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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, $234 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
1,239
Rank: 53rd
out of 2,169 providers in this state & specialty
Services
Performed
12,747
Rank: 33rd
out of 2,169 providers in this state & specialty
Avg Services
Per Patient
10.3 This Provider is in the top 10%
Avg 5
Total Paid
by Medicare
$283K
Rank: 87th
out of 2,169 providers in this state & specialty
Avg Paid
Per Patient
$228 This Provider
Avg $234

Office Visits

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Top Billing

Related story »

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.

William C. Brink
Average for Internal Medicine Providers in Virginia

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

DOUGLAS KEIM

DAVID HARRY

KYLE YOUNG

DAVID SNOW

JAMES SLUSS

Organizations

WINCHESTER MEDICAL CENT...

PIEDMONT JOINT VENTURE ...

Patients saw before

William C. Brink

Patients saw after

This Provider's Services

This provider performed 44 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
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
2,479
times performed,
19% of his services

1st 4th

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

753
patients got this service, 61% of his patients
3.3
average number of visits a patient made for this service
(Peers: 2.2)
$9,916an average of $4 per time performed $7,437
an average of $3 per time performed
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
1,442
times performed,
11% of his services

2nd 1st

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

606
patients got this service, 49% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.2)
$151,410an average of $105 per time performed $93,730
an average of $65 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
1,310
times performed,
10% of his services

3rd 12th

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

681
patients got this service, 55% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.6)
$52,400an average of $40 per time performed $18,340
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
1,039
times performed,
8% of his services

4th 8th

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

151
patients got this service, 12% of his patients
6.9
average number of visits a patient made for this service
(Peers: 6.7)
$16,624an average of $16 per time performed $6,234
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
1,027
times performed,
8% of his services

5th 11th

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

612
patients got this service, 49% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$41,080an average of $40 per time performed $13,351
an average of $13 per time performed
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
938
times performed,
7% of his services

6th 9th

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

568
patients got this service, 46% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.7)
$23,450an average of $25 per time performed $10,318
an average of $11 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
541
times performed,
4% of his services

7th 2nd

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

326
patients got this service, 26% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.3)
$37,870an average of $70 per time performed $25,968
an average of $48 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
500
times performed,
4% of his services

8th 23rd

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

235
patients got this service, 19% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.8)
$16,000an average of $32 per time performed $7,000
an average of $14 per time performed
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
431
times performed,
3% of his services

9th 7th

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

368
patients got this service, 30% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$10,344an average of $24 per time performed $2,586
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
339
times performed,
3% of his services

10th 27th

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

248
patients got this service, 20% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$14,577an average of $43 per time performed $8,136
an average of $24 per time performed
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
329
times performed,
3% of his services

11th 5th

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

153
patients got this service, 12% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.1)
$36,519an average of $111 per time performed $25,991
an average of $79 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
262
times performed,
2% of his services

12th 17th

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

101
patients got this service, 8% of his patients
2.6
average number of visits a patient made for this service
(Peers: 3.1)
$5,502an average of $21 per time performed $3,406
an average of $13 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
244
times performed,
2% of his services

13th 13th

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

244
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,100an average of $25 per time performed $5,856
an average of $24 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, for intramuscular u... +

Influenza virus vaccine, split virus, for intramuscular use (agriflu) ×

Service Code: Q2034
Performed in an office
241
times performed,
2% of his services

14th 165th

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

241
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,820an average of $20 per time performed $3,615
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
230
times performed,
2% of his services

15th 29th

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

156
patients got this service, 13% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$8,050an average of $35 per time performed $2,760
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
200
times performed,
2% of his services

16th 49th

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

167
patients got this service, 13% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$2,200an average of $11 per time performed $800
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Ldl cholesterol level

Service Code: 83721
Performed in an office
158
times performed,
1% of his services

17th 66th

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

146
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$4,740an average of $30 per time performed $2,212
an average of $14 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
112
times performed,
0.88% of his services

18th 15th

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

92
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$12,208an average of $109 per time performed $9,072
an average of $81 per time performed
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
97
times performed,
0.76% of his services

19th 16th

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

90
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$3,880an average of $40 per time performed $1,358
an average of $14 per time performed
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: 85027
Performed in an office
91
times performed,
0.71% of his services

20th 48th

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

90
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$1,820an average of $20 per time performed $819
an average of $9 per time performed
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
74
times performed,
0.58% of his services

21st 24th

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

71
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$10,360an average of $140 per time performed $7,030
an average of $95 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
63
times performed,
0.49% of his services

22nd 46th

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

42
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$2,709an average of $43 per time performed $819
an average of $13 per time performed
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
43
times performed,
0.34% of his services

23rd 84th

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

43
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,623an average of $61 per time performed $1,118
an average of $26 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
42
times performed,
0.33% of his services

24th 104th

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

33
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$756an average of $18 per time performed $210
an average of $5 per time performed
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
42
times performed,
0.33% of his services

25th 81st

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

42
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,050an average of $25 per time performed $672
an average of $16 per time performed
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
41
times performed,
0.32% of his services

26th 10th

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

40
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$14,514an average of $354 per time performed $6,232
an average of $152 per time performed
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
40
times performed,
0.31% of his services

27th 3rd

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

31
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.6)
$3,280an average of $82 per time performed $2,120
an average of $53 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
35
times performed,
0.27% of his services

28th 59th

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

35
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$875an average of $25 per time performed $840
an average of $24 per time performed
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
35
times performed,
0.27% of his services

29th 60th

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

35
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,750an average of $50 per time performed $1,750
an average of $50 per time performed
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
34
times performed,
0.27% of his services

30th 50th

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

28
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$1,020an average of $30 per time performed $306
an average of $9 per time performed
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
33
times performed,
0.26% of his services

31st 70th

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

24
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$495an average of $15 per time performed $165
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
29
times performed,
0.23% of his services

32nd 99th

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

27
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$725an average of $25 per time performed $232
an average of $8 per time performed
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
29
times performed,
0.23% of his services

33rd 71st

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

27
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$493an average of $17 per time performed $203
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82550
Performed in an office
25
times performed,
0.2% of his services

34th 67th

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

23
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$500an average of $20 per time performed $150
an average of $6 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
25
times performed,
0.2% of his services

35th 107th

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

25
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,000an average of $200 per time performed $3,300
an average of $132 per time performed
PATHOLOGY AND LABORATORY

Liver enzyme (sgpt), level

Service Code: 84460
Performed in an office
21
times performed,
0.16% of his services

36th 68th

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

21
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$378an average of $18 per time performed $126
an average of $6 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
20
times performed,
0.16% of his services

37th 56th

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

19
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,600an average of $80 per time performed $1,100
an average of $55 per time performed
PROCEDURES

Initial preventive physical examination; face-to-face vis... +

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment ×

Service Code: G0402
Performed in an office
17
times performed,
0.13% of his services

38th 166th

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)
$2,618an average of $154 per time performed $2,567
an average of $151 per time performed
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
17
times performed,
0.13% of his services

39th 57th

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)
$2,720an average of $160 per time performed $1,887
an average of $111 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
16
times performed,
0.13% of his services

40th 79th

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,200an average of $75 per time performed $656
an average of $41 per time performed
EVALUATION AND MANAGEMENT

Smoking and tobacco use intermediate counseling, greater ... +

Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes ×

Service Code: 99406
Performed in an office
15
times performed,
0.12% of his services

41st 223rd

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$225an average of $15 per time performed $150
an average of $10 per time performed
PROCEDURES

Physician supervision of a patient receiving medicare-cov... +

Physician supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans, review of subsequent reports of patient status, review of laboratory and other studies, communication (including telephone calls) with other health care professionals involved in the patient's care, integration of new information into the medical treatment plan and/or adjustment of medical therapy, within a calendar month, 30 minutes or more ×

Service Code: G0181
Performed in an office
15
times performed,
0.12% of his services

42nd 302nd

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

13
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$1,800an average of $120 per time performed $1,230
an average of $82 per time performed
PROCEDURES

Electrocardiogram, routine ecg with 12 leads; performed a... +

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report ×

Service Code: G0403
Performed in an office
15
times performed,
0.12% of his services

43rd 203rd

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$600an average of $40 per time performed $120
an average of $8 per time performed
PROCEDURES

Annual wellness visit; includes a personalized prevention... +

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ×

Service Code: G0438
Performed in an office
11
times performed,
0.09% of his services

44th 53rd

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

11
patients got this service, 0.89% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,848an average of $168 per time performed $1,749
an average of $159 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 "Internal Medicine." 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.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.