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, $123 per patient in 2015.
They performed about 2 services per patient. Here’s how this provider compares.
Number of
Patients
Services
Performed
Avg Services
Per Patient
Total Paid
by Medicare
Avg Paid
Per Patient
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 61 different services in 2015
(50 were redacted as they were performed on less than 11 patients)
Show Only:
CATEGORYDescription of Service |
Times Performed (or Units) | This Service's Rank | Patients | Unique Visits Per Patient |
Billed to Medicare | Payments from Medicare |
|---|---|---|---|---|---|---|
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 15 minutes × Service Code: 99213Performed in an office |
278 times performed, 38% of his services |
1st 10th most performed service for this provider most performed service in this state & specialty |
262 patients got this service, 53% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.3) |
$31,136.00an average of $112.00 per time performed |
$11,328.50 an average of $40.75 per time performed |
EVALUATION AND MANAGEMENTEmergency department visit, problem with significant thre... + Emergency department visit, problem with significant threat to life or function × Service Code: 99285Performed in a facility |
93 times performed, 13% of his services |
2nd 1st most performed service for this provider most performed service in this state & specialty |
88 patients got this service, 18% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.1) |
$81,651.21an average of $877.97 per time performed |
$12,228.57 an average of $131.49 per time performed |
EVALUATION AND MANAGEMENTEmergency department visit, problem of high severity Service Code: 99284Performed in a facility |
49 times performed, 7% of his services |
3rd 2nd most performed service for this provider most performed service in this state & specialty |
47 patients got this service, 10% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$32,579.12an average of $664.88 per time performed |
$4,376.68 an average of $89.32 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 25 minutes × Service Code: 99214Performed in an office |
30 times performed, 4% of his services |
4th 8th most performed service for this provider most performed service in this state & specialty |
30 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service (Peers: 1.3) |
$5,010.00an average of $167.00 per time performed |
$2,086.20 an average of $69.54 per time performed |
PATHOLOGY AND LABORATORYService Code: 81003Performed in an office |
29 times performed, 4% of his services |
5th 47th most performed service for this provider most performed service in this state & specialty |
28 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service (Peers: 1.2) |
$174.00an average of $6.00 per time performed |
$80.62 an average of $2.78 per time performed |
EVALUATION AND MANAGEMENTEmergency department visit, moderately severe problem Service Code: 99283Performed in a facility |
28 times performed, 4% of his services |
6th 4th most performed service for this provider most performed service in this state & specialty |
28 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$8,737.96an average of $312.07 per time performed |
$1,282.68 an average of $45.81 per time performed |
CARDIOVASCULAR SYSTEMInsertion of needle into vein for collection of blood sample + Insertion of needle into vein for collection of blood sample × Service Code: 36415Performed in an office |
27 times performed, 4% of his services |
7th 24th most performed service for this provider most performed service in this state & specialty |
25 patients got this service, 5% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.1) |
$324.00an average of $12.00 per time performed |
$79.38 an average of $2.94 per time performed |
PATHOLOGY AND LABORATORYAutomated white blood cell count Service Code: 85048Performed in an office |
21 times performed, 3% of his services |
8th
most performed service for this provider 5 or fewer providers in this specialty in MO perform this service |
20 patients got this service, 4% of his patients |
1.1 average number of visits a patient made for this service |
$147.00an average of $7.00 per time performed |
$71.19 an average of $3.39 per time performed |
MEDICINEService Code: 90471Performed in an office |
15 times performed, 2% of his services |
9th 53rd most performed service for this provider most performed service in this state & specialty |
15 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$573.00an average of $38.20 per time performed |
$211.80 an average of $14.12 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 2... + New patient office or other outpatient visit, typically 20 minutes × Service Code: 99202Performed in an office |
14 times performed, 2% of his services |
10th 37th most performed service for this provider most performed service in this state & specialty |
14 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$1,624.00an average of $116.00 per time performed |
$482.58 an average of $34.47 per time performed |
PATHOLOGY AND LABORATORYService Code: 81002Performed in an office |
12 times performed, 2% of his services |
11th 23rd most performed service for this provider most performed service in this state & specialty |
12 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service (Peers: 1.1) |
$192.00an average of $16.00 per time performed |
$33.36 an average of $2.78 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.
This provider did not bill Medicare for any 5’s.
Nestor Michael Shust
Average for Emergency 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 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.