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, $247 per patient in 2015.
They performed about 6 services per patient. Here’s how this provider compares.

Number of
Patients
752
Rank: 49th
out of 106 providers in this state & specialty
Services
Performed
3,156
Rank: 61st
out of 106 providers in this state & specialty
Avg Services
Per Patient
4.2 This Provider
Avg 5.5
Total Paid
by Medicare
$120K
Rank: 59th
out of 106 providers in this state & specialty
Avg Paid
Per Patient
$159 This Provider
Avg $247

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 34 different services in 2015
(19 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
medical
SKIN, HAIR AND NAILS

Destruction of 2-14 skin growths

Service Code: 17003
Performed in an office
1,178
times performed,
37% of his services

1st 1st

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

182
patients got this service, 24% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$22,382.00an average of $19.00 per time performed $4,723.78
an average of $4.01 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
471
times performed,
15% of his services

2nd 6th

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

353
patients got this service, 47% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$60,759.00an average of $129.00 per time performed $31,721.85
an average of $67.35 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
354
times performed,
11% of his services

3rd 2nd

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

213
patients got this service, 28% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$29,028.00an average of $82.00 per time performed $16,414.98
an average of $46.37 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in an office
311
times performed,
10% of his services

4th 3rd

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

229
patients got this service, 30% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$28,923.00an average of $93.00 per time performed $10,804.14
an average of $34.74 per time performed
medical
SKIN, HAIR AND NAILS

Biopsy of single growth of skin and/or tissue

Service Code: 11100
Performed in an office
246
times performed,
8% of his services

5th 4th

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

212
patients got this service, 28% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$30,012.00an average of $122.00 per time performed $16,403.28
an average of $66.68 per time performed
medical
PATHOLOGY AND LABORATORY

Surgical pathology consultation and report

Service Code: 88321
Performed in an office
187
times performed,
6% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

160
patients got this service, 21% of his patients
1.2
average number of visits a patient made for this service
$23,466.63an average of $125.49 per time performed $13,033.90
an average of $69.70 per time performed
medical
SKIN, HAIR AND NAILS

Biopsy of each additional growth of skin and/or tissue

Service Code: 11101
Performed in an office
112
times performed,
4% of his services

7th 9th

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

65
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$5,152.00an average of $46.00 per time performed $2,679.04
an average of $23.92 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 2... +

New patient office or other outpatient visit, typically 20 minutes ×

Service Code: 99202
Performed in an office
51
times performed,
2% of his services

8th 12th

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

51
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,151.00an average of $101.00 per time performed $2,125.17
an average of $41.67 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of malignant growth (1.1 to 2.0 centimeters) ... +

Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs ×

Service Code: 17262
Performed in an office
48
times performed,
2% of his services

9th 18th

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

27
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$9,888.00an average of $206.00 per time performed $4,508.64
an average of $93.93 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of malignant growth (0.6 to 1.0 centimeters) ... +

Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth ×

Service Code: 17281
Performed in an office
30
times performed,
0.95% of his services

10th 26th

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

26
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$6,450.00an average of $215.00 per time performed $3,465.60
an average of $115.52 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of malignant growth (0.6 to 1.0 centimeters) ... +

Destruction of malignant growth (0.6 to 1.0 centimeters) of trunk, arms, or legs ×

Service Code: 17261
Performed in an office
26
times performed,
0.82% of his services

11th 27th

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: 1.1)
$4,420.00an average of $170.00 per time performed $2,200.38
an average of $84.63 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
22
times performed,
0.7% of his services

12th 10th

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

22
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,322.00an average of $151.00 per time performed $1,516.24
an average of $68.92 per time performed
medical
DIGESTIVE SYSTEM

Biopsy of lip

Service Code: 40490
Performed in an office
13
times performed,
0.41% of his services

13th 90th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,132.00an average of $164.00 per time performed $1,009.71
an average of $77.67 per time performed
medical
AUDITORY SYSTEM

Biopsy of ear

Service Code: 69100
Performed in an office
12
times performed,
0.38% of his services

14th 24th

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: 1.1)
$1,704.00an average of $142.00 per time performed $543.60
an average of $45.30 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of 15 or more skin growths

Service Code: 17004
Performed in an office
12
times performed,
0.38% of his services

15th 14th

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: 1.5)
$3,696.00an average of $308.00 per time performed $1,252.68
an average of $104.39 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.

Fernando R. De Castro
Average for Dermatology Providers in Kentucky

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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