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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, $640 per patient in 2013.
They performed about 32 services per patient. Here’s how this provider compares.
Number of
Patients
579
Rank: 20th
out of 100 providers in this state & specialty
Services
Performed
12,589
Rank: 28th
out of 100 providers in this state & specialty
Avg Services
Per Patient
21.7 This Provider
Avg 32
Total Paid
by Medicare
$339K
Rank: 26th
out of 100 providers in this state & specialty
Avg Paid
Per Patient
$586 This Provider
Avg $640

Note: About 76% of this provider’s Medicare payments were for drugs administered in his 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

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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.

Herbert A. Wilson
Average for Rheumatology Providers in Virginia

This Provider's Services

This provider performed 58 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
4,260
times performed,
34% of his services

1st 5th

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

50
patients got this service, 9% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$142,028an average of $33 per time performed $47,030
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 25 minutes ×

Service Code: 99214
Performed in an office
362
times performed,
3% of his services

2nd 6th

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

214
patients got this service, 37% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.3)
$90,862an average of $251 per time performed $24,714
an average of $68 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
246
times performed,
2% of his services

3rd 7th

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

192
patients got this service, 33% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$41,505an average of $169 per time performed $11,766
an average of $48 per time performed
drug
DRUGS

Infusion, normal saline solution , 250 cc

Service Code: J7050
Performed in an office
244
times performed,
2% of his services

4th 22nd

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

62
patients got this service, 11% of his patients
2.3
average number of visits a patient made for this service
(Peers: 4.9)
$6,100an average of $25 per time performed $51
an average of $0 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
214
times performed,
2% of his services

5th 23rd

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

214
patients got this service, 37% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$49,862an average of $233 per time performed $10,488
an average of $49 per time performed
drug
DRUGS

Injection, zoledronic acid (reclast), 1 mg

Service Code: J3488
Performed in an office
190
times performed,
2% of his services

6th 33rd

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

38
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$69,350an average of $365 per time performed $33,915
an average of $179 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
190
times performed,
2% of his services

7th 12th

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

81
patients got this service, 14% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2.4)
$5,320an average of $28 per time performed $2,006
an average of $11 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
184
times performed,
1% of his services

8th 68th

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

128
patients got this service, 22% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$5,520an average of $30 per time performed $1,696
an average of $9 per time performed
medical
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
182
times performed,
1% of his services

9th 34th

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

77
patients got this service, 13% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.9)
$5,278an average of $29 per time performed $1,616
an average of $9 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
145
times performed,
1% of his services

10th 13th

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

62
patients got this service, 11% of his patients
2.3
average number of visits a patient made for this service
(Peers: 5.4)
$54,520an average of $376 per time performed $14,799
an average of $102 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
122
times performed,
0.97% of his services

11th 10th

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

95
patients got this service, 16% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.2)
$732an average of $6 per time performed $362
an average of $3 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
72
times performed,
0.57% of his services

12th 21st

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

52
patients got this service, 9% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.7)
$3,960an average of $55 per time performed $1,441
an average of $20 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
51
times performed,
0.41% of his services

13th 19th

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

31
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$357an average of $7 per time performed $113
an average of $2 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration or injection of large joint or joint capsule

Service Code: 20610
Performed in an office
48
times performed,
0.38% of his services

14th 11th

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

30
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2)
$8,784an average of $183 per time performed $1,705
an average of $36 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
43
times performed,
0.34% of his services

15th 15th

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

34
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$559an average of $13 per time performed $208
an average of $5 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
26
times performed,
0.21% of his services

16th 20th

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

26
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,166an average of $391 per time performed $2,911
an average of $112 per time performed
medical
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
23
times performed,
0.18% of his services

17th 77th

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

21
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,438an average of $106 per time performed $926
an average of $40 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
14
times performed,
0.11% of his services

18th 40th

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,804an average of $486 per time performed $2,184
an average of $156 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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