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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, $193 per patient in 2012.
They performed about 6 services per patient. Here’s how this provider compares.
Number of
Patients
939
Rank: 74th
out of 2,477 providers in this state & specialty
Services
Performed
15,256
Rank: 17th
out of 2,477 providers in this state & specialty
Avg Services
Per Patient
16.2 This Provider is in the top 10%
Avg 5.6
Total Paid
by Medicare
$301K
Rank: 38th
out of 2,477 providers in this state & specialty
Avg Paid
Per Patient
$320 This Provider
Avg $193

Office Visits

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Top Billing

Related story »

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.

Richard G. Michal
Average for Family Practice Providers in North Carolina

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, from Jan. 2012 to June 2013.

Patients saw before

Richard G. Michal

Patients saw after

This Provider's Services

This provider performed 49 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
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
2,979
times performed,
20% of his services

1st 3rd

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

834
patients got this service, 89% of his patients
3.6
average number of visits a patient made for this service
(Peers: 2.1)
$26,811an average of $9 per time performed $8,937
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
1,977
times performed,
13% of his services

2nd 10th

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

788
patients got this service, 84% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.6)
$43,494an average of $22 per time performed $15,816
an average of $8 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
1,906
times performed,
12% of his services

3rd 8th

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

770
patients got this service, 82% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.6)
$83,864an average of $44 per time performed $30,496
an average of $16 per time performed
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
1,883
times performed,
12% of his services

4th 1st

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

735
patients got this service, 78% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2.3)
$261,737an average of $139 per time performed $120,512
an average of $64 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
1,138
times performed,
7% of his services

5th 7th

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

506
patients got this service, 54% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.8)
$28,450an average of $25 per time performed $15,932
an average of $14 per time performed
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
643
times performed,
4% of his services

6th 2nd

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

419
patients got this service, 45% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2)
$59,156an average of $92 per time performed $26,363
an average of $41 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
537
times performed,
4% of his services

7th 4th

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

53
patients got this service, 6% of his patients
10.1
average number of visits a patient made for this service
(Peers: 6.2)
$7,518an average of $14 per time performed $2,685
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
424
times performed,
3% of his services

8th 67th

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

283
patients got this service, 30% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$5,088an average of $12 per time performed $3,392
an average of $8 per time performed
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
423
times performed,
3% of his services

9th 39th

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

282
patients got this service, 30% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$4,653an average of $11 per time performed $2,961
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
348
times performed,
2% of his services

10th 19th

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

170
patients got this service, 18% of his patients
2
average number of visits a patient made for this service
(Peers: 1.4)
$12,180an average of $35 per time performed $8,004
an average of $23 per time performed
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: 85027
Performed in an office
337
times performed,
2% of his services

11th 77th

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

238
patients got this service, 25% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$6,066an average of $18 per time performed $3,033
an average of $9 per time performed
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 (fluzone) ×

Service Code: Q2038
Performed in an office
330
times performed,
2% of his services

12th 23rd

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

326
patients got this service, 35% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,950an average of $15 per time performed $4,290
an average of $13 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
325
times performed,
2% of his services

13th 6th

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

321
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,100an average of $28 per time performed $7,475
an average of $23 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
273
times performed,
2% of his services

14th 60th

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

131
patients got this service, 14% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.4)
$5,187an average of $19 per time performed $3,549
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
170
times performed,
1% of his services

15th 21st

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

127
patients got this service, 14% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$3,060an average of $18 per time performed $1,870
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
166
times performed,
1% of his services

16th 28th

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

144
patients got this service, 15% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$2,490an average of $15 per time performed $664
an average of $4 per time performed
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
161
times performed,
1% of his services

17th 12th

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

44
patients got this service, 5% of his patients
3.7
average number of visits a patient made for this service
(Peers: 3.2)
$4,991an average of $31 per time performed $1,932
an average of $12 per time performed
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
127
times performed,
0.83% of his services

18th 9th

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

23
patients got this service, 2% of his patients
5.5
average number of visits a patient made for this service
(Peers: 2.6)
$3,810an average of $30 per time performed $2,032
an average of $16 per time performed
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
123
times performed,
0.81% of his services

19th 31st

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

17
patients got this service, 2% of his patients
7.2
average number of visits a patient made for this service
(Peers: 4.2)
$123an average of $1 per time performed $0
an average of $0 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
85
times performed,
0.56% of his services

20th 96th

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

40
patients got this service, 4% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.3)
$935an average of $11 per time performed $340
an average of $4 per time performed
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
69
times performed,
0.45% of his services

21st 30th

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

62
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$4,485an average of $65 per time performed $1,173
an average of $17 per time performed
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
66
times performed,
0.43% of his services

22nd 5th

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

61
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$1,122an average of $17 per time performed $726
an average of $11 per time performed
PROCEDURES

Screening mammography, producing direct digital image, bi... +

Screening mammography, producing direct digital image, bilateral, all views ×

Service Code: G0202
Performed in an office
62
times performed,
0.41% of his services

23rd 142nd

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

62
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,276an average of $198 per time performed $8,122
an average of $131 per time performed
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
57
times performed,
0.37% of his services

24th 49th

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

17
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$228an average of $4 per time performed $0
an average of $0 per time performed
PATHOLOGY AND LABORATORY

Stool analysis for blood to screen for colon tumors

Service Code: 82270
Performed in an office
50
times performed,
0.33% of his services

25th 81st

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

50
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,650an average of $33 per time performed $250
an average of $5 per time performed
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
49
times performed,
0.32% of his services

26th 80th

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

49
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,911an average of $39 per time performed $1,274
an average of $26 per time performed
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
46
times performed,
0.3% of his services

27th 118th

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

36
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$1,472an average of $32 per time performed $920
an average of $20 per time performed
PROCEDURES

Annual wellness visit; includes a personalized prevention... +

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ×

Service Code: G0438
Performed in an office
37
times performed,
0.24% of his services

28th 46th

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

37
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,105an average of $165 per time performed $5,883
an average of $159 per time performed
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
37
times performed,
0.24% of his services

29th 109th

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

34
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$296an average of $8 per time performed $185
an average of $5 per time performed
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in an office
37
times performed,
0.24% of his services

30th 143rd

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

36
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,355an average of $415 per time performed $5,735
an average of $155 per time performed
PATHOLOGY AND LABORATORY

Ferritin (blood protein) level

Service Code: 82728
Performed in an office
37
times performed,
0.24% of his services

31st 139th

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

31
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$1,036an average of $28 per time performed $703
an average of $19 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
31
times performed,
0.2% of his services

32nd 66th

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

31
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,510an average of $210 per time performed $2,046
an average of $66 per time performed
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
30
times performed,
0.2% of his services

33rd 22nd

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

28
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,650an average of $55 per time performed $360
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
25
times performed,
0.16% of his services

34th 37th

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

20
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$300an average of $12 per time performed $200
an average of $8 per time performed
PATHOLOGY AND LABORATORY

Lipase (fat enzyme) level

Service Code: 83690
Performed in an office
24
times performed,
0.16% of his services

35th 269th

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

23
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$336an average of $14 per time performed $216
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Amylase (enzyme) level

Service Code: 82150
Performed in an office
24
times performed,
0.16% of his services

36th 228th

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

23
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$336an average of $14 per time performed $216
an average of $9 per time performed
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in an office
23
times performed,
0.15% of his services

37th 43rd

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

23
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,530an average of $110 per time performed $2,438
an average of $106 per time performed
PATHOLOGY AND LABORATORY

Bacterial colony count, urine

Service Code: 87086
Performed in an office
22
times performed,
0.14% of his services

38th 101st

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

21
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$440an average of $20 per time performed $242
an average of $11 per time performed
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
22
times performed,
0.14% of his services

39th 51st

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

19
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$572an average of $26 per time performed $220
an average of $10 per time performed
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
21
times performed,
0.14% of his services

40th 26th

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

18
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$1,176an average of $56 per time performed $567
an average of $27 per time performed
PATHOLOGY AND LABORATORY

Breath test analysis for helicobacter pylori

Service Code: 83013
Performed in an office
20
times performed,
0.13% of his services

41st Alert

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

20
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$2,900an average of $145 per time performed $1,720
an average of $86 per time performed
PATHOLOGY AND LABORATORY

Administration of drug for helicobacter pylori

Service Code: 83014
Performed in an office
18
times performed,
0.12% of his services

42nd 437th

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$450an average of $25 per time performed $180
an average of $10 per time performed
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
18
times performed,
0.12% of his services

43rd 17th

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

17
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$3,384an average of $188 per time performed $1,584
an average of $88 per time performed
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
15
times performed,
0.1% of his services

44th 44th

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,050an average of $70 per time performed $855
an average of $57 per time performed
MEDICINE

Ultrasound scanning of blood flow (outside the brain) on ... +

Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck ×

Service Code: 93880
Performed in an office
15
times performed,
0.1% of his services

45th 149th

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,100an average of $340 per time performed $1,920
an average of $128 per time performed
MEDICINE

Measurement and graphic recording of the amount and speed... +

Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94060
Performed in an office
13
times performed,
0.09% of his services

46th 184th

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

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,079an average of $83 per time performed $572
an average of $44 per time performed
RADIOLOGY

X-ray of lower and sacral spine, minimum of 4 views

Service Code: 72110
Performed in an office
11
times performed,
0.07% of his services

47th 183rd

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)
$1,210an average of $110 per time performed $275
an average of $25 per time performed
RADIOLOGY

Ultrasound of abdomen

Service Code: 76705
Performed in an office
11
times performed,
0.07% of his services

48th 458th

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)
$1,925an average of $175 per time performed $858
an average of $78 per time performed
PROCEDURES

Initial preventive physical examination; face-to-face vis... +

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment ×

Service Code: G0402
Performed in an office
11
times performed,
0.07% of his services

49th 126th

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)
$1,650an average of $150 per time performed $1,650
an average of $150 per time performed

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.

Notes: This provider has a self-reported specialty of "Family Medicine." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

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.


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Credits: Warning icon designed by Stefan Parnarov from the Noun Project.