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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, $379 per patient in 2012.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
1,335
Rank: 111th
out of 490 providers in this state & specialty
Services
Performed
7,195
Rank: 61st
out of 490 providers in this state & specialty
Avg Services
Per Patient
5.4 This Provider
Avg 4.2
Total Paid
by Medicare
$554K
Rank: 81st
out of 490 providers in this state & specialty
Avg Paid
Per Patient
$415 This Provider
Avg $379

Office Visits

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Top Billing

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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.

Jimmie W. Riggins
Average for Ophthalmology Providers in North Carolina

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.

Individuals

CHAD TISDALE

RICHARD ROUX

DAVID FISHER

LANA VANSTORY

EDWARD KENSHOCK

Organizations

CUMBERLAND COUNTY HOSPI...

LABORATORY CORPORATION ...

Patients saw before

Jimmie W. Riggins

Patients saw after

Individuals

CHAD TISDALE

DAVID FISHER

RICHARD ROUX

LANA VANSTORY

RICHARD FALTER

Organizations

CUMBERLAND COUNTY HOSPI...

FAYETTEVILLE AMBULATORY...

This Provider's Services

This provider performed 33 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, onabotulinumtoxina (botox), 1 unit

Service Code: J0585
Performed in an office
1,704
times performed,
24% of his services

1st 4th

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

12
patients got this service, 0.9% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.5)
$20,448an average of $12 per time performed $6,816
an average of $4 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
811
times performed,
11% of his services

2nd 28th

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

748
patients got this service, 56% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$145,980an average of $180 per time performed $72,990
an average of $90 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
618
times performed,
9% of his services

3rd 5th

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

408
patients got this service, 31% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$49,440an average of $80 per time performed $31,518
an average of $51 per time performed
MEDICINE

Measurement of corneal curvature and depth of eye

Service Code: 92136
Performed in an office
575
times performed,
8% of his services

4th 9th

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

188
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$71,875an average of $125 per time performed $16,675
an average of $29 per time performed
MEDICINE

Diagnostic imaging of retina

Service Code: 92134
Performed in an office
561
times performed,
8% of his services

5th 3rd

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

333
patients got this service, 25% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.2)
$56,100an average of $100 per time performed $19,074
an average of $34 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
474
times performed,
7% of his services

6th 10th

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

415
patients got this service, 31% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$56,880an average of $120 per time performed $36,024
an average of $76 per time performed
EYE

Removal of cataract with insertion of lens

Service Code: 66984
Performed in a facility
303
times performed,
4% of his services

7th 8th

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

178
patients got this service, 13% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$727,200an average of $2,400 per time performed $160,590
an average of $530 per time performed
MEDICINE

Diagnostic imaging of optic nerve of eye

Service Code: 92133
Performed in an office
236
times performed,
3% of his services

8th 14th

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

219
patients got this service, 16% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$23,600an average of $100 per time performed $7,788
an average of $33 per time performed
MEDICINE

Microscopic evaluation of deep cells of the eye

Service Code: 92286
Performed in an office
226
times performed,
3% of his services

9th 49th

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

222
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$31,640an average of $140 per time performed $18,532
an average of $82 per time performed
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
180
times performed,
3% of his services

10th 19th

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

140
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$10,800an average of $60 per time performed $5,400
an average of $30 per time performed
MEDICINE

Photography of the retina

Service Code: 92250
Performed in an office
177
times performed,
2% of his services

11th 17th

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

175
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$15,045an average of $85 per time performed $8,850
an average of $50 per time performed
EYE

Removal of recurring cataract in lens capsule using laser +

Removal of recurring cataract in lens capsule using laser ×

Service Code: 66821
Performed in an office
170
times performed,
2% of his services

12th 27th

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

131
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$140,250an average of $825 per time performed $39,780
an average of $234 per time performed
MEDICINE

Measurement of field of vision during daylight conditions +

Measurement of field of vision during daylight conditions ×

Service Code: 92083
Performed in an office
160
times performed,
2% of his services

13th 11th

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

153
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$24,000an average of $150 per time performed $10,400
an average of $65 per time performed
EYE

Injection of drug into eye

Service Code: 67028
Performed in an office
124
times performed,
2% of his services

14th 7th

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

48
patients got this service, 4% of his patients
2.6
average number of visits a patient made for this service
(Peers: 4.7)
$46,500an average of $375 per time performed $10,788
an average of $87 per time performed
DRUGS

Unclassified biologics

Service Code: J3590
Performed in an office
121
times performed,
2% of his services

15th 13th

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

47
patients got this service, 4% of his patients
2.6
average number of visits a patient made for this service
(Peers: 4.1)
$17,666an average of $146 per time performed $5,929
an average of $49 per time performed
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
116
times performed,
2% of his services

16th 32nd

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

116
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,660an average of $135 per time performed $7,888
an average of $68 per time performed
EYE

Removal of cataract with insertion of lens

Service Code: 66984
Performed in an office
74
times performed,
1% of his services

17th 22nd

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

49
patients got this service, 4% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$0an average of $0 per time performed $0
an average of $0 per time performed
MEDICINE

Measurement of field of vision during daylight conditions +

Measurement of field of vision during daylight conditions ×

Service Code: 92082
Performed in an office
64
times performed,
0.89% of his services

18th 44th

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

59
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$5,120an average of $80 per time performed $3,200
an average of $50 per time performed
SKIN, HAIR AND NAILS

Removal of excessive skin and fat of upper eyelid

Service Code: 15823
Performed in a facility
60
times performed,
0.83% of his services

19th 56th

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

30
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$84,000an average of $1,400 per time performed $16,500
an average of $275 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
51
times performed,
0.71% of his services

20th 20th

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

51
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,200an average of $200 per time performed $5,763
an average of $113 per time performed
MEDICINE

Photography of content of eyes

Service Code: 92285
Performed in an office
45
times performed,
0.63% of his services

21st 33rd

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

44
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,250an average of $50 per time performed $765
an average of $17 per time performed
EYE

Laser repair to improve eye fluid flow, 1 or more sessions +

Laser repair to improve eye fluid flow, 1 or more sessions ×

Service Code: 65855
Performed in an office
39
times performed,
0.54% of his services

22nd 45th

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

23
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$42,900an average of $1,100 per time performed $7,878
an average of $202 per time performed
NERVOUS SYSTEM

Injection of chemical for destruction of nerve muscles on... +

Injection of chemical for destruction of nerve muscles on one side of face ×

Service Code: 64612
Performed in an office
36
times performed,
0.5% of his services

23rd 57th

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

12
patients got this service, 0.9% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.6)
$15,624an average of $434 per time performed $3,276
an average of $91 per time performed
MEDICINE

Measurement of eye muscles to detect deviation of eyeball +

Measurement of eye muscles to detect deviation of eyeball ×

Service Code: 92060
Performed in an office
34
times performed,
0.47% of his services

24th 52nd

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

30
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$2,720an average of $80 per time performed $1,598
an average of $47 per time performed
EYE

Repair of tendon of upper eyelid

Service Code: 67904
Performed in a facility
32
times performed,
0.44% of his services

25th 70th

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

18
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$48,000an average of $1,500 per time performed $11,360
an average of $355 per time performed
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
27
times performed,
0.38% of his services

26th 61st

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

18
patients got this service, 1% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$81an average of $3 per time performed $27
an average of $1 per time performed
EYE

Incisions to cornea to correct astigmatism

Service Code: 65772
Performed in an office
26
times performed,
0.36% of his services

27th Alert

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

21
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
$13,104an average of $504 per time performed $8,112
an average of $312 per time performed
MEDICINE

Computerized mapping of corneal curvature

Service Code: 92025
Performed in an office
26
times performed,
0.36% of his services

28th 47th

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

25
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$3,068an average of $118 per time performed $702
an average of $27 per time performed
EYE

Removal of cataract with insertion of lens

Service Code: 66982
Performed in a facility
24
times performed,
0.33% of his services

29th 35th

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

18
patients got this service, 1% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$62,400an average of $2,600 per time performed $16,872
an average of $703 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 2... +

New patient office or other outpatient visit, typically 20 minutes ×

Service Code: 99202
Performed in an office
23
times performed,
0.32% of his services

30th 77th

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

23
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,300an average of $100 per time performed $1,058
an average of $46 per time performed
EYE

Injection of medication or substance into membrane coveri... +

Injection of medication or substance into membrane covering eyeball ×

Service Code: 67515
Performed in an office
21
times performed,
0.29% of his services

31st 91st

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

15
patients got this service, 1% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$2,835an average of $135 per time performed $1,407
an average of $67 per time performed
EYE

Closure of tear duct opening using plug

Service Code: 68761
Performed in an office
21
times performed,
0.29% of his services

32nd 38th

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

13
patients got this service, 0.97% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$4,620an average of $220 per time performed $1,932
an average of $92 per time performed
RADIOLOGY

Ultrasound of corneal structure and measurement

Service Code: 76514
Performed in an office
20
times performed,
0.28% of his services

33rd 30th

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

20
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$500an average of $25 per time performed $220
an average of $11 per time performed
EYE

Creation of shunt to improve eye fluid flow

Service Code: 66180
Performed in a facility
16
times performed,
0.22% of his services

34th 90th

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

14
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$32,000an average of $2,000 per time performed $13,712
an average of $857 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 "Ophthalmology." 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.


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