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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, $272 per patient in 2012.
They performed about 10 services per patient. Here’s how this provider compares.
Number of
Patients
1,501
Rank: 2nd
out of 363 providers in this state & specialty
Services
Performed
123,345
Rank: 2nd
out of 363 providers in this state & specialty
Avg Services
Per Patient
82.2 This Provider is in the top 10%
Avg 9.6
Total Paid
by Medicare
$1.01M
Rank: 2nd
out of 363 providers in this state & specialty
Avg Paid
Per Patient
$674 This Provider is in the top 10%
Avg $272

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.

James M. Patton
Average for Neurology 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.

Patients saw before

James M. Patton

Patients saw after

This Provider's Services

This provider performed 22 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, onabotulinumtoxina (botox), 1 unit

Service Code: J0585
Performed in an office
75,001
times performed,
61% of his services

1st 1st

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

138
patients got this service, 9% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2.3)
$750,010an average of $10 per time performed $300,004
an average of $4 per time performed
DRUGS

Injection, natalizumab (tysabri), 1 mg

Service Code: J2323
Performed in an office
41,400
times performed,
34% of his services

2nd 2nd

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

18
patients got this service, 1% of his patients
7.7
average number of visits a patient made for this service
(Peers: 4.4)
$579,600an average of $14 per time performed $372,600
an average of $9 per time performed
DRUGS

Injection, incobotulinumtoxin a (xeomin), 1 unit

Service Code: J0588
Performed in an office
2,700
times performed,
2% of his services

3rd Alert

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

18
patients got this service, 1% of his patients
2.6
average number of visits a patient made for this service
$27,000an average of $10 per time performed $10,800
an average of $4 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
1,248
times performed,
1% of his services

4th 4th

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

870
patients got this service, 58% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$182,208an average of $146 per time performed $56,160
an average of $45 per time performed
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
678
times performed,
0.55% of his services

5th 3rd

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

522
patients got this service, 35% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$148,482an average of $219 per time performed $47,460
an average of $70 per time performed
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles for guidance with injection of chemical for destruction of muscles ×

Service Code: 95874
Performed in an office
324
times performed,
0.26% of his services

6th 75th

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

117
patients got this service, 8% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.5)
$37,908an average of $117 per time performed $15,228
an average of $47 per time performed
MEDICINE

Needle measurement, rate, and recording of nerve motor (m... +

Needle measurement, rate, and recording of nerve motor (movement) function, with f-wave study ×

Service Code: 95903
Performed in an office
281
times performed,
0.23% of his services

7th 6th

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

87
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$43,836an average of $156 per time performed $15,736
an average of $56 per time performed
MEDICINE

Needle measurement and recording of nerve sensory (feel) ... +

Needle measurement and recording of nerve sensory (feel) function ×

Service Code: 95904
Performed in an office
248
times performed,
0.2% of his services

8th 5th

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

97
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$29,264an average of $118 per time performed $10,664
an average of $43 per time performed
NERVOUS SYSTEM

Injection of chemical for destruction of neck muscles

Service Code: 64613
Performed in an office
248
times performed,
0.2% of his services

9th 61st

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

91
patients got this service, 6% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.4)
$157,976an average of $637 per time performed $31,248
an average of $126 per time performed
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
169
times performed,
0.14% of his services

10th 9th

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

169
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$57,291an average of $339 per time performed $17,576
an average of $104 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
160
times performed,
0.13% of his services

11th 51st

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

22
patients got this service, 1% of his patients
7.3
average number of visits a patient made for this service
(Peers: 4.7)
$55,040an average of $344 per time performed $15,680
an average of $98 per time performed
NERVOUS SYSTEM

Injection of chemical for destruction of nerve muscles on... +

Injection of chemical for destruction of nerve muscles on one side of face ×

Service Code: 64612
Performed in an office
152
times performed,
0.12% of his services

12th 66th

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

57
patients got this service, 4% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2.4)
$89,680an average of $590 per time performed $24,168
an average of $159 per time performed
NERVOUS SYSTEM

Injection of chemical for destruction of arms legs and/or... +

Injection of chemical for destruction of arms legs and/or torso muscles ×

Service Code: 64614
Performed in an office
126
times performed,
0.1% of his services

13th 115th

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

44
patients got this service, 3% of his patients
2.9
average number of visits a patient made for this service
(Peers: 2.5)
$67,788an average of $538 per time performed $17,262
an average of $137 per time performed
MEDICINE

Electronic analysis and programming of implanted complex ... +

Electronic analysis and programming of implanted complex deep brain neurostimulator generator system, first hour ×

Service Code: 95978
Performed in an office
124
times performed,
0.1% of his services

14th Alert

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

46
patients got this service, 3% of his patients
2.7
average number of visits a patient made for this service
$65,100an average of $525 per time performed $20,956
an average of $169 per time performed
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
103
times performed,
0.08% of his services

15th 29th

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

97
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,030an average of $10 per time performed $309
an average of $3 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
82
times performed,
0.07% of his services

16th 19th

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

82
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$34,932an average of $426 per time performed $11,398
an average of $139 per time performed
MEDICINE

Electronic analysis of implanted brain spinal cord or per... +

Electronic analysis of implanted brain spinal cord or peripheral neurostimulator generator system ×

Service Code: 95970
Performed in an office
73
times performed,
0.06% of his services

17th Alert

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

42
patients got this service, 3% of his patients
1.7
average number of visits a patient made for this service
$9,417an average of $129 per time performed $3,212
an average of $44 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
73
times performed,
0.06% of his services

18th 11th

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

68
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$21,608an average of $296 per time performed $6,935
an average of $95 per time performed
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles of arm or leg complete study ×

Service Code: 95886
Performed in an office
66
times performed,
0.05% of his services

19th 12th

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

60
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,926an average of $211 per time performed $4,356
an average of $66 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
60
times performed,
0.05% of his services

20th 35th

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

56
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$5,220an average of $87 per time performed $1,560
an average of $26 per time performed
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
16
times performed,
0.01% of his services

21st 71st

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,072an average of $67 per time performed $368
an average of $23 per time performed
MEDICINE

Measurement and recording of brain wave (eeg) activity, a... +

Measurement and recording of brain wave (eeg) activity, awake and asleep ×

Service Code: 95819
Performed in an office
13
times performed,
0.01% of his services

22nd 63rd

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

13
patients got this service, 0.87% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,411an average of $647 per time performed $3,484
an average of $268 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 "Neurology." 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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