Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $280 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
969
Rank: 32nd
out of 140 providers in this state & specialty
Services
Performed
6,659
Rank: 14th
out of 140 providers in this state & specialty
Avg Services
Per Patient
6.9 This Provider
Avg 4.8
Total Paid
by Medicare
$434K
Rank: 10th
out of 140 providers in this state & specialty
Avg Paid
Per Patient
$448 This Provider is in the top 10%
Avg $280

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 35 different services in 2015
(15 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
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
1,647
times performed,
25% of his services

1st 2nd

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

418
patients got this service, 43% of his patients
3.9
average number of visits a patient made for this service
(Peers: 3)
$209,169.00an average of $127.00 per time performed $129,124.80
an average of $78.40 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
1,582
times performed,
24% of his services

2nd 1st

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

425
patients got this service, 44% of his patients
3.7
average number of visits a patient made for this service
(Peers: 3)
$140,798.00an average of $89.00 per time performed $86,076.62
an average of $54.41 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 an office
812
times performed,
12% of his services

3rd 3rd

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

368
patients got this service, 38% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.7)
$105,560.00an average of $130.00 per time performed $61,078.64
an average of $75.22 per time performed
medical
MEDICINE

Measurement and graphic recording of the amount and speed... +

Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94060
Performed in an office
640
times performed,
10% of his services

4th 9th

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

341
patients got this service, 35% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.3)
$74,880.00an average of $117.00 per time performed $26,931.20
an average of $42.08 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
444
times performed,
7% of his services

5th 10th

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

222
patients got this service, 23% of his patients
2
average number of visits a patient made for this service
(Peers: 1.7)
$23,088.00an average of $52.00 per time performed $13,035.84
an average of $29.36 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
318
times performed,
5% of his services

6th 5th

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

303
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$78,546.00an average of $247.00 per time performed $47,893.98
an average of $150.61 per time performed
medical
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in an office
235
times performed,
4% of his services

7th 8th

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

234
patients got this service, 24% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$22,325.00an average of $95.00 per time performed $8,972.30
an average of $38.18 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin measurement

Service Code: 88738
Performed in an office
209
times performed,
3% of his services

8th 39th

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

207
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,090.00an average of $10.00 per time performed $1,387.76
an average of $6.64 per time performed
medical
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient,... +

Critical care delivery critically ill or injured patient, first 30-74 minutes ×

Service Code: 99291
Performed in a facility
164
times performed,
2% of his services

9th 6th

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

72
patients got this service, 7% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2.1)
$69,044.00an average of $421.00 per time performed $27,683.20
an average of $168.80 per time performed
medical
MEDICINE

Determination of lung volumes using plethysmography

Service Code: 94726
Performed in an office
118
times performed,
2% of his services

10th 17th

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

118
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$14,160.00an average of $120.00 per time performed $4,186.64
an average of $35.48 per time performed
medical
MEDICINE

Determination of lung volumes using gas dilution or washout +

Determination of lung volumes using gas dilution or washout ×

Service Code: 94727
Performed in an office
117
times performed,
2% of his services

11th 13th

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

116
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$10,179.00an average of $87.00 per time performed $3,442.14
an average of $29.42 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
63
times performed,
0.95% of his services

12th 23rd

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

63
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,750.00an average of $250.00 per time performed $9,234.54
an average of $146.58 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
53
times performed,
0.8% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

53
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$901.00an average of $17.00 per time performed $445.73
an average of $8.41 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
53
times performed,
0.8% of his services

14th 29th

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

53
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,484.00an average of $28.00 per time performed $1,199.92
an average of $22.64 per time performed
medical
MEDICINE

Pulmonary exercise testing

Service Code: 94620
Performed in an office
37
times performed,
0.56% of his services

15th 25th

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

28
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$6,734.00an average of $182.00 per time performed $1,485.92
an average of $40.16 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
29
times performed,
0.44% of his services

16th 42nd

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

29
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,365.00an average of $185.00 per time performed $4,488.04
an average of $154.76 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
27
times performed,
0.41% of his services

17th 40th

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

27
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$756.00an average of $28.00 per time performed $601.56
an average of $22.28 per time performed
medical
RESPIRATORY SYSTEM

Examination of lung airways using an endoscope

Service Code: 31623
Performed in a facility
21
times performed,
0.32% of his services

18th 58th

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

20
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$11,592.00an average of $552.00 per time performed $1,142.40
an average of $54.40 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
11
times performed,
0.17% of his services

19th 16th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,848.00an average of $168.00 per time performed $1,132.23
an average of $102.93 per time performed
medical
MEDICINE

Measurement and graphic recording of total and timed exha... +

Measurement and graphic recording of total and timed exhaled air capacity ×

Service Code: 94010
Performed in a facility
11
times performed,
0.17% of his services

20th 26th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$398.97an average of $36.27 per time performed $64.46
an average of $5.86 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.

Pedro Lopez
Average for Pulmonary Disease Providers in Alabama

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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