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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, $252 per patient in 2014.
They performed about 7 services per patient. Here’s how this provider compares.
Number of
Patients
759
Rank: 137th
out of 995 providers in this state & specialty
Services
Performed
12,027
Rank: 41st
out of 995 providers in this state & specialty
Avg Services
Per Patient
15.8 This Provider is in the top 10%
Avg 6.9
Total Paid
by Medicare
$232K
Rank: 109th
out of 995 providers in this state & specialty
Avg Paid
Per Patient
$306 This Provider
Avg $252

Note: About 14% of this provider’s Medicare payments were for drugs administered in his 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 his Part B patients.

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 in 2014.

Individuals

LUTHER PERSON

GARY SCHAFER

MICHAEL SCRUGGS

FRANKLIN MOORING

EDWARD GRISHAW

Organizations

DLP RUTHERFORD REGIONAL...

THE CHARLOTTE-MECKLENBU...

Patients saw before

TODD ALBALA MD

Patients saw after

Individuals

MICHAEL SCRUGGS

EDWARD GRISHAW

FRANKLIN MOORING

GARY SCHAFER

LUTHER PERSON

Organizations

DLP RUTHERFORD REGIONAL...

THE CHARLOTTE-MECKLENBU...

This Provider's Services

This provider performed 98 different services in 2014
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, denosumab, 1 mg

Service Code: J0897
Performed in an office
2,220
times performed,
18% of his services

1st 8th

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

28
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$155,400an average of $70 per time performed $23,998
an average of $11 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
1,345
times performed,
11% of his services

2nd 1st

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

438
patients got this service, 58% of his patients
3.1
average number of visits a patient made for this service
(Peers: 2.3)
$275,725an average of $205 per time performed $93,235
an average of $69 per time performed
medical
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
1,072
times performed,
9% of his services

3rd 4th

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

418
patients got this service, 55% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2.1)
$17,152an average of $16 per time performed $3,141
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
811
times performed,
7% of his services

4th 12th

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

388
patients got this service, 51% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.5)
$24,330an average of $30 per time performed $6,253
an average of $8 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
753
times performed,
6% of his services

5th 13th

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

66
patients got this service, 9% of his patients
11.4
average number of visits a patient made for this service
(Peers: 6.5)
$10,542an average of $14 per time performed $3,825
an average of $5 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
552
times performed,
5% of his services

6th 33rd

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

56
patients got this service, 7% of his patients
9.9
average number of visits a patient made for this service
(Peers: 2.9)
$29,256an average of $53 per time performed $7,524
an average of $14 per time performed
medical
PATHOLOGY AND LABORATORY

Ldl cholesterol level

Service Code: 83721
Performed in an office
530
times performed,
4% of his services

7th 116th

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

287
patients got this service, 38% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.3)
$18,020an average of $34 per time performed $6,694
an average of $13 per time performed
medical
PATHOLOGY AND LABORATORY

Cholesterol level

Service Code: 82465
Performed in an office
521
times performed,
4% of his services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

284
patients got this service, 37% of his patients
1.8
average number of visits a patient made for this service
$8,336an average of $16 per time performed $1,761
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
442
times performed,
4% of his services

9th 11th

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

208
patients got this service, 27% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.8)
$15,470an average of $35 per time performed $5,662
an average of $13 per time performed
medical
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
375
times performed,
3% of his services

10th 6th

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

233
patients got this service, 31% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$10,500an average of $28 per time performed $3,881
an average of $10 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
305
times performed,
3% of his services

11th 3rd

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

124
patients got this service, 16% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.6)
$44,530an average of $146 per time performed $16,366
an average of $54 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
253
times performed,
2% of his services

12th 15th

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

162
patients got this service, 21% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$14,674an average of $58 per time performed $5,465
an average of $22 per time performed
medical
PATHOLOGY AND LABORATORY

Triglycerides level

Service Code: 84478
Performed in an office
244
times performed,
2% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

178
patients got this service, 23% of his patients
1.4
average number of visits a patient made for this service
$5,124an average of $21 per time performed $869
an average of $4 per time performed
medical
PATHOLOGY AND LABORATORY

Hdl cholesterol level

Service Code: 83718
Performed in an office
240
times performed,
2% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

209
patients got this service, 28% of his patients
1.1
average number of visits a patient made for this service
$6,960an average of $29 per time performed $2,602
an average of $11 per time performed
medical
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
238
times performed,
2% of his services

15th 10th

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

212
patients got this service, 28% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$6,188an average of $26 per time performed $1,478
an average of $6 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
208
times performed,
2% of his services

16th 14th

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

202
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,528an average of $41 per time performed $4,824
an average of $23 per time performed
drug
NA

Vaccine for influenza for injection into muscle

Service Code: 90661
Performed in an office
192
times performed,
2% of his services

17th 141st

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

192
patients got this service, 25% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,904an average of $62 per time performed $3,996
an average of $21 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
180
times performed,
1% of his services

18th 7th

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

166
patients got this service, 22% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$8,460an average of $47 per time performed $2,497
an average of $14 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
141
times performed,
1% of his services

19th 22nd

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

45
patients got this service, 6% of his patients
3
average number of visits a patient made for this service
(Peers: 2.5)
$10,135an average of $72 per time performed $2,232
an average of $16 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
123
times performed,
1% of his services

20th 16th

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

84
patients got this service, 11% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.8)
$3,567an average of $29 per time performed $1,235
an average of $10 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
83
times performed,
0.69% of his services

21st 69th

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

83
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$36,271an average of $437 per time performed $3,719
an average of $45 per time performed
medical
PATHOLOGY AND LABORATORY

Blood glucose (sugar) test performed by hand-held instrument +

Blood glucose (sugar) test performed by hand-held instrument ×

Service Code: 82962
Performed in an office
82
times performed,
0.68% of his services

22nd 70th

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

69
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.2)
$738an average of $9 per time performed $257
an average of $3 per time performed
drug
DRUGS

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

Service Code: J3420
Performed in an office
81
times performed,
0.67% of his services

23rd 46th

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

18
patients got this service, 2% of his patients
4.5
average number of visits a patient made for this service
(Peers: 3.6)
$399an average of $5 per time performed $122
an average of $2 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
78
times performed,
0.65% of his services

24th 28th

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

67
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$13,884an average of $178 per time performed $4,162
an average of $53 per time performed
medical
PROCEDURES

Physician re-certification for medicare-covered home heal... +

Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im ×

Service Code: G0179
Performed in an office
73
times performed,
0.61% of his services

25th 225th

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

23
patients got this service, 3% of his patients
3.2
average number of visits a patient made for this service
(Peers: 1.7)
$9,124an average of $125 per time performed $2,086
an average of $29 per time performed
medical
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
67
times performed,
0.56% of his services

26th 17th

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

61
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$4,623an average of $69 per time performed $750
an average of $11 per time performed
medical
MEDICINE

Measurement and graphic recording of total and timed exha... +

Measurement and graphic recording of total and timed exhaled air capacity ×

Service Code: 94010
Performed in an office
61
times performed,
0.51% of his services

27th 105th

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

60
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$5,490an average of $90 per time performed $1,505
an average of $25 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
56
times performed,
0.47% of his services

28th 2nd

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

50
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.1)
$7,616an average of $136 per time performed $2,636
an average of $47 per time performed
drug
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
51
times performed,
0.42% of his services

29th 62nd

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)
$9,978an average of $196 per time performed $3,771
an average of $74 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
44
times performed,
0.37% of his services

30th 52nd

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

43
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,804an average of $41 per time performed $1,020
an average of $23 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
39
times performed,
0.32% of his services

31st 18th

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

33
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$312an average of $8 per time performed $117
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
36
times performed,
0.3% of his services

32nd 67th

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

27
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$864an average of $24 per time performed $314
an average of $9 per time performed
medical
PATHOLOGY AND LABORATORY

Ferritin (blood protein) level

Service Code: 82728
Performed in an office
34
times performed,
0.28% of his services

33rd 95th

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

27
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$1,632an average of $48 per time performed $619
an average of $18 per time performed
medical
PATHOLOGY AND LABORATORY

Blood creatinine level

Service Code: 82565
Performed in an office
30
times performed,
0.25% of his services

34th 246th

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

21
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.1)
$540an average of $18 per time performed $98
an average of $3 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle, patient ... +

Vaccine for influenza for injection into muscle, patient 3 years and older ×

Service Code: 90656
Performed in an office
29
times performed,
0.24% of his services

35th 102nd

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

28
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,044an average of $36 per time performed $352
an average of $12 per time performed
medical
PATHOLOGY AND LABORATORY

Calcium level

Service Code: 82310
Performed in an office
29
times performed,
0.24% of his services

36th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

21
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
$551an average of $19 per time performed $105
an average of $4 per time performed
medical
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple ×

Service Code: G0180
Performed in an office
28
times performed,
0.23% of his services

37th 97th

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

23
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$4,408an average of $157 per time performed $1,051
an average of $38 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent observation care, typically 25 minutes per day +

Subsequent observation care, typically 25 minutes per day ×

Service Code: 99225
Performed in a facility
24
times performed,
0.2% of his services

38th 112th

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

20
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$3,456an average of $144 per time performed $1,328
an average of $55 per time performed
medical
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
22
times performed,
0.18% of his services

39th 93rd

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

21
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$902an average of $41 per time performed $315
an average of $14 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
21
times performed,
0.17% of his services

40th 21st

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

20
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$6,541an average of $311 per time performed $1,964
an average of $94 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
20
times performed,
0.17% of his services

41st 68th

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

19
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$3,560an average of $178 per time performed $1,102
an average of $55 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
17
times performed,
0.14% of his services

42nd 44th

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

16
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$1,632an average of $96 per time performed $391
an average of $23 per time performed
medical
RADIOLOGY

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

Service Code: 71020
Performed in an office
16
times performed,
0.13% of his services

43rd 51st

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,292an average of $81 per time performed $243
an average of $15 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
15
times performed,
0.12% of his services

44th 94th

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

11
patients got this service, 1% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$975an average of $65 per time performed $369
an average of $25 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
14
times performed,
0.12% of his services

45th 98th

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

11
patients got this service, 1% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$224an average of $16 per time performed $58
an average of $4 per time performed
medical
PATHOLOGY AND LABORATORY

Stool analysis for blood to screen for colon tumors

Service Code: 82270
Performed in an office
13
times performed,
0.11% of his services

46th 77th

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$156an average of $12 per time performed $57
an average of $4 per time performed
medical
PROCEDURES

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

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

Service Code: G0103
Performed in an office
12
times performed,
0.1% of his services

47th 63rd

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)
$780an average of $65 per time performed $295
an average of $25 per time performed
medical
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
12
times performed,
0.1% of his services

48th 48th

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: 1.4)
$276an average of $23 per time performed $104
an average of $9 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
12
times performed,
0.1% of his services

49th 58th

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)
$4,080an average of $340 per time performed $1,071
an average of $89 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.

Todd Steven Albala
Average for Internal Medicine Providers in South Carolina

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 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.

Read our methodology.