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, $192 per patient in 2015.
They performed about 6 services per patient. Here’s how this provider compares.

Number of
Patients
680
Rank: 77th
out of 1,574 providers in this state & specialty
Services
Performed
4,884
Rank: 116th
out of 1,574 providers in this state & specialty
Avg Services
Per Patient
7.2 This Provider
Avg 6.4
Total Paid
by Medicare
$332K
Rank: 15th
out of 1,574 providers in this state & specialty
Avg Paid
Per Patient
$488 This Provider is in the top 10%
Avg $192

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.

This Provider's Services

This provider performed 64 different services in 2015
(41 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
1,140
times performed,
23% of his services

1st 2nd

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

237
patients got this service, 35% of his patients
4.8
average number of visits a patient made for this service
(Peers: 2.1)
$124,419.60an average of $109.14 per time performed $78,922.20
an average of $69.23 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
924
times performed,
19% of his services

2nd 25th

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

224
patients got this service, 33% of his patients
4.1
average number of visits a patient made for this service
(Peers: 2.3)
$101,972.64an average of $110.36 per time performed $70,621.32
an average of $76.43 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in an office
660
times performed,
14% of his services

3rd 33rd

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

193
patients got this service, 28% of his patients
3.4
average number of visits a patient made for this service
(Peers: 3.1)
$62,350.20an average of $94.47 per time performed $41,111.40
an average of $62.29 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 35 minutes p... +

Subsequent nursing facility visit, typically 35 minutes per day ×

Service Code: 99310
Performed in an office
261
times performed,
5% of his services

4th 73rd

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

131
patients got this service, 19% of his patients
2
average number of visits a patient made for this service
(Peers: 2.8)
$36,647.01an average of $140.41 per time performed $25,058.61
an average of $96.01 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in an office
249
times performed,
5% of his services

5th 95th

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

202
patients got this service, 30% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$43,450.50an average of $174.50 per time performed $28,946.25
an average of $116.25 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
206
times performed,
4% of his services

6th 44th

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

170
patients got this service, 25% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$43,945.98an average of $213.33 per time performed $30,471.52
an average of $147.92 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
185
times performed,
4% of his services

7th 32nd

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

144
patients got this service, 21% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$14,043.35an average of $75.91 per time performed $9,847.55
an average of $53.23 per time performed
medical

Chronic care management services at least 20 minutes per ... +

Chronic care management services at least 20 minutes per calendar month ×

Service Code: 99490
Performed in an office
173
times performed,
4% of his services

8th 52nd

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

103
patients got this service, 15% of his patients
1.7
average number of visits a patient made for this service
(Peers: 3.4)
$7,487.44an average of $43.28 per time performed $5,281.69
an average of $30.53 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
140
times performed,
3% of his services

9th 67th

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

55
patients got this service, 8% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$1,107.40an average of $7.91 per time performed $357.00
an average of $2.55 per time performed
medical
EVALUATION AND MANAGEMENT

Nursing facility discharge day management, 30 minutes or ... +

Nursing facility discharge day management, 30 minutes or less ×

Service Code: 99315
Performed in an office
127
times performed,
3% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

117
patients got this service, 17% of his patients
1.1
average number of visits a patient made for this service
$9,655.81an average of $76.03 per time performed $6,544.31
an average of $51.53 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
115
times performed,
2% of his services

11th 36th

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

76
patients got this service, 11% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$17,122.35an average of $148.89 per time performed $11,427.55
an average of $99.37 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83037
Performed in an office
112
times performed,
2% of his services

12th 93rd

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

57
patients got this service, 8% of his patients
2
average number of visits a patient made for this service
(Peers: 1.6)
$2,800.00an average of $25.00 per time performed $1,450.40
an average of $12.95 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
76
times performed,
2% of his services

13th 9th

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

76
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,900.00an average of $25.00 per time performed $1,683.40
an average of $22.15 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 (fluvirin) ×

Service Code: Q2037
Performed in an office
76
times performed,
2% of his services

14th 61st

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

76
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,520.00an average of $20.00 per time performed $1,178.76
an average of $15.51 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
58
times performed,
1% of his services

15th 15th

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

42
patients got this service, 6% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.3)
$1,423.32an average of $24.54 per time performed $914.08
an average of $15.76 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
35
times performed,
0.72% of his services

16th 26th

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

29
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$709.10an average of $20.26 per time performed $97.30
an average of $2.78 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
28
times performed,
0.57% of his services

17th 70th

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)
$4,726.68an average of $168.81 per time performed $2,432.08
an average of $86.86 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
26
times performed,
0.53% of his services

18th 118th

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

26
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,067.40an average of $194.90 per time performed $3,580.72
an average of $137.72 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
23
times performed,
0.47% of his services

19th 91st

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

23
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,751.22an average of $76.14 per time performed $1,225.21
an average of $53.27 per time performed
medical
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
22
times performed,
0.45% of his services

20th 98th

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: 1.1)
$1,099.78an average of $49.99 per time performed $724.02
an average of $32.91 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
21
times performed,
0.43% of his services

21st 64th

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

18
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$1,370.25an average of $65.25 per time performed $910.14
an average of $43.34 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent observation care, typically 35 minutes per day +

Subsequent observation care, typically 35 minutes per day ×

Service Code: 99226
Performed in a facility
19
times performed,
0.39% of his services

22nd 233rd

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

14
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$2,093.80an average of $110.20 per time performed $1,477.82
an average of $77.78 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
16
times performed,
0.33% of his services

23rd 112th

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: 1.2)
$868.16an average of $54.26 per time performed $607.84
an average of $37.99 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.

James Richard Palen
Average for Family Medicine Providers in Missouri

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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