ProPublica

Journalism in the Public Interest

Cancel

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
1,009
Rank: 100th
out of 2,169 providers in this state & specialty
Services
Performed
10,640
Rank: 53rd
out of 2,169 providers in this state & specialty
Avg Services
Per Patient
10.5 This Provider is in the top 10%
Avg 5
Total Paid
by Medicare
$177K
Rank: 283rd
out of 2,169 providers in this state & specialty
Avg Paid
Per Patient
$175 This Provider
Avg $234

Office Visits

Story image rib

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.

Shirin F. Zev
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

Shirin F. Zev

Patients saw after

This Provider's Services

This provider performed 40 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
2,220
times performed,
21% of her services

1st 18th

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

25
patients got this service, 2% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$33,300an average of $15 per time performed $24,420
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 15 minutes ×

Service Code: 99213
Performed in an office
1,077
times performed,
10% of her services

2nd 2nd

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

443
patients got this service, 44% of her patients
2.4
average number of visits a patient made for this service
(Peers: 2.3)
$84,006an average of $78 per time performed $48,465
an average of $45 per time performed
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
808
times performed,
8% of her services

3rd 7th

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

547
patients got this service, 54% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$20,200an average of $25 per time performed $4,848
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
778
times performed,
7% of her services

4th 12th

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

305
patients got this service, 30% of her patients
2.6
average number of visits a patient made for this service
(Peers: 1.6)
$38,900an average of $50 per time performed $9,336
an average of $12 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
745
times performed,
7% of her services

5th 4th

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

332
patients got this service, 33% of her patients
2.2
average number of visits a patient made for this service
(Peers: 2.2)
$8,940an average of $12 per time performed $2,235
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
647
times performed,
6% of her services

6th 11th

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

217
patients got this service, 22% of her patients
3
average number of visits a patient made for this service
(Peers: 1.5)
$32,350an average of $50 per time performed $7,764
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
504
times performed,
5% of her services

7th 46th

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

206
patients got this service, 20% of her patients
2.4
average number of visits a patient made for this service
(Peers: 1.3)
$22,680an average of $45 per time performed $6,552
an average of $13 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
465
times performed,
4% of her services

8th 9th

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

299
patients got this service, 30% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.7)
$10,230an average of $22 per time performed $5,115
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
451
times performed,
4% of her services

9th 27th

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

201
patients got this service, 20% of her patients
2.2
average number of visits a patient made for this service
(Peers: 1.4)
$22,550an average of $50 per time performed $10,824
an average of $24 per time performed
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
395
times performed,
4% of her services

10th 109th

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

192
patients got this service, 19% of her patients
2.1
average number of visits a patient made for this service
(Peers: 1.7)
$9,875an average of $25 per time performed $3,555
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
290
times performed,
3% of her services

11th 23rd

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

110
patients got this service, 11% of her patients
2.6
average number of visits a patient made for this service
(Peers: 1.8)
$8,700an average of $30 per time performed $4,060
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
277
times performed,
3% of her services

12th 104th

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

170
patients got this service, 17% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$4,986an average of $18 per time performed $1,108
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
146
times performed,
1% of her services

13th 8th

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

42
patients got this service, 4% of her patients
3.5
average number of visits a patient made for this service
(Peers: 6.7)
$2,044an average of $14 per time performed $876
an average of $6 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
144
times performed,
1% of her services

14th 16th

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

134
patients got this service, 13% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$8,640an average of $60 per time performed $2,016
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82550
Performed in an office
135
times performed,
1% of her services

15th 67th

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

123
patients got this service, 12% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$3,240an average of $24 per time performed $675
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
133
times performed,
1% of her services

16th 42nd

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

120
patients got this service, 12% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,330an average of $10 per time performed $399
an average of $3 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
120
times performed,
1% of her services

17th 24th

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

114
patients got this service, 11% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$18,720an average of $156 per time performed $9,960
an average of $83 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
119
times performed,
1% of her services

18th 34th

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

91
patients got this service, 9% of her patients
1.3
average number of visits a patient made for this service
(Peers: 2.9)
$3,570an average of $30 per time performed $1,904
an average of $16 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
112
times performed,
1% of her services

19th 49th

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

95
patients got this service, 9% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$2,240an average of $20 per time performed $448
an average of $4 per time performed
DRUGS

Injection, ceftriaxone sodium, per 250 mg

Service Code: J0696
Performed in an office
102
times performed,
0.96% of her services

20th 85th

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

33
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$3,876an average of $38 per time performed $102
an average of $1 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
101
times performed,
0.95% of her services

21st 72nd

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

101
patients got this service, 10% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,020an average of $20 per time performed $1,212
an average of $12 per time performed
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
92
times performed,
0.86% of her services

22nd 65th

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

91
patients got this service, 9% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$5,152an average of $56 per time performed $2,116
an average of $23 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
91
times performed,
0.86% of her services

23rd 17th

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

30
patients got this service, 3% of her patients
3
average number of visits a patient made for this service
(Peers: 3.1)
$2,730an average of $30 per time performed $1,274
an average of $14 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
91
times performed,
0.86% of her services

24th 1st

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

86
patients got this service, 9% of her patients
1.1
average number of visits a patient made for this service
(Peers: 2.2)
$10,465an average of $115 per time performed $6,552
an average of $72 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
84
times performed,
0.79% of her services

25th 13th

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

84
patients got this service, 8% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,100an average of $25 per time performed $2,016
an average of $24 per time performed
RADIOLOGY

Ultrasound behind abdominal cavity, limited

Service Code: 76775
Performed in an office
73
times performed,
0.69% of her services

26th 258th

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

72
patients got this service, 7% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,198an average of $126 per time performed $6,351
an average of $87 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
73
times performed,
0.69% of her services

27th 87th

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

73
patients got this service, 7% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,505an average of $185 per time performed $4,453
an average of $61 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) analysis

Service Code: 82044
Performed in an office
66
times performed,
0.62% of her services

28th 97th

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

65
patients got this service, 6% of her patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$1,980an average of $30 per time performed $396
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
66
times performed,
0.62% of her services

29th 71st

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

65
patients got this service, 6% of her patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$3,630an average of $55 per time performed $462
an average of $7 per time performed
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
58
times performed,
0.55% of her services

30th 134th

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

58
patients got this service, 6% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,740an average of $30 per time performed $1,334
an average of $23 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
30
times performed,
0.28% of her services

31st 29th

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

24
patients got this service, 2% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$1,350an average of $45 per time performed $330
an average of $11 per time performed
DRUGS

Injection, methylprednisolone sodium succinate, up to 40 mg +

Injection, methylprednisolone sodium succinate, up to 40 mg ×

Service Code: J2920
Performed in an office
24
times performed,
0.23% of her services

32nd Alert

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

23
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
$240an average of $10 per time performed $24
an average of $1 per time performed
RADIOLOGY

X-ray of paranasal sinus, complete, minimum of 3 views

Service Code: 70220
Performed in an office
21
times performed,
0.2% of her services

33rd Alert

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

21
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
$1,806an average of $86 per time performed $609
an average of $29 per time performed
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
18
times performed,
0.17% of her services

34th 50th

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

12
patients got this service, 1% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$720an average of $40 per time performed $180
an average of $10 per time performed
PATHOLOGY AND LABORATORY

Parathormone (parathyroid hormone) level

Service Code: 83970
Performed in an office
17
times performed,
0.16% of her services

35th 217th

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

17
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$1,190an average of $70 per time performed $986
an average of $58 per time performed
PATHOLOGY AND LABORATORY

Amylase (enzyme) level

Service Code: 82150
Performed in an office
17
times performed,
0.16% of her services

36th 285th

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

17
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$357an average of $21 per time performed $153
an average of $9 per time performed
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 implementation of the plan of care that meets patient's needs, per certification period ×

Service Code: G0180
Performed in an office
15
times performed,
0.14% of her services

37th 79th

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

14
patients got this service, 1% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,500an average of $100 per time performed $615
an average of $41 per time performed
PATHOLOGY AND LABORATORY

Strep test (streptococcus, group a)

Service Code: 87880
Performed in an office
12
times performed,
0.11% of her services

38th 152nd

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

12
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$240an average of $20 per time performed $192
an average of $16 per time performed
DRUGS

Injection, promethazine hydrochloride, up to 50 mg

Service Code: J2550
Performed in an office
12
times performed,
0.11% of her services

39th Alert

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

11
patients got this service, 1% of her patients
1.1
average number of visits a patient made for this service
$132an average of $11 per time performed $12
an average of $1 per time performed
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
11
times performed,
0.1% of her services

40th 57th

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

11
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,024an average of $184 per time performed $1,254
an average of $114 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.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.