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, $306 per patient in 2015.
They performed about 11 services per patient. Here’s how this provider compares.

Number of
Patients
1,210
Rank: 26th
out of 179 providers in this state & specialty
Services
Performed
8,140
Rank: 73rd
out of 179 providers in this state & specialty
Avg Services
Per Patient
6.7 This Provider
Avg 11.3
Total Paid
by Medicare
$356K
Rank: 27th
out of 179 providers in this state & specialty
Avg Paid
Per Patient
$294 This Provider
Avg $306

Note: About 26% 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.

This Provider's Services

This provider performed 109 different services in 2015
(79 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 15 minutes ×

Service Code: 99213
Performed in an office
1,599
times performed,
20% of his services

1st 3rd

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

1,011
patients got this service, 84% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$190,281.00an average of $119.00 per time performed $76,576.11
an average of $47.89 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
512
times performed,
6% of his services

2nd 6th

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

371
patients got this service, 31% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$13,312.00an average of $26.00 per time performed $2,140.16
an average of $4.18 per time performed
medical
URINARY SYSTEM

Ultrasound measurement of bladder capacity after voiding +

Ultrasound measurement of bladder capacity after voiding ×

Service Code: 51798
Performed in an office
485
times performed,
6% of his services

3rd 8th

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

357
patients got this service, 30% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$64,505.00an average of $133.00 per time performed $6,023.70
an average of $12.42 per time performed
drug
CHEMOTHERAPY DRUGS

Leuprolide acetate (for depot suspension), 7.5 mg

Service Code: J9217
Performed in an office
330
times performed,
4% of his services

4th 13th

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

46
patients got this service, 4% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.7)
$165,000.00an average of $500.00 per time performed $59,743.20
an average of $181.04 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
270
times performed,
3% of his services

5th 18th

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

270
patients got this service, 22% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$46,980.00an average of $174.00 per time performed $19,172.70
an average of $71.01 per time performed
medical
URINARY SYSTEM

Diagnostic examination of the bladder and bladder canal (... +

Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope ×

Service Code: 52000
Performed in an office
159
times performed,
2% of his services

6th 15th

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

114
patients got this service, 9% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$76,638.00an average of $482.00 per time performed $21,900.66
an average of $137.74 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
128
times performed,
2% of his services

7th 10th

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

103
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$2,304.00an average of $18.00 per time performed $373.76
an average of $2.92 per time performed
medical
RADIOLOGY

X-ray of abdomen, single view

Service Code: 74000
Performed in an office
95
times performed,
1% of his services

8th 27th

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

69
patients got this service, 6% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$8,265.00an average of $87.00 per time performed $1,463.95
an average of $15.41 per time performed
medical
MEDICINE

Hormonal anti-neoplastic chemotherapy administration bene... +

Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle ×

Service Code: 96402
Performed in an office
81
times performed,
1% of his services

9th 25th

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

44
patients got this service, 4% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$7,209.00an average of $89.00 per time performed $1,802.25
an average of $22.25 per time performed
medical
URINARY SYSTEM

Insertion of temporary bladder catheter

Service Code: 51701
Performed in an office
74
times performed,
0.91% of his services

10th 43rd

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

73
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$11,248.00an average of $152.00 per time performed $2,694.34
an average of $36.41 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
52
times performed,
0.64% of his services

11th 7th

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

45
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$9,256.00an average of $178.00 per time performed $3,956.16
an average of $76.08 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
30
times performed,
0.37% of his services

12th 52nd

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

30
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$7,020.00an average of $234.00 per time performed $2,378.70
an average of $79.29 per time performed
medical
RADIOLOGY

Ultrasound of rectum

Service Code: 76872
Performed in an office
29
times performed,
0.36% of his services

13th 41st

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)
$10,266.00an average of $354.00 per time performed $2,018.40
an average of $69.60 per time performed
medical
URINARY SYSTEM

Diagnostic examination of the bladder and bladder canal (... +

Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope ×

Service Code: 52000
Performed in a facility
29
times performed,
0.36% of his services

14th 24th

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

22
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$13,978.00an average of $482.00 per time performed $2,506.76
an average of $86.44 per time performed
medical
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
27
times performed,
0.33% of his services

15th 40th

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

27
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$12,528.00an average of $464.00 per time performed $1,216.35
an average of $45.05 per time performed
medical
MALE GENITAL SYSTEM

Biopsy of prostate gland

Service Code: 55700
Performed in an office
27
times performed,
0.33% of his services

16th 46th

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

27
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,229.00an average of $527.00 per time performed $4,013.01
an average of $148.63 per time performed
medical
URINARY SYSTEM

Insertion of stent in urinary duct (ureter) using an endo... +

Insertion of stent in urinary duct (ureter) using an endoscope ×

Service Code: 52332
Performed in a facility
27
times performed,
0.33% of his services

17th 28th

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

21
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$24,867.00an average of $921.00 per time performed $2,496.69
an average of $92.47 per time performed
medical
URINARY SYSTEM

Electro-removal of prostate through bladder canal (urethr... +

Electro-removal of prostate through bladder canal (urethra) with control of bleeding using an endoscope ×

Service Code: 52601
Performed in a facility
24
times performed,
0.29% of his services

18th 63rd

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

24
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$61,704.00an average of $2,571.00 per time performed $15,307.68
an average of $637.82 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
23
times performed,
0.28% of his services

19th 21st

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: 1.6)
$3,795.00an average of $165.00 per time performed $1,267.53
an average of $55.11 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
21
times performed,
0.26% of his services

20th 20th

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

13
patients got this service, 1% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.8)
$2,205.00an average of $105.00 per time performed $623.91
an average of $29.71 per time performed
medical
URINARY SYSTEM

Insertion of indwelling bladder catheter

Service Code: 51702
Performed in an office
20
times performed,
0.25% of his services

21st 38th

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

12
patients got this service, 0.99% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.1)
$3,860.00an average of $193.00 per time performed $957.80
an average of $47.89 per time performed
medical
URINARY SYSTEM

Shock wave crushing of kidney stones

Service Code: 50590
Performed in a facility
17
times performed,
0.21% of his services

22nd 53rd

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

15
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$47,804.00an average of $2,812.00 per time performed $6,723.67
an average of $395.51 per time performed
medical
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
17
times performed,
0.21% of his services

23rd 16th

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

15
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,173.00an average of $69.00 per time performed $554.03
an average of $32.59 per time performed
medical
URINARY SYSTEM

Destruction and/or removal of (0.5 to 2.0 centimeters) sm... +

Destruction and/or removal of (0.5 to 2.0 centimeters) small growths of the bladder using an endoscope ×

Service Code: 52234
Performed in a facility
17
times performed,
0.21% of his services

24th 102nd

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

12
patients got this service, 0.99% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.1)
$19,873.00an average of $1,169.00 per time performed $2,831.52
an average of $166.56 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
14
times performed,
0.17% of his services

25th 5th

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

13
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$280.00an average of $20.00 per time performed $39.06
an average of $2.79 per time performed
medical
FEMALE GENITAL SYSTEM

Creation of sling around bladder canal (urethra) to contr... +

Creation of sling around bladder canal (urethra) to control leakage ×

Service Code: 57288
Performed in a facility
13
times performed,
0.16% of his services

26th Alert

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

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$31,473.00an average of $2,421.00 per time performed $6,401.98
an average of $492.46 per time performed
medical
FEMALE GENITAL SYSTEM

Vaginal defect repair using an endoscope

Service Code: 57425
Performed in a facility
12
times performed,
0.15% of his services

27th Alert

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

12
patients got this service, 0.99% of his patients
1
average number of visits a patient made for this service
$30,144.00an average of $2,512.00 per time performed $6,337.56
an average of $528.13 per time performed
medical
URINARY SYSTEM

Non-needle measurement and recording of electrical activi... +

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings ×

Service Code: 51784
Performed in an office
11
times performed,
0.14% of his services

28th 57th

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

11
patients got this service, 0.91% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,631.00an average of $421.00 per time performed $713.90
an average of $64.90 per time performed
medical
URINARY SYSTEM

Insertion of device into the abdomen with measurement of ... +

Insertion of device into the abdomen with measurement of pressure and urine flow rate ×

Service Code: 51797
Performed in an office
11
times performed,
0.14% of his services

29th 54th

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

11
patients got this service, 0.91% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,511.00an average of $501.00 per time performed $828.85
an average of $75.35 per time performed
medical

Crushing of stone in urinary duct (ureter) with stent usi... +

Crushing of stone in urinary duct (ureter) with stent using an endoscope ×

Service Code: 52356
Performed in a facility
11
times performed,
0.14% of his services

30th 68th

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

11
patients got this service, 0.91% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$28,699.00an average of $2,609.00 per time performed $3,673.12
an average of $333.92 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.

Phillip M Gilson
Average for Urology Providers in Indiana

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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