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, $557 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
456
Rank: 9th
out of 109 providers in this state & specialty
Services
Performed
1,782
Rank: 18th
out of 109 providers in this state & specialty
Avg Services
Per Patient
3.9 This Provider
Avg 4.2
Total Paid
by Medicare
$215K
Rank: 22nd
out of 109 providers in this state & specialty
Avg Paid
Per Patient
$471 This Provider
Avg $557

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 75 different services in 2015
(51 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
271
times performed,
15% of his services

1st 1st

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

188
patients got this service, 41% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$30,213.79an average of $111.49 per time performed $13,270.87
an average of $48.97 per time performed
medical
RADIOLOGY

X-ray lower and sacral spine including bending views mini... +

X-ray lower and sacral spine including bending views minimum 6 views ×

Service Code: 72114
Performed in an office
218
times performed,
12% of his services

2nd 16th

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

217
patients got this service, 48% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$81,717.30an average of $374.85 per time performed $9,884.12
an average of $45.34 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
152
times performed,
9% of his services

3rd 5th

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

152
patients got this service, 33% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$40,815.04an average of $268.52 per time performed $17,422.24
an average of $114.62 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
143
times performed,
8% of his services

4th 2nd

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

114
patients got this service, 25% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$38,618.58an average of $270.06 per time performed $10,970.96
an average of $76.72 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
131
times performed,
7% of his services

5th 32nd

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

131
patients got this service, 29% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$68,382.00an average of $522.00 per time performed $19,188.88
an average of $146.48 per time performed
medical
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles of arm or leg complete study ×

Service Code: 95886
Performed in an office
68
times performed,
4% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

64
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
$136,000.00an average of $2,000.00 per time performed $4,888.52
an average of $71.89 per time performed
medical

Nerve transmission studies, 13 or more studies

Service Code: 95913
Performed in an office
66
times performed,
4% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

65
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
$165,000.00an average of $2,500.00 per time performed $15,395.16
an average of $233.26 per time performed
medical
MEDICINE

Routine electrocardiogram (ekg) with tracing using at lea... +

Routine electrocardiogram (ekg) with tracing using at least 12 leads ×

Service Code: 93005
Performed in an office
60
times performed,
3% of his services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

60
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
$4,416.00an average of $73.60 per time performed $361.80
an average of $6.03 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
49
times performed,
3% of his services

9th 3rd

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

40
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$5,390.00an average of $110.00 per time performed $1,089.76
an average of $22.24 per time performed
medical
NERVOUS SYSTEM

Partial removal of spine bone with release of spinal cord... +

Partial removal of spine bone with release of spinal cord and/or nerves ×

Service Code: 63048
Performed in a facility
46
times performed,
3% of his services

10th 8th

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

30
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$48,806.00an average of $1,061.00 per time performed $7,976.40
an average of $173.40 per time performed
medical
RADIOLOGY

X-ray of upper spine, 6 or more views

Service Code: 72052
Performed in an office
42
times performed,
2% of his services

11th 73rd

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

42
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,177.10an average of $337.55 per time performed $1,711.92
an average of $40.76 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
39
times performed,
2% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

39
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
$20,147.40an average of $516.60 per time performed $1,439.49
an average of $36.91 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
37
times performed,
2% of his services

13th 4th

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

37
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,973.02an average of $188.46 per time performed $2,849.00
an average of $77.00 per time performed
medical
RADIOLOGY

X-ray lower and sacral spine including bending views 2 or... +

X-ray lower and sacral spine including bending views 2 or 3 views ×

Service Code: 72120
Performed in an office
35
times performed,
2% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

33
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
$5,114.55an average of $146.13 per time performed $974.05
an average of $27.83 per time performed
medical
RADIOLOGY

Imaging guidance for procedure, more than 1 hour

Service Code: 76001
Performed in a facility
35
times performed,
2% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

33
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
$15,015.00an average of $429.00 per time performed $973.70
an average of $27.82 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, minimum of 4 views

Service Code: 72110
Performed in an office
34
times performed,
2% of his services

16th 10th

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

34
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$9,521.70an average of $280.05 per time performed $1,232.16
an average of $36.24 per time performed
medical
NERVOUS SYSTEM

Partial removal of middle spine bone with release of spin... +

Partial removal of middle spine bone with release of spinal cord and/or nerves ×

Service Code: 63047
Performed in a facility
33
times performed,
2% of his services

17th 14th

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

33
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$178,530.00an average of $5,410.00 per time performed $25,437.39
an average of $770.83 per time performed
medical
RADIOLOGY

X-ray of upper spine, 4 or 5 views

Service Code: 72050
Performed in an office
26
times performed,
1% of his services

18th 18th

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

24
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$4,004.00an average of $154.00 per time performed $798.46
an average of $30.71 per time performed
medical
RADIOLOGY

X-ray of spine of neck, 2 or 3 views

Service Code: 72040
Performed in an office
22
times performed,
1% of his services

19th 11th

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

17
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$4,338.40an average of $197.20 per time performed $520.30
an average of $23.65 per time performed
medical
RADIOLOGY

X-ray of middle spine, 3 views

Service Code: 72072
Performed in an office
21
times performed,
1% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

21
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$2,625.00an average of $125.00 per time performed $509.88
an average of $24.28 per time performed
medical
RADIOLOGY

X-ray of chest, 1 view, front

Service Code: 71010
Performed in an office
19
times performed,
1% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

19
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$2,469.05an average of $129.95 per time performed $298.11
an average of $15.69 per time performed
medical
MUSCULOSKELETAL SYSTEM

Insertion of anterior spinal instrumentation for spinal s... +

Insertion of anterior spinal instrumentation for spinal stabilization, 2 to 3 vertebral segments ×

Service Code: 22845
Performed in a facility
13
times performed,
0.73% of his services

22nd 46th

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

13
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$48,828.00an average of $3,756.00 per time performed $7,394.01
an average of $568.77 per time performed
medical
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of head or trunk muscles ×

Service Code: 95887
Performed in an office
12
times performed,
0.67% of his services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$12,000.00an average of $1,000.00 per time performed $772.32
an average of $64.36 per time performed
drug
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
11
times performed,
0.62% of his services

24th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$2,200.00an average of $200.00 per time performed $6.16
an average of $0.56 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.

Richard Randolph Maxwell Francis
Average for Orthopaedic Surgery of the Spine Providers in Texas

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.

Read our methodology.