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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, $253 per patient in 2012.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
1,407
Rank: 7th
out of 223 providers in this state & specialty
Services
Performed
10,130
Rank: 5th
out of 223 providers in this state & specialty
Avg Services
Per Patient
7.2 This Provider is in the top 10%
Avg 3.8
Total Paid
by Medicare
$344K
Rank: 10th
out of 223 providers in this state & specialty
Avg Paid
Per Patient
$245 This Provider
Avg $253

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.

G K. Wolfe
Average for Pulmonary Disease 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

DAVID HARRY

KYLE YOUNG

DAVID SNOW

STUART CHILDRESS

BLAKE WATTS

Organizations

WINCHESTER MEDICAL CENT...

PIEDMONT JOINT VENTURE ...

Patients saw before

G K. Wolfe

Patients saw after

Individuals

JOHN WOOD

RICHARD RIZZO

STUART CHILDRESS

JEFFREY LESSAR

ROBERT FOUST

Organizations

WINCHESTER MEDICAL CENT...

PIEDMONT JOINT VENTURE ...

This Provider's Services

This provider performed 47 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
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
1,993
times performed,
20% of his services

1st 2nd

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

815
patients got this service, 58% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.9)
$308,915an average of $155 per time performed $139,510
an average of $70 per time performed
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
1,139
times performed,
11% of his services

2nd 22nd

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

586
patients got this service, 42% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.8)
$17,085an average of $15 per time performed $3,417
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
911
times performed,
9% of his services

3rd Alert

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

512
patients got this service, 36% of his patients
1.8
average number of visits a patient made for this service
$36,440an average of $40 per time performed $13,665
an average of $15 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
797
times performed,
8% of his services

4th 1st

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

154
patients got this service, 11% of his patients
5.2
average number of visits a patient made for this service
(Peers: 2.2)
$87,670an average of $110 per time performed $43,038
an average of $54 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
622
times performed,
6% of his services

5th Alert

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

464
patients got this service, 33% of his patients
1.3
average number of visits a patient made for this service
$12,440an average of $20 per time performed $6,842
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Ldl cholesterol level

Service Code: 83721
Performed in an office
609
times performed,
6% of his services

6th Alert

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

339
patients got this service, 24% of his patients
1.8
average number of visits a patient made for this service
$15,834an average of $26 per time performed $7,917
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
467
times performed,
5% of his services

7th 36th

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

67
patients got this service, 5% of his patients
7
average number of visits a patient made for this service
(Peers: 4.2)
$4,670an average of $10 per time performed $2,335
an average of $5 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
397
times performed,
4% of his services

8th 4th

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

306
patients got this service, 22% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$40,494an average of $102 per time performed $17,865
an average of $45 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
350
times performed,
3% of his services

9th Alert

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

317
patients got this service, 23% of his patients
1.1
average number of visits a patient made for this service
$8,400an average of $24 per time performed $2,450
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
330
times performed,
3% of his services

10th 73rd

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

157
patients got this service, 11% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.8)
$13,200an average of $40 per time performed $4,290
an average of $13 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) ×

Service Code: Q2036
Performed in an office
290
times performed,
3% of his services

11th 45th

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

288
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,960an average of $24 per time performed $2,610
an average of $9 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
289
times performed,
3% of his services

12th 25th

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

287
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,115an average of $35 per time performed $6,936
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
187
times performed,
2% of his services

13th 3rd

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

75
patients got this service, 5% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.1)
$29,920an average of $160 per time performed $14,399
an average of $77 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
145
times performed,
1% of his services

14th 18th

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

129
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$29,870an average of $206 per time performed $13,630
an average of $94 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
137
times performed,
1% of his services

15th 34th

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

80
patients got this service, 6% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.2)
$22,605an average of $165 per time performed $10,960
an average of $80 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
113
times performed,
1% of his services

16th Alert

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

98
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
$4,746an average of $42 per time performed $2,599
an average of $23 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
88
times performed,
0.87% of his services

17th Alert

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

73
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
$2,200an average of $25 per time performed $880
an average of $10 per time performed
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
84
times performed,
0.83% of his services

18th Alert

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

68
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
$1,260an average of $15 per time performed $252
an average of $3 per time performed
MEDICINE

Measurement and graphic recording of the amount and speed... +

Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94060
Performed in a facility
82
times performed,
0.81% of his services

19th 13th

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

81
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,920an average of $60 per time performed $820
an average of $10 per time performed
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in a facility
78
times performed,
0.77% of his services

20th 12th

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

77
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,248an average of $16 per time performed $468
an average of $6 per time performed
MEDICINE

Determination of lung volumes using plethysmography

Service Code: 94726
Performed in a facility
77
times performed,
0.76% of his services

21st 21st

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

76
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,848an average of $24 per time performed $693
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
68
times performed,
0.67% of his services

22nd Alert

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

58
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
$3,400an average of $50 per time performed $952
an average of $14 per time performed
MEDICINE

Measurement and graphic recording of the amount and speed... +

Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94060
Performed in an office
66
times performed,
0.65% of his services

23rd 9th

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

65
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$7,392an average of $112 per time performed $2,772
an average of $42 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
66
times performed,
0.65% of his services

24th 8th

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

54
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$19,668an average of $298 per time performed $9,834
an average of $149 per time performed
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in an office
65
times performed,
0.64% of his services

25th 10th

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

64
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$6,760an average of $104 per time performed $2,600
an average of $40 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
56
times performed,
0.55% of his services

26th 72nd

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

56
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,584an average of $64 per time performed $3,584
an average of $64 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
54
times performed,
0.53% of his services

27th 65th

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

54
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,890an average of $35 per time performed $1,296
an average of $24 per time performed
MEDICINE

Determination of lung volumes using gas dilution or washout +

Determination of lung volumes using gas dilution or washout ×

Service Code: 94727
Performed in an office
50
times performed,
0.49% of his services

28th 15th

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

49
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$4,150an average of $83 per time performed $1,600
an average of $32 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
46
times performed,
0.45% of his services

29th 76th

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

42
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,530an average of $55 per time performed $644
an average of $14 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
43
times performed,
0.42% of his services

30th 27th

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)
$12,900an average of $300 per time performed $6,364
an average of $148 per time performed
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient,... +

Critical care delivery critically ill or injured patient, first 30-74 minutes ×

Service Code: 99291
Performed in a facility
37
times performed,
0.37% of his services

31st 6th

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

18
patients got this service, 1% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.1)
$13,875an average of $375 per time performed $6,179
an average of $167 per time performed
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
36
times performed,
0.36% of his services

32nd Alert

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

34
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$900an average of $25 per time performed $252
an average of $7 per time performed
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
33
times performed,
0.33% of his services

33rd 11th

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

20
patients got this service, 1% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.7)
$2,013an average of $61 per time performed $990
an average of $30 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
31
times performed,
0.31% of his services

34th Alert

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

24
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
$1,364an average of $44 per time performed $403
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
30
times performed,
0.3% of his services

35th Alert

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

30
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$1,380an average of $46 per time performed $780
an average of $26 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
29
times performed,
0.29% of his services

36th 14th

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)
$6,873an average of $237 per time performed $3,306
an average of $114 per time performed
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
26
times performed,
0.26% of his services

37th Alert

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

26
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$884an average of $34 per time performed $312
an average of $12 per time performed
MEDICINE

Respiratory inhaled pressure or nonpressure treatment to ... +

Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen ×

Service Code: 94640
Performed in an office
23
times performed,
0.23% of his services

38th 35th

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

21
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$966an average of $42 per time performed $299
an average of $13 per time performed
MEDICINE

Measurement and graphic recording of total and timed exha... +

Measurement and graphic recording of total and timed exhaled air capacity ×

Service Code: 94010
Performed in an office
22
times performed,
0.22% of his services

39th 7th

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

22
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$1,452an average of $66 per time performed $594
an average of $27 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
21
times performed,
0.21% of his services

40th Alert

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

15
patients got this service, 1% of his patients
1.4
average number of visits a patient made for this service
$210an average of $10 per time performed $105
an average of $5 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
20
times performed,
0.2% of his services

41st 113th

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

19
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,200an average of $110 per time performed $820
an average of $41 per time performed
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,
0.17% of his services

42nd 41st

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: 1.1)
$1,071an average of $63 per time performed $527
an average of $31 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
15
times performed,
0.15% of his services

43rd Alert

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$225an average of $15 per time performed $60
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
15
times performed,
0.15% of his services

44th Alert

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

14
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
$690an average of $46 per time performed $390
an average of $26 per time performed
MEDICINE

Determination of lung volumes using plethysmography

Service Code: 94726
Performed in an office
14
times performed,
0.14% of his services

45th 17th

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,456an average of $104 per time performed $532
an average of $38 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
14
times performed,
0.14% of his services

46th 16th

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,856an average of $204 per time performed $1,358
an average of $97 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
14
times performed,
0.14% of his services

47th Alert

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

12
patients got this service, 0.85% of his patients
1.2
average number of visits a patient made for this service
$168an average of $12 per time performed $56
an average of $4 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
12
times performed,
0.12% of his services

48th 31st

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

11
patients got this service, 0.78% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,380an average of $115 per time performed $648
an average of $54 per time performed
CARDIOVASCULAR SYSTEM

Arterial puncture withdrawal of blood for diagnosis

Service Code: 36600
Performed in an office
11
times performed,
0.11% of his services

49th 51st

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

11
patients got this service, 0.78% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$605an average of $55 per time performed $264
an average of $24 per time performed
PATHOLOGY AND LABORATORY

Blood gases measurement

Service Code: 82803
Performed in an office
11
times performed,
0.11% of his services

50th 52nd

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

11
patients got this service, 0.78% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$550an average of $50 per time performed $297
an average of $27 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 "." 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.