Treatment Tracker
The Doctors and Services in Medicare Part B
This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.
How This Provider Compares
This Provider
Avg in State & Specialty
Providers in this state and specialty were reimbursed, on average, $427 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
Services
Performed
Avg Services
Per Patient
Total Paid
by Medicare
Avg Paid
Per Patient
Note: About 63% of this provider’s Medicare payments were for drugs administered in her 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 her Part B patients.
This Provider's Services
This provider performed 47 different services in 2015
(31 were redacted as they were performed on less than 11 patients)
Show Only:
CATEGORYDescription of Service |
Times Performed (or Units) | This Service's Rank | Patients | Unique Visits Per Patient |
Billed to Medicare | Payments from Medicare |
|---|---|---|---|---|---|---|
MEDICINEService Code: 92134Performed in an office |
1,155 times performed, 20% of her services |
1st 3rd most performed service for this provider most performed service in this state & specialty |
350 patients got this service, 52% of her patients |
3.3 average number of visits a patient made for this service (Peers: 2) |
$144,375.00an average of $125.00 per time performed |
$37,364.25 an average of $32.35 per time performed |
EYEService Code: 67028Performed in an office |
741 times performed, 13% of her services |
2nd 4th most performed service for this provider most performed service in this state & specialty |
178 patients got this service, 27% of her patients |
4.2 average number of visits a patient made for this service (Peers: 4.1) |
$412,499.88an average of $556.68 per time performed |
$58,116.63 an average of $78.43 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 15 minutes × Service Code: 99213Performed in an office |
675 times performed, 12% of her services |
3rd 17th most performed service for this provider most performed service in this state & specialty |
362 patients got this service, 54% of her patients |
1.9 average number of visits a patient made for this service (Peers: 1.5) |
$84,375.00an average of $125.00 per time performed |
$34,310.25 an average of $50.83 per time performed |
|
Service Code: J0178 Performed in an office |
594 times performed, 10% of her services |
4th 12th most performed service for this provider most performed service in this state & specialty |
55 patients got this service, 8% of her patients |
4.8 average number of visits a patient made for this service (Peers: 3.9) |
$1,188,000.00an average of $2,000.00 per time performed |
$456,572.16 an average of $768.64 per time performed |
CHEMOTHERAPY DRUGSService Code: J9035Performed in an office |
470 times performed, 8% of her services |
5th 15th most performed service for this provider most performed service in this state & specialty |
130 patients got this service, 19% of her patients |
3.5 average number of visits a patient made for this service (Peers: 3.7) |
$47,000.00an average of $100.00 per time performed |
$25,088.60 an average of $53.38 per time performed |
MEDICINEService Code: 92250Performed in an office |
441 times performed, 8% of her services |
6th 10th most performed service for this provider most performed service in this state & specialty |
333 patients got this service, 50% of her patients |
1.3 average number of visits a patient made for this service (Peers: 1.2) |
$41,895.00an average of $95.00 per time performed |
$24,285.87 an average of $55.07 per time performed |
MEDICINEExamination of retinal blood vessels by ophthalmoscope Service Code: 92235Performed in an office |
362 times performed, 6% of her services |
7th 14th most performed service for this provider most performed service in this state & specialty |
196 patients got this service, 29% of her patients |
1 average number of visits a patient made for this service (Peers: 1.3) |
$86,880.00an average of $240.00 per time performed |
$29,137.38 an average of $80.49 per time performed |
MEDICINEEye and medical examination for diagnosis and treatment, ... + Eye and medical examination for diagnosis and treatment, established patient × Service Code: 92012Performed in an office |
354 times performed, 6% of her services |
8th 2nd most performed service for this provider most performed service in this state & specialty |
220 patients got this service, 33% of her patients |
1.6 average number of visits a patient made for this service (Peers: 1.7) |
$44,250.00an average of $125.00 per time performed |
$21,342.66 an average of $60.29 per time performed |
MEDICINEEye and medical examination for diagnosis and treatment, ... + Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits × Service Code: 92004Performed in an office |
256 times performed, 4% of her services |
9th 9th most performed service for this provider most performed service in this state & specialty |
256 patients got this service, 38% of her patients |
1 average number of visits a patient made for this service (Peers: 1) |
$57,600.00an average of $225.00 per time performed |
$27,043.84 an average of $105.64 per time performed |
RADIOLOGYUltrasound of eye disease, growth, or structure Service Code: 76512Performed in an office |
155 times performed, 3% of her services |
10th 39th most performed service for this provider most performed service in this state & specialty |
96 patients got this service, 14% of her patients |
1.5 average number of visits a patient made for this service (Peers: 1.3) |
$37,975.00an average of $245.00 per time performed |
$10,364.85 an average of $66.87 per time performed |
MEDICINEExamination of eye by ophthalmoscope with retinal drawing + Examination of eye by ophthalmoscope with retinal drawing × Service Code: 92225Performed in an office |
40 times performed, 0.68% of her services |
11th 23rd most performed service for this provider most performed service in this state & specialty |
29 patients got this service, 4% of her patients |
1 average number of visits a patient made for this service (Peers: 1) |
$3,800.00an average of $95.00 per time performed |
$820.00 an average of $20.50 per time performed |
MEDICINEEye and medical examination for diagnosis and treatment, ... + Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits × Service Code: 92014Performed in an office |
30 times performed, 0.51% of her services |
12th 1st most performed service for this provider most performed service in this state & specialty |
30 patients got this service, 4% of her patients |
1 average number of visits a patient made for this service (Peers: 1.2) |
$4,500.00an average of $150.00 per time performed |
$2,563.80 an average of $85.46 per time performed |
MEDICINEMeasurement of field of vision during daylight conditions + Measurement of field of vision during daylight conditions × Service Code: 92083Performed in an office |
24 times performed, 0.41% of her services |
13th 5th most performed service for this provider most performed service in this state & specialty |
15 patients got this service, 2% of her patients |
1.6 average number of visits a patient made for this service (Peers: 1.1) |
$2,640.00an average of $110.00 per time performed |
$1,118.64 an average of $46.61 per time performed |
EYEPreventive retinal detachment treatment by heat or laser,... + Preventive retinal detachment treatment by heat or laser, 1 or more sessions × Service Code: 67145Performed in an office |
17 times performed, 0.29% of her services |
14th 88th most performed service for this provider most performed service in this state & specialty |
14 patients got this service, 2% of her patients |
1.2 average number of visits a patient made for this service (Peers: 1.1) |
$20,400.00an average of $1,200.00 per time performed |
$6,782.15 an average of $398.95 per time performed |
MEDICINEExamination of eye by ophthalmoscope with retinal drawing + Examination of eye by ophthalmoscope with retinal drawing × Service Code: 92226Performed in an office |
13 times performed, 0.22% of her services |
15th 13th most performed service for this provider most performed service in this state & specialty |
11 patients got this service, 2% of her patients |
1.1 average number of visits a patient made for this service (Peers: 1.9) |
$1,170.00an average of $90.00 per time performed |
$155.35 an average of $11.95 per time performed |
EYELaser destruction of leaking retinal blood vessels, 1 or ... + Laser destruction of leaking retinal blood vessels, 1 or more sessions × Service Code: 67228Performed in an office |
12 times performed, 0.2% of her services |
16th 58th most performed service for this provider most performed service in this state & specialty |
11 patients got this service, 2% of her patients |
1.1 average number of visits a patient made for this service (Peers: 1.4) |
$24,000.00an average of $2,000.00 per time performed |
$9,436.44 an average of $786.37 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.
This provider did not bill Medicare for any 5’s.
Shelley Day Ghafoori
Average for Ophthalmology Providers in Texas
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 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.