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, $385 per patient in 2015.
They performed about 6 services per patient. Here’s how this provider compares.

Number of
Patients
434
Rank: 166th
out of 409 providers in this state & specialty
Services
Performed
13,994
Rank: 20th
out of 409 providers in this state & specialty
Avg Services
Per Patient
32.2 This Provider is in the top 10%
Avg 6.1
Total Paid
by Medicare
$194K
Rank: 120th
out of 409 providers in this state & specialty
Avg Paid
Per Patient
$446 This Provider
Avg $385

Note: About 20% of this provider’s Medicare payments were for drugs administered in her 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 her Part B patients.

This Provider's Services

This provider performed 40 different services in 2015
(19 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
drug
DRUGS

Injection, darbepoetin alfa, 1 microgram (non-esrd use)

Service Code: J0881
Performed in an office
11,860
times performed,
85% of her services

1st 5th

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

18
patients got this service, 4% of her patients
3.9
average number of visits a patient made for this service
(Peers: 4.7)
$96,421.80an average of $8.13 per time performed $37,833.40
an average of $3.19 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
393
times performed,
3% of her services

2nd 29th

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

232
patients got this service, 53% of her patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$7,860.00an average of $20.00 per time performed $1,340.13
an average of $3.41 per time performed
medical
MEDICINE

Dialysis services (4 or more physician visits per month),... +

Dialysis services (4 or more physician visits per month), patient 20 years of age and older ×

Service Code: 90960
Performed in an office
248
times performed,
2% of her services

3rd 4th

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

34
patients got this service, 8% of her patients
7.3
average number of visits a patient made for this service
(Peers: 4)
$235,352.00an average of $949.00 per time performed $53,860.64
an average of $217.18 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
244
times performed,
2% of her services

4th 6th

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

151
patients got this service, 35% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.8)
$53,123.68an average of $217.72 per time performed $18,831.92
an average of $77.18 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
198
times performed,
1% of her services

5th 13th

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

161
patients got this service, 37% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$27,981.36an average of $141.32 per time performed $9,727.74
an average of $49.13 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
167
times performed,
1% of her services

6th 8th

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

65
patients got this service, 15% of her patients
2.2
average number of visits a patient made for this service
(Peers: 2.1)
$32,565.00an average of $195.00 per time performed $13,540.36
an average of $81.08 per time performed
medical
MEDICINE

Dialysis services, per day (less than full month service)... +

Dialysis services, per day (less than full month service), patient 20 years of age or older ×

Service Code: 90970
Performed in an office
154
times performed,
1% of her services

7th 9th

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

11
patients got this service, 3% of her patients
1.2
average number of visits a patient made for this service
(Peers: 3.2)
$5,852.00an average of $38.00 per time performed $873.18
an average of $5.67 per time performed
medical
MEDICINE

Hemodialysis procedure with one physician evaluation

Service Code: 90935
Performed in a facility
110
times performed,
0.79% of her services

8th 7th

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

50
patients got this service, 12% of her patients
2.2
average number of visits a patient made for this service
(Peers: 2.3)
$39,160.00an average of $356.00 per time performed $6,237.00
an average of $56.70 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
101
times performed,
0.72% of her services

9th 2nd

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

60
patients got this service, 14% of her patients
1.6
average number of visits a patient made for this service
(Peers: 2.4)
$14,948.00an average of $148.00 per time performed $5,623.68
an average of $55.68 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
78
times performed,
0.56% of her services

10th 30th

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

20
patients got this service, 5% of her patients
3.9
average number of visits a patient made for this service
(Peers: 2.6)
$4,992.00an average of $64.00 per time performed $1,436.76
an average of $18.42 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
64
times performed,
0.46% of her services

11th 18th

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

55
patients got this service, 13% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$17,550.08an average of $274.22 per time performed $6,552.96
an average of $102.39 per time performed
medical
MEDICINE

Dialysis services (2-3 physician visits per month), patie... +

Dialysis services (2-3 physician visits per month), patient 20 years of age and older ×

Service Code: 90961
Performed in an office
58
times performed,
0.41% of her services

12th 14th

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

30
patients got this service, 7% of her patients
1.9
average number of visits a patient made for this service
(Peers: 2)
$45,182.00an average of $779.00 per time performed $10,491.04
an average of $180.88 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
54
times performed,
0.39% of her services

13th 11th

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

53
patients got this service, 12% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$19,116.00an average of $354.00 per time performed $8,518.50
an average of $157.75 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
53
times performed,
0.38% of her services

14th 22nd

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

27
patients got this service, 6% of her patients
2
average number of visits a patient made for this service
(Peers: 2.3)
$901.00an average of $17.00 per time performed $153.17
an average of $2.89 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
29
times performed,
0.21% of her services

15th 25th

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

29
patients got this service, 7% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,291.89an average of $320.41 per time performed $3,462.60
an average of $119.40 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
28
times performed,
0.2% of her services

16th 37th

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

28
patients got this service, 6% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,194.96an average of $399.82 per time performed $3,949.96
an average of $141.07 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
26
times performed,
0.19% of her services

17th 40th

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

21
patients got this service, 5% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$4,030.00an average of $155.00 per time performed $1,458.60
an average of $56.10 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 30 minutes per... +

Initial hospital inpatient care, typically 30 minutes per day ×

Service Code: 99221
Performed in a facility
21
times performed,
0.15% of her services

18th 31st

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

16
patients got this service, 4% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$4,593.96an average of $218.76 per time performed $1,662.99
an average of $79.19 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
20
times performed,
0.14% of her services

19th 16th

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

17
patients got this service, 4% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.8)
$1,940.00an average of $97.00 per time performed $606.80
an average of $30.34 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
18
times performed,
0.13% of her services

20th 72nd

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

18
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,338.00an average of $241.00 per time performed $1,354.68
an average of $75.26 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
14
times performed,
0.1% of her services

21st 12th

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

13
patients got this service, 3% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$4,004.00an average of $286.00 per time performed $1,495.34
an average of $106.81 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.

Sally S. Lee
Average for Nephrology Providers in Pennsylvania

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.

Read our methodology.