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, $632 per patient in 2015.
They performed about 4 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 51 different services in 2015
(28 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 |
|---|---|---|---|---|---|---|
DRUGSInjection, triamcinolone acetonide, not otherwise specif... + Injection, triamcinolone acetonide, not otherwise specified, 10 mg × Service Code: J3301Performed in an office |
2,186 times performed, 51% of his services |
1st
most performed service for this provider 5 or fewer providers in this specialty in OH perform this service |
245 patients got this service, 52% of his patients |
2.4 average number of visits a patient made for this service |
$10,930.00an average of $5.00 per time performed |
$3,016.68 an average of $1.38 per time performed |
NERVOUS SYSTEMInjections 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: 64483Performed in an office |
496 times performed, 12% of his services |
2nd
most performed service for this provider 5 or fewer providers in this specialty in OH perform this service |
211 patients got this service, 45% of his patients |
2.4 average number of visits a patient made for this service |
$891,312.00an average of $1,797.00 per time performed |
$98,713.92 an average of $199.02 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 |
445 times performed, 10% of his services |
3rd 1st most performed service for this provider most performed service in this state & specialty |
287 patients got this service, 61% of his patients |
1.6 average number of visits a patient made for this service (Peers: 1.5) |
$44,500.00an average of $100.00 per time performed |
$22,321.20 an average of $50.16 per time performed |
NERVOUS SYSTEMInjections 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: 64484Performed in an office |
191 times performed, 4% of his services |
4th
most performed service for this provider 5 or fewer providers in this specialty in OH perform this service |
90 patients got this service, 19% of his patients |
2.1 average number of visits a patient made for this service |
$115,199.74an average of $603.14 per time performed |
$12,602.18 an average of $65.98 per time performed |
RADIOLOGYX-ray of lower and sacral spine, minimum of 4 views Service Code: 72110Performed in an office |
100 times performed, 2% of his services |
5th 5th most performed service for this provider most performed service in this state & specialty |
95 patients got this service, 20% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.1) |
$12,000.00an average of $120.00 per time performed |
$3,504.00 an average of $35.04 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 25 minutes × Service Code: 99214Performed in an office |
86 times performed, 2% of his services |
6th 3rd most performed service for this provider most performed service in this state & specialty |
83 patients got this service, 18% of his patients |
1 average number of visits a patient made for this service (Peers: 1.3) |
$12,470.00an average of $145.00 per time performed |
$6,475.80 an average of $75.30 per time performed |
RADIOLOGYX-ray of lower and sacral spine, 2 or 3 views Service Code: 72100Performed in an office |
74 times performed, 2% of his services |
7th 2nd most performed service for this provider most performed service in this state & specialty |
60 patients got this service, 13% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.5) |
$4,810.00an average of $65.00 per time performed |
$1,759.72 an average of $23.78 per time performed |
NERVOUS SYSTEMPartial removal of spine bone with release of spinal cord... + Partial removal of spine bone with release of spinal cord and/or nerves × Service Code: 63048Performed in a facility |
73 times performed, 2% of his services |
8th 7th most performed service for this provider most performed service in this state & specialty |
34 patients got this service, 7% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$113,150.00an average of $1,550.00 per time performed |
$12,501.25 an average of $171.25 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 4... + New patient office or other outpatient visit, typically 45 minutes × Service Code: 99204Performed in an office |
60 times performed, 1% of his services |
9th 8th most performed service for this provider most performed service in this state & specialty |
60 patients got this service, 13% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$13,500.00an average of $225.00 per time performed |
$6,868.80 an average of $114.48 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 10 minutes × Service Code: 99212Performed in an office |
57 times performed, 1% of his services |
10th 18th most performed service for this provider most performed service in this state & specialty |
56 patients got this service, 12% of his patients |
1 average number of visits a patient made for this service (Peers: 1.1) |
$3,420.00an average of $60.00 per time performed |
$1,658.70 an average of $29.10 per time performed |
RADIOLOGYX-ray of spine of neck, 2 or 3 views Service Code: 72040Performed in an office |
47 times performed, 1% of his services |
11th 9th most performed service for this provider most performed service in this state & specialty |
37 patients got this service, 8% of his patients |
1.3 average number of visits a patient made for this service (Peers: 1.5) |
$2,820.00an average of $60.00 per time performed |
$1,070.19 an average of $22.77 per time performed |
NERVOUS SYSTEMInjections of lower or sacral spine facet joint using ima... + Injections of lower or sacral spine facet joint using imaging guidance × Service Code: 64493Performed in an office |
46 times performed, 1% of his services |
12th
most performed service for this provider 5 or fewer providers in this specialty in OH perform this service |
28 patients got this service, 6% of his patients |
1.6 average number of visits a patient made for this service |
$90,545.02an average of $1,968.37 per time performed |
$8,870.64 an average of $192.84 per time performed |
NERVOUS SYSTEMPartial removal of middle spine bone with release of spin... + Partial removal of middle spine bone with release of spinal cord and/or nerves × Service Code: 63047Performed in a facility |
35 times performed, 0.82% of his services |
13th 10th most performed service for this provider most performed service in this state & specialty |
35 patients got this service, 7% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$231,000.00an average of $6,600.00 per time performed |
$21,383.95 an average of $610.97 per time performed |
NERVOUS SYSTEMImplantation of spinal neurostimulator electrodes, access... + Implantation of spinal neurostimulator electrodes, accessed through the skin × Service Code: 63650Performed in a facility |
35 times performed, 0.82% of his services |
14th
most performed service for this provider 5 or fewer providers in this specialty in OH perform this service |
18 patients got this service, 4% of his patients |
1 average number of visits a patient made for this service |
$32,025.00an average of $915.00 per time performed |
$8,145.55 an average of $232.73 per time performed |
MUSCULOSKELETAL SYSTEMInjection procedure into sacroiliac joint for anesthetic ... + Injection procedure into sacroiliac joint for anesthetic or steroid × Service Code: 27096Performed in an office |
32 times performed, 0.75% of his services |
15th
most performed service for this provider 5 or fewer providers in this specialty in OH perform this service |
19 patients got this service, 4% of his patients |
1.7 average number of visits a patient made for this service |
$36,000.00an average of $1,125.00 per time performed |
$3,962.24 an average of $123.82 per time performed |
NERVOUS SYSTEMImplantation of spinal neurostimulator electrodes, access... + Implantation of spinal neurostimulator electrodes, accessed through the skin × Service Code: 63650Performed in an office |
30 times performed, 0.71% of his services |
16th
most performed service for this provider 5 or fewer providers in this specialty in OH perform this service |
15 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service |
$27,450.00an average of $915.00 per time performed |
$18,148.20 an average of $604.94 per time performed |
NERVOUS SYSTEMInsertion of spinal neurostimulator pulse generator or re... + Insertion of spinal neurostimulator pulse generator or receiver × Service Code: 63685Performed in a facility |
24 times performed, 0.57% of his services |
17th
most performed service for this provider 5 or fewer providers in this specialty in OH perform this service |
24 patients got this service, 5% of his patients |
1 average number of visits a patient made for this service |
$79,200.00an average of $3,300.00 per time performed |
$3,915.60 an average of $163.15 per time performed |
MUSCULOSKELETAL SYSTEMFusion of lower spine bones, posterior or posterolateral ... + Fusion of lower spine bones, posterior or posterolateral approach × Service Code: 22612Performed in a facility |
21 times performed, 0.49% of his services |
18th 15th most performed service for this provider most performed service in this state & specialty |
21 patients got this service, 4% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$139,230.00an average of $6,630.00 per time performed |
$26,515.86 an average of $1,262.66 per time performed |
RADIOLOGYX-ray of middle and lower spine, 2 views Service Code: 72080Performed in an office |
20 times performed, 0.47% of his services |
19th 49th most performed service for this provider most performed service in this state & specialty |
18 patients got this service, 4% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.3) |
$1,100.00an average of $55.00 per time performed |
$450.40 an average of $22.52 per time performed |
RADIOLOGYX-ray lower and sacral spine including bending views mini... + X-ray lower and sacral spine including bending views minimum 6 views × Service Code: 72114Performed in an office |
14 times performed, 0.33% of his services |
20th
most performed service for this provider 5 or fewer providers in this specialty in OH perform this service |
14 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service |
$1,540.00an average of $110.00 per time performed |
$299.60 an average of $21.40 per time performed |
MUSCULOSKELETAL SYSTEMAspiration and/or injection of large joint or joint capsule + Aspiration and/or injection of large joint or joint capsule × Service Code: 20610Performed in an office |
14 times performed, 0.33% of his services |
21st 32nd most performed service for this provider most performed service in this state & specialty |
13 patients got this service, 3% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.1) |
$2,024.96an average of $144.64 per time performed |
$556.08 an average of $39.72 per time performed |
MEDICINEElectronic analysis and programming of implanted complex ... + Electronic analysis and programming of implanted complex spinal cord or peripheral neurostimulator generator system during or after surgery, first hour × Service Code: 95972Performed in an office |
12 times performed, 0.28% of his services |
22nd
most performed service for this provider 5 or fewer providers in this specialty in OH perform this service |
12 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service |
$2,580.00an average of $215.00 per time performed |
$507.36 an average of $42.28 per time performed |
MUSCULOSKELETAL SYSTEMInsertion of posterior spinal instrumentation at base of ... + Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace × Service Code: 22840Performed in a facility |
12 times performed, 0.28% of his services |
23rd 30th most performed service for this provider most performed service in this state & specialty |
12 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$46,860.00an average of $3,905.00 per time performed |
$7,370.28 an average of $614.19 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.
Lance M. Tigyer
Average for Orthopaedic Surgery of the Spine Providers in Ohio
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.