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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, $497 per patient in 2012.
They performed about 18 services per patient. Here’s how this provider compares.
Number of
Patients
680
Rank: 13th
out of 90 providers in this state & specialty
Services
Performed
64,571
Rank: 3rd
out of 90 providers in this state & specialty
Avg Services
Per Patient
95 This Provider is in the top 10%
Avg 17.7
Total Paid
by Medicare
$957K
Rank: 3rd
out of 90 providers in this state & specialty
Avg Paid
Per Patient
$1,408 This Provider is in the top 10%
Avg $497

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.

Phillip W. Kempf
Average for Rheumatology Providers in Virginia

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

IVAN PETROVITCH

NAVERA AHMED

NEAL DESAI

MICHAEL JAY

MICHAEL STALOCH

Organizations

VIRGINIA HOSPITAL CENTE...

QUEST DIAGNOSTICS INCOR...

Patients saw before

Phillip W. Kempf

Patients saw after

Individuals

DAVID ORANGE

MICHAEL STALOCH

GEORGE KUO

SARAH MEZBAN

NEAL DESAI

Organizations

VIRGINIA HOSPITAL CENTE...

QUEST DIAGNOSTICS INCOR...

This Provider's Services

This provider performed 21 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
DRUGS

Injection, certolizumab pegol, 1 mg

Service Code: J0718
Performed in an office
36,600
times performed,
57% of his services

1st Alert

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

14
patients got this service, 2% of his patients
7.5
average number of visits a patient made for this service
$256,200an average of $7 per time performed $146,400
an average of $4 per time performed
DRUGS

Injection, abatacept (orencia), 10 mg

Service Code: J0129
Performed in an office
12,725
times performed,
20% of his services

2nd 3rd

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

21
patients got this service, 3% of his patients
8.8
average number of visits a patient made for this service
(Peers: 7.4)
$445,375an average of $35 per time performed $216,325
an average of $17 per time performed
DRUGS

Injection, infliximab (remicade), 10 mg

Service Code: J1745
Performed in an office
4,930
times performed,
8% of his services

3rd 2nd

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

25
patients got this service, 4% of his patients
5
average number of visits a patient made for this service
(Peers: 5)
$394,400an average of $80 per time performed $246,500
an average of $50 per time performed
DRUGS

Hyaluronan or derivative (synvisc or synvisc-one), for in... +

Hyaluronan or derivative (synvisc or synvisc-one), for intra-articular injection, 1 mg ×

Service Code: J7325
Performed in an office
3,152
times performed,
5% of his services

4th 10th

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

44
patients got this service, 6% of his patients
4.2
average number of visits a patient made for this service
(Peers: 2.7)
$56,736an average of $18 per time performed $31,520
an average of $10 per time performed
DRUGS

Injection, denosumab (prolia, xgeva), 1 mg

Service Code: J0897
Performed in an office
2,820
times performed,
4% of his services

5th 6th

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

32
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$53,580an average of $19 per time performed $31,020
an average of $11 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
930
times performed,
1% of his services

6th 5th

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

445
patients got this service, 65% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.4)
$130,200an average of $140 per time performed $79,980
an average of $86 per time performed
DRUGS

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

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

Service Code: J3301
Performed in an office
652
times performed,
1% of his services

7th 9th

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

218
patients got this service, 32% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$7,172an average of $11 per time performed $652
an average of $1 per time performed
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
447
times performed,
0.69% of his services

8th 11th

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

206
patients got this service, 30% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.9)
$65,709an average of $147 per time performed $28,161
an average of $63 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
373
times performed,
0.58% of his services

9th 14th

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

57
patients got this service, 8% of his patients
6.5
average number of visits a patient made for this service
(Peers: 5.5)
$130,550an average of $350 per time performed $46,252
an average of $124 per time performed
DRUGS

Infusion, normal saline solution , 250 cc

Service Code: J7050
Performed in an office
317
times performed,
0.49% of his services

10th 22nd

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

49
patients got this service, 7% of his patients
6.4
average number of visits a patient made for this service
(Peers: 4.2)
$4,121an average of $13 per time performed $0
an average of $0 per time performed
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
313
times performed,
0.48% of his services

11th 18th

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

33
patients got this service, 5% of his patients
5.1
average number of visits a patient made for this service
(Peers: 4.2)
$31,300an average of $100 per time performed $8,764
an average of $28 per time performed
DRUGS

Injection, zoledronic acid (reclast), 1 mg

Service Code: J3488
Performed in an office
300
times performed,
0.46% of his services

12th 23rd

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

60
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$93,000an average of $310 per time performed $51,900
an average of $173 per time performed
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
297
times performed,
0.46% of his services

13th 7th

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

201
patients got this service, 30% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.9)
$34,155an average of $115 per time performed $17,523
an average of $59 per time performed
MEDICINE

Non-hormonal anti-neoplastic chemotherapy beneath the ski... +

Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle ×

Service Code: 96401
Performed in an office
228
times performed,
0.35% of his services

14th 46th

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

45
patients got this service, 7% of his patients
3.4
average number of visits a patient made for this service
(Peers: 4.2)
$45,600an average of $200 per time performed $15,276
an average of $67 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
142
times performed,
0.22% of his services

15th 21st

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

142
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$31,950an average of $225 per time performed $10,934
an average of $77 per time performed
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
122
times performed,
0.19% of his services

16th 20th

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

122
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$24,400an average of $200 per time performed $15,982
an average of $131 per time performed
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour ×

Service Code: 96365
Performed in an office
66
times performed,
0.1% of his services

17th 59th

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

61
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$16,500an average of $250 per time performed $4,224
an average of $64 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
55
times performed,
0.09% of his services

18th 31st

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)
$13,750an average of $250 per time performed $9,240
an average of $168 per time performed
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of small joint or joint capsule +

Aspiration and/or injection of small joint or joint capsule ×

Service Code: 20600
Performed in an office
36
times performed,
0.06% of his services

19th 40th

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

30
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$4,356an average of $121 per time performed $1,944
an average of $54 per time performed
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of medium joint or joint capsule +

Aspiration and/or injection of medium joint or joint capsule ×

Service Code: 20605
Performed in an office
36
times performed,
0.06% of his services

20th 43rd

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

32
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$5,364an average of $149 per time performed $1,980
an average of $55 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
30
times performed,
0.05% of his services

21st 28th

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

27
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$5,550an average of $185 per time performed $3,660
an average of $122 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 "Rheumatology." 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.