Treatment Tracker

The Doctors and Services in Medicare Part B

This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $466 per patient in 2015.
They performed about 12 services per patient. Here’s how this provider compares.

Number of
Patients
758
Rank: 340th
out of 1,433 providers in this state & specialty
Services
Performed
5,490
Rank: 278th
out of 1,433 providers in this state & specialty
Avg Services
Per Patient
7.2 This Provider
Avg 11.6
Total Paid
by Medicare
$425K
Rank: 185th
out of 1,433 providers in this state & specialty
Avg Paid
Per Patient
$561 This Provider
Avg $466

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 Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 29 different services in 2015
(13 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

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
1,065
times performed,
19% of his services

1st 3rd

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

551
patients got this service, 73% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.8)
$127,938.45an average of $120.13 per time performed $57,126.60
an average of $53.64 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
949
times performed,
17% of his services

2nd 2nd

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

541
patients got this service, 71% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2)
$133,078.27an average of $140.23 per time performed $75,464.48
an average of $79.52 per time performed
medical

Nerve transmission studies, 13 or more studies

Service Code: 95913
Performed in an office
300
times performed,
5% of his services

3rd 350th

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

286
patients got this service, 38% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$180,000.00an average of $600.00 per time performed $67,995.00
an average of $226.65 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
266
times performed,
5% of his services

4th 66th

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

266
patients got this service, 35% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$69,261.08an average of $260.38 per time performed $43,046.78
an average of $161.83 per time performed
medical
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles of arms or legs ×

Service Code: 95861
Performed in an office
229
times performed,
4% of his services

5th Alert

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

221
patients got this service, 29% of his patients
1
average number of visits a patient made for this service
$77,860.00an average of $340.00 per time performed $30,418.07
an average of $132.83 per time performed
medical
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles in arm or leg or muscles in trunk or head, limited study ×

Service Code: 95870
Performed in an office
214
times performed,
4% of his services

6th Alert

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

206
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
$23,540.00an average of $110.00 per time performed $14,453.56
an average of $67.54 per time performed
medical
MEDICINE

Testing of autonomic (sympathetic) nervous system function +

Testing of autonomic (sympathetic) nervous system function ×

Service Code: 95923
Performed in an office
169
times performed,
3% of his services

7th 353rd

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

168
patients got this service, 22% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$50,700.00an average of $300.00 per time performed $24,554.01
an average of $145.29 per time performed
medical
MEDICINE

Measurement and recording of brain wave (eeg) activity, a... +

Measurement and recording of brain wave (eeg) activity, awake and asleep ×

Service Code: 95819
Performed in an office
164
times performed,
3% of his services

8th 417th

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

158
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$85,734.28an average of $522.77 per time performed $50,861.32
an average of $310.13 per time performed
medical
MEDICINE

Ultrasound scanning of blood flow (outside the brain) on ... +

Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck ×

Service Code: 93880
Performed in an office
95
times performed,
2% of his services

9th 113th

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

95
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$37,050.00an average of $390.00 per time performed $12,911.45
an average of $135.91 per time performed
medical
MEDICINE

Ultrasound scanning of head and neck vessel blood flow (i... +

Ultrasound scanning of head and neck vessel blood flow (inside the brain) ×

Service Code: 93886
Performed in an office
91
times performed,
2% of his services

10th Alert

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

89
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
$35,490.00an average of $390.00 per time performed $15,810.34
an average of $173.74 per time performed
medical
MEDICINE

Ultrasound limited scanning of head and neck blood flow (... +

Ultrasound limited scanning of head and neck blood flow (inside the brain) ×

Service Code: 93888
Performed in an office
49
times performed,
0.89% of his services

11th Alert

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

49
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$14,210.00an average of $290.00 per time performed $4,664.80
an average of $95.20 per time performed
medical
MEDICINE

Placement of scalp electrodes for assessment and recordin... +

Placement of scalp electrodes for assessment and recording of responses from several areas of the nerve-brain hearing system ×

Service Code: 92585
Performed in an office
47
times performed,
0.86% of his services

12th 649th

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

47
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,280.00an average of $240.00 per time performed $4,586.26
an average of $97.58 per time performed
medical

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

Injection of chemical for destruction of nerve muscles on one side of neck excluding voice box accessed through the skin ×

Service Code: 64616
Performed in an office
29
times performed,
0.53% of his services

13th Alert

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

16
patients got this service, 2% of his patients
1.8
average number of visits a patient made for this service
$8,700.00an average of $300.00 per time performed $3,299.04
an average of $113.76 per time performed
medical
MEDICINE

Ultrasound study of arteries of both arms and legs

Service Code: 93923
Performed in an office
18
times performed,
0.33% of his services

14th 504th

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,220.00an average of $290.00 per time performed $1,923.30
an average of $106.85 per time performed
medical
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles in arms or legs ×

Service Code: 95863
Performed in an office
15
times performed,
0.27% of his services

15th Alert

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$6,600.00an average of $440.00 per time performed $2,451.75
an average of $163.45 per time performed
medical
MEDICINE

Measurement of nerve conduction patterns of eye blink reflex +

Measurement of nerve conduction patterns of eye blink reflex ×

Service Code: 95933
Performed in an office
12
times performed,
0.22% of his services

16th Alert

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

11
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
$1,440.00an average of $120.00 per time performed $716.40
an average of $59.70 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.

This provider did not bill Medicare for any 5’s.

1234512345
Alfredo Jacome
Average for Specialist Providers in Florida

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 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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