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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, $257 per patient in 2012.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
2,017
Rank: 5th
out of 225 providers in this state & specialty
Services
Performed
11,318
Rank: 9th
out of 225 providers in this state & specialty
Avg Services
Per Patient
5.6 This Provider
Avg 4.1
Total Paid
by Medicare
$523K
Rank: 6th
out of 225 providers in this state & specialty
Avg Paid
Per Patient
$259 This Provider
Avg $257

Office Visits

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Top Billing

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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.

Robert T. Gallaher
Average for Pulmonary Disease 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.

Individuals

MARK ADKINS

TOBIN FINIZIO

JOHN HERLONG

WILLIAM KOZEL

SHYAMAL MITRA

Organizations

LENOIR MEMORIAL HOSPITA...

LABORATORY CORPORATION ...

Patients saw before

Robert T. Gallaher

Patients saw after

Individuals

MARK ADKINS

JOHN HERLONG

WILLIAM KOZEL

TOBIN FINIZIO

SHYAMAL MITRA

Organizations

LENOIR MEMORIAL HOSPITA...

LABORATORY CORPORATION ...

This Provider's Services

This provider performed 26 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

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

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
3,244
times performed,
29% of his services

1st 15th

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

681
patients got this service, 34% of his patients
4.8
average number of visits a patient made for this service
(Peers: 2.2)
$314,668an average of $97 per time performed $94,076
an average of $29 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
2,475
times performed,
22% of his services

2nd 3rd

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

1,370
patients got this service, 68% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.6)
$210,375an average of $85 per time performed $123,750
an average of $50 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
1,168
times performed,
10% of his services

3rd 4th

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

383
patients got this service, 19% of his patients
3
average number of visits a patient made for this service
(Peers: 2.3)
$211,408an average of $181 per time performed $88,768
an average of $76 per time performed
RADIOLOGY

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

Service Code: 71020
Performed in an office
855
times performed,
8% of his services

4th 9th

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

673
patients got this service, 33% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$87,210an average of $102 per time performed $18,810
an average of $22 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
616
times performed,
5% of his services

5th 2nd

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

297
patients got this service, 15% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.5)
$73,304an average of $119 per time performed $32,648
an average of $53 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 10 minutes p... +

Subsequent nursing facility visit, typically 10 minutes per day ×

Service Code: 99307
Performed in a facility
506
times performed,
4% of his services

6th Alert

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

92
patients got this service, 5% of his patients
5.5
average number of visits a patient made for this service
$34,408an average of $68 per time performed $16,192
an average of $32 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
333
times performed,
3% of his services

7th 13th

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

330
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$87,246an average of $262 per time performed $48,951
an average of $147 per time performed
MEDICINE

Determination of lung volumes using plethysmography

Service Code: 94726
Performed in a facility
270
times performed,
2% of his services

8th 41st

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

263
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,800an average of $40 per time performed $2,430
an average of $9 per time performed
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
270
times performed,
2% of his services

9th 1st

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

239
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.8)
$35,640an average of $132 per time performed $19,980
an average of $74 per time performed
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in a facility
266
times performed,
2% of his services

10th 20th

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

257
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,640an average of $40 per time performed $1,596
an average of $6 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep lab +

Sleep monitoring of patient (6 years or older) in sleep lab ×

Service Code: 95810
Performed in a facility
176
times performed,
2% of his services

11th 46th

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

175
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$91,696an average of $521 per time performed $16,016
an average of $91 per time performed
MEDICINE

Measurement and graphic recording of total and timed exha... +

Measurement and graphic recording of total and timed exhaled air capacity ×

Service Code: 94010
Performed in a facility
162
times performed,
1% of his services

12th 27th

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

158
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$13,770an average of $85 per time performed $972
an average of $6 per time performed
MEDICINE

Measurement and graphic recording of the amount and speed... +

Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94060
Performed in a facility
144
times performed,
1% of his services

13th 28th

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

142
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,864an average of $131 per time performed $1,440
an average of $10 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
108
times performed,
0.95% of his services

14th 50th

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

108
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,608an average of $126 per time performed $7,884
an average of $73 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep l... +

Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube ×

Service Code: 95811
Performed in a facility
103
times performed,
0.91% of his services

15th 40th

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

102
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$60,152an average of $584 per time performed $9,785
an average of $95 per time performed
RESPIRATORY SYSTEM

Diagnostic examination of lung airways using an endoscope +

Diagnostic examination of lung airways using an endoscope ×

Service Code: 31622
Performed in a facility
101
times performed,
0.89% of his services

16th 92nd

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

68
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.1)
$79,588an average of $788 per time performed $11,312
an average of $112 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
97
times performed,
0.86% of his services

17th Alert

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

96
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$7,954an average of $82 per time performed $3,686
an average of $38 per time performed
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
89
times performed,
0.79% of his services

18th 18th

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

89
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,355an average of $195 per time performed $10,057
an average of $113 per time performed
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
87
times performed,
0.77% of his services

19th 25th

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

87
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$17,748an average of $204 per time performed $8,439
an average of $97 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
62
times performed,
0.55% of his services

20th Alert

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

61
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$3,844an average of $62 per time performed $1,860
an average of $30 per time performed
MEDICINE

Measurement and graphic recording of total and timed exha... +

Measurement and graphic recording of total and timed exhaled air capacity ×

Service Code: 94010
Performed in an office
38
times performed,
0.34% of his services

21st 11th

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

38
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$3,230an average of $85 per time performed $912
an average of $24 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
34
times performed,
0.3% of his services

22nd 57th

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

33
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$1,972an average of $58 per time performed $1,020
an average of $30 per time performed
MEDICINE

Respiratory inhaled pressure or nonpressure treatment to ... +

Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen ×

Service Code: 94640
Performed in an office
33
times performed,
0.29% of his services

23rd 53rd

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

33
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.8)
$1,320an average of $40 per time performed $363
an average of $11 per time performed
RADIOLOGY

X-ray of paranasal sinus, less than 3 views

Service Code: 70210
Performed in an office
25
times performed,
0.22% of his services

24th Alert

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

22
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
$2,125an average of $85 per time performed $425
an average of $17 per time performed
RADIOLOGY

X-ray of chest, 1 view, front

Service Code: 71010
Performed in an office
23
times performed,
0.2% of his services

25th Alert

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

22
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$1,817an average of $79 per time performed $414
an average of $18 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
18
times performed,
0.16% of his services

26th 69th

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

18
patients got this service, 0.89% of his patients
1
average number of visits a patient made for this service
(Peers: 3)
$576an average of $32 per time performed $198
an average of $11 per time performed
RESPIRATORY SYSTEM

Examination of lung airways using an endoscope

Service Code: 31623
Performed in a facility
15
times performed,
0.13% of his services

27th 98th

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

15
patients got this service, 0.74% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,185an average of $879 per time performed $1,455
an average of $97 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 "Pulmonary Disease." 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.


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Credits: Warning icon designed by Stefan Parnarov from the Noun Project.