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, $565 per patient in 2015.
They performed about 16 services per patient. Here’s how this provider compares.

Number of
Patients
536
Rank: 524th
out of 2,275 providers in this state & specialty
Services
Performed
12,055
Rank: 170th
out of 2,275 providers in this state & specialty
Avg Services
Per Patient
22.5 This Provider
Avg 16.5
Total Paid
by Medicare
$800K
Rank: 111th
out of 2,275 providers in this state & specialty
Avg Paid
Per Patient
$1,493 This Provider is in the top 10%
Avg $565

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 42 different services in 2015
(14 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

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
2,357
times performed,
20% of his services

1st 1st

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

450
patients got this service, 84% of his patients
5.2
average number of visits a patient made for this service
(Peers: 2.1)
$200,345.00an average of $85.00 per time performed $134,961.82
an average of $57.26 per time performed
drug
DRUGS

Injection, betamethasone acetate 3mg and betamethasone so... +

Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg ×

Service Code: J0702
Performed in an office
2,008
times performed,
17% of his services

2nd 121st

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

309
patients got this service, 58% of his patients
2
average number of visits a patient made for this service
(Peers: 1.5)
$24,096.00an average of $12.00 per time performed $9,276.96
an average of $4.62 per time performed
medical
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
907
times performed,
8% of his services

3rd 180th

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

362
patients got this service, 68% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.6)
$23,201.06an average of $25.58 per time performed $6,249.23
an average of $6.89 per time performed
medical

Alcohol (ethanol); any specimen except breath

Service Code: G6040
Performed in an office
906
times performed,
8% of his services

4th Alert

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

361
patients got this service, 67% of his patients
2.5
average number of visits a patient made for this service
$45,300.00an average of $50.00 per time performed $13,055.46
an average of $14.41 per time performed
medical
PROCEDURES

Drug screen, qualitative; multiple drug classes by high c... +

Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter ×

Service Code: G0431
Performed in an office
904
times performed,
7% of his services

5th 232nd

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

362
patients got this service, 68% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.7)
$135,600.00an average of $150.00 per time performed $87,588.56
an average of $96.89 per time performed
drug
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
843
times performed,
7% of his services

6th 15th

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

180
patients got this service, 34% of his patients
1.4
average number of visits a patient made for this service
(Peers: 4)
$7,587.00an average of $9.00 per time performed $92.73
an average of $0.11 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 an office
721
times performed,
6% of his services

7th Alert

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

279
patients got this service, 52% of his patients
2.6
average number of visits a patient made for this service
$54,075.00an average of $75.00 per time performed $23,108.05
an average of $32.05 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 an office
363
times performed,
3% of his services

8th Alert

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

103
patients got this service, 19% of his patients
1.8
average number of visits a patient made for this service
$109,299.30an average of $301.10 per time performed $52,428.09
an average of $144.43 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 an office
298
times performed,
2% of his services

9th 545th

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

212
patients got this service, 40% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$194,158.92an average of $651.54 per time performed $64,719.64
an average of $217.18 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 an office
279
times performed,
2% of his services

10th 679th

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

165
patients got this service, 31% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$122,400.09an average of $438.71 per time performed $58,082.22
an average of $208.18 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 an office
278
times performed,
2% of his services

11th 689th

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

164
patients got this service, 31% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$81,401.18an average of $292.81 per time performed $29,512.48
an average of $106.16 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injection procedure into sacroiliac joint for anesthetic ... +

Injection procedure into sacroiliac joint for anesthetic or steroid ×

Service Code: 27096
Performed in an office
238
times performed,
2% of his services

12th Alert

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

164
patients got this service, 31% of his patients
1.5
average number of visits a patient made for this service
$142,150.26an average of $597.27 per time performed $38,110.94
an average of $160.13 per time performed
medical
RADIOLOGY

Radiological supervision and interpretation x-ray of cove... +

Radiological supervision and interpretation x-ray of covering of spinal cord ×

Service Code: 72275
Performed in an office
232
times performed,
2% of his services

13th Alert

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

174
patients got this service, 32% of his patients
1.3
average number of visits a patient made for this service
$34,800.00an average of $150.00 per time performed $22,457.60
an average of $96.80 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
223
times performed,
2% of his services

14th 39th

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

223
patients got this service, 42% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$53,520.00an average of $240.00 per time performed $28,673.34
an average of $128.58 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 an office
210
times performed,
2% of his services

15th Alert

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

132
patients got this service, 25% of his patients
1.6
average number of visits a patient made for this service
$61,299.00an average of $291.90 per time performed $22,323.00
an average of $106.30 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 an office
188
times performed,
2% of his services

16th Alert

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

104
patients got this service, 19% of his patients
1.8
average number of visits a patient made for this service
$141,000.00an average of $750.00 per time performed $64,421.96
an average of $342.67 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for spine or spinal canal injection +

Fluoroscopic guidance for spine or spinal canal injection ×

Service Code: 77003
Performed in an office
182
times performed,
2% of his services

17th Alert

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

133
patients got this service, 25% of his patients
1.4
average number of visits a patient made for this service
$20,930.00an average of $115.00 per time performed $12,962.04
an average of $71.22 per time performed
medical
NERVOUS SYSTEM

Injections of substances into upper or middle spine

Service Code: 62310
Performed in an office
149
times performed,
1% of his services

18th Alert

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

113
patients got this service, 21% of his patients
1.3
average number of visits a patient made for this service
$83,440.00an average of $560.00 per time performed $29,506.47
an average of $198.03 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 an office
110
times performed,
0.91% of his services

19th Alert

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

30
patients got this service, 6% of his patients
1.9
average number of visits a patient made for this service
$44,000.00an average of $400.00 per time performed $17,350.30
an average of $157.73 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: 64484
Performed in an office
94
times performed,
0.78% of his services

20th 774th

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

77
patients got this service, 14% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$28,200.00an average of $300.00 per time performed $6,820.64
an average of $72.56 per time performed
medical
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
84
times performed,
0.7% of his services

21st 71st

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

46
patients got this service, 9% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$16,200.24an average of $192.86 per time performed $3,438.12
an average of $40.93 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: 64490
Performed in an office
83
times performed,
0.69% of his services

22nd Alert

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

50
patients got this service, 9% of his patients
1.7
average number of visits a patient made for this service
$33,750.29an average of $406.63 per time performed $17,798.52
an average of $214.44 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 an office
83
times performed,
0.69% of his services

23rd Alert

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

50
patients got this service, 9% of his patients
1.7
average number of visits a patient made for this service
$22,499.64an average of $271.08 per time performed $8,834.52
an average of $106.44 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 an office
63
times performed,
0.52% of his services

24th Alert

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

41
patients got this service, 8% of his patients
1.5
average number of visits a patient made for this service
$16,800.21an average of $266.67 per time performed $6,621.30
an average of $105.10 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 an office
58
times performed,
0.48% of his services

25th Alert

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

30
patients got this service, 6% of his patients
1.9
average number of visits a patient made for this service
$39,449.86an average of $680.17 per time performed $20,327.26
an average of $350.47 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for insertion of needle

Service Code: 77002
Performed in an office
47
times performed,
0.39% of his services

26th Alert

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

39
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
$5,405.00an average of $115.00 per time performed $3,645.32
an average of $77.56 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
21
times performed,
0.17% of his services

27th Alert

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

12
patients got this service, 2% of his patients
1.8
average number of visits a patient made for this service
$2,520.00an average of $120.00 per time performed $906.99
an average of $43.19 per time performed
medical
NERVOUS SYSTEM

Injections of substances into lower or sacral spine

Service Code: 62311
Performed in an office
19
times performed,
0.16% of his services

28th 690th

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

19
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$10,070.00an average of $530.00 per time performed $3,563.64
an average of $187.56 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
Munish Lal
Average for Specialist Providers in California

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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