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, $613 per patient in 2015.
They performed about 11 services per patient. Here’s how this provider compares.

Number of
Patients
777
Rank: 9th
out of 47 providers in this state & specialty
Services
Performed
7,296
Rank: 17th
out of 47 providers in this state & specialty
Avg Services
Per Patient
9.4 This Provider
Avg 11.1
Total Paid
by Medicare
$558K
Rank: 9th
out of 47 providers in this state & specialty
Avg Paid
Per Patient
$719 This Provider
Avg $613

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 74 different services in 2015
(36 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
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
848
times performed,
12% of his services

1st 4th

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

403
patients got this service, 52% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.1)
$229,858.88an average of $271.06 per time performed $44,316.48
an average of $52.26 per time performed
drug
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
780
times performed,
11% of his services

2nd 1st

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

77
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$780.00an average of $1.00 per time performed $93.60
an average of $0.12 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 an office
765
times performed,
10% of his services

3rd 15th

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

154
patients got this service, 20% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$559,765.80an average of $731.72 per time performed $99,258.75
an average of $129.75 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
580
times performed,
8% of his services

4th 6th

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

280
patients got this service, 36% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.1)
$14,500.00an average of $25.00 per time performed $2,853.60
an average of $4.92 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 an office
388
times performed,
5% of his services

5th 13th

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

193
patients got this service, 25% of his patients
2
average number of visits a patient made for this service
(Peers: 1.7)
$278,863.36an average of $718.72 per time performed $49,555.36
an average of $127.72 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 an office
388
times performed,
5% of his services

6th 14th

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

193
patients got this service, 25% of his patients
2
average number of visits a patient made for this service
(Peers: 1.7)
$136,882.52an average of $352.79 per time performed $26,073.60
an average of $67.20 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 an office
386
times performed,
5% of his services

7th 20th

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

191
patients got this service, 25% of his patients
2
average number of visits a patient made for this service
(Peers: 1.7)
$136,960.52an average of $354.82 per time performed $26,012.54
an average of $67.39 per time performed
drug
DRUGS

Injection, betamethasone acetate 3mg and betamethasone so... +

Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg ×

Service Code: J0702
Performed in an office
299
times performed,
4% of his services

8th 9th

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

64
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.8)
$5,872.36an average of $19.64 per time performed $1,378.39
an average of $4.61 per time performed
drug
TEMPORARY CODES

Low osmolar contrast material, 300-399 mg/ml iodine conce... +

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ×

Service Code: Q9967
Performed in an office
260
times performed,
4% of his services

9th 2nd

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

98
patients got this service, 13% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.2)
$11,575.20an average of $44.52 per time performed $28.60
an average of $0.11 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 an office
247
times performed,
3% of his services

10th 25th

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

154
patients got this service, 20% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$427,766.95an average of $1,731.85 per time performed $77,273.95
an average of $312.85 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
211
times performed,
3% of his services

11th 8th

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

148
patients got this service, 19% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$2,954.00an average of $14.00 per time performed $584.47
an average of $2.77 per time performed
medical
NERVOUS SYSTEM

Injections of substances into lower or sacral spine

Service Code: 62311
Performed in an office
187
times performed,
3% of his services

12th 19th

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

115
patients got this service, 15% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$154,172.15an average of $824.45 per time performed $30,939.15
an average of $165.45 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
177
times performed,
2% of his services

13th 3rd

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

153
patients got this service, 20% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.1)
$69,663.66an average of $393.58 per time performed $13,708.65
an average of $77.45 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for insertion of needle

Service Code: 77002
Performed in an office
149
times performed,
2% of his services

14th 18th

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

90
patients got this service, 12% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$45,442.02an average of $304.98 per time performed $10,289.94
an average of $69.06 per time performed
drug
TEMPORARY CODES

Low osmolar contrast material, 200-299 mg/ml iodine conce... +

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml ×

Service Code: Q9966
Performed in an office
142
times performed,
2% of his services

15th 5th

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

41
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.8)
$407.54an average of $2.87 per time performed $22.72
an average of $0.16 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
138
times performed,
2% of his services

16th 17th

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

76
patients got this service, 10% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.6)
$37,789.92an average of $273.84 per time performed $6,280.38
an average of $45.51 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 an office
108
times performed,
1% of his services

17th 16th

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

80
patients got this service, 10% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$81,536.76an average of $754.97 per time performed $13,320.72
an average of $123.34 per time performed
medical
NERVOUS SYSTEM

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

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

Service Code: 64634
Performed in an office
107
times performed,
1% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

30
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
$86,151.05an average of $805.15 per time performed $14,973.58
an average of $139.94 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 an office
106
times performed,
1% of his services

19th 30th

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

55
patients got this service, 7% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.7)
$85,709.48an average of $808.58 per time performed $15,438.90
an average of $145.65 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 an office
106
times performed,
1% of his services

20th 32nd

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

55
patients got this service, 7% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.7)
$41,270.04an average of $389.34 per time performed $7,767.68
an average of $73.28 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 an office
105
times performed,
1% of his services

21st 39th

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

55
patients got this service, 7% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.6)
$41,206.20an average of $392.44 per time performed $7,775.25
an average of $74.05 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 an office
53
times performed,
0.73% of his services

22nd 7th

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

43
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.8)
$51,848.84an average of $978.28 per time performed $8,979.79
an average of $169.43 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 an office
53
times performed,
0.73% of his services

23rd 12th

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

43
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$21,275.26an average of $401.42 per time performed $3,607.71
an average of $68.07 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
48
times performed,
0.66% of his services

24th 31st

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

48
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$19,920.00an average of $415.00 per time performed $3,868.80
an average of $80.60 per time performed
medical
NERVOUS SYSTEM

Destruction of peripheral nerve or branch

Service Code: 64640
Performed in an office
46
times performed,
0.63% of his services

25th 45th

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

13
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$40,020.00an average of $870.00 per time performed $3,277.04
an average of $71.24 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
45
times performed,
0.62% of his services

26th 11th

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

45
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$28,305.00an average of $629.00 per time performed $5,732.10
an average of $127.38 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 an office
41
times performed,
0.56% of his services

27th 64th

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

31
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$70,811.10an average of $1,727.10 per time performed $12,707.13
an average of $309.93 per time performed
medical
NERVOUS SYSTEM

Nervous system procedure

Service Code: 64999
Performed in an office
35
times performed,
0.48% of his services

28th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

26
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
$26,040.00an average of $744.00 per time performed $11,247.60
an average of $321.36 per time performed
medical
NERVOUS SYSTEM

Electronic analysis reprogramming and refill of spinal ca... +

Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician ×

Service Code: 62370
Performed in an office
33
times performed,
0.45% of his services

29th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

27
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
$10,065.00an average of $305.00 per time performed $3,104.31
an average of $94.07 per time performed
medical
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
33
times performed,
0.45% of his services

30th 29th

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

24
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$28,182.00an average of $854.00 per time performed $1,539.45
an average of $46.65 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
31
times performed,
0.42% of his services

31st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 2% of his patients
1.7
average number of visits a patient made for this service
$572.88an average of $18.48 per time performed $162.44
an average of $5.24 per time performed
drug
DRUGS

Hyaluronan or derivative, orthovisc, for intra-articular ... +

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ×

Service Code: J7324
Performed in an office
27
times performed,
0.37% of his services

32nd 44th

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

12
patients got this service, 2% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.5)
$16,065.00an average of $595.00 per time performed $3,675.24
an average of $136.12 per time performed
medical

Compounded drug, not otherwise classified

Service Code: Q9977
Performed in an office
25
times performed,
0.34% of his services

33rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

23
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$3,840.50an average of $153.62 per time performed $1,393.00
an average of $55.72 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for spine or spinal canal injection +

Fluoroscopic guidance for spine or spinal canal injection ×

Service Code: 77003
Performed in an office
21
times performed,
0.29% of his services

34th 38th

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

21
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$3,147.90an average of $149.90 per time performed $1,073.94
an average of $51.14 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
19
times performed,
0.26% of his services

35th 34th

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

15
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$6,995.04an average of $368.16 per time performed $1,298.84
an average of $68.36 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
19
times performed,
0.26% of his services

36th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
$209.00an average of $11.00 per time performed $55.86
an average of $2.94 per time performed
medical
NERVOUS SYSTEM

Injections of substances into upper or middle spine

Service Code: 62310
Performed in an office
17
times performed,
0.23% of his services

37th 24th

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

13
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$16,620.05an average of $977.65 per time performed $2,907.85
an average of $171.05 per time performed
medical
NERVOUS SYSTEM

Injection of anesthetic agent, greater occipital nerve

Service Code: 64405
Performed in an office
15
times performed,
0.21% of his services

38th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
$9,205.95an average of $613.73 per time performed $1,291.65
an average of $86.11 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.

George K Van Osten
Average for Interventional Pain 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.

Read our methodology.