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, $288 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
1,175
Rank: 66th
out of 4,874 providers in this state & specialty
Services
Performed
4,807
Rank: 664th
out of 4,874 providers in this state & specialty
Avg Services
Per Patient
4.1 This Provider
Avg 7.2
Total Paid
by Medicare
$359K
Rank: 177th
out of 4,874 providers in this state & specialty
Avg Paid
Per Patient
$305 This Provider
Avg $288

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 56 different services in 2015
(25 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
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
1,402
times performed,
29% of his services

1st 1st

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

454
patients got this service, 39% of his patients
3.1
average number of visits a patient made for this service
(Peers: 3.3)
$123,656.40an average of $88.20 per time performed $80,895.40
an average of $57.70 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
589
times performed,
12% of his services

2nd 2nd

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

225
patients got this service, 19% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2.3)
$77,159.00an average of $131.00 per time performed $44,693.32
an average of $75.88 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
362
times performed,
8% of his services

3rd 5th

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

172
patients got this service, 15% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.5)
$46,799.36an average of $129.28 per time performed $29,796.22
an average of $82.31 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
316
times performed,
7% of his services

4th 11th

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

265
patients got this service, 23% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$41,396.00an average of $131.00 per time performed $26,730.44
an average of $84.59 per time performed
medical
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
280
times performed,
6% of his services

5th 24th

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

141
patients got this service, 12% of his patients
2
average number of visits a patient made for this service
(Peers: 4.3)
$23,520.00an average of $84.00 per time performed $14,963.20
an average of $53.44 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
267
times performed,
6% of his services

6th 25th

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

242
patients got this service, 21% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$44,936.10an average of $168.30 per time performed $29,135.04
an average of $109.12 per time performed
medical
PROCEDURES

Physician re-certification for medicare-covered home heal... +

Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im ×

Service Code: G0179
Performed in an office
167
times performed,
3% of his services

7th 26th

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

83
patients got this service, 7% of his patients
2
average number of visits a patient made for this service
(Peers: 2.5)
$8,350.00an average of $50.00 per time performed $5,253.82
an average of $31.46 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
151
times performed,
3% of his services

8th 10th

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

139
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$37,448.00an average of $248.00 per time performed $24,194.73
an average of $160.23 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in a facility
142
times performed,
3% of his services

9th 35th

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

88
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
(Peers: 3.3)
$15,762.00an average of $111.00 per time performed $9,853.38
an average of $69.39 per time performed
medical
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple ×

Service Code: G0180
Performed in an office
123
times performed,
3% of his services

10th 59th

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

117
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$7,995.00an average of $65.00 per time performed $5,216.43
an average of $42.41 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient assisted living visit, typically 40 m... +

Established patient assisted living visit, typically 40 minutes ×

Service Code: 99336
Performed in an office
119
times performed,
2% of his services

11th 110th

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

36
patients got this service, 3% of his patients
3.3
average number of visits a patient made for this service
(Peers: 2.5)
$19,397.00an average of $163.00 per time performed $12,122.53
an average of $101.87 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
89
times performed,
2% of his services

12th 16th

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

88
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,759.00an average of $31.00 per time performed $2,254.37
an average of $25.33 per time performed
drug
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 (fluvirin) ×

Service Code: Q2037
Performed in an office
89
times performed,
2% of his services

13th 45th

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

88
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,047.00an average of $23.00 per time performed $1,378.61
an average of $15.49 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 35 minutes per day +

Initial nursing facility visit, typically 35 minutes per day ×

Service Code: 99305
Performed in a facility
73
times performed,
2% of his services

14th 114th

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

69
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$11,826.00an average of $162.00 per time performed $7,537.98
an average of $103.26 per time performed
medical
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in an office
65
times performed,
1% of his services

15th 19th

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

65
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,970.00an average of $138.00 per time performed $7,499.70
an average of $115.38 per time performed
medical
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
64
times performed,
1% of his services

16th 53rd

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

26
patients got this service, 2% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2)
$21,312.00an average of $333.00 per time performed $11,215.36
an average of $175.24 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 50 minutes

Service Code: 99219
Performed in a facility
62
times performed,
1% of his services

17th 91st

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

58
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$10,230.00an average of $165.00 per time performed $6,468.46
an average of $104.33 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
56
times performed,
1% of his services

18th 23rd

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

53
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$4,984.00an average of $89.00 per time performed $3,274.88
an average of $58.48 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
30
times performed,
0.62% of his services

19th 51st

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

28
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$2,670.00an average of $89.00 per time performed $1,701.00
an average of $56.70 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
30
times performed,
0.62% of his services

20th 3rd

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

27
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.2)
$2,670.00an average of $89.00 per time performed $1,640.40
an average of $54.68 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation or inpatient care moderate severity,... +

Hospital observation or inpatient care moderate severity, 50 minutes per day' ×

Service Code: 99235
Performed in a facility
29
times performed,
0.6% of his services

21st 262nd

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

28
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,974.00an average of $206.00 per time performed $3,930.95
an average of $135.55 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent observation care, typically 25 minutes per day +

Subsequent observation care, typically 25 minutes per day ×

Service Code: 99225
Performed in a facility
29
times performed,
0.6% of his services

22nd 100th

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

25
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$2,581.00an average of $89.00 per time performed $1,690.12
an average of $58.28 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
24
times performed,
0.5% of his services

23rd 49th

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

24
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,424.00an average of $226.00 per time performed $3,457.68
an average of $144.07 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 25 minutes per day +

Initial nursing facility visit, typically 25 minutes per day ×

Service Code: 99304
Performed in a facility
21
times performed,
0.44% of his services

24th 248th

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

21
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,394.00an average of $114.00 per time performed $1,540.77
an average of $73.37 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
21
times performed,
0.44% of his services

25th 78th

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

21
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,751.00an average of $131.00 per time performed $1,432.41
an average of $68.21 per time performed
medical
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
21
times performed,
0.44% of his services

26th 83rd

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

20
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$4,305.00an average of $205.00 per time performed $2,769.90
an average of $131.90 per time performed
medical

Transitional care management services, moderately complex... +

Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge ×

Service Code: 99495
Performed in an office
18
times performed,
0.37% of his services

27th 177th

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$3,582.00an average of $199.00 per time performed $2,255.04
an average of $125.28 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient assisted living visit, typically 25 m... +

Established patient assisted living visit, typically 25 minutes ×

Service Code: 99335
Performed in an office
18
times performed,
0.37% of his services

28th 92nd

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

15
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
(Peers: 3.4)
$2,088.00an average of $116.00 per time performed $1,359.36
an average of $75.52 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 35 minutes p... +

Subsequent nursing facility visit, typically 35 minutes per day ×

Service Code: 99310
Performed in a facility
14
times performed,
0.29% of his services

29th 136th

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

13
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.8)
$2,310.00an average of $165.00 per time performed $1,513.40
an average of $108.10 per time performed
medical

Transitional care management services, highly complexity,... +

Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge ×

Service Code: 99496
Performed in an office
14
times performed,
0.29% of his services

30th 161st

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

12
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$3,934.00an average of $281.00 per time performed $2,429.56
an average of $173.54 per time performed
medical
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in an office
13
times performed,
0.27% of his services

31st 93rd

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

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,601.00an average of $277.00 per time performed $2,256.15
an average of $173.55 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.

Nehme Alkarra
Average for Internal Medicine 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.

Read our methodology.