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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, $245 per patient in 2014.
They performed about 6 services per patient. Here’s how this provider compares.
Number of
Patients
523
Rank: 564th
out of 2,484 providers in this state & specialty
Services
Performed
6,150
Rank: 278th
out of 2,484 providers in this state & specialty
Avg Services
Per Patient
11.8 This Provider
Avg 6.3
Total Paid
by Medicare
$171K
Rank: 341st
out of 2,484 providers in this state & specialty
Avg Paid
Per Patient
$326 This Provider
Avg $245

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

SARAH MASSEY

EDISON PICKLESIMER

JIM ROGERS

ROBYN STACY-HUMPHRIES

DONALD STEWART

Organizations

THE CHARLOTTE-MECKLENBU...

PRESBYTERIAN MEDICAL CA...

Patients saw before

EDWARD KNISH M.D.

Patients saw after

Individuals

JIM ROGERS

SARAH MASSEY

RICHARD MILLER

EDISON PICKLESIMER

JOHN SILVER

Organizations

THE CHARLOTTE-MECKLENBU...

CAROLINAS MEDICAL CENTER

This Provider's Services

This provider performed 92 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
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
1,018
times performed,
17% of his services

1st 1st

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

459
patients got this service, 88% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.4)
$208,792an average of $205 per time performed $69,041
an average of $68 per time performed
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
690
times performed,
11% of his services

2nd 3rd

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

424
patients got this service, 81% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.2)
$11,040an average of $16 per time performed $2,022
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
522
times performed,
8% of his services

3rd 9th

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

377
patients got this service, 72% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$15,660an average of $30 per time performed $4,990
an average of $10 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
370
times performed,
6% of his services

4th 7th

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

308
patients got this service, 59% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$17,390an average of $47 per time performed $5,117
an average of $14 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
266
times performed,
4% of his services

5th 6th

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

209
patients got this service, 40% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$7,448an average of $28 per time performed $2,727
an average of $10 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
265
times performed,
4% of his services

6th 2nd

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

190
patients got this service, 36% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2)
$36,040an average of $136 per time performed $10,942
an average of $41 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
237
times performed,
4% of his services

7th 10th

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

30
patients got this service, 6% of his patients
7.9
average number of visits a patient made for this service
(Peers: 5.1)
$3,318an average of $14 per time performed $1,247
an average of $5 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
219
times performed,
4% of his services

8th 11th

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

136
patients got this service, 26% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.8)
$7,665an average of $35 per time performed $2,825
an average of $13 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
185
times performed,
3% of his services

9th 12th

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

155
patients got this service, 30% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$10,730an average of $58 per time performed $4,015
an average of $22 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
176
times performed,
3% of his services

10th 22nd

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

176
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$47,696an average of $271 per time performed $18,818
an average of $107 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
173
times performed,
3% of his services

11th 28th

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

133
patients got this service, 25% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$2,595an average of $15 per time performed $732
an average of $4 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
145
times performed,
2% of his services

12th 13th

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

144
patients got this service, 28% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,945an average of $41 per time performed $3,339
an average of $23 per time performed
medical
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
102
times performed,
2% of his services

13th 38th

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

82
patients got this service, 16% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$9,384an average of $92 per time performed $2,052
an average of $20 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
88
times performed,
1% of his services

14th 66th

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

87
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,808an average of $66 per time performed $2,870
an average of $33 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
86
times performed,
1% of his services

15th 62nd

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

86
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,590an average of $65 per time performed $2,115
an average of $25 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
79
times performed,
1% of his services

16th 70th

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

79
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$25,833an average of $327 per time performed $12,657
an average of $160 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
64
times performed,
1% of his services

17th 19th

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

54
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$1,856an average of $29 per time performed $633
an average of $10 per time performed
drug
NA

Vaccine for influenza for injection into muscle

Service Code: 90661
Performed in an office
59
times performed,
0.96% of his services

18th 93rd

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

59
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,658an average of $62 per time performed $1,193
an average of $20 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
49
times performed,
0.8% of his services

19th 27th

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

48
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$392an average of $8 per time performed $147
an average of $3 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
48
times performed,
0.78% of his services

20th 97th

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

44
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$624an average of $13 per time performed $228
an average of $5 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
41
times performed,
0.67% of his services

21st 24th

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

40
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,829an average of $69 per time performed $450
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 5 minutes ×

Service Code: 99211
Performed in an office
39
times performed,
0.63% of his services

22nd 20th

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

20
patients got this service, 4% of his patients
2
average number of visits a patient made for this service
(Peers: 3)
$2,067an average of $53 per time performed $351
an average of $9 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
32
times performed,
0.52% of his services

23rd 25th

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

29
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$11,271an average of $352 per time performed $3,225
an average of $101 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
27
times performed,
0.44% of his services

24th 53rd

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

27
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$567an average of $21 per time performed $209
an average of $8 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
27
times performed,
0.44% of his services

25th 32nd

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

22
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$864an average of $32 per time performed $325
an average of $12 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
20
times performed,
0.33% of his services

26th 101st

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

19
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,300an average of $65 per time performed $473
an average of $24 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
19
times performed,
0.31% of his services

27th 65th

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

19
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,857an average of $203 per time performed $1,439
an average of $76 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
19
times performed,
0.31% of his services

28th 54th

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

19
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$779an average of $41 per time performed $441
an average of $23 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
18
times performed,
0.29% of his services

29th 42nd

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

18
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$342an average of $19 per time performed $125
an average of $7 per time performed
medical
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
17
times performed,
0.28% of his services

30th 61st

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

16
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$901an average of $53 per time performed $343
an average of $20 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
16
times performed,
0.26% of his services

31st 75th

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

14
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$256an average of $16 per time performed $72
an average of $5 per time performed
medical
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
13
times performed,
0.21% of his services

32nd 31st

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)
$1,352an average of $104 per time performed $515
an average of $40 per time performed
medical
PROCEDURES

Initial preventive physical examination; face-to-face vis... +

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment ×

Service Code: G0402
Performed in an office
12
times performed,
0.2% of his services

33rd 155th

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,753an average of $396 per time performed $1,864
an average of $155 per time performed
medical
PROCEDURES

Electrocardiogram, routine ecg with 12 leads; performed a... +

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report ×

Service Code: G0403
Performed in an office
12
times performed,
0.2% of his services

34th 240th

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$744an average of $62 per time performed $100
an average of $8 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.

Edward J. Knish
Average for Internal Medicine Providers in North Carolina

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.

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