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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, $259 per patient in 2014.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
1,722
Rank: 6th
out of 263 providers in this state & specialty
Services
Performed
7,558
Rank: 19th
out of 263 providers in this state & specialty
Avg Services
Per Patient
4.4 This Provider
Avg 4.2
Total Paid
by Medicare
$376K
Rank: 13th
out of 263 providers in this state & specialty
Avg Paid
Per Patient
$218 This Provider
Avg $259

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.

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 in 2014.

Individuals

MARK ADKINS

JOHN HERLONG

TOBIN FINIZIO

WILLIAM KOZEL

ALAN KIROLLOS

Organizations

LENOIR MEMORIAL HOSPITA...

LABORATORY CORPORATION ...

Patients saw before

ROBERT GALLAHER MD FCCP FACP

Patients saw after

Individuals

MARK ADKINS

JOHN HERLONG

WILLIAM KOZEL

TOBIN FINIZIO

ALAN KIROLLOS

Organizations

LENOIR MEMORIAL HOSPITA...

LABORATORY CORPORATION ...

This Provider's Services

This provider performed 35 different services in 2014
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
1,765
times performed,
23% of his services

1st 3rd

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

1,061
patients got this service, 62% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$150,025an average of $85 per time performed $86,785
an average of $49 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
1,650
times performed,
22% of his services

2nd 19th

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

397
patients got this service, 23% of his patients
4.2
average number of visits a patient made for this service
(Peers: 2.5)
$160,050an average of $97 per time performed $47,042
an average of $29 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
869
times performed,
11% of his services

3rd 1st

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

603
patients got this service, 35% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$114,708an average of $132 per time performed $63,680
an average of $73 per time performed
medical
RADIOLOGY

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

Service Code: 71020
Performed in an office
815
times performed,
11% of his services

4th 9th

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

616
patients got this service, 36% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$83,130an average of $102 per time performed $17,360
an average of $21 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
613
times performed,
8% of his services

5th 4th

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

259
patients got this service, 15% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2)
$110,953an average of $181 per time performed $47,164
an average of $77 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
358
times performed,
5% of his services

6th 2nd

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

193
patients got this service, 11% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.3)
$42,663an average of $119 per time performed $18,806
an average of $53 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
237
times performed,
3% of his services

7th 14th

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

235
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$62,094an average of $262 per time performed $34,040
an average of $144 per time performed
medical
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
206
times performed,
3% of his services

8th 31st

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

201
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,510an average of $85 per time performed $1,283
an average of $6 per time performed
medical
MEDICINE

Determination of lung volumes using plethysmography

Service Code: 94726
Performed in a facility
184
times performed,
2% of his services

9th 33rd

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

183
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,360an average of $40 per time performed $1,693
an average of $9 per time performed
medical
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in a facility
173
times performed,
2% of his services

10th 21st

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

172
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,920an average of $40 per time performed $1,173
an average of $7 per time performed
medical
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
144
times performed,
2% of his services

11th 39th

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

142
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$75,024an average of $521 per time performed $12,565
an average of $87 per time performed
medical
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
106
times performed,
1% of his services

12th 53rd

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

106
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,356an average of $126 per time performed $7,666
an average of $72 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
106
times performed,
1% of his services

13th 18th

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

106
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$20,670an average of $195 per time performed $12,081
an average of $114 per time performed
medical
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
91
times performed,
1% of his services

14th 40th

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

89
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$53,144an average of $584 per time performed $8,239
an average of $91 per time performed
medical
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
58
times performed,
0.77% of his services

15th 107th

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

48
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$45,704an average of $788 per time performed $6,484
an average of $112 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
29
times performed,
0.38% of his services

16th 17th

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

27
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$5,423an average of $187 per time performed $2,981
an average of $103 per time performed
medical
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 im ×

Service Code: G0179
Performed in an office
22
times performed,
0.29% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
$1,364an average of $62 per time performed $615
an average of $28 per time performed
medical
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 imple ×

Service Code: G0180
Performed in an office
20
times performed,
0.26% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

20
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$1,640an average of $82 per time performed $770
an average of $39 per time performed
medical
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
20
times performed,
0.26% of his services

19th 62nd

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

20
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$1,160an average of $58 per time performed $575
an average of $29 per time performed
medical
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
16
times performed,
0.21% of his services

20th 71st

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

15
patients got this service, 0.87% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.4)
$512an average of $32 per time performed $219
an average of $14 per time performed
medical
RESPIRATORY SYSTEM

Examination of lung airways using an endoscope

Service Code: 31623
Performed in a facility
16
times performed,
0.21% of his services

21st 105th

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

16
patients got this service, 0.93% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,064an average of $879 per time performed $1,128
an average of $71 per time performed
medical
RADIOLOGY

X-ray of chest, 1 view, front

Service Code: 71010
Performed in an office
13
times performed,
0.17% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 0.75% of his patients
1
average number of visits a patient made for this service
$1,027an average of $79 per time performed $226
an average of $17 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.

Robert Thomas Gallaher
Average for Pulmonary Disease Providers in North Carolina

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 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.

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