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, $304 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.
Number of
Patients
Services
Performed
Avg Services
Per Patient
Total Paid
by Medicare
Avg Paid
Per Patient
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 26 different services in 2015
(10 were redacted as they were performed on less than 11 patients)
Show Only:
CATEGORYDescription of Service |
Times Performed (or Units) | This Service's Rank | Patients | Unique Visits Per Patient |
Billed to Medicare | Payments from Medicare |
|---|---|---|---|---|---|---|
MEDICINEManual (physical) therapy techniques to 1 or more regions... + Manual (physical) therapy techniques to 1 or more regions, each 15 minutes × Service Code: 97140Performed in an office |
277 times performed, 19% of his services |
1st 63rd most performed service for this provider most performed service in this state & specialty |
45 patients got this service, 96% of his patients |
3.3 average number of visits a patient made for this service (Peers: 7.1) |
$13,850.00an average of $50.00 per time performed |
$4,681.30 an average of $16.90 per time performed |
MEDICINETherapeutic exercise to develop strength, endurance, rang... + Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes × Service Code: 97110Performed in an office |
268 times performed, 18% of his services |
2nd 56th most performed service for this provider most performed service in this state & specialty |
44 patients got this service, 94% of his patients |
3.2 average number of visits a patient made for this service (Peers: 7) |
$16,080.00an average of $60.00 per time performed |
$5,485.96 an average of $20.47 per time performed |
MEDICINEApplication of ultrasound to 1 or more areas, each 15 min... + Application of ultrasound to 1 or more areas, each 15 minutes × Service Code: 97035Performed in an office |
267 times performed, 18% of his services |
3rd 103rd most performed service for this provider most performed service in this state & specialty |
44 patients got this service, 94% of his patients |
3.2 average number of visits a patient made for this service (Peers: 8.6) |
$13,350.00an average of $50.00 per time performed |
$1,938.42 an average of $7.26 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 15 minutes × Service Code: 99213Performed in an office |
148 times performed, 10% of his services |
4th 1st most performed service for this provider most performed service in this state & specialty |
42 patients got this service, 89% of his patients |
3.5 average number of visits a patient made for this service (Peers: 2.6) |
$11,840.00an average of $80.00 per time performed |
$6,714.76 an average of $45.37 per time performed |
SKIN, HAIR AND NAILSRemoval of skin of finger or toe nail Service Code: 11765Performed in an office |
108 times performed, 7% of his services |
5th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
46 patients got this service, 98% of his patients |
2.3 average number of visits a patient made for this service |
$21,600.00an average of $200.00 per time performed |
$14,548.68 an average of $134.71 per time performed |
SKIN, HAIR AND NAILSRemoval of tissue from 1 to 5 finger or toe nails Service Code: 11720Performed in an office |
107 times performed, 7% of his services |
6th
most performed service for this provider 5 or fewer providers in this specialty in CA perform this service |
46 patients got this service, 98% of his patients |
2.3 average number of visits a patient made for this service |
$8,560.00an average of $80.00 per time performed |
$2,581.91 an average of $24.13 per time performed |
PATHOLOGY AND LABORATORYService Code: 82947Performed in an office |
93 times performed, 6% of his services |
7th 61st most performed service for this provider most performed service in this state & specialty |
27 patients got this service, 57% of his patients |
3.4 average number of visits a patient made for this service (Peers: 3) |
$1,395.00an average of $15.00 per time performed |
$482.67 an average of $5.19 per time performed |
MEDICINEUltrasound 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: 93880Performed in an office |
23 times performed, 2% of his services |
8th 99th most performed service for this provider most performed service in this state & specialty |
23 patients got this service, 49% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$5,180.06an average of $225.22 per time performed |
$3,790.63 an average of $164.81 per time performed |
MEDICINEUltrasound study of arteries and arterial grafts of both ... + Ultrasound study of arteries and arterial grafts of both legs × Service Code: 93925Performed in an office |
22 times performed, 1% of his services |
9th 210th most performed service for this provider most performed service in this state & specialty |
22 patients got this service, 47% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$7,700.00an average of $350.00 per time performed |
$4,284.50 an average of $194.75 per time performed |
CARDIOVASCULAR SYSTEMInsertion of needle into vein for collection of blood sample + Insertion of needle into vein for collection of blood sample × Service Code: 36415Performed in an office |
22 times performed, 1% of his services |
10th 6th most performed service for this provider most performed service in this state & specialty |
21 patients got this service, 45% of his patients |
1 average number of visits a patient made for this service (Peers: 2) |
$330.00an average of $15.00 per time performed |
$64.68 an average of $2.94 per time performed |
RADIOLOGYService Code: 76700Performed in an office |
20 times performed, 1% of his services |
11th 151st most performed service for this provider most performed service in this state & specialty |
19 patients got this service, 40% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.1) |
$3,200.00an average of $160.00 per time performed |
$1,936.20 an average of $96.81 per time performed |
MEDICINEUltrasound study of arteries of both arms and legs Service Code: 93923Performed in an office |
20 times performed, 1% of his services |
12th 232nd most performed service for this provider most performed service in this state & specialty |
19 patients got this service, 40% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1) |
$4,400.00an average of $220.00 per time performed |
$2,330.60 an average of $116.53 per time performed |
MEDICINEUltrasound study of arteries of both legs at rest and exe... + Ultrasound study of arteries of both legs at rest and exercise × Service Code: 93924Performed in an office |
20 times performed, 1% of his services |
13th 375th most performed service for this provider most performed service in this state & specialty |
19 patients got this service, 40% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.1) |
$5,500.00an average of $275.00 per time performed |
$2,911.20 an average of $145.56 per time performed |
MEDICINEUltrasound study of veins of both arms or legs including ... + Ultrasound study of veins of both arms or legs including assessment of functional maneuvers × Service Code: 93965Performed in an office |
17 times performed, 1% of his services |
14th 363rd most performed service for this provider most performed service in this state & specialty |
16 patients got this service, 34% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.1) |
$2,550.00an average of $150.00 per time performed |
$1,727.03 an average of $101.59 per time performed |
MEDICINEUltrasound scan of veins of both arms or legs including a... + Ultrasound scan of veins of both arms or legs including assessment of compression and functional maneuvers × Service Code: 93970Performed in an office |
14 times performed, 0.95% of his services |
15th 224th most performed service for this provider most performed service in this state & specialty |
14 patients got this service, 30% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$3,500.00an average of $250.00 per time performed |
$2,227.40 an average of $159.10 per time performed |
PROCEDURESPhysician 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: G0180Performed in an office |
14 times performed, 0.95% of his services |
16th 60th most performed service for this provider most performed service in this state & specialty |
13 patients got this service, 28% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.3) |
$2,800.00an average of $200.00 per time performed |
$605.08 an average of $43.22 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.
This provider did not bill Medicare for any 5’s.
Joseph R Altamirano
Average for Internal Medicine Providers in California
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.