32an average of $6.96 per time performed $307.28
an average of $3.34 per time performed
drug
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
81
times performed,
0.78% of her services

21st 51st

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

33
patients got this service, 3% of her patients
2.5
average number of visits a patient made for this service
(Peers: 3.4)
$635.85an average of $7.85 per time performed $183.87
an average of $2.27 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
80
times performed,
0.77% of her services

22nd 21st

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

73
patients got this service, 6% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$3,451.20an average of $43.14 per time performed $988.00
an average of $12.35 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
78
times performed,
0.75% of her services

23rd 36th

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

78
patients got this service, 7% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$26,917.02an average of $345.09 per time performed $8,556.60
an average of $109.70 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
77
times performed,
0.74% of her services

24th 17th

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

21
patients got this service, 2% of her patients
3.7
average number of visits a patient made for this service
(Peers: 6)
$823.90an average of $10.70 per time performed $403.48
an average of $5.24 per time performed
drug
DRUGS

Injection, methylprednisolone sodium succinate, up to 125 mg +

Injection, methylprednisolone sodium succinate, up to 125 mg ×

Service Code: J2930
Performed in an office
66
times performed,
0.63% of her services

25th 147th

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

46
patients got this service, 4% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$404.58an average of $6.13 per time performed $169.62
an average of $2.57 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
65
times performed,
0.62% of her services

26th 93rd

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

65
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,253.90an average of $50.06 per time performed $1,569.75
an average of $24.15 per time performed
medical
PROCEDURES

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

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

Service Code: G0402
Performed in an office
48
times performed,
0.46% of her services

27th 146th

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

48
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,483.20an average of $343.40 per time performed $7,878.24
an average of $164.13 per time performed
medical
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple ×

Service Code: G0180
Performed in an office
48
times performed,
0.46% of her services

28th 50th

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

41
patients got this service, 3% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$5,416.80an average of $112.85 per time performed $2,033.76
an average of $42.37 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
43
times performed,
0.41% of her services

29th 113th

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

43
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,472.79an average of $150.53 per time performed $3,283.48
an average of $76.36 per time performed
medical
PROCEDURES

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

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

Service Code: G0438
Performed in an office
39
times performed,
0.37% of her services

30th 68th

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

39
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,955.41an average of $332.19 per time performed $6,872.19
an average of $176.21 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
38
times performed,
0.36% of her services

31st 35th

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

37
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$292.98an average of $7.71 per time performed $114.00
an average of $3.00 per time performed
medical
MEDICINE

Non-hormonal anti-neoplastic chemotherapy beneath the ski... +

Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle ×

Service Code: 96401
Performed in an office
35
times performed,
0.34% of her services

32nd 185th

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

24
patients got this service, 2% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$5,334.35an average of $152.41 per time performed $2,142.70
an average of $61.22 per time performed
medical

Transitional care management services, moderately complex... +

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

Service Code: 99495
Performed in an office
33
times performed,
0.32% of her services

33rd 122nd

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

31
patients got this service, 3% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$11,330.88an average of $343.36 per time performed $4,457.64
an average of $135.08 per time performed
medical
PATHOLOGY AND LABORATORY

Detection test for influenza virus

Service Code: 87804
Performed in an office
33
times performed,
0.32% of her services

34th 99th

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

17
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,398.54an average of $42.38 per time performed $527.67
an average of $15.99 per time performed
medical
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
32
times performed,
0.31% of her services

35th 104th

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

30
patients got this service, 3% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,402.24an average of $75.07 per time performed $1,131.52
an average of $35.36 per time performed
medical
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
26
times performed,
0.25% of her services

36th 59th

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

26
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$1,066.52an average of $41.02 per time performed $522.60
an average of $20.10 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in an office
19
times performed,
0.18% of her services

37th 101st

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

17
patients got this service, 1% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$2,657.34an average of $139.86 per time performed $1,045.57
an average of $55.03 per time performed
medical
PROCEDURES

Physician re-certification for medicare-covered home heal... +

Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im ×

Service Code: G0179
Performed in an office
19
times performed,
0.18% of her services

38th 75th

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

14
patients got this service, 1% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.8)
$1,708.10an average of $89.90 per time performed $640.49
an average of $33.71 per time performed
medical
PROCEDURES

Electrocardiogram, routine ecg with 12 leads; performed a... +

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report ×

Service Code: G0403
Performed in an office
16
times performed,
0.15% of her services

39th 217th

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

16
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$575.36an average of $35.96 per time performed $184.00
an average of $11.50 per time performed
medical
TEMPORARY CODES

Screening papanicolaou smear; obtaining, preparing and co... +

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ×

Service Code: Q0091
Performed in an office
14
times performed,
0.13% of her services

40th 237th

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

14
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,299.76an average of $92.84 per time performed $649.46
an average of $46.39 per time performed
drug
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
13
times performed,
0.12% of her services

41st 45th

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

13
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$408.98an average of $31.46 per time performed $199.94
an average of $15.38 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
13
times performed,
0.12% of her services

42nd 49th

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

13
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$319.02an average of $24.54 per time performed $156.26
an average of $12.02 per time performed
medical
PROCEDURES

Cervical or vaginal cancer screening; pelvic and clinical... +

Cervical or vaginal cancer screening; pelvic and clinical breast examination ×

Service Code: G0101
Performed in an office
13
times performed,
0.12% of her services

43rd 200th

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

13
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,032.46an average of $79.42 per time performed $515.97
an average of $39.69 per time performed
medical

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

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

Service Code: 99496
Performed in an office
11
times performed,
0.11% of her services

44th 134th

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

11
patients got this service, 0.93% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$5,296.72an average of $481.52 per time performed $2,084.83
an average of $189.53 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.

This provider did not bill Medicare for any 5’s.

1234512345
Ashley Langford Tunkle
Average for Family Medicine Providers in Florida

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 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

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