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, $250 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
726
Rank: 184th
out of 1,858 providers in this state & specialty
Services
Performed
12,649
Rank: 32nd
out of 1,858 providers in this state & specialty
Avg Services
Per Patient
17.4 This Provider is in the top 10%
Avg 5.3
Total Paid
by Medicare
$360K
Rank: 33rd
out of 1,858 providers in this state & specialty
Avg Paid
Per Patient
$496 This Provider is in the top 10%
Avg $250

Note: About 17% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

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 68 different services in 2015
(33 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
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
2,219
times performed,
18% of his services

1st 4th

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

658
patients got this service, 91% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.1)
$8,964.76an average of $4.04 per time performed $6,479.48
an average of $2.92 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
1,520
times performed,
12% of his services

2nd 1st

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

600
patients got this service, 83% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.2)
$168,522.40an average of $110.87 per time performed $103,846.40
an average of $68.32 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
1,481
times performed,
12% of his services

3rd 9th

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

603
patients got this service, 83% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.6)
$59,240.00an average of $40.00 per time performed $18,630.98
an average of $12.58 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
1,396
times performed,
11% of his services

4th 6th

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

582
patients got this service, 80% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.5)
$55,840.00an average of $40.00 per time performed $17,408.12
an average of $12.47 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
896
times performed,
7% of his services

5th 7th

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

564
patients got this service, 78% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$22,400.00an average of $25.00 per time performed $9,264.64
an average of $10.34 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
743
times performed,
6% of his services

6th 21st

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

504
patients got this service, 69% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$31,949.00an average of $43.00 per time performed $16,583.76
an average of $22.32 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
589
times performed,
5% of his services

7th 11th

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

85
patients got this service, 12% of his patients
6.9
average number of visits a patient made for this service
(Peers: 6.8)
$9,424.00an average of $16.00 per time performed $3,027.46
an average of $5.14 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
519
times performed,
4% of his services

8th 2nd

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

329
patients got this service, 45% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.1)
$39,822.87an average of $76.73 per time performed $26,422.29
an average of $50.91 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
410
times performed,
3% of his services

9th 18th

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

183
patients got this service, 25% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.7)
$13,120.00an average of $32.00 per time performed $5,309.50
an average of $12.95 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
340
times performed,
3% of his services

10th 15th

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

338
patients got this service, 47% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,840.00an average of $26.00 per time performed $8,323.20
an average of $24.48 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
313
times performed,
2% of his services

11th 17th

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

312
patients got this service, 43% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$56,340.00an average of $180.00 per time performed $52,774.93
an average of $168.61 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
292
times performed,
2% of his services

12th 8th

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

292
patients got this service, 40% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,592.00an average of $26.00 per time performed $7,168.60
an average of $24.55 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
291
times performed,
2% of his services

13th 32nd

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

291
patients got this service, 40% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,820.00an average of $20.00 per time performed $4,487.22
an average of $15.42 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
240
times performed,
2% of his services

14th 25th

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

143
patients got this service, 20% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.3)
$35,174.40an average of $146.56 per time performed $23,997.60
an average of $99.99 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
170
times performed,
1% of his services

15th 44th

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

131
patients got this service, 18% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$1,870.00an average of $11.00 per time performed $717.40
an average of $4.22 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

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

16th 24th

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

119
patients got this service, 16% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$5,219.47an average of $35.03 per time performed $1,658.37
an average of $11.13 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
131
times performed,
1% of his services

17th 28th

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

113
patients got this service, 16% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$5,895.00an average of $45.00 per time performed $4,216.89
an average of $32.19 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
111
times performed,
0.88% of his services

18th 35th

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

90
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$4,773.00an average of $43.00 per time performed $1,334.22
an average of $12.02 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
105
times performed,
0.83% of his services

19th 20th

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

105
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,600.00an average of $120.00 per time performed $11,941.65
an average of $113.73 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
85
times performed,
0.67% of his services

20th 46th

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

85
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,875.00an average of $175.00 per time performed $14,303.80
an average of $168.28 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
80
times performed,
0.63% of his services

21st 72nd

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

74
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,000.00an average of $25.00 per time performed $616.80
an average of $7.71 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
80
times performed,
0.63% of his services

22nd 57th

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

74
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,360.00an average of $17.00 per time performed $552.00
an average of $6.90 per time performed
medical
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
58
times performed,
0.46% of his services

23rd 76th

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

58
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,508.00an average of $26.00 per time performed $1,023.12
an average of $17.64 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
57
times performed,
0.45% of his services

24th 16th

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

54
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,339.85an average of $41.05 per time performed $676.02
an average of $11.86 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
53
times performed,
0.42% of his services

25th 71st

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

53
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,233.00an average of $61.00 per time performed $1,275.71
an average of $24.07 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
38
times performed,
0.3% of his services

26th 117th

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

34
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$8,930.00an average of $235.00 per time performed $6,673.56
an average of $175.62 per time performed
medical
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
32
times performed,
0.25% of his services

27th 45th

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

28
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$960.00an average of $30.00 per time performed $312.96
an average of $9.78 per time performed
medical

Transitional care management services, moderately complex... +

Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge ×

Service Code: 99495
Performed in an office
31
times performed,
0.25% of his services

28th 104th

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

27
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$5,115.00an average of $165.00 per time performed $3,976.37
an average of $128.27 per time performed
drug
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
27
times performed,
0.21% of his services

29th 81st

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

27
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,160.00an average of $80.00 per time performed $2,095.74
an average of $77.62 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
16
times performed,
0.13% of his services

30th 136th

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

15
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$976.00an average of $61.00 per time performed $392.48
an average of $24.53 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,
0.13% of his services

31st 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)
$1,200.00an average of $75.00 per time performed $668.48
an average of $41.78 per time performed
medical
PROCEDURES

Annual depression screening, 15 minutes

Service Code: G0444
Performed in an office
15
times performed,
0.12% of his services

32nd 100th

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)
$300.00an average of $20.00 per time performed $265.65
an average of $17.71 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
14
times performed,
0.11% of his services

33rd 86th

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

13
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$252.00an average of $18.00 per time performed $69.16
an average of $4.94 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
13
times performed,
0.1% of his services

34th 88th

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

11
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$195.00an average of $15.00 per time performed $61.36
an average of $4.72 per time performed
medical
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
12
times performed,
0.09% of his services

35th 124th

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)
$300.00an average of $25.00 per time performed $254.64
an average of $21.22 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.

Edward Paul Smith
Average for Internal Medicine Providers in Virginia

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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