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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, $335 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
280
Rank: 10th
out of 20 providers in this state & specialty
Services
Performed
1,640
Rank: 9th
out of 20 providers in this state & specialty
Avg Services
Per Patient
5.9 This Provider
Avg 5.4
Total Paid
by Medicare
$95.2K
Rank: 10th
out of 20 providers in this state & specialty
Avg Paid
Per Patient
$340 This Provider
Avg $335

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.

Florencio T. Lizama
Average for Internal Medicine Providers in Guam

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

Florencio T. Lizama

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
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
476
times performed,
29% of his services

1st 2nd

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

202
patients got this service, 72% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.3)
$62,832an average of $132 per time performed $33,796
an average of $71 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
184
times performed,
11% of his services

2nd 1st

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

109
patients got this service, 39% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.5)
$17,480an average of $95 per time performed $9,200
an average of $50 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
176
times performed,
11% of his services

3rd 15th

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

101
patients got this service, 36% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.3)
$33,968an average of $193 per time performed $17,424
an average of $99 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
146
times performed,
9% of his services

4th 5th

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

29
patients got this service, 10% of his patients
3.1
average number of visits a patient made for this service
(Peers: 2.9)
$26,280an average of $180 per time performed $11,972
an average of $82 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
121
times performed,
7% of his services

5th 6th

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

117
patients got this service, 42% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,299an average of $19 per time performed $2,299
an average of $19 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
91
times performed,
6% of his services

6th Alert

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

88
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
$2,093an average of $23 per time performed $1,274
an average of $14 per time performed
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
82
times performed,
5% of his services

7th 25th

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

55
patients got this service, 20% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$6,068an average of $74 per time performed $1,312
an average of $16 per time performed
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
62
times performed,
4% of his services

8th 3rd

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

15
patients got this service, 5% of his patients
2.3
average number of visits a patient made for this service
(Peers: 3.2)
$7,750an average of $125 per time performed $3,534
an average of $57 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
53
times performed,
3% of his services

9th 7th

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

37
patients got this service, 13% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$15,582an average of $294 per time performed $7,738
an average of $146 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ×

Service Code: Q2038
Performed in an office
38
times performed,
2% of his services

10th 10th

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

38
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$874an average of $23 per time performed $456
an average of $12 per time performed
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
36
times performed,
2% of his services

11th Alert

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

31
patients got this service, 11% of his patients
1.1
average number of visits a patient made for this service
$1,476an average of $41 per time performed $252
an average of $7 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
30
times performed,
2% of his services

12th 16th

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

25
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$3,210an average of $107 per time performed $1,740
an average of $58 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
23
times performed,
1% of his services

13th Alert

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

19
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
$4,715an average of $205 per time performed $1,955
an average of $85 per time performed
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
18
times performed,
1% of his services

14th Alert

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

17
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
$378an average of $21 per time performed $270
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Blood glucose (sugar) test performed by hand-held instrument +

Blood glucose (sugar) test performed by hand-held instrument ×

Service Code: 82962
Performed in an office
16
times performed,
0.98% of his services

15th Alert

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

12
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
$272an average of $17 per time performed $48
an average of $3 per time performed
MEDICINE

Respiratory inhaled aerosol treatment to relieve airway o... +

Respiratory inhaled aerosol treatment to relieve airway obstruction, first hour ×

Service Code: 94644
Performed in an office
15
times performed,
0.91% of his services

16th Alert

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

14
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$1,455an average of $97 per time performed $600
an average of $40 per time performed
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
13
times performed,
0.79% of his services

17th Alert

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

12
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$195an average of $15 per time performed $52
an average of $4 per time performed
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
13
times performed,
0.79% of his services

18th Alert

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

13
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$390an average of $30 per time performed $390
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 10 minutes ×

Service Code: 99212
Performed in an office
12
times performed,
0.73% of his services

19th Alert

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

11
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$1,044an average of $87 per time performed $312
an average of $26 per time performed
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 implementation of the plan of care that meets patient's needs, per certification period ×

Service Code: G0180
Performed in an office
12
times performed,
0.73% of his services

20th Alert

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

11
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$528an average of $44 per time performed $420
an average of $35 per time performed
DRUGS

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.... +

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through durable medical equipment ×

Service Code: J7620
Performed in an office
12
times performed,
0.73% of his services

21st Alert

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

11
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$72an average of $6 per time performed $0
an average of $0 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
11
times performed,
0.67% of his services

22nd Alert

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

11
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$209an average of $19 per time performed $209
an average of $19 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 "Internal 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.


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