Treatment Tracker

The Doctors and Services in Medicare Part B

Treatment Tracker » Pennsylvania » East stroudsburg

KARTHIK SHEKA M.D.

500 PLAZA COURT, SUITE A PMC PHYSICIAN ASSOCIATES CARDIOLOGY, EAST STROUDSBURG, PA, 18301 | (570) 424-9970

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $168 per patient in 2015.
They performed about 3 services per patient. Here’s how this provider compares.

Number of
Patients
2,315
Rank: 59th
out of 1,042 providers in this state & specialty
Services
Performed
4,520
Rank: 182nd
out of 1,042 providers in this state & specialty
Avg Services
Per Patient
2 This Provider
Avg 2.8
Total Paid
by Medicare
$203K
Rank: 231st
out of 1,042 providers in this state & specialty
Avg Paid
Per Patient
$88 This Provider
Avg $168

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 45 different services in 2015
(27 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
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
1,857
times performed,
41% of his services

1st 1st

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

1,446
patients got this service, 62% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$38,662.74an average of $20.82 per time performed $11,476.26
an average of $6.18 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
766
times performed,
17% of his services

2nd 2nd

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

429
patients got this service, 19% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$147,255.84an average of $192.24 per time performed $55,259.24
an average of $72.14 per time performed
medical
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in a facility
375
times performed,
8% of his services

3rd 5th

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

367
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$102,892.50an average of $274.38 per time performed $17,775.00
an average of $47.40 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
265
times performed,
6% of his services

4th 4th

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

161
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.1)
$30,316.00an average of $114.40 per time performed $14,826.75
an average of $55.95 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
244
times performed,
5% of his services

5th 11th

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

231
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$73,300.04an average of $300.41 per time performed $25,673.68
an average of $105.22 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
238
times performed,
5% of his services

6th 3rd

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

228
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$8,677.48an average of $36.46 per time performed $2,767.94
an average of $11.63 per time performed
medical
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring and physician supervision ×

Service Code: 93016
Performed in a facility
132
times performed,
3% of his services

7th 15th

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

132
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,951.88an average of $45.09 per time performed $2,221.56
an average of $16.83 per time performed
medical
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report ×

Service Code: 93018
Performed in a facility
132
times performed,
3% of his services

8th 12th

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

132
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,925.68an average of $29.74 per time performed $1,455.96
an average of $11.03 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
77
times performed,
2% of his services

9th 60th

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

77
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,837.90an average of $192.70 per time performed $5,470.08
an average of $71.04 per time performed
medical
MEDICINE

Insertion of catheter in left heart for imaging of blood ... +

Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart ×

Service Code: 93458
Performed in a facility
66
times performed,
1% of his services

10th 39th

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

66
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$90,309.12an average of $1,368.32 per time performed $15,999.06
an average of $242.41 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 a facility
48
times performed,
1% of his services

11th 17th

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

45
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$9,403.20an average of $195.90 per time performed $2,876.16
an average of $59.92 per time performed
medical

Catheter insertion of stents in major coronary artery or ... +

Catheter insertion of stents in major coronary artery or branch, accessed through the skin ×

Service Code: 92928
Performed in a facility
48
times performed,
1% of his services

12th 57th

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

42
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$57,558.24an average of $1,199.13 per time performed $22,791.36
an average of $474.82 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 a facility
35
times performed,
0.77% of his services

13th 159th

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

35
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,737.85an average of $192.51 per time performed $2,006.90
an average of $57.34 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
33
times performed,
0.73% of his services

14th 13th

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

33
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$15,323.88an average of $464.36 per time performed $5,202.45
an average of $157.65 per time performed
medical
MEDICINE

Heart rhythm tracing, analysis, and interpretation of 48-... +

Heart rhythm tracing, analysis, and interpretation of 48-hour ekg ×

Service Code: 93227
Performed in a facility
30
times performed,
0.66% of his services

15th 37th

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

29
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,170.00an average of $39.00 per time performed $583.80
an average of $19.46 per time performed
medical
MEDICINE

Follow-up or limited ultrasound examination of heart

Service Code: 93308
Performed in a facility
29
times performed,
0.64% of his services

16th 44th

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

29
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,384.01an average of $116.69 per time performed $584.06
an average of $20.14 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 30 minutes per... +

Initial hospital inpatient care, typically 30 minutes per day ×

Service Code: 99221
Performed in a facility
23
times performed,
0.51% of his services

17th 35th

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

23
patients got this service, 0.99% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,112.90an average of $222.30 per time performed $1,740.18
an average of $75.66 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 a facility
12
times performed,
0.27% of his services

18th 81st

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

12
patients got this service, 0.52% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,639.96an average of $303.33 per time performed $1,212.24
an average of $101.02 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.

Karthik Sheka
Average for Cardiovascular Disease Providers in Pennsylvania

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2015 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

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