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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, $233 per patient in 2012.
They performed about 6 services per patient. Here’s how this provider compares.
Number of
Patients
1,814
Rank: 17th
out of 2,711 providers in this state & specialty
Services
Performed
14,600
Rank: 88th
out of 2,711 providers in this state & specialty
Avg Services
Per Patient
8 This Provider
Avg 5.9
Total Paid
by Medicare
$379K
Rank: 77th
out of 2,711 providers in this state & specialty
Avg Paid
Per Patient
$209 This Provider
Avg $233

Office Visits

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Top Billing

Related story »

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.

Billy L. Price
Average for Internal Medicine Providers in North Carolina

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.

Patients saw before

Billy L. Price

Patients saw after

Individuals

GARLAND HUGHES

NITIN SHENOY

LISA RUDISILL

CHANDRA BAKER

DOUGLAS MILLER

Organizations

LABORATORY CORPORATION ...

CATAWBA VALLEY MEDICAL ...

This Provider's Services

This provider performed 49 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

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
1,634
times performed,
11% of his services

1st 1st

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

587
patients got this service, 32% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.4)
$261,440an average of $160 per time performed $112,746
an average of $69 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
1,288
times performed,
9% of his services

2nd 8th

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

151
patients got this service, 8% of his patients
8.5
average number of visits a patient made for this service
(Peers: 5.5)
$36,064an average of $28 per time performed $6,440
an average of $5 per time performed
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
1,194
times performed,
8% of his services

3rd 3rd

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

631
patients got this service, 35% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.3)
$19,104an average of $16 per time performed $3,582
an average of $3 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
1,038
times performed,
7% of his services

4th 38th

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

156
patients got this service, 9% of his patients
6.7
average number of visits a patient made for this service
(Peers: 1.8)
$83,040an average of $80 per time performed $30,102
an average of $29 per time performed
DRUGS

Injection, denosumab (prolia, xgeva), 1 mg

Service Code: J0897
Performed in an office
900
times performed,
6% of his services

5th 33rd

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

12
patients got this service, 0.66% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$36,000an average of $40 per time performed $9,900
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
806
times performed,
6% of his services

6th 10th

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

569
patients got this service, 31% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$47,554an average of $59 per time performed $8,866
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 15 minutes ×

Service Code: 99213
Performed in an office
766
times performed,
5% of his services

7th 2nd

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

488
patients got this service, 27% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.1)
$76,600an average of $100 per time performed $34,470
an average of $45 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
739
times performed,
5% of his services

8th 13th

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

733
patients got this service, 40% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,258an average of $22 per time performed $15,519
an average of $21 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
696
times performed,
5% of his services

9th 7th

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

522
patients got this service, 29% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$31,320an average of $45 per time performed $7,656
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
578
times performed,
4% of his services

10th 9th

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

482
patients got this service, 27% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$45,662an average of $79 per time performed $8,092
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
512
times performed,
4% of his services

11th 17th

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

441
patients got this service, 24% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$40,448an average of $79 per time performed $11,776
an average of $23 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
461
times performed,
3% of his services

12th 31st

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

373
patients got this service, 21% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$17,057an average of $37 per time performed $1,844
an average of $4 per time performed
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
388
times performed,
3% of his services

13th 18th

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

65
patients got this service, 4% of his patients
6
average number of visits a patient made for this service
(Peers: 3)
$11,640an average of $30 per time performed $6,596
an average of $17 per time performed
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
320
times performed,
2% of his services

14th 20th

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

291
patients got this service, 16% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$11,520an average of $36 per time performed $1,920
an average of $6 per time performed
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 (flulaval) ×

Service Code: Q2036
Performed in an office
313
times performed,
2% of his services

15th 78th

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

311
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,825an average of $25 per time performed $2,817
an average of $9 per time performed
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
285
times performed,
2% of his services

16th 101st

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

285
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,560an average of $16 per time performed $4,560
an average of $16 per time performed
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
241
times performed,
2% of his services

17th 41st

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

241
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$45,790an average of $190 per time performed $25,546
an average of $106 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
213
times performed,
1% of his services

18th 12th

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

151
patients got this service, 8% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.8)
$11,076an average of $52 per time performed $2,982
an average of $14 per time performed
DRUGS

Injection, testosterone cypionate, 1 cc, 200 mg

Service Code: J1080
Performed in an office
210
times performed,
1% of his services

19th 118th

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

14
patients got this service, 0.77% of his patients
10.3
average number of visits a patient made for this service
(Peers: 7)
$5,250an average of $25 per time performed $1,050
an average of $5 per time performed
DRUGS

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

Service Code: J3420
Performed in an office
194
times performed,
1% of his services

20th 35th

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

30
patients got this service, 2% of his patients
6.5
average number of visits a patient made for this service
(Peers: 4.7)
$5,238an average of $27 per time performed $0
an average of $0 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
192
times performed,
1% of his services

21st 4th

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

63
patients got this service, 3% of his patients
3
average number of visits a patient made for this service
(Peers: 2.3)
$22,464an average of $117 per time performed $10,368
an average of $54 per time performed
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
169
times performed,
1% of his services

22nd 80th

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

159
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$3,380an average of $20 per time performed $2,535
an average of $15 per time performed
PROCEDURES

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

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

Service Code: G0438
Performed in an office
164
times performed,
1% of his services

23rd 53rd

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

164
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$31,160an average of $190 per time performed $26,076
an average of $159 per time performed
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 (fluzone) ×

Service Code: Q2038
Performed in an office
124
times performed,
0.85% of his services

24th 44th

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

124
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$124an average of $1 per time performed $124
an average of $1 per time performed
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
121
times performed,
0.83% of his services

25th 72nd

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

121
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,890an average of $90 per time performed $3,146
an average of $26 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
88
times performed,
0.6% of his services

26th 69th

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

81
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$5,368an average of $61 per time performed $704
an average of $8 per time performed
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
88
times performed,
0.6% of his services

27th 51st

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

81
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$4,488an average of $51 per time performed $616
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
86
times performed,
0.59% of his services

28th 107th

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

59
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$2,150an average of $25 per time performed $430
an average of $5 per time performed
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
71
times performed,
0.49% of his services

29th 68th

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

71
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,266an average of $46 per time performed $3,266
an average of $46 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
71
times performed,
0.49% of his services

30th 70th

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

71
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$23,075an average of $325 per time performed $3,905
an average of $55 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
68
times performed,
0.47% of his services

31st 71st

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

68
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,632an average of $24 per time performed $1,496
an average of $22 per time performed
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
62
times performed,
0.42% of his services

32nd 23rd

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

60
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$5,766an average of $93 per time performed $744
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
54
times performed,
0.37% of his services

33rd 22nd

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

34
patients got this service, 2% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$2,430an average of $45 per time performed $540
an average of $10 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
50
times performed,
0.34% of his services

34th 11th

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

47
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$16,250an average of $325 per time performed $7,050
an average of $141 per time performed
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
47
times performed,
0.32% of his services

35th 5th

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

26
patients got this service, 1% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.1)
$8,131an average of $173 per time performed $3,619
an average of $77 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
43
times performed,
0.29% of his services

36th 29th

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

40
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$6,063an average of $141 per time performed $2,279
an average of $53 per time performed
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
38
times performed,
0.26% of his services

37th 134th

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

35
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$3,686an average of $97 per time performed $1,406
an average of $37 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
36
times performed,
0.25% of his services

38th 16th

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

22
patients got this service, 1% of his patients
1.6
average number of visits a patient made for this service
(Peers: 3.3)
$1,512an average of $42 per time performed $396
an average of $11 per time performed
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 implementation of the plan of care that meets patient's needs, per re-certification period ×

Service Code: G0179
Performed in an office
36
times performed,
0.25% of his services

39th 87th

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

12
patients got this service, 0.66% of his patients
3
average number of visits a patient made for this service
(Peers: 2.4)
$3,420an average of $95 per time performed $1,008
an average of $28 per time performed
MEDICINE

Administration of vaccine

Service Code: 90472
Performed in an office
34
times performed,
0.23% of his services

40th Alert

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

28
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$680an average of $20 per time performed $306
an average of $9 per time performed
PROCEDURES

Initial preventive physical examination; face-to-face vis... +

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment ×

Service Code: G0402
Performed in an office
34
times performed,
0.23% of his services

41st 159th

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

34
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,780an average of $170 per time performed $5,100
an average of $150 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
31
times performed,
0.21% of his services

42nd 100th

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

15
patients got this service, 0.83% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.4)
$4,526an average of $146 per time performed $1,550
an average of $50 per time performed
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 implementation of the plan of care that meets patient's needs, per certification period ×

Service Code: G0180
Performed in an office
31
times performed,
0.21% of his services

43rd 84th

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

29
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$4,340an average of $140 per time performed $1,209
an average of $39 per time performed
PATHOLOGY AND LABORATORY

Natriuretic peptide (heart and blood vessel protein) level +

Natriuretic peptide (heart and blood vessel protein) level ×

Service Code: 83880
Performed in an office
18
times performed,
0.12% of his services

44th 140th

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

16
patients got this service, 0.88% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$1,170an average of $65 per time performed $738
an average of $41 per time performed
PATHOLOGY AND LABORATORY

Detection test for influenza virus

Service Code: 87804
Performed in an office
17
times performed,
0.12% of his services

45th 172nd

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

17
patients got this service, 0.94% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$510an average of $30 per time performed $272
an average of $16 per time performed
PATHOLOGY AND LABORATORY

Skin test for tuberculosis

Service Code: 86580
Performed in an office
16
times performed,
0.11% of his services

46th 346th

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

14
patients got this service, 0.77% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$336an average of $21 per time performed $96
an average of $6 per time performed
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
12
times performed,
0.08% of his services

47th 93rd

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

12
patients got this service, 0.66% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,000an average of $500 per time performed $1,920
an average of $160 per time performed
PROCEDURES

Electrocardiogram, routine ecg with 12 leads; performed a... +

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report ×

Service Code: G0403
Performed in an office
12
times performed,
0.08% of his services

48th 237th

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

12
patients got this service, 0.66% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$540an average of $45 per time performed $132
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Smear for infectious agents

Service Code: 87210
Performed in an office
11
times performed,
0.08% of his services

49th 509th

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

11
patients got this service, 0.61% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$275an average of $25 per time performed $55
an average of $5 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 "Internal Medicine." 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.


Read our methodology.


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