ProPublica

Journalism in the Public Interest

Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $267 per patient in 2014.
They performed about 10 services per patient. Here’s how this provider compares.
Number of
Patients
1,259
Rank: 4th
out of 353 providers in this state & specialty
Services
Performed
12,782
Rank: 33rd
out of 353 providers in this state & specialty
Avg Services
Per Patient
10.2 This Provider
Avg 10.1
Total Paid
by Medicare
$291K
Rank: 26th
out of 353 providers in this state & specialty
Avg Paid
Per Patient
$231 This Provider
Avg $267

Note: About 12% of this provider’s Medicare payments were for drugs administered in his 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 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 patients within 30 days before or after this provider in 2014.

Individuals

MICHAEL FISHER

BORISLAV MRAVKOV

JOHN BLACK

STUART POINT

KATHY LEWIS

Organizations

NEW HANOVER REGIONAL ME...

LABORATORY CORPORATION ...

Patients saw before

ALFRED DE MARIA MD

Patients saw after

Individuals

ZHICHENG LI

BRIAN AVERELL

FRED SCIALABBA

KATHY LEWIS

BRIAN BRODWATER

Organizations

NEW HANOVER REGIONAL ME...

LABORATORY CORPORATION ...

This Provider's Services

This provider performed 83 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
drug
DRUGS

Injection, onabotulinumtoxina, 1 unit

Service Code: J0585
Performed in an office
6,400
times performed,
50% of his services

1st 1st

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

12
patients got this service, 0.95% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.4)
$51,200an average of $8 per time performed $27,520
an average of $4 per time performed
drug
ADMINISTRATIVE

Injection, gadolinium-based magnetic resonance contrast a... +

Injection, gadolinium-based magnetic resonance contrast agent, not otherwise specified (nos), per ml ×

Service Code: A9579
Performed in an office
1,545
times performed,
12% of his services

2nd 8th

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

92
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$13,905an average of $9 per time performed $2,333
an average of $2 per time performed
drug
TEMPORARY CODES

Low osmolar contrast material, 300-399 mg/ml iodine conce... +

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ×

Service Code: Q9967
Performed in an office
995
times performed,
8% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$1,990an average of $2 per time performed $139
an average of $0 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
644
times performed,
5% of his services

4th 4th

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

480
patients got this service, 38% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$65,688an average of $102 per time performed $29,102
an average of $45 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
479
times performed,
4% of his services

5th 3rd

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

373
patients got this service, 30% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$88,136an average of $184 per time performed $36,787
an average of $77 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
261
times performed,
2% of his services

6th 26th

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

216
patients got this service, 17% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$6,525an average of $25 per time performed $767
an average of $3 per time performed
drug
ADMINISTRATIVE

Injection, gadobenate dimeglumine (multihance), per ml

Service Code: A9577
Performed in an office
244
times performed,
2% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

25
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$2,440an average of $10 per time performed $425
an average of $2 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
182
times performed,
1% of his services

8th 7th

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

182
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$49,324an average of $271 per time performed $20,382
an average of $112 per time performed
medical
RADIOLOGY

Mri scan of brain before and after contrast

Service Code: 70553
Performed in an office
120
times performed,
0.94% of his services

9th 53rd

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

118
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$245,200an average of $2,043 per time performed $30,860
an average of $257 per time performed
medical
PATHOLOGY AND LABORATORY

Blood creatinine level

Service Code: 82565
Performed in an office
113
times performed,
0.88% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

106
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
$3,729an average of $33 per time performed $770
an average of $7 per time performed
medical
RADIOLOGY

Mri scan of lower spinal canal

Service Code: 72148
Performed in an office
112
times performed,
0.88% of his services

11th 70th

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

98
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$64,035an average of $572 per time performed $9,139
an average of $82 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
101
times performed,
0.79% of his services

12th 95th

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

101
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,403an average of $103 per time performed $2,201
an average of $22 per time performed
medical
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
94
times performed,
0.74% of his services

13th 81st

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

94
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,178an average of $87 per time performed $1,894
an average of $20 per time performed
medical
RADIOLOGY

Mri scan brain

Service Code: 70551
Performed in an office
88
times performed,
0.69% of his services

14th 36th

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

84
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$58,980an average of $670 per time performed $7,441
an average of $85 per time performed
medical
MEDICINE

Measurement and recording of brain wave (eeg) activity, a... +

Measurement and recording of brain wave (eeg) activity, awake and asleep ×

Service Code: 95819
Performed in an office
68
times performed,
0.53% of his services

15th 50th

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

68
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$56,440an average of $830 per time performed $19,955
an average of $293 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
62
times performed,
0.49% of his services

16th 6th

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

49
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$9,548an average of $154 per time performed $3,412
an average of $55 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
60
times performed,
0.47% of his services

17th 19th

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

60
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,580an average of $243 per time performed $6,301
an average of $105 per time performed
medical
PATHOLOGY AND LABORATORY

Liver enzyme (sgot), level

Service Code: 84450
Performed in an office
53
times performed,
0.41% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

35
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
$1,908an average of $36 per time performed $176
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Liver enzyme (sgpt), level

Service Code: 84460
Performed in an office
53
times performed,
0.41% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

35
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
$2,067an average of $39 per time performed $191
an average of $4 per time performed
medical
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
53
times performed,
0.41% of his services

20th 106th

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

35
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$2,703an average of $51 per time performed $551
an average of $10 per time performed
medical
MEDICINE

Measurement and recording of brain wave (eeg) activity, a... +

Measurement and recording of brain wave (eeg) activity, awake and drowsy ×

Service Code: 95816
Performed in an office
53
times performed,
0.41% of his services

21st 31st

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

53
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$30,334an average of $572 per time performed $13,666
an average of $258 per time performed
medical
RADIOLOGY

Mri scan of upper spinal canal

Service Code: 72141
Performed in an office
53
times performed,
0.41% of his services

22nd 92nd

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

46
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$34,911an average of $659 per time performed $4,537
an average of $86 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
49
times performed,
0.38% of his services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

49
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$3,871an average of $79 per time performed $590
an average of $12 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84436
Performed in an office
47
times performed,
0.37% of his services

24th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

47
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$2,585an average of $55 per time performed $362
an average of $8 per time performed
medical
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep lab +

Sleep monitoring of patient (6 years or older) in sleep lab ×

Service Code: 95810
Performed in an office
44
times performed,
0.34% of his services

25th 42nd

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

44
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$73,656an average of $1,674 per time performed $19,893
an average of $452 per time performed
medical
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
33
times performed,
0.26% of his services

26th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

33
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$4,158an average of $126 per time performed $1,839
an average of $56 per time performed
medical
PATHOLOGY AND LABORATORY

Folic acid level

Service Code: 82746
Performed in an office
31
times performed,
0.24% of his services

27th 117th

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

31
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,418an average of $78 per time performed $609
an average of $20 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
29
times performed,
0.23% of his services

28th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

29
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$928an average of $32 per time performed $137
an average of $5 per time performed
medical
NA

Injection of chemical for destruction of facial and neck ... +

Injection of chemical for destruction of facial and neck nerve muscles on both sides of face ×

Service Code: 64615
Performed in an office
29
times performed,
0.23% of his services

29th 61st

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

12
patients got this service, 0.95% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.4)
$9,657an average of $333 per time performed $3,095
an average of $107 per time performed
medical
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
29
times performed,
0.23% of his services

30th 33rd

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

29
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,394an average of $186 per time performed $2,312
an average of $80 per time performed
medical
PATHOLOGY AND LABORATORY

Amylase (enzyme) level

Service Code: 82150
Performed in an office
27
times performed,
0.21% of his services

31st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 1% of his patients
1.5
average number of visits a patient made for this service
$1,377an average of $51 per time performed $234
an average of $9 per time performed
medical
MEDICINE

Electronic analysis and programming of implanted complex ... +

Electronic analysis and programming of implanted complex cranial neurostimulator generator system during or after surgery, first hour ×

Service Code: 95974
Performed in an office
26
times performed,
0.2% of his services

32nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 0.95% of his patients
2.2
average number of visits a patient made for this service
$10,452an average of $402 per time performed $3,961
an average of $152 per time performed
medical
RADIOLOGY

Mri scan of leg joint

Service Code: 73721
Performed in an office
24
times performed,
0.19% of his services

33rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

22
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$31,368an average of $1,307 per time performed $2,515
an average of $105 per time performed
medical
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep l... +

Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube ×

Service Code: 95811
Performed in an office
23
times performed,
0.18% of his services

34th 40th

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

23
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$38,453an average of $1,672 per time performed $10,627
an average of $462 per time performed
medical
PATHOLOGY AND LABORATORY

Carbon dioxide (bicarbonate) level

Service Code: 82374
Performed in an office
21
times performed,
0.16% of his services

35th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

16
patients got this service, 1% of his patients
1.3
average number of visits a patient made for this service
$483an average of $23 per time performed $97
an average of $5 per time performed
medical
RADIOLOGY

Mri scan of upper spinal canal before and after contrast +

Mri scan of upper spinal canal before and after contrast ×

Service Code: 72156
Performed in an office
18
times performed,
0.14% of his services

36th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$23,104an average of $1,284 per time performed $2,694
an average of $150 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
17
times performed,
0.13% of his services

37th 11th

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

17
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$3,740an average of $220 per time performed $1,692
an average of $100 per time performed
medical
MEDICINE

Electronic analysis of implanted brain spinal cord or per... +

Electronic analysis of implanted brain spinal cord or peripheral neurostimulator generator system ×

Service Code: 95970
Performed in an office
15
times performed,
0.12% of his services

38th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 0.95% of his patients
1.3
average number of visits a patient made for this service
$1,995an average of $133 per time performed $612
an average of $41 per time performed
medical
MEDICINE

Measurement and recording of brain wave (eeg) activity, a... +

Measurement and recording of brain wave (eeg) activity, awake and drowsy ×

Service Code: 95816
Performed in a facility
12
times performed,
0.09% of his services

39th 16th

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

12
patients got this service, 0.95% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,996an average of $166 per time performed $533
an average of $44 per time performed
medical
MEDICINE

Monitoring and localization of seizure activity over 24-h... +

Monitoring and localization of seizure activity over 24-hour period using portable 16-channel electroencephalograph (eeg) ×

Service Code: 95953
Performed in an office
12
times performed,
0.09% of his services

40th 98th

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

12
patients got this service, 0.95% of his patients
1
average number of visits a patient made for this service
(Peers: 2.3)
$10,764an average of $897 per time performed $3,742
an average of $312 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.

Alfred De Maria
Average for Neurology Providers in North Carolina

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.

Read our methodology.