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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, $330 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
511
Rank: 270th
out of 393 providers in this state & specialty
Services
Performed
3,200
Rank: 126th
out of 393 providers in this state & specialty
Avg Services
Per Patient
6.3 This Provider is in the top 10%
Avg 3.2
Total Paid
by Medicare
$146K
Rank: 243rd
out of 393 providers in this state & specialty
Avg Paid
Per Patient
$287 This Provider
Avg $330

Office Visits

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Top Billing

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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.

Rajat Ghaiy
Average for Ophthalmology Providers in Georgia

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, from Jan. 2012 to June 2013.

Individuals

MARK MOHNEY

BRIAN LONG

C TUCKER

HOWARD BORGER

STARLA FITCH

Organizations

PIEDMONT HOSPITAL, INC

QUEST DIAGNOSTICS CLINI...

Patients saw before

Rajat Ghaiy

Patients saw after

Individuals

ANA ROXO

ROBERT HALPER

JEFFREY SHAPIRO

MARK MOHNEY

DORIS LEE

Organizations

PIEDMONT HOSPITAL, INC

QUEST DIAGNOSTICS CLINI...

This Provider's Services

This provider performed 17 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
DRUGS

Injection, onabotulinumtoxina (botox), 1 unit

Service Code: J0585
Performed in an office
1,800
times performed,
56% of his services

1st 13th

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

15
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.3)
$9,000an average of $5 per time performed $7,200
an average of $4 per time performed
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, established patient ×

Service Code: 92012
Performed in an office
447
times performed,
14% of his services

2nd 2nd

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

348
patients got this service, 68% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$37,995an average of $85 per time performed $27,714
an average of $62 per time performed
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits ×

Service Code: 92014
Performed in an office
165
times performed,
5% of his services

3rd 1st

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

135
patients got this service, 26% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$20,130an average of $122 per time performed $14,190
an average of $86 per time performed
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
151
times performed,
5% of his services

4th 15th

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

106
patients got this service, 21% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$6,795an average of $45 per time performed $4,681
an average of $31 per time performed
EYE

Repair of tendon of upper eyelid

Service Code: 67904
Performed in a facility
88
times performed,
3% of his services

5th 47th

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

48
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$66,000an average of $750 per time performed $31,592
an average of $359 per time performed
MEDICINE

Photography of content of eyes

Service Code: 92285
Performed in an office
83
times performed,
3% of his services

6th 30th

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

82
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,158an average of $26 per time performed $1,577
an average of $19 per time performed
MEDICINE

Measurement of field of vision during daylight conditions +

Measurement of field of vision during daylight conditions ×

Service Code: 92083
Performed in an office
81
times performed,
3% of his services

7th 8th

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

79
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$7,371an average of $91 per time performed $5,670
an average of $70 per time performed
MEDICINE

Measurement of field of vision during daylight conditions +

Measurement of field of vision during daylight conditions ×

Service Code: 92082
Performed in an office
72
times performed,
2% of his services

8th 52nd

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

70
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$5,112an average of $71 per time performed $3,816
an average of $53 per time performed
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
70
times performed,
2% of his services

9th 4th

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

61
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$4,970an average of $71 per time performed $3,570
an average of $51 per time performed
SKIN, HAIR AND NAILS

Removal of excessive skin and fat of upper eyelid

Service Code: 15823
Performed in a facility
52
times performed,
2% of his services

10th 51st

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

27
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$32,240an average of $620 per time performed $17,056
an average of $328 per time performed
EYE

Probing of nasal-tear duct

Service Code: 68840
Performed in an office
41
times performed,
1% of his services

11th 56th

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

27
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$5,248an average of $128 per time performed $3,485
an average of $85 per time performed
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits ×

Service Code: 92004
Performed in an office
29
times performed,
0.91% of his services

12th 10th

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

29
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,379an average of $151 per time performed $2,987
an average of $103 per time performed
EYE

Removal of eyelid growth

Service Code: 67840
Performed in an office
28
times performed,
0.88% of his services

13th 54th

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

26
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$8,036an average of $287 per time performed $5,740
an average of $205 per time performed
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, new patient ×

Service Code: 92002
Performed in an office
27
times performed,
0.84% of his services

14th 38th

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

27
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,457an average of $91 per time performed $1,566
an average of $58 per time performed
NERVOUS SYSTEM

Injection of chemical for destruction of nerve muscles on... +

Injection of chemical for destruction of nerve muscles on one side of face ×

Service Code: 64612
Performed in an office
26
times performed,
0.81% of his services

15th 57th

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

18
patients got this service, 4% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.4)
$12,428an average of $478 per time performed $3,380
an average of $130 per time performed
EYE

Extensive repair of turning-outward eyelid defect

Service Code: 67917
Performed in a facility
26
times performed,
0.81% of his services

16th 67th

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

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,392an average of $592 per time performed $7,618
an average of $293 per time performed
EYE

Repair of turning-inward eyelid defect

Service Code: 67924
Performed in a facility
14
times performed,
0.44% of his services

17th 98th

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)
$8,288an average of $592 per time performed $4,522
an average of $323 per time performed

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.

Notes: This provider has a self-reported specialty of "Ophthalmology." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

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.


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