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, $995 per patient in 2015.
They performed about 59 services per patient. Here’s how this provider compares.

Number of
Patients
520
Rank: 56th
out of 276 providers in this state & specialty
Services
Performed
37,682
Rank: 68th
out of 276 providers in this state & specialty
Avg Services
Per Patient
72.5 This Provider
Avg 59.5
Total Paid
by Medicare
$909K
Rank: 42nd
out of 276 providers in this state & specialty
Avg Paid
Per Patient
$1,747 This Provider
Avg $995

Note: About 79% of this provider’s Medicare payments were for drugs administered in her 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 her Part B patients.

This Provider's Services

This provider performed 47 different services in 2015
(26 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, abatacept, 10 mg (code may be used for medicar... +

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ×

Service Code: J0129
Performed in an office
12,650
times performed,
34% of her services

1st 3rd

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

21
patients got this service, 4% of her patients
8.4
average number of visits a patient made for this service
(Peers: 6.2)
$793,155.00an average of $62.70 per time performed $349,772.50
an average of $27.65 per time performed
drug
DRUGS

Injection infliximab, 10 mg

Service Code: J1745
Performed in an office
2,960
times performed,
8% of her services

2nd 4th

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

16
patients got this service, 3% of her patients
4.6
average number of visits a patient made for this service
(Peers: 4.9)
$440,655.20an average of $148.87 per time performed $177,896.00
an average of $60.10 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
1,373
times performed,
4% of her services

3rd 6th

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

414
patients got this service, 80% of her patients
3.3
average number of visits a patient made for this service
(Peers: 2.4)
$283,922.67an average of $206.79 per time performed $96,000.16
an average of $69.92 per time performed
drug
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
859
times performed,
2% of her services

4th 8th

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

154
patients got this service, 30% of her patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$3,092.40an average of $3.60 per time performed $1,108.11
an average of $1.29 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
346
times performed,
0.92% of her services

5th 17th

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

55
patients got this service, 11% of her patients
6.3
average number of visits a patient made for this service
(Peers: 5.3)
$91,506.62an average of $264.47 per time performed $29,489.58
an average of $85.23 per time performed
medical

Aspiration and/or injection of major joint or joint capsu... +

Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance ×

Service Code: 20611
Performed in an office
258
times performed,
0.68% of her services

6th 28th

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

103
patients got this service, 20% of her patients
2.5
average number of visits a patient made for this service
(Peers: 2.4)
$47,159.82an average of $182.79 per time performed $16,622.94
an average of $64.43 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
245
times performed,
0.65% of her services

7th 23rd

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

105
patients got this service, 20% of her patients
2.3
average number of visits a patient made for this service
(Peers: 1.7)
$12,188.75an average of $49.75 per time performed $4,018.00
an average of $16.40 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
226
times performed,
0.6% of her services

8th 9th

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

173
patients got this service, 33% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$32,523.66an average of $143.91 per time performed $10,524.82
an average of $46.57 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
175
times performed,
0.46% of her services

9th 22nd

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

26
patients got this service, 5% of her patients
4.2
average number of visits a patient made for this service
(Peers: 4.4)
$9,726.50an average of $55.58 per time performed $3,015.25
an average of $17.23 per time performed
drug
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
143
times performed,
0.38% of her services

10th 89th

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

43
patients got this service, 8% of her patients
3.3
average number of visits a patient made for this service
(Peers: 2.1)
$590.59an average of $4.13 per time performed $301.73
an average of $2.11 per time performed
medical
MEDICINE

Injection of different drug or substance into a vein for ... +

Injection of different drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96375
Performed in an office
133
times performed,
0.35% of her services

11th 62nd

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

31
patients got this service, 6% of her patients
2.8
average number of visits a patient made for this service
(Peers: 3.9)
$5,886.58an average of $44.26 per time performed $1,740.97
an average of $13.09 per time performed
drug
DRUGS

Hyaluronan or derivative, hyalgan or supartz, for intra-a... +

Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose ×

Service Code: J7321
Performed in an office
105
times performed,
0.28% of her services

12th 38th

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

20
patients got this service, 4% of her patients
5.3
average number of visits a patient made for this service
(Peers: 5.3)
$18,848.55an average of $179.51 per time performed $7,165.20
an average of $68.24 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 20 mg

Service Code: J1020
Performed in an office
101
times performed,
0.27% of her services

13th 92nd

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

71
patients got this service, 14% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$697.91an average of $6.91 per time performed $195.94
an average of $1.94 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
101
times performed,
0.27% of her services

14th 27th

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

71
patients got this service, 14% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$675.69an average of $6.69 per time performed $244.42
an average of $2.42 per time performed
drug
DRUGS

Injection, methylprednisolone sodium succinate, up to 125 mg +

Injection, methylprednisolone sodium succinate, up to 125 mg ×

Service Code: J2930
Performed in an office
83
times performed,
0.22% of her services

15th 86th

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

28
patients got this service, 5% of her patients
2.2
average number of visits a patient made for this service
(Peers: 2.6)
$455.67an average of $5.49 per time performed $180.94
an average of $2.18 per time performed
drug
DRUGS

Injection, diphenhydramine hcl, up to 50 mg

Service Code: J1200
Performed in an office
67
times performed,
0.18% of her services

16th 81st

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

21
patients got this service, 4% of her patients
3.2
average number of visits a patient made for this service
(Peers: 4.5)
$67.67an average of $1.01 per time performed $24.12
an average of $0.36 per time performed
medical
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
63
times performed,
0.17% of her services

17th 140th

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

45
patients got this service, 9% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$8,255.52an average of $131.04 per time performed $2,649.78
an average of $42.06 per time performed
medical
RADIOLOGY

Ultrasound of leg or arm

Service Code: 76881
Performed in an office
54
times performed,
0.14% of her services

18th 90th

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

26
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$12,488.58an average of $231.27 per time performed $4,322.16
an average of $80.04 per time performed
medical

Aspiration and/or injection of small joint or joint capsu... +

Aspiration and/or injection of small joint or joint capsule with recording and reporting using ultrasound guidance ×

Service Code: 20604
Performed in an office
40
times performed,
0.11% of her services

19th 177th

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

32
patients got this service, 6% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$5,712.40an average of $142.81 per time performed $1,872.40
an average of $46.81 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
35
times performed,
0.09% of her services

20th 26th

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

35
patients got this service, 7% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,456.20an average of $327.32 per time performed $3,667.30
an average of $104.78 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of tendon sheath, ligament, or muscle membrane +

Injections of tendon sheath, ligament, or muscle membrane ×

Service Code: 20550
Performed in an office
19
times performed,
0.05% of her services

21st 83rd

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

16
patients got this service, 3% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$2,227.18an average of $117.22 per time performed $705.47
an average of $37.13 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.

Emily R Pineda
Average for Rheumatology Providers in Texas

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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