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, $277 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
744
Rank: 2nd
out of 27 providers in this state & specialty
Services
Performed
8,133
Rank: 4th
out of 27 providers in this state & specialty
Avg Services
Per Patient
10.9 This Provider
Avg 5.5
Total Paid
by Medicare
$226K
Rank: 5th
out of 27 providers in this state & specialty
Avg Paid
Per Patient
$303 This Provider
Avg $277

Note: About 13% 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 78 different services in 2015
(33 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
drug
DRUGS

Injection, epoetin alfa, (for non-esrd use), 1000 units

Service Code: J0885
Performed in an office
2,981
times performed,
37% of his services

1st 1st

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

42
patients got this service, 6% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.3)
$38,753.00an average of $13.00 per time performed $28,319.50
an average of $9.50 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
656
times performed,
8% of his services

2nd 4th

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

321
patients got this service, 43% of his patients
2
average number of visits a patient made for this service
(Peers: 1.7)
$3,280.00an average of $5.00 per time performed $1,928.64
an average of $2.94 per time performed
medical
PATHOLOGY AND LABORATORY

Kidney function blood test panel

Service Code: 80069
Performed in an office
478
times performed,
6% of his services

3rd 10th

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

248
patients got this service, 33% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.4)
$10,516.00an average of $22.00 per time performed $5,463.54
an average of $11.43 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
331
times performed,
4% of his services

4th 6th

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

244
patients got this service, 33% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$59,580.00an average of $180.00 per time performed $25,500.24
an average of $77.04 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
294
times performed,
4% of his services

5th 11th

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

195
patients got this service, 26% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$3,822.00an average of $13.00 per time performed $2,022.72
an average of $6.88 per time performed
medical
PATHOLOGY AND LABORATORY

Total protein level, urine

Service Code: 84156
Performed in an office
232
times performed,
3% of his services

6th 13th

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

159
patients got this service, 21% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$2,088.00an average of $9.00 per time performed $1,134.48
an average of $4.89 per time performed
medical
PATHOLOGY AND LABORATORY

Parathormone (parathyroid hormone) level

Service Code: 83970
Performed in an office
231
times performed,
3% of his services

7th 14th

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

198
patients got this service, 27% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$23,562.00an average of $102.00 per time performed $12,661.11
an average of $54.81 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
213
times performed,
3% of his services

8th 2nd

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

107
patients got this service, 14% of his patients
2
average number of visits a patient made for this service
(Peers: 1.9)
$26,184.09an average of $122.93 per time performed $12,019.59
an average of $56.43 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
211
times performed,
3% of his services

9th 7th

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

153
patients got this service, 21% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$26,375.00an average of $125.00 per time performed $11,005.76
an average of $52.16 per time performed
medical
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
153
times performed,
2% of his services

10th 17th

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

130
patients got this service, 17% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$11,169.00an average of $73.00 per time performed $5,973.12
an average of $39.04 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: 85027
Performed in an office
149
times performed,
2% of his services

11th 30th

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

110
patients got this service, 15% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$2,384.00an average of $16.00 per time performed $1,278.42
an average of $8.58 per time performed
medical
MEDICINE

Hemodialysis procedure with one physician evaluation

Service Code: 90935
Performed in a facility
143
times performed,
2% of his services

12th 5th

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

63
patients got this service, 8% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2.7)
$17,875.00an average of $125.00 per time performed $7,989.41
an average of $55.87 per time performed
medical
CARDIOVASCULAR SYSTEM

Balloon dilation of narrowed or blocked vein, accessed th... +

Balloon dilation of narrowed or blocked vein, accessed through the skin ×

Service Code: 35476
Performed in a facility
134
times performed,
2% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

91
patients got this service, 12% of his patients
1.3
average number of visits a patient made for this service
$73,030.00an average of $545.00 per time performed $25,568.54
an average of $190.81 per time performed
medical
RADIOLOGY

Radiological supervision and interpretation of balloon di... +

Radiological supervision and interpretation of balloon dilation of narrowed vein ×

Service Code: 75978
Performed in a facility
133
times performed,
2% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

91
patients got this service, 12% of his patients
1.3
average number of visits a patient made for this service
$5,985.00an average of $45.00 per time performed $2,693.25
an average of $20.25 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
130
times performed,
2% of his services

15th 29th

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

104
patients got this service, 14% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$1,040.00an average of $8.00 per time performed $548.60
an average of $4.22 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of needle and/or catheter for dialysis

Service Code: 36147
Performed in a facility
124
times performed,
2% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

89
patients got this service, 12% of his patients
1.4
average number of visits a patient made for this service
$40,300.00an average of $325.00 per time performed $9,275.20
an average of $74.80 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
113
times performed,
1% of his services

17th 15th

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

104
patients got this service, 14% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$2,147.00an average of $19.00 per time performed $1,171.81
an average of $10.37 per time performed
medical
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
90
times performed,
1% of his services

18th 20th

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

42
patients got this service, 6% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.3)
$4,050.00an average of $45.00 per time performed $1,795.50
an average of $19.95 per time performed
medical
PATHOLOGY AND LABORATORY

Ferritin (blood protein) level

Service Code: 82728
Performed in an office
82
times performed,
1% of his services

19th 32nd

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

75
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,788.00an average of $34.00 per time performed $1,489.94
an average of $18.17 per time performed
medical
PATHOLOGY AND LABORATORY

Iron level

Service Code: 83540
Performed in an office
78
times performed,
0.96% of his services

20th 33rd

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

71
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,248.00an average of $16.00 per time performed $673.14
an average of $8.63 per time performed
medical
PATHOLOGY AND LABORATORY

Iron binding capacity

Service Code: 83550
Performed in an office
78
times performed,
0.96% of his services

21st 33rd

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

71
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,716.00an average of $22.00 per time performed $909.48
an average of $11.66 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
71
times performed,
0.87% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

57
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
$923.00an average of $13.00 per time performed $499.84
an average of $7.04 per time performed
medical
RADIOLOGY

Ultrasound behind abdominal cavity

Service Code: 76770
Performed in an office
70
times performed,
0.86% of his services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

70
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
$16,800.00an average of $240.00 per time performed $6,227.90
an average of $88.97 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
68
times performed,
0.84% of his services

24th 25th

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

64
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$748.00an average of $11.00 per time performed $200.60
an average of $2.95 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
68
times performed,
0.84% of his services

25th 12th

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

44
patients got this service, 6% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.9)
$12,494.32an average of $183.74 per time performed $5,532.48
an average of $81.36 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin measurement

Service Code: 85018
Performed in an office
68
times performed,
0.84% of his services

26th 19th

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

29
patients got this service, 4% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2.6)
$408.00an average of $6.00 per time performed $215.56
an average of $3.17 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
66
times performed,
0.81% of his services

27th 23rd

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

65
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$1,716.00an average of $26.00 per time performed $489.72
an average of $7.42 per time performed
medical
PATHOLOGY AND LABORATORY

Phosphate level

Service Code: 84100
Performed in an office
61
times performed,
0.75% of his services

28th 18th

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

60
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$732.00an average of $12.00 per time performed $184.83
an average of $3.03 per time performed
medical
PATHOLOGY AND LABORATORY

Cholesterol level

Service Code: 82465
Performed in an office
49
times performed,
0.6% of his services

29th 28th

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

49
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$539.00an average of $11.00 per time performed $127.40
an average of $2.60 per time performed
medical
MEDICINE

Dialysis services (4 or more physician visits per month),... +

Dialysis services (4 or more physician visits per month), patient 20 years of age and older ×

Service Code: 90960
Performed in an office
48
times performed,
0.59% of his services

30th 3rd

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

46
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 3.7)
$24,000.00an average of $500.00 per time performed $10,707.84
an average of $223.08 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
46
times performed,
0.57% of his services

31st 16th

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

42
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$10,673.84an average of $232.04 per time performed $4,702.58
an average of $102.23 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
38
times performed,
0.47% of his services

32nd 26th

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

29
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$2,470.00an average of $65.00 per time performed $1,157.86
an average of $30.47 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
37
times performed,
0.45% of his services

33rd 43rd

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)
$10,439.92an average of $282.16 per time performed $4,321.97
an average of $116.81 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
30
times performed,
0.37% of his services

34th 35th

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

22
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$630.00an average of $21.00 per time performed $334.50
an average of $11.15 per time performed
medical
MEDICINE

Home dialysis services per month, patient 20 years of age... +

Home dialysis services per month, patient 20 years of age or older ×

Service Code: 90966
Performed in an office
30
times performed,
0.37% of his services

35th 36th

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

18
patients got this service, 2% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.9)
$12,300.00an average of $410.00 per time performed $5,596.50
an average of $186.55 per time performed
medical
RADIOLOGY

Radiological supervision and interpretation of imaging of... +

Radiological supervision and interpretation of imaging of artery-vein dialysis shunt ×

Service Code: 75791
Performed in a facility
29
times performed,
0.36% of his services

36th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

26
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$4,060.00an average of $140.00 per time performed $1,810.47
an average of $62.43 per time performed
medical
CARDIOVASCULAR SYSTEM

Removal of central venous catheter for infusion

Service Code: 36589
Performed in a facility
23
times performed,
0.28% of his services

37th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

23
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$5,635.00an average of $245.00 per time performed $2,357.04
an average of $102.48 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
19
times performed,
0.23% of his services

38th 26th

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

19
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,593.95an average of $347.05 per time performed $3,005.99
an average of $158.21 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of needle and/or catheter into an artery-vein d... +

Insertion of needle and/or catheter into an artery-vein dialysis shunt or graft ×

Service Code: 36148
Performed in a facility
17
times performed,
0.21% of his services

39th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
$1,445.00an average of $85.00 per time performed $665.21
an average of $39.13 per time performed
medical
CARDIOVASCULAR SYSTEM

Catheter removal of blood clot from dialysis graft, acces... +

Catheter removal of blood clot from dialysis graft, accessed through the skin ×

Service Code: 36870
Performed in a facility
17
times performed,
0.21% of his services

40th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
$9,010.00an average of $530.00 per time performed $3,455.25
an average of $203.25 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
16
times performed,
0.2% of his services

41st 50th

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$560.00an average of $35.00 per time performed $219.20
an average of $13.70 per time performed
medical
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
15
times performed,
0.18% of his services

42nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
$240.00an average of $16.00 per time performed $133.95
an average of $8.93 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
14
times performed,
0.17% of his services

43rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
$3,430.00an average of $245.00 per time performed $805.42
an average of $57.53 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
13
times performed,
0.16% of his services

44th 42nd

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)
$4,485.00an average of $345.00 per time performed $1,972.62
an average of $151.74 per time performed
medical
PATHOLOGY AND LABORATORY

Calcium level

Service Code: 82310
Performed in an office
12
times performed,
0.15% of his services

45th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$156.00an average of $13.00 per time performed $69.12
an average of $5.76 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.

Ioan Cosma
Average for Nephrology Providers in Maine

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.