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, $251 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
682
Rank: 76th
out of 206 providers in this state & specialty
Services
Performed
10,017
Rank: 6th
out of 206 providers in this state & specialty
Avg Services
Per Patient
14.7 This Provider is in the top 10%
Avg 4.1
Total Paid
by Medicare
$290K
Rank: 19th
out of 206 providers in this state & specialty
Avg Paid
Per Patient
$425 This Provider is in the top 10%
Avg $251

Note: About 58% 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 46 different services in 2015
(22 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, omalizumab, 5 mg

Service Code: J2357
Performed in an office
7,230
times performed,
72% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

16
patients got this service, 2% of his patients
6.8
average number of visits a patient made for this service
$396,927.00an average of $54.90 per time performed $161,229.00
an average of $22.30 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
487
times performed,
5% of his services

2nd 3rd

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

330
patients got this service, 48% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$100,984.32an average of $207.36 per time performed $38,385.34
an average of $78.82 per time performed
medical
MEDICINE

Diagnostic testing in a pulmonary function lab

Service Code: 94375
Performed in an office
436
times performed,
4% of his services

3rd 14th

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

345
patients got this service, 51% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$46,961.56an average of $107.71 per time performed $12,155.68
an average of $27.88 per time performed
medical
RADIOLOGY

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

Service Code: 71020
Performed in an office
432
times performed,
4% of his services

4th 24th

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

300
patients got this service, 44% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$35,324.64an average of $81.77 per time performed $7,279.20
an average of $16.85 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
289
times performed,
3% of his services

5th 4th

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

229
patients got this service, 34% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$40,933.96an average of $141.64 per time performed $14,828.59
an average of $51.31 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
239
times performed,
2% of his services

6th 46th

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

21
patients got this service, 3% of his patients
5.9
average number of visits a patient made for this service
(Peers: 2.3)
$17,188.88an average of $71.92 per time performed $4,366.53
an average of $18.27 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
115
times performed,
1% of his services

7th 21st

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

95
patients got this service, 14% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$32,495.55an average of $282.57 per time performed $12,386.65
an average of $107.71 per time performed
drug
DRUGS

Albuterol, inhalation solution, fda-approved final produc... +

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg ×

Service Code: J7613
Performed in an office
77
times performed,
0.77% of his services

8th 61st

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

27
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$134.75an average of $1.75 per time performed $3.85
an average of $0.05 per time performed
medical
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in an office
73
times performed,
0.73% of his services

9th 17th

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

71
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$11,276.31an average of $154.47 per time performed $3,008.33
an average of $41.21 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
71
times performed,
0.71% of his services

10th 37th

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

71
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$28,620.10an average of $403.10 per time performed $11,012.81
an average of $155.11 per time performed
medical
MEDICINE

Determination of lung volumes using plethysmography

Service Code: 94726
Performed in an office
67
times performed,
0.67% of his services

11th 18th

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

65
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$9,105.97an average of $135.91 per time performed $2,669.95
an average of $39.85 per time performed
medical
MEDICINE

Pulmonary exercise testing

Service Code: 94620
Performed in an office
61
times performed,
0.61% of his services

12th 27th

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

58
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$20,203.20an average of $331.20 per time performed $2,590.67
an average of $42.47 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
55
times performed,
0.55% of his services

13th 15th

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

55
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,815.05an average of $323.91 per time performed $6,792.50
an average of $123.50 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
39
times performed,
0.39% of his services

14th 48th

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

39
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,235.94an average of $262.46 per time performed $6,071.91
an average of $155.69 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
39
times performed,
0.39% of his services

15th 42nd

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

39
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,730.82an average of $44.38 per time performed $937.17
an average of $24.03 per time performed
medical
PATHOLOGY AND LABORATORY

Blood gases measurement

Service Code: 82805
Performed in an office
28
times performed,
0.28% of his services

16th 39th

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

27
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,498.00an average of $53.50 per time performed $423.36
an average of $15.12 per time performed
medical
CARDIOVASCULAR SYSTEM

Arterial puncture withdrawal of blood for diagnosis

Service Code: 36600
Performed in an office
27
times performed,
0.27% of his services

17th 36th

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

26
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,501.01an average of $92.63 per time performed $650.43
an average of $24.09 per time performed
medical
PATHOLOGY AND LABORATORY

Carboxyhemoglobin (protein) level

Service Code: 82375
Performed in an office
26
times performed,
0.26% of his services

18th 35th

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

26
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$647.92an average of $24.92 per time performed $195.78
an average of $7.53 per time performed
medical
PATHOLOGY AND LABORATORY

Methemoglobin (hemoglobin) analysis

Service Code: 83050
Performed in an office
25
times performed,
0.25% of his services

19th 98th

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

25
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$993.00an average of $39.72 per time performed $240.75
an average of $9.63 per time performed
medical
PATHOLOGY AND LABORATORY

Plasma hemoglobin level

Service Code: 83051
Performed in an office
25
times performed,
0.25% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

25
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$870.00an average of $34.80 per time performed $137.25
an average of $5.49 per time performed
medical
MEDICINE

Measurement and graphic recording of the amount and speed... +

Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94060
Performed in an office
25
times performed,
0.25% of his services

21st 22nd

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

25
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,220.00an average of $168.80 per time performed $1,136.50
an average of $45.46 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
17
times performed,
0.17% of his services

22nd 28th

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

17
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$153.00an average of $9.00 per time performed $48.11
an average of $2.83 per time performed
medical
MEDICINE

Determination of lung volumes using plethysmography

Service Code: 94726
Performed in a facility
12
times performed,
0.12% of his services

23rd 9th

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)
$1,559.04an average of $129.92 per time performed $116.64
an average of $9.72 per time performed
medical
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in a facility
12
times performed,
0.12% of his services

24th 7th

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)
$311.04an average of $25.92 per time performed $86.64
an average of $7.22 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.

Vincent M Lem
Average for Pulmonary Disease Providers in Missouri

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.

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