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, $362 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
1,256
Rank: 25th
out of 340 providers in this state & specialty
Services
Performed
8,256
Rank: 18th
out of 340 providers in this state & specialty
Avg Services
Per Patient
6.6 This Provider
Avg 5.4
Total Paid
by Medicare
$633K
Rank: 10th
out of 340 providers in this state & specialty
Avg Paid
Per Patient
$504 This Provider
Avg $362

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
(15 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
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
2,261
times performed,
27% of her services

1st 2nd

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

847
patients got this service, 67% of her patients
2.7
average number of visits a patient made for this service
(Peers: 2.2)
$342,744.99an average of $151.59 per time performed $197,362.69
an average of $87.29 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
1,618
times performed,
20% of her services

2nd 3rd

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

406
patients got this service, 32% of her patients
4
average number of visits a patient made for this service
(Peers: 2.4)
$243,136.86an average of $150.27 per time performed $138,937.66
an average of $85.87 per time performed
medical
MEDICINE

Diagnostic testing in a pulmonary function lab

Service Code: 94375
Performed in an office
1,474
times performed,
18% of her services

3rd 28th

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

682
patients got this service, 54% of her patients
2.2
average number of visits a patient made for this service
(Peers: 1.4)
$117,920.00an average of $80.00 per time performed $48,863.10
an average of $33.15 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
634
times performed,
8% of her services

4th 1st

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

177
patients got this service, 14% of her patients
3.6
average number of visits a patient made for this service
(Peers: 2.7)
$80,486.30an average of $126.95 per time performed $37,444.04
an average of $59.06 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
482
times performed,
6% of her services

5th 6th

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

350
patients got this service, 28% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.1)
$132,550.00an average of $275.00 per time performed $80,677.16
an average of $167.38 per time performed
medical
MEDICINE

Determination of lung volumes using gas dilution or washout +

Determination of lung volumes using gas dilution or washout ×

Service Code: 94727
Performed in an office
373
times performed,
5% of her services

6th 11th

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

362
patients got this service, 29% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$17,359.42an average of $46.54 per time performed $13,435.46
an average of $36.02 per time performed
medical
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in an office
373
times performed,
5% of her services

7th 9th

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

362
patients got this service, 29% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$39,165.00an average of $105.00 per time performed $17,396.72
an average of $46.64 per time performed
medical
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
372
times performed,
5% of her services

8th 7th

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

361
patients got this service, 29% of her patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$44,640.00an average of $120.00 per time performed $19,105.92
an average of $51.36 per time performed
medical
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient,... +

Critical care delivery critically ill or injured patient, first 30-74 minutes ×

Service Code: 99291
Performed in a facility
187
times performed,
2% of her services

9th 5th

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

70
patients got this service, 6% of her patients
2.7
average number of visits a patient made for this service
(Peers: 2.2)
$69,190.00an average of $370.00 per time performed $34,451.01
an average of $184.23 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
91
times performed,
1% of her services

10th 31st

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

91
patients got this service, 7% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$24,661.00an average of $271.00 per time performed $15,691.13
an average of $172.43 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
67
times performed,
0.81% of her services

11th 16th

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

67
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,673.00an average of $219.00 per time performed $9,100.61
an average of $135.83 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
50
times performed,
0.61% of her services

12th 4th

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

37
patients got this service, 3% of her patients
1.4
average number of visits a patient made for this service
(Peers: 2)
$5,000.00an average of $100.00 per time performed $2,989.00
an average of $59.78 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
28
times performed,
0.34% of her services

13th 32nd

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

27
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$3,080.00an average of $110.00 per time performed $1,693.72
an average of $60.49 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
24
times performed,
0.29% of her services

14th 22nd

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

24
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$720.00an average of $30.00 per time performed $660.48
an average of $27.52 per time performed
drug
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 (flulaval) ×

Service Code: Q2036
Performed in an office
24
times performed,
0.29% of her services

15th 111th

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

24
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$840.00an average of $35.00 per time performed $201.84
an average of $8.41 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
23
times performed,
0.28% of her services

16th 39th

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

17
patients got this service, 1% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$3,243.00an average of $141.00 per time performed $2,047.23
an average of $89.01 per time performed
medical
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep lab +

Sleep monitoring of patient (6 years or older) in sleep lab ×

Service Code: 95810
Performed in a facility
22
times performed,
0.27% of her services

17th 54th

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

20
patients got this service, 2% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$11,000.00an average of $500.00 per time performed $2,201.98
an average of $100.09 per time performed
medical
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep l... +

Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube ×

Service Code: 95811
Performed in a facility
22
times performed,
0.27% of her services

18th 51st

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

18
patients got this service, 1% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$11,000.00an average of $500.00 per time performed $2,284.92
an average of $103.86 per time performed
medical
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 a facility
16
times performed,
0.19% of her services

19th 26th

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

16
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,081.92an average of $67.62 per time performed $172.32
an average of $10.77 per time performed
medical
MEDICINE

Determination of lung volumes using gas dilution or washout +

Determination of lung volumes using gas dilution or washout ×

Service Code: 94727
Performed in a facility
16
times performed,
0.19% of her services

20th 38th

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

16
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,280.00an average of $80.00 per time performed $162.72
an average of $10.17 per time performed
medical
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in a facility
16
times performed,
0.19% of her services

21st 21st

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

16
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$952.16an average of $59.51 per time performed $121.28
an average of $7.58 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
15
times performed,
0.18% of her services

22nd 90th

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

14
patients got this service, 1% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$4,125.00an average of $275.00 per time performed $2,301.15
an average of $153.41 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.

Vinay Sikand
Average for Pulmonary Disease Providers in New Jersey

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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