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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, $379 per patient in 2012.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
882
Rank: 224th
out of 490 providers in this state & specialty
Services
Performed
4,093
Rank: 147th
out of 490 providers in this state & specialty
Avg Services
Per Patient
4.6 This Provider
Avg 4.2
Total Paid
by Medicare
$184K
Rank: 261st
out of 490 providers in this state & specialty
Avg Paid
Per Patient
$209 This Provider
Avg $379

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.

Mark L. Malton
Average for Ophthalmology 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.

Patients saw before

Mark L. Malton

Patients saw after

Individuals

FREDERICK WEIDMAN

GEORGE CLINARD

JOSEPH KRUG

DANIEL MURPHY

GERALD ROSEN

Organizations

THE PRESBYTERIAN HOSPITAL

THE CHARLOTTE-MECKLENBU...

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, onabotulinumtoxina (botox), 1 unit

Service Code: J0585
Performed in an office
2,260
times performed,
55% of his services

1st 4th

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

22
patients got this service, 2% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.5)
$18,080an average of $8 per time performed $9,040
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, 1 or more visits ×

Service Code: 92014
Performed in an office
447
times performed,
11% of his services

2nd 1st

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

434
patients got this service, 49% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$103,257an average of $231 per time performed $34,866
an average of $78 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
345
times performed,
8% of his services

3rd 2nd

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

296
patients got this service, 34% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$54,510an average of $158 per time performed $19,320
an average of $56 per time performed
MEDICINE

Photography of content of eyes

Service Code: 92285
Performed in an office
129
times performed,
3% of his services

4th 33rd

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

127
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,965an average of $85 per time performed $2,193
an average of $17 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
116
times performed,
3% of his services

5th 57th

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

22
patients got this service, 2% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.6)
$40,020an average of $345 per time performed $10,788
an average of $93 per time performed
MEDICINE

Measurement of field of vision during daylight conditions +

Measurement of field of vision during daylight conditions ×

Service Code: 92081
Performed in an office
95
times performed,
2% of his services

6th 48th

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

95
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,450an average of $110 per time performed $3,230
an average of $34 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
92
times performed,
2% of his services

7th 5th

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

79
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$12,420an average of $135 per time performed $4,600
an average of $50 per time performed
SKIN, HAIR AND NAILS

Removal of excessive skin and fat of upper eyelid

Service Code: 15823
Performed in an office
75
times performed,
2% of his services

8th 67th

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

42
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$105,000an average of $1,400 per time performed $24,975
an average of $333 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
65
times performed,
2% of his services

9th 11th

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

60
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$10,595an average of $163 per time performed $3,900
an average of $60 per time performed
EYE

Removal of cataract with insertion of lens

Service Code: 66984
Performed in a facility
64
times performed,
2% of his services

10th 8th

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

45
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$156,800an average of $2,450 per time performed $35,840
an average of $560 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
56
times performed,
1% of his services

11th 10th

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

50
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$11,256an average of $201 per time performed $4,144
an average of $74 per time performed
EYE

Dilation of tear-drainage opening

Service Code: 68801
Performed in an office
52
times performed,
1% of his services

12th 83rd

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

38
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$11,960an average of $230 per time performed $4,056
an average of $78 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
48
times performed,
1% of his services

13th 16th

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

48
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,392an average of $279 per time performed $4,176
an average of $87 per time performed
MEDICINE

Measurement of corneal curvature and depth of eye

Service Code: 92136
Performed in an office
44
times performed,
1% of his services

14th 9th

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

35
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$5,544an average of $126 per time performed $2,156
an average of $49 per time performed
MEDICINE

Diagnostic imaging of optic nerve of eye

Service Code: 92133
Performed in an office
40
times performed,
0.98% of his services

15th 14th

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: 1.1)
$4,360an average of $109 per time performed $1,160
an average of $29 per time performed
MEDICINE

Measurement of eye muscles to detect deviation of eyeball +

Measurement of eye muscles to detect deviation of eyeball ×

Service Code: 92060
Performed in an office
36
times performed,
0.88% of his services

16th 52nd

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

29
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$4,860an average of $135 per time performed $1,656
an average of $46 per time performed
MEDICINE

Examination of eye by ophthalmoscope with retinal drawing +

Examination of eye by ophthalmoscope with retinal drawing ×

Service Code: 92226
Performed in an office
33
times performed,
0.81% of his services

17th 12th

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

23
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.9)
$1,980an average of $60 per time performed $495
an average of $15 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
30
times performed,
0.73% of his services

18th 46th

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

30
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,500an average of $150 per time performed $1,350
an average of $45 per time performed
EYE

Repair of tendon of upper eyelid

Service Code: 67904
Performed in an office
24
times performed,
0.59% of his services

19th 86th

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)
$42,600an average of $1,775 per time performed $10,584
an average of $441 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
15
times performed,
0.37% of his services

20th 28th

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: 1.1)
$4,065an average of $271 per time performed $1,590
an average of $106 per time performed
EYE

Biopsy of eyelid

Service Code: 67810
Performed in an office
14
times performed,
0.34% of his services

21st 103rd

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,390an average of $385 per time performed $2,240
an average of $160 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
13
times performed,
0.32% of his services

22nd 20th

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

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,056an average of $312 per time performed $1,573
an average of $121 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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Credits: Warning icon designed by Stefan Parnarov from the Noun Project.