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, $266 per patient in 2015.
They performed about 9 services per patient. Here’s how this provider compares.

Number of
Patients
1,018
Rank: 103rd
out of 1,056 providers in this state & specialty
Services
Performed
5,198
Rank: 288th
out of 1,056 providers in this state & specialty
Avg Services
Per Patient
5.1 This Provider
Avg 8.6
Total Paid
by Medicare
$342K
Rank: 93rd
out of 1,056 providers in this state & specialty
Avg Paid
Per Patient
$336 This Provider
Avg $266

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 33 different services in 2015
(13 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

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
2,017
times performed,
39% of his services

1st 3rd

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

481
patients got this service, 47% of his patients
4.2
average number of visits a patient made for this service
(Peers: 2.7)
$185,806.04an average of $92.12 per time performed $104,884.00
an average of $52.00 per time performed
medical
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
979
times performed,
19% of his services

2nd 6th

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

278
patients got this service, 27% of his patients
3.5
average number of visits a patient made for this service
(Peers: 2.3)
$114,259.09an average of $116.71 per time performed $73,238.99
an average of $74.81 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
453
times performed,
9% of his services

3rd 2nd

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

234
patients got this service, 23% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.4)
$59,401.89an average of $131.13 per time performed $29,771.16
an average of $65.72 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
316
times performed,
6% of his services

4th 30th

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

239
patients got this service, 23% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$37,553.44an average of $118.84 per time performed $23,889.60
an average of $75.60 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
266
times performed,
5% of his services

5th 20th

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

248
patients got this service, 24% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$52,678.64an average of $198.04 per time performed $37,819.88
an average of $142.18 per time performed
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
263
times performed,
5% of his services

6th 21st

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

172
patients got this service, 17% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$38,966.08an average of $148.16 per time performed $24,182.85
an average of $91.95 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
150
times performed,
3% of his services

7th 81st

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

135
patients got this service, 13% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$12,370.50an average of $82.47 per time performed $7,629.00
an average of $50.86 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent observation care, typically 25 minutes per day +

Subsequent observation care, typically 25 minutes per day ×

Service Code: 99225
Performed in a facility
147
times performed,
3% of his services

8th 146th

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

101
patients got this service, 10% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$10,567.83an average of $71.89 per time performed $7,520.52
an average of $51.16 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
133
times performed,
3% of his services

9th 94th

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

128
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$26,315.38an average of $197.86 per time performed $16,920.26
an average of $127.22 per time performed
drug
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
92
times performed,
2% of his services

10th 11th

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

39
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$3,082.00an average of $33.50 per time performed $9.20
an average of $0.10 per time performed
drug
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
80
times performed,
2% of his services

11th 39th

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

34
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$2,372.00an average of $29.65 per time performed $35.20
an average of $0.44 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
49
times performed,
0.94% of his services

12th 36th

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

39
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$7,820.89an average of $159.61 per time performed $4,832.38
an average of $98.62 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
31
times performed,
0.6% of his services

13th 4th

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

27
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.1)
$2,864.09an average of $92.39 per time performed $1,461.96
an average of $47.16 per time performed
medical
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
26
times performed,
0.5% of his services

14th 28th

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

26
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,825.98an average of $70.23 per time performed $268.32
an average of $10.32 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
25
times performed,
0.48% of his services

15th 19th

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

25
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$675.00an average of $27.00 per time performed $568.50
an average of $22.74 per time performed
drug
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
25
times performed,
0.48% of his services

16th 108th

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

25
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$675.00an average of $27.00 per time performed $295.00
an average of $11.80 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
24
times performed,
0.46% of his services

17th 16th

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

12
patients got this service, 1% of his patients
2
average number of visits a patient made for this service
(Peers: 2.7)
$2,040.00an average of $85.00 per time performed $659.04
an average of $27.46 per time performed
medical
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient,... +

Critical care delivery critically ill or injured patient, first 30-74 minutes ×

Service Code: 99291
Performed in a facility
19
times performed,
0.37% of his services

18th 67th

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

13
patients got this service, 1% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$5,060.08an average of $266.32 per time performed $2,866.91
an average of $150.89 per time performed
medical
DIGESTIVE SYSTEM

Biopsy of the esophagus, stomach, and/or upper small bowe... +

Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope ×

Service Code: 43239
Performed in a facility
17
times performed,
0.33% of his services

19th 159th

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

16
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$9,617.07an average of $565.71 per time performed $1,627.07
an average of $95.71 per time performed
medical
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
14
times performed,
0.27% of his services

20th 27th

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

13
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$931.00an average of $66.50 per time performed $263.06
an average of $18.79 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.

Wilfredo Grana
Average for Internal Medicine Providers in Alabama

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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