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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, $314 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
1,430
Rank: 8th
out of 371 providers in this state & specialty
Services
Performed
7,931
Rank: 14th
out of 371 providers in this state & specialty
Avg Services
Per Patient
5.5 This Provider
Avg 4.5
Total Paid
by Medicare
$846K
Rank: 2nd
out of 371 providers in this state & specialty
Avg Paid
Per Patient
$591 This Provider is in the top 10%
Avg $314

Office Visits

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Top Billing

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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.

Ahmad K. Agha
Average for Pulmonary Disease Providers in Illinois

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

MOUSAB ALMUSADDY

NANCY PUTNAM

BIREN PATEL

MICHAEL JACHEC

DAVID VANDERKIN

Organizations

PALOS COMMUNITY HOSPITAL

MORRIS HOSPITAL

Patients saw before

Ahmad K. Agha

Patients saw after

Individuals

MOUSAB ALMUSADDY

NANCY PUTNAM

DAVID VANDERKIN

DAVID CHOE

MICHAEL JACHEC

Organizations

PALOS COMMUNITY HOSPITAL

MORRIS HOSPITAL

This Provider's Services

This provider performed 24 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

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

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
2,577
times performed,
32% of his services

1st 2nd

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

735
patients got this service, 51% of his patients
3.5
average number of visits a patient made for this service
(Peers: 2.5)
$386,550an average of $150 per time performed $219,045
an average of $85 per time performed
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient,... +

Critical care delivery critically ill or injured patient, first 30-74 minutes ×

Service Code: 99291
Performed in a facility
1,172
times performed,
15% of his services

2nd 3rd

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

345
patients got this service, 24% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.4)
$369,180an average of $315 per time performed $215,648
an average of $184 per time performed
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
663
times performed,
8% of his services

3rd 4th

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

319
patients got this service, 22% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.8)
$112,710an average of $170 per time performed $53,040
an average of $80 per time performed
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
471
times performed,
6% of his services

4th 7th

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

420
patients got this service, 29% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$117,750an average of $250 per time performed $78,657
an average of $167 per time performed
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
459
times performed,
6% of his services

5th 1st

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

249
patients got this service, 17% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.9)
$55,080an average of $120 per time performed $27,540
an average of $60 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
391
times performed,
5% of his services

6th 17th

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

231
patients got this service, 16% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$78,591an average of $201 per time performed $43,010
an average of $110 per time performed
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient +

Critical care delivery critically ill or injured patient ×

Service Code: 99292
Performed in a facility
235
times performed,
3% of his services

7th 49th

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

121
patients got this service, 8% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.3)
$47,000an average of $200 per time performed $21,855
an average of $93 per time performed
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
232
times performed,
3% of his services

8th 10th

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

231
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$23,200an average of $100 per time performed $10,672
an average of $46 per time performed
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in an office
232
times performed,
3% of his services

9th 16th

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

231
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$27,840an average of $120 per time performed $9,280
an average of $40 per time performed
MEDICINE

Determination of lung volumes using plethysmography

Service Code: 94726
Performed in an office
230
times performed,
3% of his services

10th 20th

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

229
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$23,000an average of $100 per time performed $9,430
an average of $41 per time performed
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in a facility
199
times performed,
3% of his services

11th 74th

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

166
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$41,392an average of $208 per time performed $27,860
an average of $140 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in a facility
179
times performed,
2% of his services

12th 32nd

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

95
patients got this service, 7% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.7)
$26,850an average of $150 per time performed $10,024
an average of $56 per time performed
MEDICINE

Measurement of lung stretching capacity

Service Code: 94750
Performed in an office
169
times performed,
2% of his services

13th 61st

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

168
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$21,125an average of $125 per time performed $9,802
an average of $58 per time performed
MEDICINE

Pulmonary exercise testing

Service Code: 94620
Performed in an office
134
times performed,
2% of his services

14th 36th

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

117
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$20,100an average of $150 per time performed $6,432
an average of $48 per time performed
MEDICINE

Demonstration and/or evaluation of patient use of aerosol... +

Demonstration and/or evaluation of patient use of aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (ippb) device ×

Service Code: 94664
Performed in an office
89
times performed,
1% of his services

15th 69th

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

83
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$4,450an average of $50 per time performed $1,157
an average of $13 per time performed
RESPIRATORY SYSTEM

Diagnostic examination of lung airways using an endoscope +

Diagnostic examination of lung airways using an endoscope ×

Service Code: 31622
Performed in a facility
88
times performed,
1% of his services

16th 93rd

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

85
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$22,000an average of $250 per time performed $11,176
an average of $127 per time performed
MEDICINE

Respiratory inhaled pressure or nonpressure treatment to ... +

Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen ×

Service Code: 94640
Performed in an office
84
times performed,
1% of his services

17th 57th

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

77
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$3,360an average of $40 per time performed $1,176
an average of $14 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep lab +

Sleep monitoring of patient (6 years or older) in sleep lab ×

Service Code: 95810
Performed in an office
84
times performed,
1% of his services

18th 43rd

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

84
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$170,016an average of $2,024 per time performed $33,600
an average of $400 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep l... +

Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube ×

Service Code: 95811
Performed in an office
79
times performed,
1% of his services

19th 37th

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

78
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$196,473an average of $2,487 per time performed $36,577
an average of $463 per time performed
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,
0.9% of his services

20th 31st

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

71
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,750an average of $250 per time performed $11,360
an average of $160 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
34
times performed,
0.43% of his services

21st 46th

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

30
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$3,400an average of $100 per time performed $2,040
an average of $60 per time performed
RESPIRATORY SYSTEM

Insertion of catheter between ribs for removal of fluid f... +

Insertion of catheter between ribs for removal of fluid from chest cavity ×

Service Code: 32421
Performed in a facility
26
times performed,
0.33% of his services

22nd 77th

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

24
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$6,500an average of $250 per time performed $1,638
an average of $63 per time performed
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
18
times performed,
0.23% of his services

23rd 18th

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

17
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,880an average of $160 per time performed $2,070
an average of $115 per time performed
RESPIRATORY SYSTEM

Needle biopsy of windpipe cartilage, airway, and/or lung ... +

Needle biopsy of windpipe cartilage, airway, and/or lung using an endoscope ×

Service Code: 31629
Performed in a facility
15
times performed,
0.19% of his services

24th 134th

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,750an average of $450 per time performed $2,655
an average of $177 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 "Pulmonary Disease." 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.