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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, $234 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
995
Rank: 107th
out of 2,169 providers in this state & specialty
Services
Performed
12,175
Rank: 35th
out of 2,169 providers in this state & specialty
Avg Services
Per Patient
12.2 This Provider is in the top 10%
Avg 5
Total Paid
by Medicare
$289K
Rank: 81st
out of 2,169 providers in this state & specialty
Avg Paid
Per Patient
$290 This Provider
Avg $234

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.

Edward P. Smith
Average for Internal Medicine Providers in Virginia

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.

Patients saw before

Edward P. Smith

Patients saw after

Individuals

FREDERICK KOZLOWSKI

DAVID SNOW

FRANCIS WILLI

JOHN WOOD

KYLE YOUNG

Organizations

WINCHESTER MEDICAL CENT...

PIEDMONT JOINT VENTURE ...

This Provider's Services

This provider performed 35 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
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
2,240
times performed,
18% of his services

1st 4th

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

638
patients got this service, 64% of his patients
3.5
average number of visits a patient made for this service
(Peers: 2.2)
$8,960an average of $4 per time performed $6,720
an average of $3 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
1,452
times performed,
12% of his services

2nd 1st

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

521
patients got this service, 52% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.2)
$152,460an average of $105 per time performed $97,284
an average of $67 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
1,388
times performed,
11% of his services

3rd 12th

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

574
patients got this service, 58% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.6)
$55,520an average of $40 per time performed $18,044
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
1,284
times performed,
11% of his services

4th 11th

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

549
patients got this service, 55% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.5)
$51,360an average of $40 per time performed $16,692
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
950
times performed,
8% of his services

5th 9th

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

525
patients got this service, 53% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$23,750an average of $25 per time performed $10,450
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
732
times performed,
6% of his services

6th 8th

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

111
patients got this service, 11% of his patients
6.6
average number of visits a patient made for this service
(Peers: 6.7)
$11,712an average of $16 per time performed $3,660
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
715
times performed,
6% of his services

7th 27th

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

473
patients got this service, 48% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$30,745an average of $43 per time performed $17,160
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 40 minutes ×

Service Code: 99215
Performed in an office
359
times performed,
3% of his services

8th 24th

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

155
patients got this service, 16% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.3)
$50,260an average of $140 per time performed $33,746
an average of $94 per time performed
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
344
times performed,
3% of his services

9th 7th

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

293
patients got this service, 29% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$8,256an average of $24 per time performed $2,408
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
324
times performed,
3% of his services

10th 23rd

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

158
patients got this service, 16% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.8)
$10,368an average of $32 per time performed $4,536
an average of $14 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
267
times performed,
2% of his services

11th 2nd

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

198
patients got this service, 20% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.3)
$18,957an average of $71 per time performed $12,816
an average of $48 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
231
times performed,
2% of his services

12th 5th

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

95
patients got this service, 10% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.1)
$23,100an average of $100 per time performed $18,018
an average of $78 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
210
times performed,
2% of his services

13th 13th

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

210
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,250an average of $25 per time performed $5,040
an average of $24 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, for intramuscular u... +

Influenza virus vaccine, split virus, for intramuscular use (agriflu) ×

Service Code: Q2034
Performed in an office
210
times performed,
2% of his services

14th 165th

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

210
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,200an average of $20 per time performed $3,150
an average of $15 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
190
times performed,
2% of his services

15th 3rd

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

78
patients got this service, 8% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.6)
$13,300an average of $70 per time performed $10,450
an average of $55 per time performed
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
185
times performed,
2% of his services

16th 81st

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

184
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,625an average of $25 per time performed $2,960
an average of $16 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
149
times performed,
1% of his services

17th 29th

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

95
patients got this service, 10% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$5,215an average of $35 per time performed $1,788
an average of $12 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
107
times performed,
0.88% of his services

18th 17th

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

55
patients got this service, 6% of his patients
1.9
average number of visits a patient made for this service
(Peers: 3.1)
$2,247an average of $21 per time performed $1,498
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
102
times performed,
0.84% of his services

19th 49th

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

83
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$1,122an average of $11 per time performed $408
an average of $4 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
97
times performed,
0.8% of his services

20th 15th

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

72
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$10,185an average of $105 per time performed $7,857
an average of $81 per time performed
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
79
times performed,
0.65% of his services

21st 16th

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

72
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$3,160an average of $40 per time performed $1,106
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
72
times performed,
0.59% of his services

22nd 99th

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

70
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,800an average of $25 per time performed $576
an average of $8 per time performed
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
72
times performed,
0.59% of his services

23rd 71st

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

70
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,224an average of $17 per time performed $504
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
72
times performed,
0.59% of his services

24th 46th

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

56
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$3,096an average of $43 per time performed $936
an average of $13 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
50
times performed,
0.41% of his services

25th 59th

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

50
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,250an average of $25 per time performed $1,200
an average of $24 per time performed
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
50
times performed,
0.41% of his services

26th 60th

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

50
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,500an average of $50 per time performed $2,500
an average of $50 per time performed
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
48
times performed,
0.39% of his services

27th 84th

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

48
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,928an average of $61 per time performed $1,248
an average of $26 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
40
times performed,
0.33% of his services

28th 31st

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

40
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$1,840an average of $46 per time performed $1,200
an average of $30 per time performed
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
35
times performed,
0.29% of his services

29th 70th

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

20
patients got this service, 2% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.6)
$525an average of $15 per time performed $175
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
34
times performed,
0.28% of his services

30th 50th

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

32
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$1,020an average of $30 per time performed $340
an average of $10 per time performed
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
30
times performed,
0.25% of his services

31st 21st

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: 2)
$1,260an average of $42 per time performed $900
an average of $30 per time performed
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
19
times performed,
0.16% of his services

32nd 107th

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

19
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,838an average of $202 per time performed $2,432
an average of $128 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
15
times performed,
0.12% of his services

33rd 104th

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

12
patients got this service, 1% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$270an average of $18 per time performed $75
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85027
Performed in an office
12
times performed,
0.1% of his services

34th 48th

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

11
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$240an average of $20 per time performed $108
an average of $9 per time performed
PROCEDURES

Colorectal cancer screening; fecal occult blood test, imm... +

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ×

Service Code: G0328
Performed in an office
11
times performed,
0.09% of his services

35th 134th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$275an average of $25 per time performed $220
an average of $20 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 "Internal Medicine." 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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