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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
422
Rank: 739th
out of 1,839 providers in this state & specialty
Services
Performed
8,719
Rank: 91st
out of 1,839 providers in this state & specialty
Avg Services
Per Patient
20.7 This Provider is in the top 10%
Avg 5.1
Total Paid
by Medicare
$152K
Rank: 320th
out of 1,839 providers in this state & specialty
Avg Paid
Per Patient
$361 This Provider
Avg $233

Note: About 16% 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.

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.

Shirin F. Zev
Average for Internal Medicine Providers in Virginia

This Provider's Services

This provider performed 98 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
2,040
times performed,
23% of her services

1st 23rd

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

21
patients got this service, 5% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$29,784an average of $15 per time performed $22,318
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
912
times performed,
10% of her services

2nd 2nd

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

390
patients got this service, 92% of her patients
2.3
average number of visits a patient made for this service
(Peers: 2.2)
$75,924an average of $83 per time performed $43,493
an average of $48 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
698
times performed,
8% of her services

3rd 4th

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

258
patients got this service, 61% of her patients
2.7
average number of visits a patient made for this service
(Peers: 2.2)
$8,376an average of $12 per time performed $2,052
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
685
times performed,
8% of her services

4th 9th

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

280
patients got this service, 66% of her patients
2.4
average number of visits a patient made for this service
(Peers: 1.6)
$34,250an average of $50 per time performed $8,487
an average of $12 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
570
times performed,
7% of her services

5th 7th

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

209
patients got this service, 50% of her patients
2.7
average number of visits a patient made for this service
(Peers: 1.5)
$28,500an average of $50 per time performed $6,960
an average of $12 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
437
times performed,
5% of her services

6th 18th

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

203
patients got this service, 48% of her patients
2.2
average number of visits a patient made for this service
(Peers: 1.4)
$21,850an average of $50 per time performed $9,898
an average of $23 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
414
times performed,
5% of her services

7th 8th

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

264
patients got this service, 63% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$9,108an average of $22 per time performed $4,343
an average of $10 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
348
times performed,
4% of her services

8th 35th

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

175
patients got this service, 41% of her patients
2
average number of visits a patient made for this service
(Peers: 1.3)
$15,660an average of $45 per time performed $4,218
an average of $12 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
241
times performed,
3% of her services

9th 17th

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

99
patients got this service, 23% of her patients
2.4
average number of visits a patient made for this service
(Peers: 1.7)
$7,230an average of $30 per time performed $3,164
an average of $13 per time performed
medical
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
208
times performed,
2% of her services

10th 85th

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

141
patients got this service, 33% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$5,200an average of $25 per time performed $1,876
an average of $9 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
193
times performed,
2% of her services

11th 1st

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

166
patients got this service, 39% of her patients
1.2
average number of visits a patient made for this service
(Peers: 2.2)
$22,195an average of $115 per time performed $13,697
an average of $71 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
173
times performed,
2% of her services

12th 82nd

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

115
patients got this service, 27% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$3,114an average of $18 per time performed $666
an average of $4 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
170
times performed,
2% of her services

13th 6th

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

19
patients got this service, 5% of her patients
8.9
average number of visits a patient made for this service
(Peers: 6.8)
$2,380an average of $14 per time performed $903
an average of $5 per time performed
medical
RADIOLOGY

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

Service Code: 71020
Performed in an office
169
times performed,
2% of her services

14th 57th

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

158
patients got this service, 37% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$9,464an average of $56 per time performed $3,530
an average of $21 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
138
times performed,
2% of her services

15th 14th

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

133
patients got this service, 32% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$8,280an average of $60 per time performed $1,704
an average of $12 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
127
times performed,
1% of her services

16th 42nd

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

102
patients got this service, 24% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$2,540an average of $20 per time performed $544
an average of $4 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
114
times performed,
1% of her services

17th 30th

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

98
patients got this service, 23% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$1,140an average of $10 per time performed $347
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
102
times performed,
1% of her services

18th 15th

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

12
patients got this service, 3% of her patients
8.5
average number of visits a patient made for this service
(Peers: 3.2)
$3,060an average of $30 per time performed $1,485
an average of $15 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
85
times performed,
0.97% of her services

19th 11th

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

85
patients got this service, 20% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,385an average of $28 per time performed $2,099
an average of $25 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 (flulaval) ×

Service Code: Q2036
Performed in an office
82
times performed,
0.94% of her services

20th 65th

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

82
patients got this service, 19% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,640an average of $20 per time performed $705
an average of $9 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) analysis, (microalbumin)

Service Code: 82044
Performed in an office
71
times performed,
0.81% of her services

21st 77th

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

70
patients got this service, 17% of her patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$2,130an average of $30 per time performed $439
an average of $6 per time performed
medical
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
71
times performed,
0.81% of her services

22nd 63rd

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

70
patients got this service, 17% of her patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$3,905an average of $55 per time performed $497
an average of $7 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
54
times performed,
0.62% of her services

23rd 25th

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

35
patients got this service, 8% of her patients
1.5
average number of visits a patient made for this service
(Peers: 2.7)
$1,620an average of $30 per time performed $975
an average of $18 per time performed
medical
PATHOLOGY AND LABORATORY

Parathormone (parathyroid hormone) level

Service Code: 83970
Performed in an office
51
times performed,
0.58% of her services

24th 246th

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

45
patients got this service, 11% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$3,570an average of $70 per time performed $2,857
an average of $56 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
39
times performed,
0.45% of her services

25th 20th

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

26
patients got this service, 6% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$1,755an average of $45 per time performed $446
an average of $11 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
36
times performed,
0.41% of her services

26th 113th

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

36
patients got this service, 9% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,080an average of $30 per time performed $774
an average of $21 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
36
times performed,
0.41% of her services

27th 78th

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

36
patients got this service, 9% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,660an average of $185 per time performed $1,741
an average of $48 per time performed
medical
PATHOLOGY AND LABORATORY

Amylase (enzyme) level

Service Code: 82150
Performed in an office
25
times performed,
0.29% of her services

28th 223rd

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

23
patients got this service, 5% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$525an average of $21 per time performed $220
an average of $9 per time performed
medical
PATHOLOGY AND LABORATORY

Stool analysis for blood

Service Code: 82274
Performed in an office
25
times performed,
0.29% of her services

29th 103rd

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

25
patients got this service, 6% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$750an average of $30 per time performed $538
an average of $22 per time performed
medical
RADIOLOGY

Ultrasound behind abdominal cavity, limited

Service Code: 76775
Performed in an office
22
times performed,
0.25% of her 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, 5% of her patients
1
average number of visits a patient made for this service
$3,250an average of $148 per time performed $1,549
an average of $70 per time performed
medical
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82550
Performed in an office
20
times performed,
0.23% of her services

31st 61st

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

20
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$480an average of $24 per time performed $92
an average of $5 per time performed
medical
RADIOLOGY

X-ray of hip minimum 2 views

Service Code: 73520
Performed in an office
16
times performed,
0.18% of her services

32nd 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, 4% of her patients
1
average number of visits a patient made for this service
$1,216an average of $76 per time performed $496
an average of $31 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
14
times performed,
0.16% of her services

33rd 58th

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

11
patients got this service, 3% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$1,400an average of $100 per time performed $574
an average of $41 per time performed
drug
DRUGS

Injection, methylprednisolone sodium succinate, up to 40 mg +

Injection, methylprednisolone sodium succinate, up to 40 mg ×

Service Code: J2920
Performed in an office
14
times performed,
0.16% of her services

34th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
$140an average of $10 per time performed $17
an average of $1 per time performed
drug
NA

Flu vac no prsv 4 val 3 yrs+

Service Code: 90686
Performed in an office
14
times performed,
0.16% of her services

35th 143rd

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

14
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$280an average of $20 per time performed $266
an average of $19 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
14
times performed,
0.16% of her services

36th 24th

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

14
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$770an average of $55 per time performed $473
an average of $34 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, minimum of 4 views

Service Code: 72110
Performed in an office
13
times performed,
0.15% of her services

37th 310th

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

12
patients got this service, 3% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,352an average of $104 per time performed $429
an average of $33 per time performed
medical
PATHOLOGY AND LABORATORY

Immunologic analysis for detection of organism

Service Code: 87449
Performed in an office
12
times performed,
0.14% of her services

38th 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, 3% of her patients
1
average number of visits a patient made for this service
$420an average of $35 per time performed $196
an average of $16 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
12
times performed,
0.14% of her services

39th 51st

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

12
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,208an average of $184 per time performed $1,286
an average of $107 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
11
times performed,
0.13% of her services

40th 49th

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

11
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$825an average of $75 per time performed $765
an average of $70 per time performed
medical
RADIOLOGY

X-ray of abdomen, single view

Service Code: 74000
Performed in an office
11
times performed,
0.13% of her services

41st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
$561an average of $51 per time performed $159
an average of $14 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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