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, $493 per patient in 2015.
They performed about 11 services per patient. Here’s how this provider compares.

Number of
Patients
1,103
Rank: 6th
out of 217 providers in this state & specialty
Services
Performed
21,777
Rank: 8th
out of 217 providers in this state & specialty
Avg Services
Per Patient
19.7 This Provider
Avg 11.3
Total Paid
by Medicare
$508K
Rank: 23rd
out of 217 providers in this state & specialty
Avg Paid
Per Patient
$461 This Provider
Avg $493

Note: About 13% of this provider’s Medicare payments were for drugs administered in his 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 his Part B patients.

This Provider's Services

This provider performed 79 different services in 2015
(46 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, hydromorphone, up to 4 mg

Service Code: J1170
Performed in an office
4,129
times performed,
19% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 2% of his patients
2.8
average number of visits a patient made for this service
$20,645.00an average of $5.00 per time performed $5,904.47
an average of $1.43 per time performed
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
1,165
times performed,
5% of his services

2nd 49th

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

660
patients got this service, 60% of his patients
1.8
average number of visits a patient made for this service
(Peers: 3.5)
$139,473.80an average of $119.72 per time performed $67,826.30
an average of $58.22 per time performed
drug

Injection, morphine sulfate, preservative-free for epidur... +

Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10mg ×

Service Code: J2274
Performed in an office
753
times performed,
3% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 1% of his patients
2.3
average number of visits a patient made for this service
$3,049.65an average of $4.05 per time performed $2,356.89
an average of $3.13 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves with imaging guidance ×

Service Code: 64636
Performed in a facility
612
times performed,
3% of his services

4th 37th

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

149
patients got this service, 14% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.5)
$311,997.60an average of $509.80 per time performed $34,198.56
an average of $55.88 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
522
times performed,
2% of his services

5th 116th

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

417
patients got this service, 38% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$39,296.16an average of $75.28 per time performed $16,390.80
an average of $31.40 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
417
times performed,
2% of his services

6th 2nd

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

218
patients got this service, 20% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.7)
$83,400.00an average of $200.00 per time performed $32,221.59
an average of $77.27 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves using imaging guidance ×

Service Code: 64635
Performed in a facility
315
times performed,
1% of his services

7th 66th

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

150
patients got this service, 14% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.5)
$431,099.55an average of $1,368.57 per time performed $71,498.70
an average of $226.98 per time performed
medical
NERVOUS SYSTEM

Destruction of upper or middle spinal facet joint nerves ... +

Destruction of upper or middle spinal facet joint nerves with imaging guidance ×

Service Code: 64634
Performed in a facility
233
times performed,
1% of his services

8th 90th

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

63
patients got this service, 6% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$122,825.95an average of $527.15 per time performed $14,299.21
an average of $61.37 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64493
Performed in a facility
218
times performed,
1% of his services

9th 40th

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

117
patients got this service, 11% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.4)
$169,926.64an average of $779.48 per time performed $20,594.46
an average of $94.47 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64495
Performed in a facility
214
times performed,
0.98% of his services

10th 58th

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

115
patients got this service, 10% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.4)
$87,374.06an average of $408.29 per time performed $12,459.08
an average of $58.22 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64494
Performed in a facility
214
times performed,
0.98% of his services

11th 44th

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

114
patients got this service, 10% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.4)
$86,250.56an average of $403.04 per time performed $12,403.44
an average of $57.96 per time performed
medical
NERVOUS SYSTEM

Destruction of upper or middle spinal facet joint nerves ... +

Destruction of upper or middle spinal facet joint nerves using imaging guidance ×

Service Code: 64633
Performed in a facility
112
times performed,
0.51% of his services

12th 122nd

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

63
patients got this service, 6% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.5)
$147,600.32an average of $1,317.86 per time performed $25,232.48
an average of $225.29 per time performed
medical
NERVOUS SYSTEM

Electronic analysis reprogramming and refill of spinal ca... +

Electronic analysis reprogramming and refill of spinal canal drug infusion pump ×

Service Code: 62369
Performed in an office
103
times performed,
0.47% of his services

13th 127th

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

36
patients got this service, 3% of his patients
2.9
average number of visits a patient made for this service
(Peers: 4)
$28,325.00an average of $275.00 per time performed $9,016.62
an average of $87.54 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64490
Performed in a facility
87
times performed,
0.4% of his services

14th 89th

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

50
patients got this service, 5% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$73,206.15an average of $841.45 per time performed $9,740.52
an average of $111.96 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 a facility
85
times performed,
0.39% of his services

15th 64th

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

46
patients got this service, 4% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.8)
$17,000.00an average of $200.00 per time performed $5,268.30
an average of $61.98 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64491
Performed in a facility
84
times performed,
0.39% of his services

16th 92nd

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

49
patients got this service, 4% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$35,814.24an average of $426.36 per time performed $5,547.36
an average of $66.04 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
82
times performed,
0.38% of his services

17th 29th

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

82
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$19,995.70an average of $243.85 per time performed $10,162.26
an average of $123.93 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64492
Performed in a facility
82
times performed,
0.38% of his services

18th 106th

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

49
patients got this service, 4% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.3)
$35,604.40an average of $434.20 per time performed $5,484.16
an average of $66.88 per time performed
medical
NERVOUS SYSTEM

Implantation of spinal neurostimulator electrodes, access... +

Implantation of spinal neurostimulator electrodes, accessed through the skin ×

Service Code: 63650
Performed in a facility
81
times performed,
0.37% of his services

19th 119th

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

28
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$218,700.00an average of $2,700.00 per time performed $20,450.07
an average of $252.47 per time performed
medical
MEDICINE

Moderate sedation services by physician also performing a... +

Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes ×

Service Code: 99144
Performed in a facility
71
times performed,
0.33% of his services

20th 46th

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

33
patients got this service, 3% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.6)
$7,041.78an average of $99.18 per time performed $1,951.08
an average of $27.48 per time performed
medical
NERVOUS SYSTEM

Injection of anesthetic agent, greater occipital nerve

Service Code: 64405
Performed in a facility
61
times performed,
0.28% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

34
patients got this service, 3% of his patients
1.8
average number of visits a patient made for this service
$36,299.88an average of $595.08 per time performed $2,475.38
an average of $40.58 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64483
Performed in a facility
61
times performed,
0.28% of his services

22nd 28th

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

32
patients got this service, 3% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.7)
$58,932.10an average of $966.10 per time performed $6,584.95
an average of $107.95 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 a facility
59
times performed,
0.27% of his services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

35
patients got this service, 3% of his patients
1.7
average number of visits a patient made for this service
$14,278.00an average of $242.00 per time performed $2,879.79
an average of $48.81 per time performed
medical
NERVOUS SYSTEM

Electronic analysis and reprogramming of spinal canal dru... +

Electronic analysis and reprogramming of spinal canal drug infusion pump ×

Service Code: 62368
Performed in an office
56
times performed,
0.26% of his services

24th 141st

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

13
patients got this service, 1% of his patients
4.3
average number of visits a patient made for this service
(Peers: 2.3)
$8,400.00an average of $150.00 per time performed $2,363.76
an average of $42.21 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 a facility
44
times performed,
0.2% of his services

25th 112th

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

44
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,198.00an average of $254.50 per time performed $4,250.84
an average of $96.61 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 3 or more muscles

Service Code: 20553
Performed in a facility
38
times performed,
0.17% of his services

26th 140th

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

25
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$4,446.00an average of $117.00 per time performed $663.48
an average of $17.46 per time performed
medical
NERVOUS SYSTEM

Injection or mechanical removal of spinal canal scar tiss... +

Injection or mechanical removal of spinal canal scar tissue, percutaneous procedure, accessed through the skin, multiple sessions in 1 day ×

Service Code: 62264
Performed in a facility
34
times performed,
0.16% of his services

27th 123rd

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

30
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.9)
$32,300.00an average of $950.00 per time performed $6,559.28
an average of $192.92 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 1 or 2 muscles

Service Code: 20552
Performed in a facility
29
times performed,
0.13% of his services

28th 161st

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

14
patients got this service, 1% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.4)
$3,393.00an average of $117.00 per time performed $464.00
an average of $16.00 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
19
times performed,
0.09% of his services

29th 158th

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

12
patients got this service, 1% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.2)
$893.00an average of $47.00 per time performed $353.97
an average of $18.63 per time performed
medical
MEDICINE

Electronic analysis and programming of implanted complex ... +

Electronic analysis and programming of implanted complex spinal cord or peripheral neurostimulator generator system during or after surgery, first hour ×

Service Code: 95972
Performed in an office
16
times performed,
0.07% of his services

30th 179th

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

13
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$3,824.00an average of $239.00 per time performed $632.32
an average of $39.52 per time performed
medical
NERVOUS SYSTEM

Destruction of peripheral nerve or branch

Service Code: 64640
Performed in a facility
15
times performed,
0.07% of his services

31st 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: 1.2)
$13,440.00an average of $896.00 per time performed $1,293.60
an average of $86.24 per time performed
medical
NERVOUS SYSTEM

Insertion of spinal neurostimulator pulse generator or re... +

Insertion of spinal neurostimulator pulse generator or receiver ×

Service Code: 63685
Performed in a facility
15
times performed,
0.07% of his services

32nd 181st

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)
$13,455.00an average of $897.00 per time performed $3,273.00
an average of $218.20 per time performed
medical
MEDICINE

Electronic analysis of implanted brain spinal cord or per... +

Electronic analysis of implanted brain spinal cord or peripheral neurostimulator generator system ×

Service Code: 95970
Performed in an office
12
times performed,
0.06% of his services

33rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
$1,368.00an average of $114.00 per time performed $626.40
an average of $52.20 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.

Peter A Sirianni
Average for Pain 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.

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