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, $687 per patient in 2015.
They performed about 30 services per patient. Here’s how this provider compares.

Number of
Patients
199
Rank: 249th
out of 421 providers in this state & specialty
Services
Performed
34,070
Rank: 48th
out of 421 providers in this state & specialty
Avg Services
Per Patient
171.2 This Provider is in the top 10%
Avg 30.3
Total Paid
by Medicare
$313K
Rank: 99th
out of 421 providers in this state & specialty
Avg Paid
Per Patient
$1,571 This Provider
Avg $687

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 50 different services in 2015
(16 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
DRUGS

Hypertonic saline solution, 1 ml

Service Code: J7131
Performed in an office
19,200
times performed,
56% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 7% of his patients
9.1
average number of visits a patient made for this service
$3,264.00an average of $0.17 per time performed $384.00
an average of $0.02 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
3,510
times performed,
10% of his services

2nd 18th

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

179
patients got this service, 90% of his patients
9.9
average number of visits a patient made for this service
(Peers: 2)
$52,650.00an average of $15.00 per time performed $9,617.40
an average of $2.74 per time performed
medical
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
2,728
times performed,
8% of his services

3rd 11th

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

175
patients got this service, 88% of his patients
8.8
average number of visits a patient made for this service
(Peers: 2.3)
$376,464.00an average of $138.00 per time performed $107,183.12
an average of $39.29 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
842
times performed,
2% of his services

4th 5th

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

185
patients got this service, 93% of his patients
4.6
average number of visits a patient made for this service
(Peers: 2.6)
$138,930.00an average of $165.00 per time performed $72,866.68
an average of $86.54 per time performed
medical
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82550
Performed in an office
553
times performed,
2% of his services

5th 41st

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

163
patients got this service, 82% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.2)
$9,954.00an average of $18.00 per time performed $1,880.20
an average of $3.40 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement c-reactive protein for detection of infection... +

Measurement c-reactive protein for detection of infection or inflammation ×

Service Code: 86140
Performed in an office
553
times performed,
2% of his services

6th 37th

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

163
patients got this service, 82% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.6)
$8,295.00an average of $15.00 per time performed $3,815.70
an average of $6.90 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
551
times performed,
2% of his services

7th 14th

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

163
patients got this service, 82% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.5)
$11,571.00an average of $21.00 per time performed $5,713.87
an average of $10.37 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
551
times performed,
2% of his services

8th 15th

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

163
patients got this service, 82% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.5)
$5,510.00an average of $10.00 per time performed $2,600.72
an average of $4.72 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
451
times performed,
1% of his services

9th 8th

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

146
patients got this service, 73% of his patients
3.1
average number of visits a patient made for this service
(Peers: 2.3)
$47,355.00an average of $105.00 per time performed $27,317.07
an average of $60.57 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of complement (immune system proteins)

Service Code: 86160
Performed in an office
360
times performed,
1% of his services

10th 56th

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

162
patients got this service, 81% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.2)
$11,520.00an average of $32.00 per time performed $5,760.00
an average of $16.00 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of complement function (immune system proteins) +

Measurement of complement function (immune system proteins) ×

Service Code: 86161
Performed in an office
360
times performed,
1% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

162
patients got this service, 81% of his patients
2.2
average number of visits a patient made for this service
$11,520.00an average of $32.00 per time performed $5,760.00
an average of $16.00 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
356
times performed,
1% of his services

12th 46th

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

161
patients got this service, 81% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.1)
$4,272.00an average of $12.00 per time performed $726.24
an average of $2.04 per time performed
medical
PATHOLOGY AND LABORATORY

Rheumatoid factor analysis

Service Code: 86430
Performed in an office
332
times performed,
0.97% of his services

13th 158th

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

161
patients got this service, 81% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.8)
$4,980.00an average of $15.00 per time performed $2,513.24
an average of $7.57 per time performed
medical
PATHOLOGY AND LABORATORY

Triglycerides level

Service Code: 84478
Performed in an office
311
times performed,
0.91% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

138
patients got this service, 69% of his patients
2.3
average number of visits a patient made for this service
$4,976.00an average of $16.00 per time performed $864.58
an average of $2.78 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of tendon sheath, ligament, or muscle membrane +

Injections of tendon sheath, ligament, or muscle membrane ×

Service Code: 20550
Performed in an office
276
times performed,
0.81% of his services

15th 75th

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

85
patients got this service, 43% of his patients
2.6
average number of visits a patient made for this service
(Peers: 1.5)
$34,500.00an average of $125.00 per time performed $8,649.84
an average of $31.34 per time performed
medical
PATHOLOGY AND LABORATORY

Screening test for autoimmune disorder

Service Code: 86038
Performed in an office
272
times performed,
0.8% of his services

16th 114th

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

152
patients got this service, 76% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.5)
$8,704.00an average of $32.00 per time performed $4,384.64
an average of $16.12 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
266
times performed,
0.78% of his services

17th 62nd

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

155
patients got this service, 78% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.7)
$6,384.00an average of $24.00 per time performed $1,058.68
an average of $3.98 per time performed
medical
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
266
times performed,
0.78% of his services

18th 58th

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

155
patients got this service, 78% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.6)
$6,384.00an average of $24.00 per time performed $1,058.68
an average of $3.98 per time performed
medical
PATHOLOGY AND LABORATORY

Cholesterol level

Service Code: 82465
Performed in an office
263
times performed,
0.77% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

137
patients got this service, 69% of his patients
1.9
average number of visits a patient made for this service
$3,156.00an average of $12.00 per time performed $544.41
an average of $2.07 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of medium joint or joint capsule +

Aspiration and/or injection of medium joint or joint capsule ×

Service Code: 20605
Performed in an office
218
times performed,
0.64% of his services

20th 90th

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

61
patients got this service, 31% of his patients
2.9
average number of visits a patient made for this service
(Peers: 1.5)
$25,070.00an average of $115.00 per time performed $5,574.26
an average of $25.57 per time performed
medical
PATHOLOGY AND LABORATORY

Hdl cholesterol level

Service Code: 83718
Performed in an office
196
times performed,
0.58% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

126
patients got this service, 63% of his patients
1.6
average number of visits a patient made for this service
$4,704.00an average of $24.00 per time performed $2,140.32
an average of $10.92 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of tendon attachment to bone

Service Code: 20551
Performed in an office
188
times performed,
0.55% of his services

22nd 152nd

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

59
patients got this service, 30% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$28,200.00an average of $150.00 per time performed $6,170.16
an average of $32.82 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
167
times performed,
0.49% of his services

23rd 79th

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

141
patients got this service, 71% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$9,686.00an average of $58.00 per time performed $1,895.45
an average of $11.35 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
167
times performed,
0.49% of his services

24th 31st

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

113
patients got this service, 57% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2)
$5,010.00an average of $30.00 per time performed $1,138.94
an average of $6.82 per time performed
medical
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour ×

Service Code: 96365
Performed in an office
134
times performed,
0.39% of his services

25th 27th

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

16
patients got this service, 8% of his patients
8.4
average number of visits a patient made for this service
(Peers: 3.8)
$20,100.00an average of $150.00 per time performed $8,230.28
an average of $61.42 per time performed
medical
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
102
times performed,
0.3% of his services

26th 16th

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

36
patients got this service, 18% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.1)
$5,050.02an average of $49.51 per time performed $2,216.46
an average of $21.73 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
89
times performed,
0.26% of his services

27th 43rd

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

22
patients got this service, 11% of his patients
4
average number of visits a patient made for this service
(Peers: 2.3)
$6,675.00an average of $75.00 per time performed $3,207.56
an average of $36.04 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
75
times performed,
0.22% of his services

28th 141st

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

65
patients got this service, 33% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$2,100.00an average of $28.00 per time performed $971.25
an average of $12.95 per time performed
drug
DRUGS

Injection, hydroxyzine hcl, up to 25 mg

Service Code: J3410
Performed in an office
56
times performed,
0.16% of his services

29th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 9% of his patients
3.1
average number of visits a patient made for this service
$1,374.80an average of $24.55 per time performed $58.24
an average of $1.04 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
51
times performed,
0.15% of his services

30th 72nd

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

45
patients got this service, 23% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.8)
$459.00an average of $9.00 per time performed $173.91
an average of $3.41 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of small joint or joint capsule +

Aspiration and/or injection of small joint or joint capsule ×

Service Code: 20600
Performed in an office
42
times performed,
0.12% of his services

31st 76th

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

23
patients got this service, 12% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$4,410.00an average of $105.00 per time performed $1,068.90
an average of $25.45 per time performed
medical
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,
0.07% of his services

32nd 42nd

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

25
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,625.00an average of $345.00 per time performed $3,745.50
an average of $149.82 per time performed
medical
MEDICINE

Ultrasound scanning of blood flow (outside the brain) on ... +

Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck ×

Service Code: 93880
Performed in an office
13
times performed,
0.04% of his services

33rd 202nd

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

13
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,150.00an average of $550.00 per time performed $1,784.90
an average of $137.30 per time performed
medical
MEDICINE

Ultrasound study of arteries and arterial grafts of both ... +

Ultrasound study of arteries and arterial grafts of both legs ×

Service Code: 93925
Performed in an office
13
times performed,
0.04% of his services

34th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$7,800.00an average of $600.00 per time performed $1,782.04
an average of $137.08 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.

Purnell Alexis Kirkland
Average for Rheumatology Providers in California

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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