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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, $233 per patient in 2012.
They performed about 6 services per patient. Here’s how this provider compares.
Number of
Patients
804
Rank: 304th
out of 2,711 providers in this state & specialty
Services
Performed
8,293
Rank: 229th
out of 2,711 providers in this state & specialty
Avg Services
Per Patient
10.3 This Provider
Avg 5.9
Total Paid
by Medicare
$178K
Rank: 430th
out of 2,711 providers in this state & specialty
Avg Paid
Per Patient
$221 This Provider
Avg $233

Office Visits

Story image rib 8a2c1e812d78fea39cf7fb4926cf598dbc8604e0a950a7f60c1e192c8c412b43

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.

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

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

SARAH MASSEY

DANNY HONEYCUTT

DIANE MERRILL

RICHARD MILLER

SASHA THOMAS

Organizations

THE CHARLOTTE-MECKLENBU...

CAROLINAS MEDICAL CENTER

Patients saw before

Edward J. Knish

Patients saw after

Individuals

DIANE MERRILL

SARAH MASSEY

RICHARD MILLER

DANNY HONEYCUTT

JIM ROGERS

Organizations

THE CHARLOTTE-MECKLENBU...

CAROLINAS MEDICAL CENTER

This Provider's Services

This provider performed 43 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
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
1,168
times performed,
14% of his services

1st 1st

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

527
patients got this service, 66% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.4)
$216,080an average of $185 per time performed $74,752
an average of $64 per time performed
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
1,004
times performed,
12% of his services

2nd 3rd

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

542
patients got this service, 67% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.3)
$18,072an average of $18 per time performed $3,012
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
878
times performed,
11% of his services

3rd 8th

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

168
patients got this service, 21% of his patients
5.2
average number of visits a patient made for this service
(Peers: 5.5)
$14,048an average of $16 per time performed $4,390
an average of $5 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
727
times performed,
9% of his services

4th 16th

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

142
patients got this service, 18% of his patients
5.1
average number of visits a patient made for this service
(Peers: 3.3)
$47,255an average of $65 per time performed $8,724
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
655
times performed,
8% of his services

5th 10th

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

453
patients got this service, 56% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$49,125an average of $75 per time performed $6,550
an average of $10 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
536
times performed,
6% of his services

6th 9th

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

390
patients got this service, 49% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$55,208an average of $103 per time performed $7,504
an average of $14 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
452
times performed,
5% of his services

7th 7th

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

338
patients got this service, 42% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$22,148an average of $49 per time performed $4,972
an average of $11 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
397
times performed,
5% of his services

8th 2nd

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

256
patients got this service, 32% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.1)
$44,861an average of $113 per time performed $16,674
an average of $42 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
295
times performed,
4% of his services

9th 12th

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

172
patients got this service, 21% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.8)
$26,255an average of $89 per time performed $3,835
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
277
times performed,
3% of his services

10th 17th

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

224
patients got this service, 28% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$25,761an average of $93 per time performed $6,371
an average of $23 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
262
times performed,
3% of his services

11th 31st

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

214
patients got this service, 27% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$8,384an average of $32 per time performed $1,048
an average of $4 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
191
times performed,
2% of his services

12th 13th

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

186
patients got this service, 23% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,831an average of $41 per time performed $4,393
an average of $23 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 (fluzone) ×

Service Code: Q2038
Performed in an office
160
times performed,
2% of his services

13th 44th

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

157
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,160an average of $26 per time performed $2,080
an average of $13 per time performed
RADIOLOGY

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

Service Code: 71020
Performed in an office
158
times performed,
2% of his services

14th 40th

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

126
patients got this service, 16% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$20,066an average of $127 per time performed $3,318
an average of $21 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
113
times performed,
1% of his services

15th 22nd

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

86
patients got this service, 11% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$7,345an average of $65 per time performed $1,130
an average of $10 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
110
times performed,
1% of his services

16th 72nd

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

110
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,420an average of $122 per time performed $2,860
an average of $26 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
102
times performed,
1% of his services

17th 69th

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

99
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$7,242an average of $71 per time performed $816
an average of $8 per time performed
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
84
times performed,
1% of his services

18th 25th

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

82
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$1,932an average of $23 per time performed $252
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 40 minutes ×

Service Code: 99215
Performed in an office
77
times performed,
0.93% of his services

19th 24th

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

72
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$23,100an average of $300 per time performed $7,238
an average of $94 per time performed
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
73
times performed,
0.88% of his services

20th 107th

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

63
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$3,139an average of $43 per time performed $365
an average of $5 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
72
times performed,
0.87% of his services

21st 23rd

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

66
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$8,064an average of $112 per time performed $864
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
56
times performed,
0.68% of his services

22nd 42nd

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

46
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$4,312an average of $77 per time performed $672
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
38
times performed,
0.46% of his services

23rd 82nd

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

37
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$5,510an average of $145 per time performed $798
an average of $21 per time performed
PATHOLOGY AND LABORATORY

Iron level

Service Code: 83540
Performed in an office
38
times performed,
0.46% of his services

24th 97th

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

37
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$1,216an average of $32 per time performed $342
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Iron binding capacity

Service Code: 83550
Performed in an office
38
times performed,
0.46% of his services

25th 106th

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

37
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$2,622an average of $69 per time performed $456
an average of $12 per time performed
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
36
times performed,
0.43% of his services

26th 53rd

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

36
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,772an average of $327 per time performed $5,724
an average of $159 per time performed
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
31
times performed,
0.37% of his services

27th 101st

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

31
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,015an average of $65 per time performed $961
an average of $31 per time performed
PROCEDURES

Cervical or vaginal cancer screening; pelvic and clinical... +

Cervical or vaginal cancer screening; pelvic and clinical breast examination ×

Service Code: G0101
Performed in an office
28
times performed,
0.34% of his services

28th 170th

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

28
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,324an average of $83 per time performed $1,008
an average of $36 per time performed
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
28
times performed,
0.34% of his services

29th 36th

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

23
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$2,884an average of $103 per time performed $308
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
23
times performed,
0.28% of his services

30th 111th

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

23
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$3,335an average of $145 per time performed $529
an average of $23 per time performed
TEMPORARY CODES

Screening papanicolaou smear; obtaining, preparing and co... +

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ×

Service Code: Q0091
Performed in an office
20
times performed,
0.24% of his services

31st 214th

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)
$1,920an average of $96 per time performed $840
an average of $42 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
19
times performed,
0.23% of his services

32nd 71st

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)
$760an average of $40 per time performed $437
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
19
times performed,
0.23% of his services

33rd 68th

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)
$2,337an average of $123 per time performed $1,235
an average of $65 per time performed
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82550
Performed in an office
17
times performed,
0.2% of his services

34th 79th

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

15
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$867an average of $51 per time performed $102
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
16
times performed,
0.19% of his services

35th 90th

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

14
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$560an average of $35 per time performed $80
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Ferritin (blood protein) level

Service Code: 82728
Performed in an office
15
times performed,
0.18% of his services

36th 92nd

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

13
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$1,575an average of $105 per time performed $285
an average of $19 per time performed
RADIOLOGY

X-ray of lower and sacral spine, minimum of 4 views

Service Code: 72110
Performed in an office
14
times performed,
0.17% of his services

37th 255th

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,450an average of $175 per time performed $448
an average of $32 per time performed
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
11
times performed,
0.13% of his services

38th 134th

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: 1.1)
$1,595an average of $145 per time performed $319
an average of $29 per time performed
RADIOLOGY

X-ray of paranasal sinus, complete, minimum of 3 views

Service Code: 70220
Performed in an office
11
times performed,
0.13% of his services

39th 335th

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: 1.1)
$1,727an average of $157 per time performed $319
an average of $29 per time performed
RADIOLOGY

X-ray of ribs of one side of body, 2 views

Service Code: 71100
Performed in an office
11
times performed,
0.13% of his services

40th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in NC perform this service

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$1,474an average of $134 per time performed $275
an average of $25 per time performed
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
11
times performed,
0.13% of his services

41st 249th

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: 1.1)
$1,144an average of $104 per time performed $209
an average of $19 per time performed
PATHOLOGY AND LABORATORY

Rheumatoid factor level

Service Code: 86431
Performed in an office
11
times performed,
0.13% of his services

42nd 428th

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: 1.2)
$671an average of $61 per time performed $88
an average of $8 per time performed
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
11
times performed,
0.13% of his services

43rd 80th

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: 1.1)
$440an average of $40 per time performed $143
an average of $13 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.


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