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, $405 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
521
Rank: 164th
out of 971 providers in this state & specialty
Services
Performed
2,173
Rank: 389th
out of 971 providers in this state & specialty
Avg Services
Per Patient
4.2 This Provider
Avg 6.5
Total Paid
by Medicare
$231K
Rank: 157th
out of 971 providers in this state & specialty
Avg Paid
Per Patient
$443 This Provider
Avg $405

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 76 different services in 2015
(53 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 25 minutes ×

Service Code: 99214
Performed in an office
794
times performed,
37% of his services

1st 5th

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

415
patients got this service, 80% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.4)
$290,040.26an average of $365.29 per time performed $60,216.96
an average of $75.84 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
211
times performed,
10% of his services

2nd 25th

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

144
patients got this service, 28% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$27,634.67an average of $130.97 per time performed $5,171.61
an average of $24.51 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 a facility
159
times performed,
7% of his services

3rd 143rd

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

98
patients got this service, 19% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$181,172.55an average of $1,139.45 per time performed $19,334.40
an average of $121.60 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
145
times performed,
7% of his services

4th 6th

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

145
patients got this service, 28% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$52,684.30an average of $363.34 per time performed $11,037.40
an average of $76.12 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
103
times performed,
5% of his services

5th 11th

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

64
patients got this service, 12% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$1,944.64an average of $18.88 per time performed $476.89
an average of $4.63 per time performed
medical
RADIOLOGY

X-ray of spine of neck, 2 or 3 views

Service Code: 72040
Performed in an office
92
times performed,
4% of his services

6th 56th

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

61
patients got this service, 12% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$12,212.08an average of $132.74 per time performed $2,127.04
an average of $23.12 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, minimum of 4 views

Service Code: 72110
Performed in an office
75
times performed,
3% of his services

7th 63rd

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

72
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$13,691.25an average of $182.55 per time performed $2,637.00
an average of $35.16 per time performed
medical
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
67
times performed,
3% of his services

8th 19th

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

63
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$6,846.06an average of $102.18 per time performed $1,361.44
an average of $20.32 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
64
times performed,
3% of his services

9th 3rd

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

52
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$16,544.00an average of $258.50 per time performed $3,006.08
an average of $46.97 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
58
times performed,
3% of his services

10th 2nd

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

53
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$14,230.88an average of $245.36 per time performed $3,134.32
an average of $54.04 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
35
times performed,
2% of his services

11th 12th

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

29
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$3,910.90an average of $111.74 per time performed $712.95
an average of $20.37 per time performed
medical
NERVOUS SYSTEM

Partial removal of spine bone with release of spinal cord... +

Partial removal of spine bone with release of spinal cord and/or nerves ×

Service Code: 63048
Performed in a facility
29
times performed,
1% of his services

12th 98th

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

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$23,487.97an average of $809.93 per time performed $4,934.64
an average of $170.16 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 1 or 2 muscles

Service Code: 20552
Performed in an office
21
times performed,
0.97% of his services

13th 116th

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

18
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$4,210.08an average of $200.48 per time performed $846.30
an average of $40.30 per time performed
medical
MUSCULOSKELETAL SYSTEM

Insertion of spinal instrumentation for spinal stabilization +

Insertion of spinal instrumentation for spinal stabilization ×

Service Code: 22851
Performed in a facility
21
times performed,
0.97% of his services

14th 90th

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

18
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$32,816.91an average of $1,562.71 per time performed $6,734.07
an average of $320.67 per time performed
medical
NERVOUS SYSTEM

Partial removal of middle spine bone with release of spin... +

Partial removal of middle spine bone with release of spinal cord and/or nerves ×

Service Code: 63047
Performed in a facility
17
times performed,
0.78% of his services

15th 101st

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

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$72,044.98an average of $4,237.94 per time performed $11,956.44
an average of $703.32 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for insertion of needle

Service Code: 77002
Performed in a facility
15
times performed,
0.69% of his services

16th 133rd

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

14
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$4,450.50an average of $296.70 per time performed $324.75
an average of $21.65 per time performed
medical
NERVOUS SYSTEM

Re-exploration of spine repair with release of lower spin... +

Re-exploration of spine repair with release of lower spinal cord or nerves ×

Service Code: 63042
Performed in a facility
15
times performed,
0.69% of his services

17th 244th

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

13
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$116,095.95an average of $7,739.73 per time performed $15,613.20
an average of $1,040.88 per time performed
medical
RADIOLOGY

X-ray of middle spine, 3 views

Service Code: 72070
Performed in an office
15
times performed,
0.69% of his services

18th 126th

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

13
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$1,815.00an average of $121.00 per time performed $349.50
an average of $23.30 per time performed
medical
RADIOLOGY

X-ray of hip on one side of body, 1 view

Service Code: 73500
Performed in an office
13
times performed,
0.6% of his services

19th 34th

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$1,274.00an average of $98.00 per time performed $254.41
an average of $19.57 per time performed
medical
MUSCULOSKELETAL SYSTEM

Fusion of lower spine bones with removal of disc, posteri... +

Fusion of lower spine bones with removal of disc, posterior or posterolateral approach ×

Service Code: 22633
Performed in a facility
13
times performed,
0.6% of his services

20th 163rd

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$77,487.02an average of $5,960.54 per time performed $16,630.12
an average of $1,279.24 per time performed
medical
RADIOLOGY

X-ray of knee, 4 or more views

Service Code: 73564
Performed in an office
13
times performed,
0.6% of his services

21st 17th

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,033.98an average of $156.46 per time performed $366.99
an average of $28.23 per time performed
medical
MUSCULOSKELETAL SYSTEM

Insertion of posterior spinal instrumentation at base of ... +

Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace ×

Service Code: 22840
Performed in a facility
12
times performed,
0.55% of his services

22nd 155th

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$33,000.00an average of $2,750.00 per time performed $7,253.28
an average of $604.44 per time performed
medical
RADIOLOGY

X-ray of upper spine, 4 or 5 views

Service Code: 72050
Performed in an office
11
times performed,
0.51% of his services

23rd 121st

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,989.02an average of $180.82 per time performed $343.64
an average of $31.24 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.

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Kenneth Palmer
Average for Orthopaedic Surgery Providers in Texas

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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