Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $759 per patient in 2015.
They performed about 21 services per patient. Here’s how this provider compares.

Number of
Patients
519
Rank: 61st
out of 189 providers in this state & specialty
Services
Performed
12,649
Rank: 49th
out of 189 providers in this state & specialty
Avg Services
Per Patient
24.4 This Provider
Avg 20.9
Total Paid
by Medicare
$744K
Rank: 19th
out of 189 providers in this state & specialty
Avg Paid
Per Patient
$1,434 This Provider is in the top 10%
Avg $759

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 67 different services in 2015
(32 were redacted as they were performed on less than 11 patients)

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, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
2,065
times performed,
16% of his services

1st 8th

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

153
patients got this service, 29% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.1)
$61,950.00an average of $30.00 per time performed $247.80
an average of $0.12 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
1,620
times performed,
13% of his services

2nd 1st

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

433
patients got this service, 83% of his patients
3.7
average number of visits a patient made for this service
(Peers: 2.9)
$408,191.40an average of $251.97 per time performed $80,919.00
an average of $49.95 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves with imaging guidance ×

Service Code: 64636
Performed in an office
908
times performed,
7% of his services

3rd 39th

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

214
patients got this service, 41% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$541,985.20an average of $596.90 per time performed $116,387.44
an average of $128.18 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
687
times performed,
5% of his services

4th 2nd

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

320
patients got this service, 62% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.9)
$275,851.11an average of $401.53 per time performed $53,462.34
an average of $77.82 per time performed
medical
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: 64484
Performed in an office
495
times performed,
4% of his services

5th 32nd

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

172
patients got this service, 33% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.8)
$156,058.65an average of $315.27 per time performed $33,006.60
an average of $66.68 per time performed
medical
NERVOUS SYSTEM

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

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

Service Code: 64634
Performed in an office
389
times performed,
3% of his services

6th 98th

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

85
patients got this service, 16% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$250,064.76an average of $642.84 per time performed $53,180.19
an average of $136.71 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves using imaging guidance ×

Service Code: 64635
Performed in an office
349
times performed,
3% of his services

7th 58th

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

217
patients got this service, 42% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$514,227.07an average of $1,473.43 per time performed $106,909.17
an average of $306.33 per time performed
medical
PROCEDURES

Drug screen, other than chromatographic; any number of dr... +

Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter ×

Service Code: G0434
Performed in an office
324
times performed,
3% of his services

8th 25th

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

276
patients got this service, 53% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.8)
$39,466.44an average of $121.81 per time performed $6,055.56
an average of $18.69 per time performed
medical
NERVOUS SYSTEM

Injection of anesthetic agent, other peripheral nerve or ... +

Injection of anesthetic agent, other peripheral nerve or branch ×

Service Code: 64450
Performed in an office
302
times performed,
2% of his services

9th 107th

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

100
patients got this service, 19% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$65,685.00an average of $217.50 per time performed $10,449.20
an average of $34.60 per time performed
medical
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
262
times performed,
2% of his services

10th 26th

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

173
patients got this service, 33% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2)
$208,669.90an average of $796.45 per time performed $43,211.66
an average of $164.93 per time performed
medical
RADIOLOGY

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

Radiological supervision and interpretation x-ray of covering of spinal cord ×

Service Code: 72275
Performed in an office
249
times performed,
2% of his services

11th 112th

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

186
patients got this service, 36% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$84,612.69an average of $339.81 per time performed $20,893.59
an average of $83.91 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
192
times performed,
2% of his services

12th 23rd

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

153
patients got this service, 29% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2)
$4,302.72an average of $22.41 per time performed $537.60
an average of $2.80 per time performed
medical
DRUGS

Unclassified drugs

Service Code: J3490
Performed in an office
177
times performed,
1% of his services

13th 78th

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

129
patients got this service, 25% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.6)
$3,561.24an average of $20.12 per time performed $1,736.37
an average of $9.81 per time performed
medical
NERVOUS SYSTEM

Nervous system procedure

Service Code: 64999
Performed in an office
170
times performed,
1% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

39
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
$66,701.20an average of $392.36 per time performed $19,709.80
an average of $115.94 per time performed
medical
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: 64480
Performed in an office
160
times performed,
1% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

60
patients got this service, 12% of his patients
1.4
average number of visits a patient made for this service
$61,548.80an average of $384.68 per time performed $13,537.60
an average of $84.61 per time performed
medical
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
139
times performed,
1% of his services

16th 121st

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

87
patients got this service, 17% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.3)
$196,822.61an average of $1,415.99 per time performed $42,290.75
an average of $304.25 per time performed
drug
DRUGS

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

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

Service Code: J0702
Performed in an office
117
times performed,
0.92% of his services

17th 16th

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

64
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.2)
$4,561.83an average of $38.99 per time performed $508.95
an average of $4.35 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64493
Performed in an office
115
times performed,
0.91% of his services

18th 29th

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

97
patients got this service, 19% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$73,265.35an average of $637.09 per time performed $15,347.90
an average of $133.46 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64494
Performed in an office
115
times performed,
0.91% of his services

19th 34th

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

97
patients got this service, 19% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$37,214.00an average of $323.60 per time performed $7,912.00
an average of $68.80 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64495
Performed in an office
115
times performed,
0.91% of his services

20th 40th

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

97
patients got this service, 19% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$37,315.20an average of $324.48 per time performed $7,943.05
an average of $69.07 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
106
times performed,
0.84% of his services

21st 24th

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

106
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$53,011.66an average of $500.11 per time performed $12,309.78
an average of $116.13 per time performed
medical
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
96
times performed,
0.76% of his services

22nd 51st

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

79
patients got this service, 15% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$56,337.60an average of $586.85 per time performed $11,571.84
an average of $120.54 per time performed
medical
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
91
times performed,
0.72% of his services

23rd 68th

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

69
patients got this service, 13% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$63,465.22an average of $697.42 per time performed $13,391.56
an average of $147.16 per time performed
medical
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
91
times performed,
0.72% of his services

24th 71st

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

69
patients got this service, 13% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$31,646.16an average of $347.76 per time performed $6,643.00
an average of $73.00 per time performed
medical
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: 64492
Performed in an office
91
times performed,
0.72% of his services

25th 81st

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

69
patients got this service, 13% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$31,779.93an average of $349.23 per time performed $6,667.57
an average of $73.27 per time performed
medical
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
87
times performed,
0.69% of his services

26th 130th

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

62
patients got this service, 12% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.8)
$68,957.94an average of $792.62 per time performed $15,594.75
an average of $179.25 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for insertion of needle

Service Code: 77002
Performed in an office
45
times performed,
0.36% of his services

27th 63rd

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

40
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.8)
$7,869.15an average of $174.87 per time performed $3,111.75
an average of $69.15 per time performed
medical
NERVOUS SYSTEM

Injection of anesthetic agent, collar bone nerve

Service Code: 64418
Performed in an office
37
times performed,
0.29% of his services

28th 157th

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

26
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$16,206.37an average of $438.01 per time performed $2,112.33
an average of $57.09 per time performed
medical
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
33
times performed,
0.26% of his services

29th 33rd

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

22
patients got this service, 4% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.8)
$4,310.79an average of $130.63 per time performed $1,129.59
an average of $34.23 per time performed
medical
RADIOLOGY

Fluoroscopic guidance for spine or spinal canal injection +

Fluoroscopic guidance for spine or spinal canal injection ×

Service Code: 77003
Performed in an office
32
times performed,
0.25% of his services

30th 53rd

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

27
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.8)
$16,741.12an average of $523.16 per time performed $2,110.72
an average of $65.96 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
31
times performed,
0.25% of his services

31st 28th

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

31
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 2.1)
$999.75an average of $32.25 per time performed $146.32
an average of $4.72 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
23
times performed,
0.18% of his services

32nd 66th

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

23
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$5,933.08an average of $257.96 per time performed $786.14
an average of $34.18 per time performed
medical
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
17
times performed,
0.13% of his services

33rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$2,176.85an average of $128.05 per time performed $262.48
an average of $15.44 per time performed
medical
ANESTHESIA

Anesthesia for x-ray procedure (accessed through the skin... +

Anesthesia for x-ray procedure (accessed through the skin) on spine and spinal cord ×

Service Code: 01936
Performed in an office
15
times performed,
0.12% of his services

34th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$33,604.50an average of $2,240.30 per time performed $1,498.80
an average of $99.92 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 3 or more muscles

Service Code: 20553
Performed in an office
13
times performed,
0.1% of his services

35th 72nd

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

11
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$2,829.71an average of $217.67 per time performed $434.46
an average of $33.42 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.

Edgar Daniel Ramirez
Average for Interventional Pain Medicine Providers in Florida

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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. 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.

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