Treatment Tracker

The Doctors and Services in Medicare Part B

Treatment Tracker » Georgia » Lagrange

SERENA COULOMBE CRNP

CLARK-HOLDER CLINIC, P.A. 303 SMITH STREET, LAGRANGE, GA, 30240 | (706) 882-8831

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $124 per patient in 2015.
They performed about 3 services per patient. Here’s how this provider compares.

Number of
Patients
665
Rank: 3rd
out of 206 providers in this state & specialty
Services
Performed
2,435
Rank: 9th
out of 206 providers in this state & specialty
Avg Services
Per Patient
3.7 This Provider
Avg 2.8
Total Paid
by Medicare
$87.8K
Rank: 10th
out of 206 providers in this state & specialty
Avg Paid
Per Patient
$132 This Provider
Avg $124

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 29 different services in 2015
(12 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 25 minutes ×

Service Code: 99214
Performed in an office
537
times performed,
22% of her services

1st 3rd

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

321
patients got this service, 48% of her patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$170,502.87an average of $317.51 per time performed $36,011.22
an average of $67.06 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
524
times performed,
22% of her services

2nd 1st

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

318
patients got this service, 48% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$112,240.80an average of $214.20 per time performed $19,581.88
an average of $37.37 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
229
times performed,
9% of her services

3rd 20th

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

194
patients got this service, 29% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$14,044.57an average of $61.33 per time performed $2,230.46
an average of $9.74 per time performed
medical
MEDICINE

Telephonic evaluation of single, dual, or multiple lead p... +

Telephonic evaluation of single, dual, or multiple lead pacemaker heart rhythm strips up to 90 days ×

Service Code: 93293
Performed in an office
226
times performed,
9% of her services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

97
patients got this service, 15% of her patients
2.3
average number of visits a patient made for this service
$43,954.74an average of $194.49 per time performed $6,251.16
an average of $27.66 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
208
times performed,
9% of her services

5th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

26
patients got this service, 4% of her patients
8
average number of visits a patient made for this service
$4,715.36an average of $22.67 per time performed $1,089.92
an average of $5.24 per time performed
medical
MEDICINE

Evaluation of parameters of single, dual, or multiple lea... +

Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection ×

Service Code: 93288
Performed in an office
103
times performed,
4% of her services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

95
patients got this service, 14% of her patients
1.1
average number of visits a patient made for this service
$13,818.48an average of $134.16 per time performed $2,145.49
an average of $20.83 per time performed
medical
MEDICINE

Remote evaluations of single, dual, or multiple lead pace... +

Remote evaluations of single, dual, or multiple lead pacemaker with physician analysis, review, and report up to 90 days ×

Service Code: 93294
Performed in an office
99
times performed,
4% of her services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

40
patients got this service, 6% of her patients
2.5
average number of visits a patient made for this service
$12,212.64an average of $123.36 per time performed $1,846.35
an average of $18.65 per time performed
medical
MEDICINE

Evaluation of defibrillator including connection, recordi... +

Evaluation of defibrillator including connection, recording and disconnection ×

Service Code: 93289
Performed in an office
87
times performed,
4% of her services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

35
patients got this service, 5% of her patients
2.5
average number of visits a patient made for this service
$20,705.13an average of $237.99 per time performed $3,046.74
an average of $35.02 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
84
times performed,
3% of her services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

20
patients got this service, 3% of her patients
4.2
average number of visits a patient made for this service
$2,847.60an average of $33.90 per time performed $949.20
an average of $11.30 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
79
times performed,
3% of her services

10th 10th

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

71
patients got this service, 11% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$2,370.00an average of $30.00 per time performed $232.26
an average of $2.94 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
66
times performed,
3% of her services

11th 11th

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

46
patients got this service, 7% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$20,176.20an average of $305.70 per time performed $4,488.00
an average of $68.00 per time performed
medical
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring and physician supervision ×

Service Code: 93016
Performed in an office
60
times performed,
2% of her services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

60
patients got this service, 9% of her patients
1
average number of visits a patient made for this service
$5,035.20an average of $83.92 per time performed $877.20
an average of $14.62 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
29
times performed,
1% of her services

13th 18th

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

28
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,270.08an average of $595.52 per time performed $3,835.54
an average of $132.26 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
25
times performed,
1% of her services

14th 39th

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

25
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,192.00an average of $487.68 per time performed $2,434.50
an average of $97.38 per time performed
medical
MEDICINE

Heart rhythm tracing, computer analysis, and interpretati... +

Heart rhythm tracing, computer analysis, and interpretation of patient-triggered events greater than 24-hour ekg up to 30 days ×

Service Code: 93228
Performed in an office
22
times performed,
0.9% of her services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

22
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
$2,187.90an average of $99.45 per time performed $343.20
an average of $15.60 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
12
times performed,
0.49% of her services

16th 33rd

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

12
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$849.00an average of $70.75 per time performed $300.48
an average of $25.04 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
11
times performed,
0.45% of her services

17th 64th

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

11
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,595.00an average of $145.00 per time performed $391.49
an average of $35.59 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.

Serena M Coulombe
Average for Nurse Practitioner, Adult Health Providers in Georgia

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 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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