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, $386 per patient in 2014.
They performed about 3 services per patient. Here’s how this provider compares.

Number of
Patients
485
Rank: 72nd
out of 683 providers in this state & specialty
Services
Performed
1,445
Rank: 55th
out of 683 providers in this state & specialty
Avg Services
Per Patient
3 This Provider
Avg 2.7
Total Paid
by Medicare
$138K
Rank: 106th
out of 683 providers in this state & specialty
Avg Paid
Per Patient
$285 This Provider
Avg $386

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 within 30 days before or after this provider in 2014.

Individuals

ELI SHAPIRO

JOHN KAZMIERSKI

ANTHONY KUDIRKA

JEREMY KENDRA

JAMES PETERS

Organizations

MOUNT CLEMENS REGIONAL ...

MEDSTAR, INC.

Patients saw before

MICHAEL D'ALMEIDA D.O.

Patients saw after

Individuals

ROY HANKS

ELI SHAPIRO

JAMES PETERS

JOHN KAZMIERSKI

JOSEPH MARDELLI

Organizations

MOUNT CLEMENS REGIONAL ...

MEDSTAR, INC.

This Provider's Services

This provider performed 93 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
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
656
times performed,
45% of his services

1st 1st

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

221
patients got this service, 46% of his patients
3
average number of visits a patient made for this service
(Peers: 2.1)
$65,200an average of $99 per time performed $20,441
an average of $31 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
140
times performed,
10% of his services

2nd 3rd

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

103
patients got this service, 21% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.3)
$18,834an average of $135 per time performed $8,156
an average of $58 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
120
times performed,
8% of his services

3rd 6th

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

117
patients got this service, 24% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$39,328an average of $328 per time performed $19,580
an average of $163 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
61
times performed,
4% of his services

4th 8th

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

59
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,005an average of $230 per time performed $6,472
an average of $106 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
53
times performed,
4% of his services

5th 4th

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

31
patients got this service, 6% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$10,329an average of $195 per time performed $3,881
an average of $73 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
43
times performed,
3% of his services

6th 5th

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

37
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.9)
$8,023an average of $187 per time performed $3,492
an average of $81 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
39
times performed,
3% of his services

7th 10th

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

39
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,985an average of $307 per time performed $4,815
an average of $123 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
31
times performed,
2% of his services

8th 24th

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

27
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$8,218an average of $265 per time performed $3,200
an average of $103 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
29
times performed,
2% of his services

9th 15th

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

18
patients got this service, 4% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.2)
$16,717an average of $576 per time performed $5,307
an average of $183 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
25
times performed,
2% of his services

10th 27th

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

25
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,630an average of $185 per time performed $1,467
an average of $59 per time performed
medical
DIGESTIVE SYSTEM

Insertion of stomach tube using an endoscope

Service Code: 43246
Performed in a facility
20
times performed,
1% of his services

11th 57th

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

20
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,531an average of $527 per time performed $3,493
an average of $175 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
15
times performed,
1% of his services

12th 2nd

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

12
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$1,923an average of $128 per time performed $766
an average of $51 per time performed

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.

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