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, $250 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
871
Rank: 104th
out of 1,858 providers in this state & specialty
Services
Performed
9,890
Rank: 61st
out of 1,858 providers in this state & specialty
Avg Services
Per Patient
11.4 This Provider is in the top 10%
Avg 5.3
Total Paid
by Medicare
$284K
Rank: 92nd
out of 1,858 providers in this state & specialty
Avg Paid
Per Patient
$326 This Provider
Avg $250

Note: About 19% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

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 53 different services in 2015
(23 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
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
1,922
times performed,
19% of his services

1st 4th

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

692
patients got this service, 79% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.1)
$7,726.44an average of $4.02 per time performed $5,631.46
an average of $2.93 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
1,029
times performed,
10% of his services

2nd 1st

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

546
patients got this service, 63% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.2)
$113,848.56an average of $110.64 per time performed $68,449.08
an average of $66.52 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
990
times performed,
10% of his services

3rd 9th

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

608
patients got this service, 70% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$39,600.00an average of $40.00 per time performed $12,315.60
an average of $12.44 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
914
times performed,
9% of his services

4th 6th

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

580
patients got this service, 67% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$36,560.00an average of $40.00 per time performed $11,233.06
an average of $12.29 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
515
times performed,
5% of his services

5th 2nd

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

349
patients got this service, 40% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.1)
$39,155.45an average of $76.03 per time performed $23,566.40
an average of $45.76 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
499
times performed,
5% of his services

6th 11th

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

90
patients got this service, 10% of his patients
5.5
average number of visits a patient made for this service
(Peers: 6.8)
$7,984.00an average of $16.00 per time performed $2,614.76
an average of $5.24 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
493
times performed,
5% of his services

7th 18th

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

187
patients got this service, 21% of his patients
2.6
average number of visits a patient made for this service
(Peers: 1.7)
$15,776.00an average of $32.00 per time performed $6,384.35
an average of $12.95 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
454
times performed,
5% of his services

8th 25th

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

245
patients got this service, 28% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.3)
$66,506.46an average of $146.49 per time performed $44,946.00
an average of $99.00 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
428
times performed,
4% of his services

9th 24th

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

261
patients got this service, 30% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.7)
$14,984.28an average of $35.01 per time performed $4,780.76
an average of $11.17 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
390
times performed,
4% of his services

10th 7th

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

242
patients got this service, 28% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$9,750.00an average of $25.00 per time performed $4,044.30
an average of $10.37 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
305
times performed,
3% of his services

11th 15th

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

304
patients got this service, 35% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,930.00an average of $26.00 per time performed $7,435.90
an average of $24.38 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
302
times performed,
3% of his services

12th 21st

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

151
patients got this service, 17% of his patients
2
average number of visits a patient made for this service
(Peers: 1.4)
$12,986.00an average of $43.00 per time performed $6,767.82
an average of $22.41 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
287
times performed,
3% of his services

13th 17th

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

286
patients got this service, 33% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$51,660.00an average of $180.00 per time performed $48,193.04
an average of $167.92 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
269
times performed,
3% of his services

14th 8th

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

269
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,994.00an average of $26.00 per time performed $6,550.15
an average of $24.35 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
266
times performed,
3% of his services

15th 32nd

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

266
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,320.00an average of $20.00 per time performed $4,101.72
an average of $15.42 per time performed
medical
PROCEDURES

Annual depression screening, 15 minutes

Service Code: G0444
Performed in an office
157
times performed,
2% of his services

16th 100th

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

157
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,140.00an average of $20.00 per time performed $2,780.47
an average of $17.71 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
134
times performed,
1% of his services

17th 13th

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

129
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$4,154.00an average of $31.00 per time performed $804.00
an average of $6.00 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
59
times performed,
0.6% of his services

18th 86th

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

39
patients got this service, 4% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$1,062.00an average of $18.00 per time performed $270.22
an average of $4.58 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

19th 44th

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

48
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$638.00an average of $11.00 per time performed $244.76
an average of $4.22 per time performed
medical
PROCEDURES

Annual wellness visit; includes a personalized prevention... +

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ×

Service Code: G0438
Performed in an office
45
times performed,
0.46% of his services

20th 46th

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

45
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,875.00an average of $175.00 per time performed $7,560.90
an average of $168.02 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
42
times performed,
0.42% of his services

21st 72nd

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

42
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,050.00an average of $25.00 per time performed $323.82
an average of $7.71 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
42
times performed,
0.42% of his services

22nd 57th

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

42
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$714.00an average of $17.00 per time performed $289.80
an average of $6.90 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
41
times performed,
0.41% of his services

23rd 71st

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

41
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,501.00an average of $61.00 per time performed $1,005.73
an average of $24.53 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
38
times performed,
0.38% of his services

24th 16th

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

33
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$1,580.04an average of $41.58 per time performed $443.84
an average of $11.68 per time performed
medical
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
30
times performed,
0.3% of his services

25th 76th

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

30
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$780.00an average of $26.00 per time performed $491.70
an average of $16.39 per time performed
medical
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in an office
26
times performed,
0.26% of his services

26th 20th

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

26
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,120.00an average of $120.00 per time performed $2,957.50
an average of $113.75 per time performed
medical

Transitional care management services, moderately complex... +

Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge ×

Service Code: 99495
Performed in an office
19
times performed,
0.19% of his services

27th 104th

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

19
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$3,135.00an average of $165.00 per time performed $2,437.70
an average of $128.30 per time performed
drug
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
18
times performed,
0.18% of his services

28th 81st

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,440.00an average of $80.00 per time performed $1,396.44
an average of $77.58 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
12
times performed,
0.12% of his services

29th 88th

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$180.00an average of $15.00 per time performed $56.64
an average of $4.72 per time performed
medical

Transitional care management services, highly complexity,... +

Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge ×

Service Code: 99496
Performed in an office
12
times performed,
0.12% of his services

30th 117th

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,820.00an average of $235.00 per time performed $2,163.72
an average of $180.31 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.

Douglas Brian Keim
Average for Internal Medicine Providers in Virginia

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.

Read our methodology.