ProPublica

Journalism in the Public Interest

Cancel

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 5 services per patient. Here’s how this provider compares.
Number of
Patients
1,234
Rank: 44th
out of 1,839 providers in this state & specialty
Services
Performed
9,866
Rank: 61st
out of 1,839 providers in this state & specialty
Avg Services
Per Patient
8 This Provider
Avg 5.1
Total Paid
by Medicare
$230K
Rank: 130th
out of 1,839 providers in this state & specialty
Avg Paid
Per Patient
$186 This Provider
Avg $233

Office Visits

Story image rib 8a2c1e812d78fea39cf7fb4926cf598dbc8604e0a950a7f60c1e192c8c412b43

Top Billing

Related story »

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.

Douglas B. Keim
Average for Internal Medicine Providers in Virginia

This Provider's Services

This provider performed 63 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
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
2,020
times performed,
20% of his services

1st 4th

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

690
patients got this service, 56% of his patients
2.9
average number of visits a patient made for this service
(Peers: 2.2)
$8,120an average of $4 per time performed $5,959
an average of $3 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
1,090
times performed,
11% of his services

2nd 1st

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

528
patients got this service, 43% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.2)
$114,777an average of $105 per time performed $69,989
an average of $64 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
962
times performed,
10% of his services

3rd 9th

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

592
patients got this service, 48% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$38,480an average of $40 per time performed $12,140
an average of $13 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
911
times performed,
9% of his services

4th 7th

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

582
patients got this service, 47% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$36,440an average of $40 per time performed $11,433
an average of $13 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
721
times performed,
7% of his services

5th 6th

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

123
patients got this service, 10% of his patients
5.9
average number of visits a patient made for this service
(Peers: 6.8)
$11,536an average of $16 per time performed $3,829
an average of $5 per time performed
medical
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
512
times performed,
5% of his services

6th 10th

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

466
patients got this service, 38% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$14,336an average of $28 per time performed $3,185
an average of $6 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
464
times performed,
5% of his services

7th 17th

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

179
patients got this service, 15% of his patients
2.6
average number of visits a patient made for this service
(Peers: 1.7)
$14,848an average of $32 per time performed $6,074
an average of $13 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
404
times performed,
4% of his services

8th 20th

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

242
patients got this service, 20% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$14,144an average of $35 per time performed $4,569
an average of $11 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
385
times performed,
4% of his services

9th 8th

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

253
patients got this service, 21% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$9,625an average of $25 per time performed $4,050
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 40 minutes ×

Service Code: 99215
Performed in an office
379
times performed,
4% of his services

10th 21st

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

206
patients got this service, 17% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.3)
$54,891an average of $145 per time performed $35,649
an average of $94 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
342
times performed,
3% of his services

11th 2nd

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

242
patients got this service, 20% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.2)
$25,650an average of $75 per time performed $16,009
an average of $47 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
313
times performed,
3% of his services

12th 18th

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

171
patients got this service, 14% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.4)
$13,459an average of $43 per time performed $7,083
an average of $23 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
224
times performed,
2% of his services

13th 11th

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

223
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,820an average of $26 per time performed $5,555
an average of $25 per time performed
drug
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
220
times performed,
2% of his services

14th 27th

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

220
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,404an average of $20 per time performed $3,192
an average of $15 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
92
times performed,
0.93% of his services

15th 107th

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

92
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,890an average of $205 per time performed $13,089
an average of $142 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
89
times performed,
0.9% of his services

16th 14th

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

79
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$3,590an average of $40 per time performed $1,208
an average of $14 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
82
times performed,
0.83% of his services

17th 5th

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

50
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.1)
$8,300an average of $101 per time performed $6,155
an average of $75 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
61
times performed,
0.62% of his services

18th 72nd

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

61
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,525an average of $25 per time performed $478
an average of $8 per time performed
medical
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
61
times performed,
0.62% of his services

19th 63rd

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

61
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,037an average of $17 per time performed $428
an average of $7 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
58
times performed,
0.59% of his services

20th 42nd

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

51
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$638an average of $11 per time performed $244
an average of $4 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
55
times performed,
0.56% of his services

21st 82nd

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

35
patients got this service, 3% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$990an average of $18 per time performed $255
an average of $5 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
49
times performed,
0.5% of his services

22nd 3rd

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

29
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.6)
$3,520an average of $72 per time performed $2,678
an average of $55 per time performed
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
43
times performed,
0.44% of his services

23rd 15th

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

25
patients got this service, 2% of his patients
1.7
average number of visits a patient made for this service
(Peers: 3.2)
$903an average of $21 per time performed $474
an average of $11 per time performed
medical
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
40
times performed,
0.41% of his services

24th 70th

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

40
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,440an average of $61 per time performed $972
an average of $24 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
27
times performed,
0.27% of his services

25th 46th

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

26
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$695an average of $26 per time performed $671
an average of $25 per time performed
drug
MEDICINE

Vaccine for pneumococcal polysaccharide for injection int... +

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

Service Code: 90732
Performed in an office
27
times performed,
0.27% of his services

26th 49th

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

26
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,770an average of $66 per time performed $1,638
an average of $61 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
24
times performed,
0.24% of his services

27th 16th

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

24
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,575an average of $107 per time performed $1,878
an average of $78 per time performed
medical
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
24
times performed,
0.24% of his services

28th 71st

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

24
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$622an average of $26 per time performed $314
an average of $13 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
23
times performed,
0.23% of his services

29th 35th

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

18
patients got this service, 1% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$989an average of $43 per time performed $282
an average of $12 per time performed
medical
NA

Transitional care management services with communication ... +

Transitional care management services with communication with the patient and/or caregiver within 2 business days of discharge, medical decision making of high complexity during the service period face-to-face visit, within 7 calendar days of discharge ×

Service Code: 99496
Performed in an office
18
times performed,
0.18% of his services

30th 174th

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

16
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$4,230an average of $235 per time performed $3,207
an average of $178 per time performed
medical
NA

Transitional care management services with communication ... +

Transitional care management services with communication with the patient and/or caregiver within 2 business days of discharge, medical decision making of at least moderate complexity during the service period face-to-face visit, within 14 calendar days of ×

Service Code: 99495
Performed in an office
15
times performed,
0.15% of his services

31st 138th

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,475an average of $165 per time performed $1,890
an average of $126 per time performed

Note: 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.

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.

Read our methodology.



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