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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, $401 per patient in 2014.
They performed about 14 services per patient. Here’s how this provider compares.
Number of
Patients
694
Rank: 155th
out of 540 providers in this state & specialty
Services
Performed
78,025
Rank: 20th
out of 540 providers in this state & specialty
Avg Services
Per Patient
112.4 This Provider is in the top 10%
Avg 14.5
Total Paid
by Medicare
$1.03M
Rank: 18th
out of 540 providers in this state & specialty
Avg Paid
Per Patient
$1,478 This Provider is in the top 10%
Avg $401

Note: About 80% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

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.

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 in 2014.

Patients saw before

THOMAS BUTLER M.D.

Patients saw after

This Provider's Services

This provider performed 119 different services in 2014
All Services

Show Only:

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
drug
DRUGS

Injection, darbepoetin alfa, 1 microgram (non-esrd use)

Service Code: J0881
Performed in an office
19,400
times performed,
25% of his services

1st 1st

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

27
patients got this service, 4% of his patients
2.3
average number of visits a patient made for this service
(Peers: 3.2)
$329,800an average of $17 per time performed $56,260
an average of $3 per time performed
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
3,840
times performed,
5% of his services

2nd 6th

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

15
patients got this service, 2% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.1)
$150,106an average of $39 per time performed $43,085
an average of $11 per time performed
drug
DRUGS

Injection, fosaprepitant, 1 mg

Service Code: J1453
Performed in an office
3,600
times performed,
5% of his services

3rd 4th

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

12
patients got this service, 2% of his patients
2
average number of visits a patient made for this service
(Peers: 2.6)
$18,000an average of $5 per time performed $4,860
an average of $1 per time performed
drug
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
2,521
times performed,
3% of his services

4th 11th

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

98
patients got this service, 14% of his patients
2.5
average number of visits a patient made for this service
(Peers: 3.3)
$2,521an average of $1 per time performed $252
an average of $0 per time performed
medical
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
1,063
times performed,
1% of his services

5th 16th

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

480
patients got this service, 69% of his patients
2.2
average number of visits a patient made for this service
(Peers: 3.7)
$37,205an average of $35 per time performed $10,928
an average of $10 per time performed
drug
DRUGS

Injection, palonosetron hcl, 25 mcg

Service Code: J2469
Performed in an office
1,040
times performed,
1% of his services

6th 14th

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

57
patients got this service, 8% of his patients
1.8
average number of visits a patient made for this service
(Peers: 3.3)
$109,158an average of $105 per time performed $15,787
an average of $15 per time performed
medical
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
966
times performed,
1% of his services

7th 17th

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

470
patients got this service, 68% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.6)
$18,354an average of $19 per time performed $2,830
an average of $3 per time performed
drug
DRUGS

Injection, granisetron hydrochloride, 100 mcg

Service Code: J1626
Performed in an office
721
times performed,
0.92% of his services

8th 65th

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

29
patients got this service, 4% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.9)
$18,025an average of $25 per time performed $231
an average of $0 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
709
times performed,
0.91% of his services

9th 10th

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

313
patients got this service, 45% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.8)
$158,816an average of $224 per time performed $62,555
an average of $88 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, carboplatin, 50 mg

Service Code: J9045
Performed in an office
400
times performed,
0.51% of his services

10th 61st

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: 2.6)
$120,000an average of $300 per time performed $1,064
an average of $3 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, rituximab, 100 mg

Service Code: J9310
Performed in an office
368
times performed,
0.47% of his services

11th 76th

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

29
patients got this service, 4% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.3)
$679,527an average of $1,847 per time performed $202,687
an average of $551 per time performed
medical
MEDICINE

Injection of different drug or substance into a vein for ... +

Injection of different drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96375
Performed in an office
317
times performed,
0.41% of his services

12th 52nd

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

98
patients got this service, 14% of his patients
2.1
average number of visits a patient made for this service
(Peers: 3.2)
$44,380an average of $140 per time performed $6,429
an average of $20 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, gemcitabine hydrochloride, 200 mg

Service Code: J9201
Performed in an office
308
times performed,
0.39% of his services

13th 104th

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

12
patients got this service, 2% of his patients
2.9
average number of visits a patient made for this service
(Peers: 3.3)
$123,508an average of $401 per time performed $1,691
an average of $5 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
275
times performed,
0.35% of his services

14th 55th

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

109
patients got this service, 16% of his patients
2.5
average number of visits a patient made for this service
(Peers: 3.6)
$188,650an average of $686 per time performed $33,209
an average of $121 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, paclitaxel, 30 mg

Service Code: J9265
Performed in an office
256
times performed,
0.33% of his services

15th 77th

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

21
patients got this service, 3% of his patients
2
average number of visits a patient made for this service
(Peers: 3.2)
$58,880an average of $230 per time performed $901
an average of $4 per time performed
drug
NA

Injection, zoledronic acid, 1 mg

Service Code: J3489
Performed in an office
254
times performed,
0.33% of his services

16th 92nd

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

37
patients got this service, 5% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.8)
$117,229an average of $462 per time performed $13,680
an average of $54 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
196
times performed,
0.25% of his services

17th 5th

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

140
patients got this service, 20% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$29,008an average of $148 per time performed $12,183
an average of $62 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
156
times performed,
0.2% of his services

18th 20th

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

94
patients got this service, 14% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.5)
$24,492an average of $157 per time performed $9,440
an average of $61 per time performed
medical
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
143
times performed,
0.18% of his services

19th 49th

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

72
patients got this service, 10% of his patients
2
average number of visits a patient made for this service
(Peers: 2.7)
$13,299an average of $93 per time performed $3,076
an average of $22 per time performed
medical
MEDICINE

Infusion into a vein for therapy prevention or diagnosis ... +

Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour ×

Service Code: 96367
Performed in an office
127
times performed,
0.16% of his services

20th 42nd

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

63
patients got this service, 9% of his patients
1.6
average number of visits a patient made for this service
(Peers: 3.3)
$19,304an average of $152 per time performed $3,405
an average of $27 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
112
times performed,
0.14% of his services

21st 94th

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

48
patients got this service, 7% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.7)
$17,472an average of $156 per time performed $2,822
an average of $25 per time performed
medical
DRUGS

Unclassified drugs

Service Code: J3490
Performed in an office
101
times performed,
0.13% of his services

22nd 245th

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

54
patients got this service, 8% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.7)
$909an average of $9 per time performed $70
an average of $1 per time performed
medical
MEDICINE

Infusion of different chemotherapy drug or substance into... +

Infusion of different chemotherapy drug or substance into a vein up to 1 hour ×

Service Code: 96417
Performed in an office
92
times performed,
0.12% of his services

23rd 130th

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

48
patients got this service, 7% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.8)
$30,728an average of $334 per time performed $5,116
an average of $56 per time performed
medical
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour ×

Service Code: 96365
Performed in an office
86
times performed,
0.11% of his services

24th 116th

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

43
patients got this service, 6% of his patients
2
average number of visits a patient made for this service
(Peers: 1.9)
$26,144an average of $304 per time performed $5,267
an average of $61 per time performed
drug
DRUGS

Injection, diphenhydramine hcl, up to 50 mg

Service Code: J1200
Performed in an office
76
times performed,
0.1% of his services

25th 109th

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

44
patients got this service, 6% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.9)
$304an average of $4 per time performed $34
an average of $0 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
73
times performed,
0.09% of his services

26th 54th

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

28
patients got this service, 4% of his patients
2.6
average number of visits a patient made for this service
(Peers: 9.9)
$2,117an average of $29 per time performed $380
an average of $5 per time performed
medical
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
66
times performed,
0.08% of his services

27th 105th

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

66
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$28,605an average of $433 per time performed $10,798
an average of $164 per time performed
medical
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
58
times performed,
0.07% of his services

28th 60th

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

56
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$23,896an average of $412 per time performed $10,199
an average of $176 per time performed
medical
MEDICINE

Non-hormonal anti-neoplastic chemotherapy beneath the ski... +

Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle ×

Service Code: 96401
Performed in an office
55
times performed,
0.07% of his services

29th 133rd

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

11
patients got this service, 2% of his patients
5
average number of visits a patient made for this service
(Peers: 5.1)
$11,275an average of $205 per time performed $3,776
an average of $69 per time performed
medical
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosis +

Infusion into a vein for therapy, prevention, or diagnosis ×

Service Code: 96366
Performed in an office
49
times performed,
0.06% of his services

30th 158th

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

15
patients got this service, 2% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2)
$4,753an average of $97 per time performed $823
an average of $17 per time performed
medical
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
47
times performed,
0.06% of his services

31st 26th

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

31
patients got this service, 4% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$4,136an average of $88 per time performed $1,761
an average of $37 per time performed
medical
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
42
times performed,
0.05% of his services

32nd 59th

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

38
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$12,642an average of $301 per time performed $5,300
an average of $126 per time performed
medical
MEDICINE

Infusion of different chemotherapy drug or substance into... +

Infusion of different chemotherapy drug or substance into a vein ×

Service Code: 96411
Performed in an office
42
times performed,
0.05% of his services

33rd 243rd

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

19
patients got this service, 3% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.7)
$11,802an average of $281 per time performed $2,389
an average of $57 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,
0.03% of his services

34th 44th

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

22
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.8)
$2,760an average of $115 per time performed $813
an average of $34 per time performed
drug
DRUGS

Injection, pegfilgrastim, 6 mg

Service Code: J2505
Performed in an office
22
times performed,
0.03% of his services

35th 210th

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

19
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$256,120an average of $11,642 per time performed $57,465
an average of $2,612 per time performed
medical
MEDICINE

Hydration infusion into a vein 31 minutes to 1 hour

Service Code: 96360
Performed in an office
22
times performed,
0.03% of his services

36th 189th

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

13
patients got this service, 2% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2)
$5,478an average of $249 per time performed $1,112
an average of $51 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
18
times performed,
0.02% of his services

37th 46th

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

18
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,354an average of $353 per time performed $2,391
an average of $133 per time performed
medical
MEDICINE

Irrigation of implanted venous access drug delivery device +

Irrigation of implanted venous access drug delivery device ×

Service Code: 96523
Performed in an office
16
times performed,
0.02% of his services

38th 323rd

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: 1.9)
$1,776an average of $111 per time performed $359
an average of $22 per time performed
medical
MEDICINE

Injection of drug or substance into a vein for therapy, d... +

Injection of drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96374
Performed in an office
16
times performed,
0.02% of his services

39th 335th

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

12
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$3,840an average of $240 per time performed $836
an average of $52 per time performed
medical
MEDICINE

Hormonal anti-neoplastic chemotherapy administration bene... +

Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle ×

Service Code: 96402
Performed in an office
16
times performed,
0.02% of his services

40th 220th

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

11
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.4)
$2,256an average of $141 per time performed $409
an average of $26 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
13
times performed,
0.02% of his services

41st 95th

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: 1.9)
$416an average of $32 per time performed $62
an average of $5 per time performed
drug
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
12
times performed,
0.02% of his services

42nd 170th

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$420an average of $35 per time performed $181
an average of $15 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
12
times performed,
0.02% of his services

43rd 115th

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$672an average of $56 per time performed $344
an average of $29 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
11
times performed,
0.01% of his services

44th 57th

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$3,267an average of $297 per time performed $1,315
an average of $120 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.

Thomas P. Butler
Average for Specialist Providers in 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 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 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.

Read our methodology.