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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, $261 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
740
Rank: 83rd
out of 659 providers in this state & specialty
Services
Performed
12,093
Rank: 12th
out of 659 providers in this state & specialty
Avg Services
Per Patient
16.3 This Provider is in the top 10%
Avg 5.3
Total Paid
by Medicare
$420K
Rank: 22nd
out of 659 providers in this state & specialty
Avg Paid
Per Patient
$568 This Provider is in the top 10%
Avg $261

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.

Paul J. Saenger
Average for Orthopedic Surgery Providers in North Carolina

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

JESSICA HANCOCK

NEIL PETERSON

THOMAS HARTMANN

RABI KUTOB

DAVID HODGES

Organizations

MISSION HOSPITAL, INC.

COMMUNITY CAREPARTNERS,...

Patients saw before

Paul J. Saenger

Patients saw after

Individuals

JESSICA HANCOCK

RABI KUTOB

THOMAS HARTMANN

TONI MEADOR

DARRELL JOHNSON

Organizations

MISSION HOSPITAL, INC.

COMMUNITY CAREPARTNERS,...

This Provider's Services

This provider performed 22 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, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
5,900
times performed,
49% of his services

1st 1st

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

260
patients got this service, 35% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$17,700an average of $3 per time performed $5,900
an average of $1 per time performed
DRUGS

Hyaluronan or derivative (synvisc or synvisc-one), for in... +

Hyaluronan or derivative (synvisc or synvisc-one), for intra-articular injection, 1 mg ×

Service Code: J7325
Performed in an office
1,904
times performed,
16% of his services

2nd 3rd

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

33
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$51,408an average of $27 per time performed $19,040
an average of $10 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
844
times performed,
7% of his services

3rd 7th

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

526
patients got this service, 71% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$64,144an average of $76 per time performed $24,476
an average of $29 per time performed
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
814
times performed,
7% of his services

4th 9th

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

485
patients got this service, 66% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$74,888an average of $92 per time performed $21,164
an average of $26 per time performed
RADIOLOGY

X-ray of both knees, standing, front to back view

Service Code: 73565
Performed in an office
710
times performed,
6% of his services

5th 20th

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

464
patients got this service, 63% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.1)
$57,510an average of $81 per time performed $17,750
an average of $25 per time performed
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
551
times performed,
5% of his services

6th 4th

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

280
patients got this service, 38% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$87,609an average of $159 per time performed $24,795
an average of $45 per time performed
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
249
times performed,
2% of his services

7th 15th

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

171
patients got this service, 23% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$20,418an average of $82 per time performed $4,731
an average of $19 per time performed
RADIOLOGY

X-ray of hip on one side of body, 1 view

Service Code: 73500
Performed in an office
201
times performed,
2% of his services

8th 25th

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

129
patients got this service, 17% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$13,065an average of $65 per time performed $3,618
an average of $18 per time performed
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
146
times performed,
1% of his services

9th 26th

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

135
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$995,866an average of $6,821 per time performed $163,666
an average of $1,121 per time performed
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 implementation of the plan of care that meets patient's needs, per certification period ×

Service Code: G0180
Performed in an office
137
times performed,
1% of his services

10th 31st

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

128
patients got this service, 17% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$29,729an average of $217 per time performed $5,480
an average of $40 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
124
times performed,
1% of his services

11th 8th

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

124
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$23,436an average of $189 per time performed $8,308
an average of $67 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
99
times performed,
0.82% of his services

12th 2nd

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

98
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1.7)
$12,474an average of $126 per time performed $4,554
an average of $46 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 2... +

New patient office or other outpatient visit, typically 20 minutes ×

Service Code: 99202
Performed in an office
87
times performed,
0.72% of his services

13th 35th

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

87
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,310an average of $130 per time performed $3,915
an average of $45 per time performed
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27446
Performed in a facility
52
times performed,
0.43% of his services

14th 138th

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

44
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$194,428an average of $3,739 per time performed $40,560
an average of $780 per time performed
MUSCULOSKELETAL SYSTEM

Replacement of thigh bone and hip joint prosthesis

Service Code: 27130
Performed in a facility
49
times performed,
0.41% of his services

15th 41st

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

44
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$253,575an average of $5,175 per time performed $52,136
an average of $1,064 per time performed
MEDICINE

Therapeutic exercise to develop strength, endurance, rang... +

Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes ×

Service Code: 97110
Performed in an office
48
times performed,
0.4% of his services

16th 11th

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

18
patients got this service, 2% of his patients
1.9
average number of visits a patient made for this service
(Peers: 4.1)
$2,784an average of $58 per time performed $1,008
an average of $21 per time performed
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
45
times performed,
0.37% of his services

17th 13th

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

36
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$3,735an average of $83 per time performed $990
an average of $22 per time performed
MUSCULOSKELETAL SYSTEM

Removal of one knee cartilage using an endoscope

Service Code: 29881
Performed in a facility
40
times performed,
0.33% of his services

18th 103rd

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

40
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$102,000an average of $2,550 per time performed $15,560
an average of $389 per time performed
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
34
times performed,
0.28% of his services

19th 16th

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

33
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$3,570an average of $105 per time performed $748
an average of $22 per time performed
RADIOLOGY

X-ray of thigh, 2 views

Service Code: 73550
Performed in an office
24
times performed,
0.2% of his services

20th 61st

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

12
patients got this service, 2% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.6)
$1,680an average of $70 per time performed $432
an average of $18 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
19
times performed,
0.16% of his services

21st 111th

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

19
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$817an average of $43 per time performed $228
an average of $12 per time performed
MEDICINE

Physical therapy evaluation

Service Code: 97001
Performed in an office
16
times performed,
0.13% of his services

22nd 67th

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: 1.1)
$2,320an average of $145 per time performed $752
an average of $47 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 "Orthopaedic Surgery." 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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