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, $547 per patient in 2015.
They performed about 11 services per patient. Here’s how this provider compares.

Number of
Patients
572
Rank: 11th
out of 59 providers in this state & specialty
Services
Performed
3,917
Rank: 19th
out of 59 providers in this state & specialty
Avg Services
Per Patient
6.8 This Provider
Avg 11
Total Paid
by Medicare
$259K
Rank: 14th
out of 59 providers in this state & specialty
Avg Paid
Per Patient
$453 This Provider
Avg $547

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 65 different services in 2015
(40 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
MEDICINE

Moderate sedation services by physician also performing a... +

Moderate sedation services by physician also performing a procedure, patient 5 years of age or older, first 30 minutes ×

Service Code: 99144
Performed in a facility
722
times performed,
18% of his services

1st 39th

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

315
patients got this service, 55% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.9)
$216,600.00an average of $300.00 per time performed $17,320.78
an average of $23.99 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
491
times performed,
13% of his services

2nd 30th

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

210
patients got this service, 37% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2.1)
$264,305.30an average of $538.30 per time performed $47,975.61
an average of $97.71 per time performed
medical
NERVOUS SYSTEM

Injections of substances into lower or sacral spine

Service Code: 62311
Performed in a facility
290
times performed,
7% of his services

3rd 35th

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

136
patients got this service, 24% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2)
$68,730.00an average of $237.00 per time performed $20,172.40
an average of $69.56 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: 64484
Performed in a facility
287
times performed,
7% of his services

4th 37th

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

126
patients got this service, 22% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2)
$65,748.83an average of $229.09 per time performed $11,712.47
an average of $40.81 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
278
times performed,
7% of his services

5th 18th

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

278
patients got this service, 49% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$95,251.14an average of $342.63 per time performed $33,768.66
an average of $121.47 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
270
times performed,
7% of his services

6th 2nd

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

200
patients got this service, 35% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.2)
$55,647.00an average of $206.10 per time performed $21,076.20
an average of $78.06 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
169
times performed,
4% of his services

7th 3rd

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

117
patients got this service, 20% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.4)
$22,203.22an average of $131.38 per time performed $8,199.88
an average of $48.52 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves with imaging guidance ×

Service Code: 64636
Performed in a facility
156
times performed,
4% of his services

8th 52nd

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

51
patients got this service, 9% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$39,854.88an average of $255.48 per time performed $7,478.64
an average of $47.94 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64493
Performed in a facility
117
times performed,
3% of his services

9th 50th

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

64
patients got this service, 11% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$64,362.87an average of $550.11 per time performed $10,507.77
an average of $89.81 per time performed
medical
NERVOUS SYSTEM

Injections of substances into upper or middle spine

Service Code: 62310
Performed in a facility
117
times performed,
3% of his services

10th 64th

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

59
patients got this service, 10% of his patients
2
average number of visits a patient made for this service
(Peers: 2)
$29,741.40an average of $254.20 per time performed $9,652.50
an average of $82.50 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64494
Performed in a facility
110
times performed,
3% of his services

11th 53rd

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

60
patients got this service, 10% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$22,947.10an average of $208.61 per time performed $6,074.20
an average of $55.22 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64495
Performed in a facility
102
times performed,
3% of his services

12th 70th

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

57
patients got this service, 10% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$21,235.38an average of $208.19 per time performed $5,689.56
an average of $55.78 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves using imaging guidance ×

Service Code: 64635
Performed in a facility
85
times performed,
2% of his services

13th 61st

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

53
patients got this service, 9% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$49,219.25an average of $579.05 per time performed $14,703.30
an average of $172.98 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injection procedure into sacroiliac joint for anesthetic ... +

Injection procedure into sacroiliac joint for anesthetic or steroid ×

Service Code: 27096
Performed in a facility
58
times performed,
1% of his services

14th 77th

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

49
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$21,700.12an average of $374.14 per time performed $4,079.14
an average of $70.33 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
56
times performed,
1% of his services

15th 23rd

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

45
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.1)
$732.48an average of $13.08 per time performed $155.68
an average of $2.78 per time performed
medical

Aspiration and/or injection of major joint or joint capsu... +

Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance ×

Service Code: 20611
Performed in an office
56
times performed,
1% of his services

16th 74th

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

42
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$13,848.24an average of $247.29 per time performed $4,085.20
an average of $72.95 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64490
Performed in a facility
51
times performed,
1% of his services

17th 76th

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

28
patients got this service, 5% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$25,653.00an average of $503.00 per time performed $4,940.37
an average of $96.87 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64491
Performed in a facility
40
times performed,
1% of his services

18th 80th

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

21
patients got this service, 4% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.8)
$7,833.60an average of $195.84 per time performed $2,086.80
an average of $52.17 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in a facility
39
times performed,
1% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in AZ perform this service

23
patients got this service, 4% of his patients
1.7
average number of visits a patient made for this service
$535.47an average of $13.73 per time performed $200.07
an average of $5.13 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into upper o... +

Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance ×

Service Code: 64479
Performed in a facility
38
times performed,
0.97% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in AZ perform this service

19
patients got this service, 3% of his patients
2
average number of visits a patient made for this service
$18,176.54an average of $478.33 per time performed $3,972.90
an average of $104.55 per time performed
medical
NERVOUS SYSTEM

Destruction of upper or middle spinal facet joint nerves ... +

Destruction of upper or middle spinal facet joint nerves with imaging guidance ×

Service Code: 64634
Performed in a facility
34
times performed,
0.87% of his services

21st 88th

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

16
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$9,352.38an average of $275.07 per time performed $1,861.50
an average of $54.75 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64492
Performed in a facility
33
times performed,
0.84% of his services

22nd 107th

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

18
patients got this service, 3% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$6,285.18an average of $190.46 per time performed $1,694.22
an average of $51.34 per time performed
medical
NERVOUS SYSTEM

Destruction of upper or middle spinal facet joint nerves ... +

Destruction of upper or middle spinal facet joint nerves using imaging guidance ×

Service Code: 64633
Performed in a facility
25
times performed,
0.64% of his services

23rd 95th

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

20
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$14,603.00an average of $584.12 per time performed $4,451.75
an average of $178.07 per time performed
drug
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
16
times performed,
0.41% of his services

24th 40th

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: 2.6)
$20.00an average of $1.25 per time performed $6.40
an average of $0.40 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
11
times performed,
0.28% of his services

25th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

most performed service for this provider 5 or fewer providers in this specialty in AZ perform this service

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$556.38an average of $50.58 per time performed $189.31
an average of $17.21 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.

Richard John Ruskin
Average for Pain Medicine Providers in Arizona

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.