Treatment Tracker

The Doctors and Services in Medicare Part B

This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $435 per patient in 2015.
They performed about 11 services per patient. Here’s how this provider compares.

Number of
Patients
769
Rank: 152nd
out of 1,012 providers in this state & specialty
Services
Performed
20,237
Rank: 35th
out of 1,012 providers in this state & specialty
Avg Services
Per Patient
26.3 This Provider is in the top 10%
Avg 11.1
Total Paid
by Medicare
$794K
Rank: 22nd
out of 1,012 providers in this state & specialty
Avg Paid
Per Patient
$1,033 This Provider is in the top 10%
Avg $435

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 Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 81 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
TEMPORARY CODES

Low osmolar contrast material, 300-399 mg/ml iodine conce... +

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ×

Service Code: Q9967
Performed in an office
12,689
times performed,
63% of his services

1st 1st

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

167
patients got this service, 22% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$30,453.60an average of $2.40 per time performed $1,522.68
an average of $0.12 per time performed
drug
DRUGS

Injection, darbepoetin alfa, 1 microgram (non-esrd use)

Service Code: J0881
Performed in an office
2,915
times performed,
14% of his services

2nd Alert

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

14
patients got this service, 2% of his patients
2.2
average number of visits a patient made for this service
$29,150.00an average of $10.00 per time performed $9,240.55
an average of $3.17 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
1,694
times performed,
8% of his services

3rd 6th

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

389
patients got this service, 51% of his patients
2.1
average number of visits a patient made for this service
(Peers: 4.2)
$220,084.48an average of $129.92 per time performed $98,082.60
an average of $57.90 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
472
times performed,
2% of his services

4th 2nd

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

173
patients got this service, 22% of his patients
2.7
average number of visits a patient made for this service
(Peers: 1.8)
$56,842.96an average of $120.43 per time performed $26,011.92
an average of $55.11 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
329
times performed,
2% of his services

5th 34th

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

266
patients got this service, 35% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$74,025.00an average of $225.00 per time performed $53,396.70
an average of $162.30 per time performed
medical
MEDICINE

Dialysis services (4 or more physician visits per month),... +

Dialysis services (4 or more physician visits per month), patient 20 years of age and older ×

Service Code: 90960
Performed in an office
323
times performed,
2% of his services

6th 61st

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

58
patients got this service, 8% of his patients
5.6
average number of visits a patient made for this service
(Peers: 5)
$161,500.00an average of $500.00 per time performed $72,794.51
an average of $225.37 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of needle and/or catheter for dialysis

Service Code: 36147
Performed in an office
183
times performed,
0.9% of his services

7th 308th

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

133
patients got this service, 17% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$469,784.79an average of $2,567.13 per time performed $74,063.76
an average of $404.72 per time performed
medical
CARDIOVASCULAR SYSTEM

Balloon dilation of narrowed or blocked vein, accessed th... +

Balloon dilation of narrowed or blocked vein, accessed through the skin ×

Service Code: 35476
Performed in an office
148
times performed,
0.73% of his services

8th Alert

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

95
patients got this service, 12% of his patients
1.4
average number of visits a patient made for this service
$649,083.60an average of $4,385.70 per time performed $123,109.36
an average of $831.82 per time performed
medical
RADIOLOGY

Radiological supervision and interpretation of balloon di... +

Radiological supervision and interpretation of balloon dilation of narrowed vein ×

Service Code: 75978
Performed in an office
144
times performed,
0.71% of his services

9th Alert

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

93
patients got this service, 12% of his patients
1.3
average number of visits a patient made for this service
$80,094.24an average of $556.21 per time performed $15,687.36
an average of $108.94 per time performed
medical
MEDICINE

Dialysis services (2-3 physician visits per month), patie... +

Dialysis services (2-3 physician visits per month), patient 20 years of age and older ×

Service Code: 90961
Performed in an office
111
times performed,
0.55% of his services

10th 119th

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

44
patients got this service, 6% of his patients
2.5
average number of visits a patient made for this service
(Peers: 3.1)
$38,850.00an average of $350.00 per time performed $21,104.43
an average of $190.13 per time performed
medical
RADIOLOGY

Radiological supervision and interpretation of imaging of... +

Radiological supervision and interpretation of imaging of artery of one arm or leg ×

Service Code: 75710
Performed in an office
76
times performed,
0.38% of his services

11th Alert

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

59
patients got this service, 8% of his patients
1.3
average number of visits a patient made for this service
$49,799.00an average of $655.25 per time performed $9,538.00
an average of $125.50 per time performed
medical
CARDIOVASCULAR SYSTEM

Catheter removal of blood clot from dialysis graft, acces... +

Catheter removal of blood clot from dialysis graft, accessed through the skin ×

Service Code: 36870
Performed in an office
75
times performed,
0.37% of his services

12th Alert

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

55
patients got this service, 7% of his patients
1.4
average number of visits a patient made for this service
$422,445.00an average of $5,632.60 per time performed $103,781.25
an average of $1,383.75 per time performed
drug
DRUGS

Injection, alteplase recombinant, 1 mg

Service Code: J2997
Performed in an office
74
times performed,
0.37% of his services

13th Alert

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

26
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$15,540.00an average of $210.00 per time performed $4,049.28
an average of $54.72 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for insertion, replacement or remov... +

Fluoroscopic guidance for insertion, replacement or removal of central venous access device ×

Service Code: 77001
Performed in an office
51
times performed,
0.25% of his services

14th Alert

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

47
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
$10,975.20an average of $215.20 per time performed $2,842.74
an average of $55.74 per time performed
medical
CARDIOVASCULAR SYSTEM

Removal of central venous catheter for infusion

Service Code: 36589
Performed in an office
49
times performed,
0.24% of his services

15th 585th

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

48
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$25,131.12an average of $512.88 per time performed $5,803.07
an average of $118.43 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
42
times performed,
0.21% of his services

16th 33rd

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

42
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,450.00an average of $225.00 per time performed $5,295.36
an average of $126.08 per time performed
medical
RADIOLOGY

Ultrasound guidance for accessing into blood vessel

Service Code: 76937
Performed in a facility
41
times performed,
0.2% of his services

17th 382nd

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

38
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,050.00an average of $50.00 per time performed $489.95
an average of $11.95 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of catheter into chest or arm artery

Service Code: 36215
Performed in an office
40
times performed,
0.2% of his services

18th Alert

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

32
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
$138,268.00an average of $3,456.70 per time performed $17,684.40
an average of $442.11 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of central venous catheter for infusion, patien... +

Insertion of central venous catheter for infusion, patient 5 years or older ×

Service Code: 36556
Performed in a facility
38
times performed,
0.19% of his services

19th 436th

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

35
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$19,000.00an average of $500.00 per time performed $3,778.34
an average of $99.43 per time performed
medical
MEDICINE

Dialysis services (1 physician visit per month), patient ... +

Dialysis services (1 physician visit per month), patient 20 years of age and older ×

Service Code: 90962
Performed in an office
37
times performed,
0.18% of his services

20th 444th

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

19
patients got this service, 2% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.6)
$11,100.00an average of $300.00 per time performed $5,440.48
an average of $147.04 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
31
times performed,
0.15% of his services

21st 54th

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

14
patients got this service, 2% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.1)
$1,550.00an average of $50.00 per time performed $624.03
an average of $20.13 per time performed
medical
CARDIOVASCULAR SYSTEM

Replacement of central venous catheter

Service Code: 36581
Performed in an office
30
times performed,
0.15% of his services

22nd Alert

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

28
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$70,839.90an average of $2,361.33 per time performed $17,202.60
an average of $573.42 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of needle and/or catheter into an artery-vein d... +

Insertion of needle and/or catheter into an artery-vein dialysis shunt or graft ×

Service Code: 36148
Performed in an office
27
times performed,
0.13% of his services

23rd Alert

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

25
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$21,735.00an average of $805.00 per time performed $5,682.15
an average of $210.45 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of central venous catheter for infusion, patien... +

Insertion of central venous catheter for infusion, patient 5 years or older ×

Service Code: 36558
Performed in an office
26
times performed,
0.13% of his services

24th Alert

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

26
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$62,650.12an average of $2,409.62 per time performed $13,511.42
an average of $519.67 per time performed
medical
CARDIOVASCULAR SYSTEM

Injection for x-ray imaging procedure on veins of arm or leg +

Injection for x-ray imaging procedure on veins of arm or leg ×

Service Code: 36005
Performed in an office
20
times performed,
0.1% of his services

25th Alert

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

20
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$19,820.00an average of $991.00 per time performed $4,826.80
an average of $241.34 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
18
times performed,
0.09% of his services

26th 41st

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

17
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$3,600.00an average of $200.00 per time performed $1,982.16
an average of $110.12 per time performed
medical
PROCEDURES

Vessel mapping of vessels for hemodialysis access (servic... +

Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow) ×

Service Code: G0365
Performed in an office
17
times performed,
0.08% of his services

27th 646th

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

17
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,395.00an average of $435.00 per time performed $2,694.50
an average of $158.50 per time performed
medical
RADIOLOGY

Radiological supervision and interpretation of balloon di... +

Radiological supervision and interpretation of balloon dilation of narrowed artery ×

Service Code: 75962
Performed in an office
16
times performed,
0.08% of his services

28th Alert

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

14
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$8,960.00an average of $560.00 per time performed $1,652.32
an average of $103.27 per time performed
medical
CARDIOVASCULAR SYSTEM

Balloon dilation of narrowed or blocked upper arm artery,... +

Balloon dilation of narrowed or blocked upper arm artery, accessed through the skin ×

Service Code: 35475
Performed in an office
16
times performed,
0.08% of his services

29th Alert

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

14
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$76,736.00an average of $4,796.00 per time performed $12,672.32
an average of $792.02 per time performed
medical
MEDICINE

Hemodialysis procedure with one physician evaluation

Service Code: 90935
Performed in a facility
14
times performed,
0.07% of his services

30th 121st

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

13
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.9)
$3,570.00an average of $255.00 per time performed $817.46
an average of $58.39 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
14
times performed,
0.07% of his services

31st 28th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 2.9)
$1,470.00an average of $105.00 per time performed $438.06
an average of $31.29 per time performed
medical
RADIOLOGY

Ultrasound guidance for accessing into blood vessel

Service Code: 76937
Performed in an office
13
times performed,
0.06% of his services

32nd Alert

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$1,274.00an average of $98.00 per time performed $335.14
an average of $25.78 per time performed
medical
RADIOLOGY

Ultrasound behind abdominal cavity, limited

Service Code: 76775
Performed in an office
13
times performed,
0.06% of his services

33rd 329th

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

12
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.9)
$2,600.00an average of $200.00 per time performed $599.04
an average of $46.08 per time performed
medical
CARDIOVASCULAR SYSTEM

Mechanical removal of obstructive material from central v... +

Mechanical removal of obstructive material from central venous catheter ×

Service Code: 36595
Performed in an office
11
times performed,
0.05% of his services

34th Alert

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
average number of visits a patient made for this service
$18,695.05an average of $1,699.55 per time performed $2,592.26
an average of $235.66 per time performed
medical
RADIOLOGY

Radiological supervision and interpretation of removal of... +

Radiological supervision and interpretation of removal of obstructive material in catheter procedure ×

Service Code: 75901
Performed in an office
11
times performed,
0.05% of his services

35th Alert

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
average number of visits a patient made for this service
$5,850.02an average of $531.82 per time performed $1,527.35
an average of $138.85 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.

This provider did not bill Medicare for any 5’s.

1234512345
Vijayaprakash Sreenarasimhaiah
Average for Specialist 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 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.

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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