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, $234 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
1,222
Rank: 55th
out of 2,169 providers in this state & specialty
Services
Performed
9,442
Rank: 82nd
out of 2,169 providers in this state & specialty
Avg Services
Per Patient
7.7 This Provider
Avg 5
Total Paid
by Medicare
$222K
Rank: 170th
out of 2,169 providers in this state & specialty
Avg Paid
Per Patient
$182 This Provider
Avg $234

Office Visits

Story image rib

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

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.

Individuals

DAVID HARRY

WILLIAM BRINK

KYLE YOUNG

BLAKE WATTS

JAMES SLUSS

Organizations

WINCHESTER MEDICAL CENT...

PIEDMONT JOINT VENTURE ...

Patients saw before

Douglas B. Keim

Patients saw after

Individuals

DAVID SNOW

WILLIAM BRINK

FRANCIS WILLI

ROBERT FOUST

RICHARD RIZZO

Organizations

WINCHESTER MEDICAL CENT...

PIEDMONT JOINT VENTURE ...

This Provider's Services

This provider performed 31 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
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
1,872
times performed,
20% of his services

1st 4th

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

652
patients got this service, 53% of his patients
2.9
average number of visits a patient made for this service
(Peers: 2.2)
$7,488an average of $4 per time performed $5,616
an average of $3 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
897
times performed,
10% of his services

2nd 1st

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

475
patients got this service, 39% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.2)
$94,185an average of $105 per time performed $58,305
an average of $65 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
884
times performed,
9% of his services

3rd 12th

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

547
patients got this service, 45% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$35,360an average of $40 per time performed $11,492
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
851
times performed,
9% of his services

4th 11th

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

541
patients got this service, 44% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$34,040an average of $40 per time performed $11,063
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
658
times performed,
7% of his services

5th 8th

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

114
patients got this service, 9% of his patients
5.8
average number of visits a patient made for this service
(Peers: 6.7)
$10,528an average of $16 per time performed $3,948
an average of $6 per time performed
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
644
times performed,
7% of his services

6th 7th

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

531
patients got this service, 43% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$15,456an average of $24 per time performed $4,508
an average of $7 per time performed
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
434
times performed,
5% of his services

7th 24th

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

227
patients got this service, 19% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.3)
$60,760an average of $140 per time performed $38,626
an average of $89 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
428
times performed,
5% of his services

8th 23rd

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

174
patients got this service, 14% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.8)
$13,696an average of $32 per time performed $5,992
an average of $14 per time performed
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
349
times performed,
4% of his services

9th 2nd

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

235
patients got this service, 19% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.3)
$24,430an average of $70 per time performed $16,403
an average of $47 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
346
times performed,
4% of his services

10th 29th

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

225
patients got this service, 18% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$12,110an average of $35 per time performed $4,152
an average of $12 per time performed
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
281
times performed,
3% of his services

11th 9th

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

194
patients got this service, 16% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$7,025an average of $25 per time performed $3,091
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
263
times performed,
3% of his services

12th 27th

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

147
patients got this service, 12% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.4)
$11,309an average of $43 per time performed $6,312
an average of $24 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
218
times performed,
2% of his services

13th 13th

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

218
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,450an average of $25 per time performed $5,014
an average of $23 per time performed
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
210
times performed,
2% of his services

14th 5th

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

94
patients got this service, 8% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.1)
$21,000an average of $100 per time performed $16,590
an average of $79 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, for intramuscular u... +

Influenza virus vaccine, split virus, for intramuscular use (agriflu) ×

Service Code: Q2034
Performed in an office
200
times performed,
2% of his services

15th 165th

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

200
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,000an average of $20 per time performed $3,000
an average of $15 per time performed
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
141
times performed,
1% of his services

16th 17th

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

53
patients got this service, 4% of his patients
2.7
average number of visits a patient made for this service
(Peers: 3.1)
$2,961an average of $21 per time performed $2,115
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
81
times performed,
0.86% of his services

17th 99th

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

79
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,025an average of $25 per time performed $648
an average of $8 per time performed
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
81
times performed,
0.86% of his services

18th 71st

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

79
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,377an average of $17 per time performed $567
an average of $7 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
78
times performed,
0.83% of his services

19th 16th

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

70
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$3,120an average of $40 per time performed $1,092
an average of $14 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
66
times performed,
0.7% of his services

20th 15th

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

59
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$6,930an average of $105 per time performed $5,346
an average of $81 per time performed
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
64
times performed,
0.68% of his services

21st 107th

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

64
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,864an average of $201 per time performed $8,384
an average of $131 per time performed
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
61
times performed,
0.65% of his services

22nd 81st

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 $915
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
53
times performed,
0.56% of his services

23rd 49th

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

51
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$583an average of $11 per time performed $212
an average of $4 per time performed
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
53
times performed,
0.56% of his services

24th 3rd

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

35
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.6)
$3,869an average of $73 per time performed $2,915
an average of $55 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
46
times performed,
0.49% of his services

25th 59th

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

46
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,150an average of $25 per time performed $1,058
an average of $23 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
46
times performed,
0.49% of his services

26th 60th

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

46
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,300an average of $50 per time performed $2,254
an average of $49 per time performed
PROCEDURES

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

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

Service Code: G0103
Performed in an office
41
times performed,
0.43% of his services

27th 84th

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

41
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,501an average of $61 per time performed $1,066
an average of $26 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
36
times performed,
0.38% of his services

28th 104th

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

26
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$648an average of $18 per time performed $180
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
26
times performed,
0.28% of his services

29th 46th

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

17
patients got this service, 1% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$1,118an average of $43 per time performed $338
an average of $13 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
18
times performed,
0.19% of his services

30th 37th

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

18
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$360an average of $20 per time performed $252
an average of $14 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
16
times performed,
0.17% of his services

31st 56th

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

13
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$1,168an average of $73 per time performed $880
an average of $55 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.


Read our methodology.


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