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Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $261 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
718
Rank: 89th
out of 659 providers in this state & specialty
Services
Performed
3,711
Rank: 142nd
out of 659 providers in this state & specialty
Avg Services
Per Patient
5.2 This Provider
Avg 5.3
Total Paid
by Medicare
$140K
Rank: 211th
out of 659 providers in this state & specialty
Avg Paid
Per Patient
$195 This Provider
Avg $261

Office Visits

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Top Billing

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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.

Hector M. Pedraza
Average for Orthopedic Surgery Providers in North Carolina

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Individuals

LANCE ARNDER

KEVIN CREGAN

PAUL WILLMAN

LELAN WHITMIRE

VANCE EDWARDS

Organizations

WAYNE MEMORIAL HOSPITAL...

LABORATORY CORPORATION ...

Patients saw before

Hector M. Pedraza

Patients saw after

Individuals

LANCE ARNDER

KEVIN CREGAN

PAUL WILLMAN

VANCE EDWARDS

LELAN WHITMIRE

Organizations

WAYNE MEMORIAL HOSPITAL...

LABORATORY CORPORATION ...

This Provider's Services

This provider performed 27 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
877
times performed,
24% of his services

1st 1st

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

262
patients got this service, 36% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$9,647an average of $11 per time performed $877
an average of $1 per time performed
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
689
times performed,
19% of his services

2nd 7th

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

428
patients got this service, 60% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$44,785an average of $65 per time performed $21,359
an average of $31 per time performed
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
400
times performed,
11% of his services

3rd 2nd

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

292
patients got this service, 41% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$36,000an average of $90 per time performed $21,200
an average of $53 per time performed
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
395
times performed,
11% of his services

4th 4th

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

231
patients got this service, 32% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$57,275an average of $145 per time performed $18,565
an average of $47 per time performed
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
173
times performed,
5% of his services

5th 9th

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

137
patients got this service, 19% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$10,207an average of $59 per time performed $4,671
an average of $27 per time performed
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
164
times performed,
4% of his services

6th 8th

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

164
patients got this service, 23% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$23,780an average of $145 per time performed $12,136
an average of $74 per time performed
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
105
times performed,
3% of his services

7th 17th

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

63
patients got this service, 9% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.3)
$6,615an average of $63 per time performed $2,520
an average of $24 per time performed
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
94
times performed,
3% of his services

8th 12th

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

75
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$9,024an average of $96 per time performed $2,162
an average of $23 per time performed
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
85
times performed,
2% of his services

9th 16th

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: 1.2)
$5,695an average of $67 per time performed $2,380
an average of $28 per time performed
RADIOLOGY

X-ray of knee, 4 or more views

Service Code: 73564
Performed in an office
77
times performed,
2% of his services

10th 22nd

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

55
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$5,313an average of $69 per time performed $2,464
an average of $32 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
72
times performed,
2% of his services

11th 89th

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

72
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,400an average of $200 per time performed $3,960
an average of $55 per time performed
RADIOLOGY

X-ray of foot, minimum of 3 views

Service Code: 73630
Performed in an office
68
times performed,
2% of his services

12th 21st

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

39
patients got this service, 5% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$3,604an average of $53 per time performed $1,564
an average of $23 per time performed
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
66
times performed,
2% of his services

13th 15th

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

63
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$5,874an average of $89 per time performed $1,320
an average of $20 per time performed
RADIOLOGY

X-ray of wrist, 2 views

Service Code: 73100
Performed in an office
61
times performed,
2% of his services

14th 30th

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

41
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$3,050an average of $50 per time performed $1,403
an average of $23 per time performed
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
61
times performed,
2% of his services

15th 13th

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

40
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$3,050an average of $50 per time performed $1,220
an average of $20 per time performed
RADIOLOGY

X-ray of ankle, minimum of 3 views

Service Code: 73610
Performed in an office
44
times performed,
1% of his services

16th 24th

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

29
patients got this service, 4% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$2,376an average of $54 per time performed $1,056
an average of $24 per time performed
MUSCULOSKELETAL SYSTEM

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

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

Service Code: 20600
Performed in an office
40
times performed,
1% of his services

17th 58th

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

33
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$4,080an average of $102 per time performed $1,520
an average of $38 per time performed
RADIOLOGY

X-ray of hand, minimum of 3 views

Service Code: 73130
Performed in an office
39
times performed,
1% of his services

18th 37th

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

33
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,067an average of $53 per time performed $897
an average of $23 per time performed
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
34
times performed,
0.92% of his services

19th 47th

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

34
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,888an average of $232 per time performed $3,502
an average of $103 per time performed
RADIOLOGY

X-ray of spine of neck, 2 or 3 views

Service Code: 72040
Performed in an office
27
times performed,
0.73% of his services

20th 33rd

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

26
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$1,728an average of $64 per time performed $783
an average of $29 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 2... +

New patient office or other outpatient visit, typically 20 minutes ×

Service Code: 99202
Performed in an office
22
times performed,
0.59% of his services

21st 35th

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

22
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,200an average of $100 per time performed $990
an average of $45 per time performed
MUSCULOSKELETAL SYSTEM

Injection of carpal tunnel

Service Code: 20526
Performed in an office
22
times performed,
0.59% of his services

22nd 98th

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

14
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$3,234an average of $147 per time performed $1,034
an average of $47 per time performed
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
22
times performed,
0.59% of his services

23rd 26th

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

22
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$111,254an average of $5,057 per time performed $25,586
an average of $1,163 per time performed
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 a facility
19
times performed,
0.51% of his services

24th 72nd

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

18
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$2,755an average of $145 per time performed $722
an average of $38 per time performed
MUSCULOSKELETAL SYSTEM

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

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

Service Code: 20605
Performed in an office
15
times performed,
0.4% of his services

25th 43rd

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)
$1,665an average of $111 per time performed $585
an average of $39 per time performed
RADIOLOGY

X-ray of fingers, minimum of 2 views

Service Code: 73140
Performed in an office
14
times performed,
0.38% of his services

26th 42nd

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$700an average of $50 per time performed $350
an average of $25 per time performed
NERVOUS SYSTEM

Release and/or relocation of median nerve of hand

Service Code: 64721
Performed in a facility
14
times performed,
0.38% of his services

27th 78th

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: 1.1)
$11,060an average of $790 per time performed $4,312
an average of $308 per time performed
RADIOLOGY

X-ray of spine, 1 view

Service Code: 72020
Performed in an office
12
times performed,
0.32% of his services

28th 169th

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: 1.2)
$492an average of $41 per time performed $204
an average of $17 per time performed

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 2013 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.

Notes: This provider has a self-reported specialty of "Orthopaedic Surgery." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

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.


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