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, $192 per patient in 2015.
They performed about 6 services per patient. Here’s how this provider compares.

Number of
Patients
336
Rank: 417th
out of 1,574 providers in this state & specialty
Services
Performed
2,702
Rank: 271st
out of 1,574 providers in this state & specialty
Avg Services
Per Patient
8 This Provider
Avg 6.4
Total Paid
by Medicare
$55.7K
Rank: 546th
out of 1,574 providers in this state & specialty
Avg Paid
Per Patient
$166 This Provider
Avg $192

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 69 different services in 2015
(52 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 25 minutes ×

Service Code: 99214
Performed in an office
370
times performed,
14% of his services

1st 2nd

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

200
patients got this service, 60% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.1)
$98,050.00an average of $265.00 per time performed $23,639.30
an average of $63.89 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in an office
144
times performed,
5% of his services

2nd 24th

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

48
patients got this service, 14% of his patients
3
average number of visits a patient made for this service
(Peers: 3.4)
$24,513.12an average of $170.23 per time performed $6,930.72
an average of $48.13 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in an office
98
times performed,
4% of his services

3rd 33rd

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

40
patients got this service, 12% of his patients
2.5
average number of visits a patient made for this service
(Peers: 3.1)
$22,050.00an average of $225.00 per time performed $6,855.10
an average of $69.95 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
71
times performed,
3% of his services

4th 3rd

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

60
patients got this service, 18% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.1)
$12,780.00an average of $180.00 per time performed $3,403.03
an average of $47.93 per time performed
medical
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
32
times performed,
1% of his services

5th 36th

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

27
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$11,392.00an average of $356.00 per time performed $2,430.72
an average of $75.96 per time performed
medical
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
32
times performed,
1% of his services

6th 15th

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

15
patients got this service, 4% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.3)
$1,920.00an average of $60.00 per time performed $585.60
an average of $18.30 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 25 minutes per day +

Initial nursing facility visit, typically 25 minutes per day ×

Service Code: 99304
Performed in an office
30
times performed,
1% of his services

7th 241st

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

27
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$6,960.00an average of $232.00 per time performed $2,073.90
an average of $69.13 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
30
times performed,
1% of his services

8th 23rd

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

26
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$240.00an average of $8.00 per time performed $83.40
an average of $2.78 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
29
times performed,
1% of his services

9th 9th

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

29
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$800.98an average of $27.62 per time performed $700.64
an average of $24.16 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
26
times performed,
0.96% of his services

10th 67th

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

16
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$182.00an average of $7.00 per time performed $61.88
an average of $2.38 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
20
times performed,
0.74% of his services

11th 64th

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

11
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$3,500.00an average of $175.00 per time performed $596.40
an average of $29.82 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
19
times performed,
0.7% of his services

12th 29th

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

19
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,105.04an average of $58.16 per time performed $629.47
an average of $33.13 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in an office
19
times performed,
0.7% of his services

13th 69th

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

17
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$3,382.00an average of $178.00 per time performed $779.19
an average of $41.01 per time performed
medical
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
17
times performed,
0.63% of his services

14th 30th

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

16
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,292.00an average of $76.00 per time performed $361.42
an average of $21.26 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
13
times performed,
0.48% of his services

15th 42nd

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

13
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$546.00an average of $42.00 per time performed $144.56
an average of $11.12 per time performed
medical
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
13
times performed,
0.48% of his services

16th 98th

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

12
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,612.00an average of $124.00 per time performed $340.08
an average of $26.16 per time performed
medical
PATHOLOGY AND LABORATORY

Stool analysis for blood to screen for colon tumors

Service Code: 82270
Performed in an office
11
times performed,
0.41% of his services

17th 132nd

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

11
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$121.00an average of $11.00 per time performed $47.74
an average of $4.34 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.

Paul Aaron Metcalf
Average for Family Medicine Providers in Missouri

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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