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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, $233 per patient in 2012.
They performed about 6 services per patient. Here’s how this provider compares.
Number of
Patients
722
Rank: 401st
out of 2,711 providers in this state & specialty
Services
Performed
7,822
Rank: 245th
out of 2,711 providers in this state & specialty
Avg Services
Per Patient
10.8 This Provider
Avg 5.9
Total Paid
by Medicare
$163K
Rank: 509th
out of 2,711 providers in this state & specialty
Avg Paid
Per Patient
$225 This Provider
Avg $233

Office Visits

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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.

Warner Lee W. Edmundson
Average for Internal Medicine Providers in North Carolina

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Patients saw before

Warner Lee W. Edmundson

Patients saw after

This Provider's Services

This provider performed 26 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
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
2,202
times performed,
28% of his services

1st 2nd

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

632
patients got this service, 88% of his patients
3.5
average number of visits a patient made for this service
(Peers: 2.1)
$160,746an average of $73 per time performed $99,090
an average of $45 per time performed
TEMPORARY CODES

Low osmolar contrast material, 100-199 mg/ml iodine conce... +

Low osmolar contrast material, 100-199 mg/ml iodine concentration, per ml ×

Service Code: Q9965
Performed in an office
2,075
times performed,
27% of his services

2nd 28th

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

17
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$18,675an average of $9 per time performed $2,075
an average of $1 per time performed
TEMPORARY CODES

Low osmolar contrast material, 300-399 mg/ml iodine conce... +

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ×

Service Code: Q9967
Performed in an office
2,000
times performed,
26% of his services

3rd 6th

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

19
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.9)
$32,000an average of $16 per time performed $0
an average of $0 per time performed
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
489
times performed,
6% of his services

4th 1st

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

348
patients got this service, 48% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.4)
$53,301an average of $109 per time performed $31,785
an average of $65 per time performed
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
180
times performed,
2% of his services

5th 18th

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

32
patients got this service, 4% of his patients
5.6
average number of visits a patient made for this service
(Peers: 3)
$4,500an average of $25 per time performed $2,700
an average of $15 per time performed
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
129
times performed,
2% of his services

6th 35th

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

19
patients got this service, 3% of his patients
6.8
average number of visits a patient made for this service
(Peers: 4.7)
$2,709an average of $21 per time performed $0
an average of $0 per time performed
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
125
times performed,
2% of his services

7th 134th

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

104
patients got this service, 14% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$6,625an average of $53 per time performed $4,125
an average of $33 per time performed
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 a facility
76
times performed,
0.97% of his services

8th 47th

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

65
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.9)
$5,244an average of $69 per time performed $3,496
an average of $46 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
72
times performed,
0.92% of his services

9th 8th

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

15
patients got this service, 2% of his patients
4.8
average number of visits a patient made for this service
(Peers: 5.5)
$2,232an average of $31 per time performed $432
an average of $6 per time performed
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
64
times performed,
0.82% of his services

10th 80th

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

62
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,600an average of $25 per time performed $960
an average of $15 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
53
times performed,
0.68% of his services

11th 13th

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

52
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,219an average of $23 per time performed $1,219
an average of $23 per time performed
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 (fluvirin) ×

Service Code: Q2037
Performed in an office
51
times performed,
0.65% of his services

12th 30th

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

51
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,326an average of $26 per time performed $714
an average of $14 per time performed
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
45
times performed,
0.58% of his services

13th 68th

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

45
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,835an average of $63 per time performed $2,790
an average of $62 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
38
times performed,
0.49% of his services

14th 71st

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

38
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$874an average of $23 per time performed $874
an average of $23 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
36
times performed,
0.46% of his services

15th 70th

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

36
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,772an average of $77 per time performed $2,016
an average of $56 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 10 minutes p... +

Subsequent nursing facility visit, typically 10 minutes per day ×

Service Code: 99307
Performed in a facility
27
times performed,
0.35% of his services

16th 94th

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

24
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.7)
$1,215an average of $45 per time performed $729
an average of $27 per time performed
MEDICINE

Interpretation and report of electrical activity of heart... +

Interpretation and report of electrical activity of heart using 1-3 leads ×

Service Code: 93042
Performed in an office
25
times performed,
0.32% of his services

17th Alert

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

21
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
$200an average of $8 per time performed $125
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
22
times performed,
0.28% of his services

18th 25th

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

19
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$506an average of $23 per time performed $66
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
18
times performed,
0.23% of his services

19th 9th

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

12
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$1,224an average of $68 per time performed $324
an average of $18 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
16
times performed,
0.2% of his services

20th 38th

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

15
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.8)
$768an average of $48 per time performed $464
an average of $29 per time performed
RADIOLOGY

Ct scan head or brain

Service Code: 70450
Performed in an office
14
times performed,
0.18% of his services

21st 266th

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: 1.1)
$2,646an average of $189 per time performed $1,792
an average of $128 per time performed
RADIOLOGY

Ultrasound behind abdominal cavity, limited

Service Code: 76775
Performed in an office
14
times performed,
0.18% of his services

22nd 225th

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)
$1,610an average of $115 per time performed $1,120
an average of $80 per time performed
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,
0.17% of his services

23rd 23rd

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$312an average of $24 per time performed $182
an average of $14 per time performed
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
13
times performed,
0.17% of his services

24th 100th

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$936an average of $72 per time performed $598
an average of $46 per time performed
RADIOLOGY

Ct scan chest with contrast

Service Code: 71260
Performed in an office
13
times performed,
0.17% of his services

25th 394th

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

12
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$3,913an average of $301 per time performed $2,691
an average of $207 per time performed
RADIOLOGY

Ct scan of abdomen and pelvis before and after contrast

Service Code: 74178
Performed in an office
12
times performed,
0.15% of his services

26th Alert

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$5,580an average of $465 per time performed $3,816
an average of $318 per time performed

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.

Notes: This provider has a self-reported specialty of "Internal Medicine." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

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.


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Credits: Warning icon designed by Stefan Parnarov from the Noun Project.