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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, $233 per patient in 2013.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
924
Rank: 94th
out of 1,839 providers in this state & specialty
Services
Performed
11,592
Rank: 31st
out of 1,839 providers in this state & specialty
Avg Services
Per Patient
12.5 This Provider is in the top 10%
Avg 5.1
Total Paid
by Medicare
$280K
Rank: 75th
out of 1,839 providers in this state & specialty
Avg Paid
Per Patient
$303 This Provider
Avg $233

Office Visits

Story image rib 8a2c1e812d78fea39cf7fb4926cf598dbc8604e0a950a7f60c1e192c8c412b43

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

This Provider's Services

This provider performed 69 different services in 2013
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
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
2,152
times performed,
19% of his services

1st 4th

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

626
patients got this service, 68% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.2)
$8,694an average of $4 per time performed $6,348
an average of $3 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
1,483
times performed,
13% of his services

2nd 1st

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

537
patients got this service, 58% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.2)
$156,931an average of $106 per time performed $99,925
an average of $67 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
1,371
times performed,
12% of his services

3rd 9th

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

564
patients got this service, 61% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.6)
$54,840an average of $40 per time performed $17,480
an average of $13 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
1,287
times performed,
11% of his services

4th 7th

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

550
patients got this service, 60% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.5)
$51,480an average of $40 per time performed $16,306
an average of $13 per time performed
medical
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
871
times performed,
8% of his services

5th 8th

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

530
patients got this service, 57% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$21,775an average of $25 per time performed $9,128
an average of $10 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
679
times performed,
6% of his services

6th 6th

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

103
patients got this service, 11% of his patients
6.6
average number of visits a patient made for this service
(Peers: 6.8)
$10,864an average of $16 per time performed $3,612
an average of $5 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
652
times performed,
6% of his services

7th 18th

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

445
patients got this service, 48% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$28,036an average of $43 per time performed $14,840
an average of $23 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
314
times performed,
3% of his services

8th 17th

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

154
patients got this service, 17% of his patients
2
average number of visits a patient made for this service
(Peers: 1.7)
$10,048an average of $32 per time performed $4,113
an average of $13 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
285
times performed,
2% of his services

9th 2nd

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

218
patients got this service, 24% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.2)
$21,480an average of $75 per time performed $13,862
an average of $49 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
285
times performed,
2% of his services

10th 21st

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

154
patients got this service, 17% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.3)
$41,351an average of $145 per time performed $26,648
an average of $94 per time performed
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
274
times performed,
2% of his services

11th 10th

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

245
patients got this service, 27% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$7,672an average of $28 per time performed $1,707
an average of $6 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
240
times performed,
2% of his services

12th 11th

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

240
patients got this service, 26% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,240an average of $26 per time performed $5,902
an average of $25 per time performed
drug
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
237
times performed,
2% of his services

13th 27th

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

237
patients got this service, 26% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,745an average of $20 per time performed $3,422
an average of $14 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
179
times performed,
2% of his services

14th 5th

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

57
patients got this service, 6% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.1)
$17,911an average of $100 per time performed $13,799
an average of $77 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
141
times performed,
1% of his services

15th 20th

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

99
patients got this service, 11% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$4,951an average of $35 per time performed $1,612
an average of $11 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
129
times performed,
1% of his services

16th 42nd

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

116
patients got this service, 13% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,419an average of $11 per time performed $551
an average of $4 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
127
times performed,
1% of his services

17th 3rd

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

59
patients got this service, 6% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.6)
$8,955an average of $71 per time performed $6,875
an average of $54 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
70
times performed,
0.6% of his services

18th 35th

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

53
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$3,010an average of $43 per time performed $854
an average of $12 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
69
times performed,
0.6% of his services

19th 16th

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

55
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$7,250an average of $105 per time performed $5,490
an average of $80 per time performed
medical
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
65
times performed,
0.56% of his services

20th 14th

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

63
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,660an average of $41 per time performed $835
an average of $13 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
63
times performed,
0.54% of his services

21st 72nd

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

62
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,575an average of $25 per time performed $492
an average of $8 per time performed
medical
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
61
times performed,
0.53% of his services

22nd 63rd

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

60
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,037an average of $17 per time performed $426
an average of $7 per time performed
medical
PROCEDURES

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

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

Service Code: G0103
Performed in an office
56
times performed,
0.48% of his services

23rd 70th

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

56
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,416an average of $61 per time performed $1,369
an average of $24 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
55
times performed,
0.47% of his services

24th 24th

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

52
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$2,500an average of $45 per time performed $1,643
an average of $30 per time performed
medical
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
43
times performed,
0.37% of his services

25th 71st

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

43
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,110an average of $26 per time performed $676
an average of $16 per time performed
drug
MEDICINE

Vaccine for pneumococcal polysaccharide for injection int... +

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

Service Code: 90732
Performed in an office
35
times performed,
0.3% of his services

26th 49th

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

35
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,250an average of $64 per time performed $2,032
an average of $58 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
34
times performed,
0.29% of his services

27th 46th

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

34
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$874an average of $26 per time performed $819
an average of $24 per time performed
medical
NA

Transitional care management services with communication ... +

Transitional care management services with communication with the patient and/or caregiver within 2 business days of discharge, medical decision making of high complexity during the service period face-to-face visit, within 7 calendar days of discharge ×

Service Code: 99496
Performed in an office
28
times performed,
0.24% of his services

28th 174th

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

23
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$6,580an average of $235 per time performed $5,010
an average of $179 per time performed
medical
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
28
times performed,
0.24% of his services

29th 39th

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

27
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$840an average of $30 per time performed $283
an average of $10 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
23
times performed,
0.2% of his services

30th 22nd

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

16
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.2)
$920an average of $40 per time performed $679
an average of $30 per time performed
medical
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
20
times performed,
0.17% of his services

31st 83rd

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

13
patients got this service, 1% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$300an average of $15 per time performed $96
an average of $5 per time performed
medical
NA

Transitional care management services with communication ... +

Transitional care management services with communication with the patient and/or caregiver within 2 business days of discharge, medical decision making of at least moderate complexity during the service period face-to-face visit, within 14 calendar days of ×

Service Code: 99495
Performed in an office
20
times performed,
0.17% of his services

32nd 138th

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

17
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$3,300an average of $165 per time performed $2,528
an average of $126 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
18
times performed,
0.16% of his services

33rd 15th

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

12
patients got this service, 1% of his patients
1.5
average number of visits a patient made for this service
(Peers: 3.2)
$378an average of $21 per time performed $160
an average of $9 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
16
times performed,
0.14% of his services

34th 58th

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

14
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,200an average of $75 per time performed $576
an average of $36 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
15
times performed,
0.13% of his services

35th 107th

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,000an average of $200 per time performed $2,347
an average of $156 per time performed
medical
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
13
times performed,
0.11% of his services

36th 41st

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

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$260an average of $20 per time performed $114
an average of $9 per time performed
medical
PATHOLOGY AND LABORATORY

Skin test for tuberculosis

Service Code: 86580
Performed in an office
12
times performed,
0.1% of his services

37th 210th

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$120an average of $10 per time performed $62
an average of $5 per time performed

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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