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, $995 per patient in 2015.
They performed about 59 services per patient. Here’s how this provider compares.

Number of
Patients
410
Rank: 95th
out of 276 providers in this state & specialty
Services
Performed
25,664
Rank: 92nd
out of 276 providers in this state & specialty
Avg Services
Per Patient
62.6 This Provider
Avg 59.5
Total Paid
by Medicare
$465K
Rank: 93rd
out of 276 providers in this state & specialty
Avg Paid
Per Patient
$1,135 This Provider
Avg $995

Note: About 69% of this provider’s Medicare payments were for drugs administered in her 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 her Part B patients.

This Provider's Services

This provider performed 37 different services in 2015
(22 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, abatacept, 10 mg (code may be used for medicar... +

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ×

Service Code: J0129
Performed in an office
7,275
times performed,
28% of her services

1st 3rd

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

12
patients got this service, 3% of her patients
8.3
average number of visits a patient made for this service
(Peers: 6.2)
$709,021.50an average of $97.46 per time performed $202,245.00
an average of $27.80 per time performed
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
4,860
times performed,
19% of her services

2nd 5th

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

49
patients got this service, 12% of her patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$218,700.00an average of $45.00 per time performed $56,570.40
an average of $11.64 per time performed
drug
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
1,381
times performed,
5% of her services

3rd 8th

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

180
patients got this service, 44% of her patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$6,905.00an average of $5.00 per time performed $1,919.59
an average of $1.39 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
1,073
times performed,
4% of her services

4th 6th

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

366
patients got this service, 89% of her patients
2.9
average number of visits a patient made for this service
(Peers: 2.4)
$277,359.77an average of $258.49 per time performed $82,878.52
an average of $77.24 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
254
times performed,
0.99% of her services

5th 19th

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

140
patients got this service, 34% of her patients
1.8
average number of visits a patient made for this service
(Peers: 1.9)
$41,788.08an average of $164.52 per time performed $12,115.80
an average of $47.70 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
187
times performed,
0.73% of her services

6th 27th

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

69
patients got this service, 17% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$1,870.00an average of $10.00 per time performed $501.16
an average of $2.68 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
167
times performed,
0.65% of her services

7th 26th

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

167
patients got this service, 41% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$66,292.32an average of $396.96 per time performed $20,288.83
an average of $121.49 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
138
times performed,
0.54% of her services

8th 17th

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

19
patients got this service, 5% of her patients
7.3
average number of visits a patient made for this service
(Peers: 5.3)
$58,350.54an average of $422.83 per time performed $12,832.62
an average of $92.99 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
117
times performed,
0.46% of her services

9th 23rd

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

75
patients got this service, 18% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.7)
$7,010.64an average of $59.92 per time performed $2,113.02
an average of $18.06 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
91
times performed,
0.35% of her services

10th 21st

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

53
patients got this service, 13% of her patients
1.7
average number of visits a patient made for this service
(Peers: 3.5)
$22,013.81an average of $241.91 per time performed $4,854.85
an average of $53.35 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
37
times performed,
0.14% of her services

11th 9th

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

32
patients got this service, 8% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.9)
$6,475.00an average of $175.00 per time performed $1,634.66
an average of $44.18 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 1 or 2 muscles

Service Code: 20552
Performed in an office
30
times performed,
0.12% of her services

12th 124th

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

28
patients got this service, 7% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$3,960.90an average of $132.03 per time performed $1,086.30
an average of $36.21 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
17
times performed,
0.07% of her services

13th 45th

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

15
patients got this service, 4% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$5,950.00an average of $350.00 per time performed $1,872.21
an average of $110.13 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of medium joint or joint capsule +

Aspiration and/or injection of medium joint or joint capsule ×

Service Code: 20605
Performed in an office
14
times performed,
0.05% of her services

14th 95th

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

13
patients got this service, 3% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,919.96an average of $137.14 per time performed $513.66
an average of $36.69 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of small joint or joint capsule +

Aspiration and/or injection of small joint or joint capsule ×

Service Code: 20600
Performed in an office
12
times performed,
0.05% of her services

15th 88th

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

11
patients got this service, 3% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,380.00an average of $115.00 per time performed $380.16
an average of $31.68 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.

Swati Sharma Kumar
Average for Rheumatology Providers in Texas

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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