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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, $236 per patient in 2014.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
948
Rank: 86th
out of 1,851 providers in this state & specialty
Services
Performed
9,806
Rank: 56th
out of 1,851 providers in this state & specialty
Avg Services
Per Patient
10.3 This Provider is in the top 10%
Avg 5.1
Total Paid
by Medicare
$230K
Rank: 128th
out of 1,851 providers in this state & specialty
Avg Paid
Per Patient
$243 This Provider
Avg $236

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.

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 in 2014.

Individuals

GAYLAND HETHCOAT

BLAKE WATTS

KYLE YOUNG

RONALD REPASKY

DAVID SNOW

Organizations

WINCHESTER MEDICAL CENT...

SUNRISE MEDICAL LABORAT...

Patients saw before

DOUGLAS KEIM MD

Patients saw after

Individuals

GAYLAND HETHCOAT

DAVID MAGARIK

DAVID SNOW

PRESTON FOX

DAVID HARRY

Organizations

WINCHESTER MEDICAL CENT...

SUNRISE MEDICAL LABORAT...

This Provider's Services

This provider performed 57 different services in 2014
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
2,080
times performed,
21% of his services

1st 4th

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

691
patients got this service, 73% of his patients
3
average number of visits a patient made for this service
(Peers: 2.1)
$8,382an average of $4 per time performed $6,094
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
1,084
times performed,
11% of his services

2nd 1st

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

554
patients got this service, 58% of his patients
2
average number of visits a patient made for this service
(Peers: 2.2)
$120,725an average of $111 per time performed $68,270
an average of $63 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
1,061
times performed,
11% of his services

3rd 8th

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

617
patients got this service, 65% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$42,440an average of $40 per time performed $13,209
an average of $12 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
995
times performed,
10% of his services

4th 6th

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

602
patients got this service, 64% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$39,800an average of $40 per time performed $12,258
an average of $12 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
640
times performed,
7% of his services

5th 10th

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

92
patients got this service, 10% of his patients
7
average number of visits a patient made for this service
(Peers: 6.6)
$10,240an average of $16 per time performed $3,360
an average of $5 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
497
times performed,
5% of his services

6th 16th

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

190
patients got this service, 20% of his patients
2.6
average number of visits a patient made for this service
(Peers: 1.7)
$15,904an average of $32 per time performed $6,416
an average of $13 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
476
times performed,
5% of his services

7th 23rd

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

253
patients got this service, 27% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.3)
$69,648an average of $146 per time performed $46,510
an average of $98 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
450
times performed,
5% of his services

8th 2nd

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

311
patients got this service, 33% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.2)
$34,191an average of $76 per time performed $21,083
an average of $47 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
400
times performed,
4% of his services

9th 21st

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

236
patients got this service, 25% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$14,000an average of $35 per time performed $4,484
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
378
times performed,
4% of his services

10th 7th

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

251
patients got this service, 26% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$9,450an average of $25 per time performed $3,920
an average of $10 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
319
times performed,
3% of his services

11th 17th

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

178
patients got this service, 19% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.4)
$13,717an average of $43 per time performed $7,146
an average of $22 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
266
times performed,
3% of his services

12th 9th

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

266
patients got this service, 28% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,916an average of $26 per time performed $6,347
an average of $24 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
258
times performed,
3% of his services

13th 28th

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

258
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,160an average of $20 per time performed $3,847
an average of $15 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
205
times performed,
2% of his services

14th 13th

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

187
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$6,355an average of $31 per time performed $1,328
an average of $6 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
74
times performed,
0.75% of his services

15th 43rd

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

58
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$814an average of $11 per time performed $313
an average of $4 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
64
times performed,
0.65% of his services

16th 14th

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

60
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,560an average of $40 per time performed $799
an average of $12 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
57
times performed,
0.58% of his services

17th 78th

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

31
patients got this service, 3% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.5)
$1,026an average of $18 per time performed $267
an average of $5 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
53
times performed,
0.54% of his services

18th 69th

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

53
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,325an average of $25 per time performed $410
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
53
times performed,
0.54% of his services

19th 63rd

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

53
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$901an average of $17 per time performed $367
an average of $7 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
49
times performed,
0.5% of his services

20th 116th

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

49
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,205an average of $208 per time performed $6,296
an average of $128 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,
0.42% of his services

21st 67th

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

41
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,501an average of $61 per time performed $984
an average of $24 per time performed
medical
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
30
times performed,
0.31% of his services

22nd 86th

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)
$780an average of $26 per time performed $444
an average of $15 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
25
times performed,
0.25% of his services

23rd 31st

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

17
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$1,075an average of $43 per time performed $301
an average of $12 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
22
times performed,
0.22% of his services

24th 37th

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

22
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$572an average of $26 per time performed $507
an average of $23 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
22
times performed,
0.22% of his services

25th 51st

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

22
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,760an average of $80 per time performed $1,591
an average of $72 per time performed
medical
NA

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
20
times performed,
0.2% of his services

26th 112th

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

19
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$3,300an average of $165 per time performed $2,530
an average of $127 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
20
times performed,
0.2% of his services

27th 41st

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

20
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,500an average of $175 per time performed $3,287
an average of $164 per time performed
medical
NA

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
13
times performed,
0.13% of his services

28th 132nd

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

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$3,055an average of $235 per time performed $2,167
an average of $167 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
11
times performed,
0.11% of his services

29th 74th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$165an average of $15 per time performed $52
an average of $5 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 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.