Treatment Tracker

The Doctors and Services in Medicare Part B

This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $895 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
581
Rank: 42nd
out of 156 providers in this state & specialty
Services
Performed
1,856
Rank: 60th
out of 156 providers in this state & specialty
Avg Services
Per Patient
3.2 This Provider
Avg 4.6
Total Paid
by Medicare
$314K
Rank: 46th
out of 156 providers in this state & specialty
Avg Paid
Per Patient
$541 This Provider
Avg $895

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 Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 133 different services in 2015
(112 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
363
times performed,
20% of his services

1st 2nd

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

314
patients got this service, 54% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$63,525.00an average of $175.00 per time performed $16,992.03
an average of $46.81 per time performed
medical
MEDICINE

Ultrasound scanning of blood flow (outside the brain) on ... +

Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck ×

Service Code: 93880
Performed in an office
254
times performed,
14% of his services

2nd 4th

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

233
patients got this service, 40% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$120,253.76an average of $473.44 per time performed $35,684.46
an average of $140.49 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
116
times performed,
6% of his services

3rd 5th

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

114
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$30,160.00an average of $260.00 per time performed $9,097.88
an average of $78.43 per time performed
medical
MEDICINE

Ultrasound scan of vena cava or groin graft or vessel blo... +

Ultrasound scan of vena cava or groin graft or vessel blood flow ×

Service Code: 93978
Performed in an office
100
times performed,
5% of his services

4th 16th

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

93
patients got this service, 16% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$44,900.00an average of $449.00 per time performed $12,774.00
an average of $127.74 per time performed
medical
MEDICINE

Ultrasound study of arteries of both arms and legs

Service Code: 93922
Performed in an office
92
times performed,
5% of his services

5th 3rd

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

81
patients got this service, 14% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$19,320.00an average of $210.00 per time performed $4,659.80
an average of $50.65 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
91
times performed,
5% of his services

6th 7th

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

91
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$23,660.00an average of $260.00 per time performed $6,920.55
an average of $76.05 per time performed
medical
MEDICINE

Ultrasound study of arteries and arterial grafts of both ... +

Ultrasound study of arteries and arterial grafts of both legs ×

Service Code: 93925
Performed in an office
83
times performed,
4% of his services

7th 13th

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

75
patients got this service, 13% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$50,713.00an average of $611.00 per time performed $13,436.04
an average of $161.88 per time performed
medical
CARDIOVASCULAR SYSTEM

Removal of blood clot and portion of artery of neck

Service Code: 35301
Performed in a facility
56
times performed,
3% of his services

8th 50th

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

55
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$160,272.00an average of $2,862.00 per time performed $49,440.16
an average of $882.86 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of needle or catheter into an artery of arm or leg +

Insertion of needle or catheter into an artery of arm or leg ×

Service Code: 36140
Performed in a facility
53
times performed,
3% of his services

9th Alert

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

45
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
$6,837.00an average of $129.00 per time performed $2,074.95
an average of $39.15 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
49
times performed,
3% of his services

10th 24th

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

46
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$16,415.00an average of $335.00 per time performed $4,879.91
an average of $99.59 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of catheter into aorta

Service Code: 36200
Performed in a facility
44
times performed,
2% of his services

11th 66th

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

42
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,984.00an average of $386.00 per time performed $3,948.12
an average of $89.73 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
30
times performed,
2% of his services

12th 14th

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

30
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,910.00an average of $397.00 per time performed $3,520.80
an average of $117.36 per time performed
medical
RADIOLOGY

Radiological supervision and interpretation x-ray of abdo... +

Radiological supervision and interpretation x-ray of abdominal aorta ×

Service Code: 75625
Performed in a facility
29
times performed,
2% of his services

13th 33rd

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

28
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,205.00an average of $145.00 per time performed $1,205.82
an average of $41.58 per time performed
medical
RADIOLOGY

Radiological supervision and interpretation of imaging of... +

Radiological supervision and interpretation of imaging of arteries of both arms or legs ×

Service Code: 75716
Performed in a facility
29
times performed,
2% of his services

14th 60th

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

28
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,075.00an average of $175.00 per time performed $1,372.86
an average of $47.34 per time performed
medical
CARDIOVASCULAR SYSTEM

Bypass of diseased or blocked artery (upper leg to lower ... +

Bypass of diseased or blocked artery (upper leg to lower thigh artery) ×

Service Code: 35656
Performed in a facility
22
times performed,
1% of his services

15th Alert

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

21
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$60,478.00an average of $2,749.00 per time performed $15,216.96
an average of $691.68 per time performed
medical
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple ×

Service Code: G0180
Performed in an office
19
times performed,
1% of his services

16th 144th

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

19
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,413.00an average of $127.00 per time performed $768.93
an average of $40.47 per time performed
medical
RADIOLOGY

Radiological supervision and interpretation of imaging of... +

Radiological supervision and interpretation of imaging of artery of one arm or leg ×

Service Code: 75710
Performed in a facility
19
times performed,
1% of his services

17th 30th

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: 1.2)
$2,565.00an average of $135.00 per time performed $768.74
an average of $40.46 per time performed
medical
MEDICINE

Ultrasound scan of abdominal, pelvic, and/or scrotal arte... +

Ultrasound scan of abdominal, pelvic, and/or scrotal arterial inflow and venous outflow ×

Service Code: 93975
Performed in an office
18
times performed,
0.97% of his services

18th 74th

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: 1.5)
$11,934.00an average of $663.00 per time performed $3,200.04
an average of $177.78 per time performed
medical
MEDICINE

Ultrasound study of arteries and arterial grafts of one l... +

Ultrasound study of arteries and arterial grafts of one leg or limited ×

Service Code: 93926
Performed in an office
14
times performed,
0.75% of his services

19th 10th

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

12
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$5,600.00an average of $400.00 per time performed $1,559.46
an average of $111.39 per time performed
medical
CARDIOVASCULAR SYSTEM

Reoperation of upper or lower leg artery more than 1 mont... +

Reoperation of upper or lower leg artery more than 1 month after original operation ×

Service Code: 35700
Performed in a facility
13
times performed,
0.7% of his services

20th Alert

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

11
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
$5,070.00an average of $390.00 per time performed $1,589.51
an average of $122.27 per time performed
medical
RADIOLOGY

Radiological supervision and interpretation x-ray of abdo... +

Radiological supervision and interpretation x-ray of abdominal aorta and both leg arteries ×

Service Code: 75630
Performed in a facility
11
times performed,
0.59% of his services

21st 129th

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: 1.1)
$4,812.50an average of $437.50 per time performed $762.30
an average of $69.30 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.

This provider did not bill Medicare for any 5’s.

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Silas Edwin Duncan
Average for Vascular Surgery Providers in Texas

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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