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, $222 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
873
Rank: 29th
out of 421 providers in this state & specialty
Services
Performed
4,964
Rank: 40th
out of 421 providers in this state & specialty
Avg Services
Per Patient
5.7 This Provider
Avg 5
Total Paid
by Medicare
$300K
Rank: 15th
out of 421 providers in this state & specialty
Avg Paid
Per Patient
$344 This Provider
Avg $222

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 30 different services in 2015
(16 were redacted as they were performed on less than 11 patients)

All Services

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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

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in a facility
2,847
times performed,
57% of his services

1st 38th

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

391
patients got this service, 45% of his patients
7.3
average number of visits a patient made for this service
(Peers: 4.2)
$262,863.51an average of $92.33 per time performed $179,389.47
an average of $63.01 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
736
times performed,
15% of his services

2nd 3rd

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

365
patients got this service, 42% of his patients
2
average number of visits a patient made for this service
(Peers: 2.5)
$54,397.76an average of $73.91 per time performed $29,094.08
an average of $39.53 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
452
times performed,
9% of his services

3rd 2nd

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

261
patients got this service, 30% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.3)
$49,191.16an average of $108.83 per time performed $27,201.36
an average of $60.18 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in a facility
264
times performed,
5% of his services

4th 79th

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

233
patients got this service, 27% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$44,988.24an average of $170.41 per time performed $32,004.72
an average of $121.23 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in a facility
173
times performed,
3% of his services

5th 30th

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

85
patients got this service, 10% of his patients
2
average number of visits a patient made for this service
(Peers: 3.3)
$12,042.53an average of $69.61 per time performed $8,181.17
an average of $47.29 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
105
times performed,
2% of his services

6th 71st

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

88
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$5,700.45an average of $54.29 per time performed $3,705.45
an average of $35.29 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
100
times performed,
2% of his services

7th 1st

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

42
patients got this service, 5% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.8)
$7,909.00an average of $79.09 per time performed $4,894.00
an average of $48.94 per time performed
medical
EVALUATION AND MANAGEMENT

Nursing facility discharge day management, 30 minutes or ... +

Nursing facility discharge day management, 30 minutes or less ×

Service Code: 99315
Performed in a facility
58
times performed,
1% of his services

8th 129th

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

57
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,312.30an average of $74.35 per time performed $2,892.46
an average of $49.87 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
52
times performed,
1% of his services

9th 10th

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

46
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$4,052.88an average of $77.94 per time performed $2,689.96
an average of $51.73 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
31
times performed,
0.62% of his services

10th 64th

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

31
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,045.25an average of $162.75 per time performed $2,342.36
an average of $75.56 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
27
times performed,
0.54% of his services

11th 24th

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

25
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$2,015.82an average of $74.66 per time performed $1,343.79
an average of $49.77 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
24
times performed,
0.48% of his services

12th 13th

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

18
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.4)
$989.52an average of $41.23 per time performed $701.04
an average of $29.21 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent observation care, typically 25 minutes per day +

Subsequent observation care, typically 25 minutes per day ×

Service Code: 99225
Performed in a facility
15
times performed,
0.3% of his services

13th 40th

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

11
patients got this service, 1% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$1,094.10an average of $72.94 per time performed $758.25
an average of $50.55 per time performed
medical
PROCEDURES

Physician re-certification for medicare-covered home heal... +

Physician re-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 im ×

Service Code: G0179
Performed in an office
13
times performed,
0.26% of his services

14th 108th

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

11
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$540.02an average of $41.54 per time performed $376.22
an average of $28.94 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.

Ward Jackson Paine
Average for Internal Medicine Providers in West 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.

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