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, $268 per patient in 2015.
They performed about 8 services per patient. Here’s how this provider compares.

Number of
Patients
1,350
Rank: 26th
out of 1,973 providers in this state & specialty
Services
Performed
9,902
Rank: 154th
out of 1,973 providers in this state & specialty
Avg Services
Per Patient
7.3 This Provider
Avg 7.8
Total Paid
by Medicare
$288K
Rank: 125th
out of 1,973 providers in this state & specialty
Avg Paid
Per Patient
$214 This Provider
Avg $268

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 89 different services in 2015
(50 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
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
1,827
times performed,
18% of his services

1st 21st

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

770
patients got this service, 57% of his patients
2
average number of visits a patient made for this service
(Peers: 1.3)
$169,911.00an average of $93.00 per time performed $11,674.53
an average of $6.39 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
1,020
times performed,
10% of his services

2nd 5th

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

257
patients got this service, 19% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.7)
$102,836.40an average of $100.82 per time performed $55,437.00
an average of $54.35 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in a facility
851
times performed,
9% of his services

3rd 34th

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

128
patients got this service, 9% of his patients
6.6
average number of visits a patient made for this service
(Peers: 3.9)
$72,335.00an average of $85.00 per time performed $39,639.58
an average of $46.58 per time performed
medical
PATHOLOGY AND LABORATORY

Blood glucose (sugar) test performed by hand-held instrument +

Blood glucose (sugar) test performed by hand-held instrument ×

Service Code: 82962
Performed in an office
753
times performed,
8% of his services

4th 33rd

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

161
patients got this service, 12% of his patients
4.7
average number of visits a patient made for this service
(Peers: 2.5)
$11,295.00an average of $15.00 per time performed $2,311.71
an average of $3.07 per time performed
medical
PROCEDURES

Drug screen, other than chromatographic; any number of dr... +

Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter ×

Service Code: G0434
Performed in an office
595
times performed,
6% of his services

5th 82nd

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

305
patients got this service, 23% of his patients
2
average number of visits a patient made for this service
(Peers: 2.2)
$20,825.00an average of $35.00 per time performed $11,055.10
an average of $18.58 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
282
times performed,
3% of his services

6th 4th

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

208
patients got this service, 15% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.1)
$4,230.00an average of $15.00 per time performed $817.80
an average of $2.90 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
239
times performed,
2% of his services

7th 20th

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

41
patients got this service, 3% of his patients
5.8
average number of visits a patient made for this service
(Peers: 6.7)
$4,780.00an average of $20.00 per time performed $1,252.36
an average of $5.24 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
232
times performed,
2% of his services

8th 29th

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

182
patients got this service, 13% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$29,406.00an average of $126.75 per time performed $12,588.32
an average of $54.26 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
207
times performed,
2% of his services

9th 42nd

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

165
patients got this service, 12% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$52,008.75an average of $251.25 per time performed $21,089.16
an average of $101.88 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
197
times performed,
2% of his services

10th 3rd

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

118
patients got this service, 9% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.1)
$13,790.00an average of $70.00 per time performed $8,547.83
an average of $43.39 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
144
times performed,
1% of his services

11th 7th

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

63
patients got this service, 5% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.3)
$18,623.52an average of $129.33 per time performed $11,334.24
an average of $78.71 per time performed
drug
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
132
times performed,
1% of his services

12th 38th

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

26
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$660.00an average of $5.00 per time performed $165.00
an average of $1.25 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
131
times performed,
1% of his services

13th 12th

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

66
patients got this service, 5% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.4)
$3,275.00an average of $25.00 per time performed $2,200.80
an average of $16.80 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
121
times performed,
1% of his services

14th 55th

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

106
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$12,100.00an average of $100.00 per time performed $6,500.12
an average of $53.72 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
117
times performed,
1% of his services

15th 13th

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

100
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.8)
$4,095.00an average of $35.00 per time performed $1,502.28
an average of $12.84 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 a facility
117
times performed,
1% of his services

16th 87th

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

88
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$8,190.00an average of $70.00 per time performed $4,393.35
an average of $37.55 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
107
times performed,
1% of his services

17th 196th

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

100
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$69,550.00an average of $650.00 per time performed $8,727.99
an average of $81.57 per time performed
drug
DRUGS

Injection, ceftriaxone sodium, per 250 mg

Service Code: J0696
Performed in an office
96
times performed,
0.97% of his services

18th 35th

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

21
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$2,400.00an average of $25.00 per time performed $50.88
an average of $0.53 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
84
times performed,
0.85% of his services

19th 54th

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

84
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,600.00an average of $150.00 per time performed $9,035.04
an average of $107.56 per time performed
drug
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
83
times performed,
0.84% of his services

20th 50th

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

18
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$1,245.00an average of $15.00 per time performed $42.33
an average of $0.51 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 50 minutes

Service Code: 99219
Performed in a facility
73
times performed,
0.74% of his services

21st 111th

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

68
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$10,017.79an average of $137.23 per time performed $7,260.58
an average of $99.46 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
71
times performed,
0.72% of his services

22nd 57th

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

67
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$14,287.33an average of $201.23 per time performed $9,690.08
an average of $136.48 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
67
times performed,
0.68% of his services

23rd 18th

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

65
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$21,919.72an average of $327.16 per time performed $10,051.34
an average of $150.02 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
66
times performed,
0.67% of his services

24th 26th

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

54
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$990.00an average of $15.00 per time performed $219.12
an average of $3.32 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 35 minutes per day +

Initial nursing facility visit, typically 35 minutes per day ×

Service Code: 99305
Performed in a facility
48
times performed,
0.48% of his services

25th 154th

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

45
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$7,200.00an average of $150.00 per time performed $4,577.28
an average of $95.36 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
48
times performed,
0.48% of his services

26th 60th

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

33
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.7)
$20,437.92an average of $425.79 per time performed $8,161.44
an average of $170.03 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
46
times performed,
0.46% of his services

27th 81st

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

44
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,600.00an average of $100.00 per time performed $1,815.62
an average of $39.47 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
40
times performed,
0.4% of his services

28th 70th

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

40
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,000.00an average of $125.00 per time performed $2,638.40
an average of $65.96 per time performed
medical
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring and physician supervision ×

Service Code: 93016
Performed in a facility
38
times performed,
0.38% of his services

29th 172nd

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

38
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,600.00an average of $200.00 per time performed $635.74
an average of $16.73 per time performed
medical
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report ×

Service Code: 93018
Performed in a facility
38
times performed,
0.38% of his services

30th 168th

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

38
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,600.00an average of $200.00 per time performed $418.38
an average of $11.01 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
36
times performed,
0.36% of his services

31st 25th

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

34
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$5,824.08an average of $161.78 per time performed $2,905.56
an average of $80.71 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
31
times performed,
0.31% of his services

32nd 1st

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: 2.3)
$3,410.00an average of $110.00 per time performed $2,287.49
an average of $73.79 per time performed
medical
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in an office
29
times performed,
0.29% of his services

33rd 15th

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

29
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,700.00an average of $300.00 per time performed $2,916.24
an average of $100.56 per time performed
drug
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
25
times performed,
0.25% of his services

34th 32nd

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

13
patients got this service, 0.96% of his patients
1.9
average number of visits a patient made for this service
(Peers: 3.7)
$375.00an average of $15.00 per time performed $75.50
an average of $3.02 per time performed
medical
PROCEDURES

Annual wellness visit; includes a personalized prevention... +

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ×

Service Code: G0438
Performed in an office
24
times performed,
0.24% of his services

35th 48th

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

24
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,200.00an average of $300.00 per time performed $3,794.16
an average of $158.09 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
23
times performed,
0.23% of his services

36th 126th

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

23
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,025.00an average of $175.00 per time performed $3,038.07
an average of $132.09 per time performed
medical
DIGESTIVE SYSTEM

Insertion of stomach tube using an endoscope

Service Code: 43246
Performed in a facility
15
times performed,
0.15% of his services

37th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$10,500.00an average of $700.00 per time performed $2,424.45
an average of $161.63 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
15
times performed,
0.15% of his services

38th 100th

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

11
patients got this service, 0.81% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.9)
$1,275.00an average of $85.00 per time performed $451.95
an average of $30.13 per time performed
medical

Transitional care management services, highly complexity,... +

Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge ×

Service Code: 99496
Performed in an office
13
times performed,
0.13% of his services

39th 142nd

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

12
patients got this service, 0.89% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,405.00an average of $185.00 per time performed $1,885.52
an average of $145.04 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.

James Stanley Sinclair
Average for Internal Medicine Providers in Georgia

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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