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, $258 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
496
Rank: 660th
out of 2,523 providers in this state & specialty
Services
Performed
6,316
Rank: 304th
out of 2,523 providers in this state & specialty
Avg Services
Per Patient
12.7 This Provider
Avg 7.3
Total Paid
by Medicare
$171K
Rank: 373rd
out of 2,523 providers in this state & specialty
Avg Paid
Per Patient
$345 This Provider
Avg $258

Note: About 15% 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 90 different services in 2015
(57 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
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
937
times performed,
15% of his services

1st 1st

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

441
patients got this service, 89% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.3)
$192,281.77an average of $205.21 per time performed $62,282.39
an average of $66.47 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
652
times performed,
10% of his services

2nd 3rd

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

402
patients got this service, 81% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.1)
$10,432.00an average of $16.00 per time performed $1,910.36
an average of $2.93 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
511
times performed,
8% of his services

3rd 10th

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

377
patients got this service, 76% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$15,330.00an average of $30.00 per time performed $4,931.15
an average of $9.65 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
319
times performed,
5% of his services

4th 8th

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

290
patients got this service, 58% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$14,993.00an average of $47.00 per time performed $4,341.59
an average of $13.61 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
253
times performed,
4% of his services

5th 11th

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

162
patients got this service, 33% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.7)
$8,855.00an average of $35.00 per time performed $3,225.75
an average of $12.75 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
239
times performed,
4% of his services

6th 7th

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

188
patients got this service, 38% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$6,692.00an average of $28.00 per time performed $2,435.41
an average of $10.19 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
229
times performed,
4% of his services

7th 14th

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

29
patients got this service, 6% of his patients
7.9
average number of visits a patient made for this service
(Peers: 5.1)
$3,206.00an average of $14.00 per time performed $1,199.96
an average of $5.24 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
208
times performed,
3% of his services

8th 22nd

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

208
patients got this service, 42% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$56,368.00an average of $271.00 per time performed $22,940.32
an average of $110.29 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
203
times performed,
3% of his services

9th 4th

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

154
patients got this service, 31% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2)
$27,608.00an average of $136.00 per time performed $7,801.29
an average of $38.43 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
172
times performed,
3% of his services

10th 13th

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

143
patients got this service, 29% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$9,976.00an average of $58.00 per time performed $3,698.00
an average of $21.50 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
162
times performed,
3% of his services

11th 26th

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

24
patients got this service, 5% of his patients
6.8
average number of visits a patient made for this service
(Peers: 3.1)
$8,586.00an average of $53.00 per time performed $2,214.54
an average of $13.67 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
155
times performed,
2% of his services

12th 30th

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

126
patients got this service, 25% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$2,325.00an average of $15.00 per time performed $654.10
an average of $4.22 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
138
times performed,
2% of his services

13th 15th

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

137
patients got this service, 28% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,658.00an average of $41.00 per time performed $3,211.26
an average of $23.27 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
106
times performed,
2% of his services

14th 44th

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

105
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,996.00an average of $66.00 per time performed $3,663.36
an average of $34.56 per time performed
medical
RADIOLOGY

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

Service Code: 71020
Performed in an office
81
times performed,
1% of his services

15th 39th

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

61
patients got this service, 12% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$7,452.00an average of $92.00 per time performed $1,427.22
an average of $17.62 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
73
times performed,
1% of his services

16th 66th

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

73
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,745.00an average of $65.00 per time performed $1,790.69
an average of $24.53 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
66
times performed,
1% of his services

17th 24th

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

53
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$1,914.00an average of $29.00 per time performed $658.68
an average of $9.98 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
60
times performed,
0.95% of his services

18th 19th

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

60
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,460.00an average of $41.00 per time performed $1,415.40
an average of $23.59 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
57
times performed,
0.9% of his services

19th 21st

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

57
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,613.00an average of $309.00 per time performed $9,559.47
an average of $167.71 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,
0.76% of his services

20th 97th

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

41
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$624.00an average of $13.00 per time performed $213.60
an average of $4.45 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
39
times performed,
0.62% of his services

21st 71st

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

39
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,753.00an average of $327.00 per time performed $6,376.11
an average of $163.49 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
39
times performed,
0.62% of his services

22nd 35th

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

35
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$1,248.00an average of $32.00 per time performed $459.42
an average of $11.78 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
36
times performed,
0.57% of his services

23rd 27th

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

35
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,484.00an average of $69.00 per time performed $365.04
an average of $10.14 per time performed
drug

Vaccine for influenza administered into muscle to individ... +

Vaccine for influenza administered into muscle to individuals 3 years of age and older ×

Service Code: 90686
Performed in an office
31
times performed,
0.49% of his services

24th 55th

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

31
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$961.00an average of $31.00 per time performed $550.25
an average of $17.75 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
25
times performed,
0.4% of his services

25th 54th

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

25
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$525.00an average of $21.00 per time performed $185.00
an average of $7.40 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
25
times performed,
0.4% of his services

26th 40th

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

25
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$475.00an average of $19.00 per time performed $167.00
an average of $6.68 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
25
times performed,
0.4% of his services

27th 28th

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

23
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$8,261.00an average of $330.44 per time performed $2,369.75
an average of $94.79 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
22
times performed,
0.35% of his services

28th 148th

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

22
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,472.00an average of $476.00 per time performed $3,488.54
an average of $158.57 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
21
times performed,
0.33% of his services

29th 222nd

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

21
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,302.00an average of $62.00 per time performed $127.89
an average of $6.09 per time performed
medical
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
20
times performed,
0.32% of his services

30th 34th

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

20
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$2,080.00an average of $104.00 per time performed $789.60
an average of $39.48 per time performed
medical
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
19
times performed,
0.3% of his services

31st 65th

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

18
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,007.00an average of $53.00 per time performed $381.90
an average of $20.10 per time performed
medical
PATHOLOGY AND LABORATORY

Iron level

Service Code: 83540
Performed in an office
12
times performed,
0.19% of his services

32nd 86th

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)
$276.00an average of $23.00 per time performed $103.56
an average of $8.63 per time performed
medical
PATHOLOGY AND LABORATORY

Iron binding capacity

Service Code: 83550
Performed in an office
12
times performed,
0.19% of his services

33rd 91st

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)
$372.00an average of $31.00 per time performed $139.92
an average of $11.66 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 [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.