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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, $130 per patient in 2012.
They performed about 2 services per patient. Here’s how this provider compares.
Number of
Patients
583
Rank: 50th
out of 841 providers in this state & specialty
Services
Performed
8,104
Rank: 11th
out of 841 providers in this state & specialty
Avg Services
Per Patient
13.9 This Provider is in the top 10%
Avg 1.9
Total Paid
by Medicare
$313K
Rank: 9th
out of 841 providers in this state & specialty
Avg Paid
Per Patient
$537 This Provider is in the top 10%
Avg $130

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.

Douglas D. Pritchard
Average for Anesthesiology 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

ANDREW SCHNEIDER

THOMAS GASTON

REID BRECKWOLDT

ROCCO TRITICO

AHMED ELNAGGAR

Organizations

IREDELL MEMORIAL HOSPIT...

DOUGLAS DUSSEL PRITCHAR...

Patients saw before

Douglas D. Pritchard

Patients saw after

Individuals

ANDREW SCHNEIDER

REID BRECKWOLDT

ROCCO TRITICO

THOMAS GASTON

AHMED ELNAGGAR

Organizations

IREDELL MEMORIAL HOSPIT...

DOUGLAS DUSSEL PRITCHAR...

This Provider's Services

This provider performed 30 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
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
2,669
times performed,
33% of his services

1st 4th

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

546
patients got this service, 94% of his patients
4.9
average number of visits a patient made for this service
(Peers: 2.7)
$360,315an average of $135 per time performed $122,774
an average of $46 per time performed
DRUGS

Injection, morphine sulfate (preservative-free sterile so... +

Injection, morphine sulfate (preservative-free sterile solution), per 10 mg ×

Service Code: J2275
Performed in an office
1,918
times performed,
24% of his services

2nd Alert

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

20
patients got this service, 3% of his patients
2.6
average number of visits a patient made for this service
$38,360an average of $20 per time performed $3,836
an average of $2 per time performed
DRUGS

Injection, betamethasone acetate 3mg and betamethasone so... +

Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg ×

Service Code: J0702
Performed in an office
705
times performed,
9% of his services

3rd Alert

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

236
patients got this service, 40% of his patients
1.8
average number of visits a patient made for this service
$17,625an average of $25 per time performed $2,820
an average of $4 per time performed
RADIOLOGY

Fluoroscopic guidance for spine or spinal canal injection +

Fluoroscopic guidance for spine or spinal canal injection ×

Service Code: 77003
Performed in an office
530
times performed,
7% of his services

4th 18th

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

257
patients got this service, 44% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.7)
$106,000an average of $200 per time performed $24,380
an average of $46 per time performed
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
268
times performed,
3% of his services

5th Alert

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

144
patients got this service, 25% of his patients
1.9
average number of visits a patient made for this service
$12,060an average of $45 per time performed $3,752
an average of $14 per time performed
EVALUATION AND MANAGEMENT

Smoking and tobacco use intermediate counseling, greater ... +

Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes ×

Service Code: 99406
Performed in an office
267
times performed,
3% of his services

6th Alert

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

142
patients got this service, 24% of his patients
1.9
average number of visits a patient made for this service
$5,607an average of $21 per time performed $2,670
an average of $10 per time performed
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
266
times performed,
3% of his services

7th 56th

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

139
patients got this service, 24% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.9)
$5,320an average of $20 per time performed $798
an average of $3 per time performed
NERVOUS SYSTEM

Injections of substances into lower or sacral spine

Service Code: 62311
Performed in an office
224
times performed,
3% of his services

8th 23rd

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

117
patients got this service, 20% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.7)
$90,272an average of $403 per time performed $32,032
an average of $143 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
209
times performed,
3% of his services

9th 98th

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

116
patients got this service, 20% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.5)
$40,337an average of $193 per time performed $10,659
an average of $51 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
111
times performed,
1% of his services

10th 74th

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

79
patients got this service, 14% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$8,436an average of $76 per time performed $3,330
an average of $30 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
101
times performed,
1% of his services

11th 12th

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

76
patients got this service, 13% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.3)
$18,786an average of $186 per time performed $7,171
an average of $71 per time performed
MUSCULOSKELETAL SYSTEM

Injection procedure into sacroiliac joint for anesthetic ... +

Injection procedure into sacroiliac joint for anesthetic or steroid ×

Service Code: 27096
Performed in an office
100
times performed,
1% of his services

12th 75th

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

77
patients got this service, 13% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$73,500an average of $735 per time performed $14,600
an average of $146 per time performed
DRUGS

Hyaluronan or derivative (hyalgan or supartz), for intra-... +

Hyaluronan or derivative (hyalgan or supartz), for intra-articular injection, per dose ×

Service Code: J7321
Performed in an office
88
times performed,
1% of his services

13th Alert

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

12
patients got this service, 2% of his patients
4.8
average number of visits a patient made for this service
$20,240an average of $230 per time performed $5,896
an average of $67 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
81
times performed,
1% of his services

14th 51st

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

81
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$25,839an average of $319 per time performed $8,910
an average of $110 per time performed
NERVOUS SYSTEM

Electronic analysis reprogramming and refill of spinal ca... +

Electronic analysis reprogramming and refill of spinal canal drug infusion pump ×

Service Code: 62369
Performed in an office
69
times performed,
0.85% of his services

15th Alert

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

23
patients got this service, 4% of his patients
3
average number of visits a patient made for this service
$14,904an average of $216 per time performed $5,727
an average of $83 per time performed
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into upper o... +

Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance ×

Service Code: 64479
Performed in an office
67
times performed,
0.83% of his services

16th Alert

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

54
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
$66,665an average of $995 per time performed $17,353
an average of $259 per time performed
RADIOLOGY

Fluoroscopic guidance for insertion of needle

Service Code: 77002
Performed in an office
59
times performed,
0.73% of his services

17th 160th

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

32
patients got this service, 5% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2)
$11,800an average of $200 per time performed $3,304
an average of $56 per time performed
DRUGS

Not-otherwise classified drugs, other than inhalation dru... +

Not-otherwise classified drugs, other than inhalation drugs, administered through durable medical equipment ×

Service Code: J7799
Performed in an office
52
times performed,
0.64% of his services

18th Alert

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

20
patients got this service, 3% of his patients
2.6
average number of visits a patient made for this service
$10,764an average of $207 per time performed $3,692
an average of $71 per time performed
NERVOUS SYSTEM

Electronic analysis reprogramming and refill of spinal ca... +

Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician ×

Service Code: 62370
Performed in an office
44
times performed,
0.54% of his services

19th 142nd

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

20
patients got this service, 3% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.5)
$11,220an average of $255 per time performed $4,312
an average of $98 per time performed
NERVOUS SYSTEM

Destruction of upper or middle spinal facet joint nerves ... +

Destruction of upper or middle spinal facet joint nerves using imaging guidance ×

Service Code: 64633
Performed in an office
41
times performed,
0.51% of his services

20th Alert

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

35
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
$55,432an average of $1,352 per time performed $18,286
an average of $446 per time performed
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
40
times performed,
0.49% of his services

21st Alert

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

20
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$400an average of $10 per time performed $0
an average of $0 per time performed
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
38
times performed,
0.47% of his services

22nd Alert

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

20
patients got this service, 3% of his patients
1.9
average number of visits a patient made for this service
$2,014an average of $53 per time performed $646
an average of $17 per time performed
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 1 or 2 muscles

Service Code: 20552
Performed in an office
32
times performed,
0.39% of his services

23rd 128th

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

26
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$4,160an average of $130 per time performed $1,024
an average of $32 per time performed
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64483
Performed in an office
28
times performed,
0.35% of his services

24th 40th

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

21
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$16,996an average of $607 per time performed $4,956
an average of $177 per time performed
RADIOLOGY

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

Radiological supervision and interpretation x-ray of knee joint ×

Service Code: 73580
Performed in an office
24
times performed,
0.3% of his services

25th Alert

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

12
patients got this service, 2% of his patients
2
average number of visits a patient made for this service
$6,600an average of $275 per time performed $2,280
an average of $95 per time performed
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64490
Performed in an office
18
times performed,
0.22% of his services

26th 151st

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

15
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$12,834an average of $713 per time performed $2,970
an average of $165 per time performed
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64491
Performed in an office
15
times performed,
0.19% of his services

27th 162nd

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

13
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$4,665an average of $311 per time performed $1,230
an average of $82 per time performed
MEDICINE

Electronic analysis and programming of implanted complex ... +

Electronic analysis and programming of implanted complex spinal cord or peripheral neurostimulator generator system during or after surgery, first hour ×

Service Code: 95972
Performed in an office
15
times performed,
0.19% of his services

28th 190th

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

13
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$3,450an average of $230 per time performed $1,005
an average of $67 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
13
times performed,
0.16% of his services

29th 178th

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: 1.2)
$3,263an average of $251 per time performed $1,027
an average of $79 per time performed
MUSCULOSKELETAL SYSTEM

Injection procedure for x-ray imaging of knee

Service Code: 27370
Performed in an office
12
times performed,
0.15% of his services

30th Alert

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$6,840an average of $570 per time performed $1,848
an average of $154 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 "Pain Medicine." 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.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.