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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, $272 per patient in 2012.
They performed about 14 services per patient. Here’s how this provider compares.
Number of
Patients
194
Rank: 10th
out of 67 providers in this state & specialty
Services
Performed
13,087
Rank: 5th
out of 67 providers in this state & specialty
Avg Services
Per Patient
67.5 This Provider is in the top 10%
Avg 14.5
Total Paid
by Medicare
$230K
Rank: 4th
out of 67 providers in this state & specialty
Avg Paid
Per Patient
$1,185 This Provider is in the top 10%
Avg $272

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.

Sixto Perez
Average for Hematology/Oncology Providers in Puerto Rico

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

ENRIQUE VELEZ-GARCIA

SARI POMALES

WILLIAM CRUZ

Organizations

LABORATORIO CLINICO C L...

METROHEALTH, INC.

Patients saw before

Sixto Perez

Patients saw after

Individuals

ANGEL ROMAN

WILLIAM CRUZ

SARI POMALES

Organizations

LABORATORIO CLINICO C L...

METROHEALTH, INC.

This Provider's Services

This provider performed 12 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, abatacept (orencia), 10 mg

Service Code: J0129
Performed in an office
8,725
times performed,
67% of his services

1st Alert

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

19
patients got this service, 10% of his patients
6.7
average number of visits a patient made for this service
$191,950an average of $22 per time performed $148,325
an average of $17 per time performed
DRUGS

Injection, epoetin alfa, (for non-end-stage renal disease... +

Injection, epoetin alfa, (for non-end-stage renal disease use), 1000 units ×

Service Code: J0885
Performed in an office
2,960
times performed,
23% of his services

2nd 3rd

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: 5.9)
$29,600an average of $10 per time performed $23,680
an average of $8 per time performed
DRUGS

Infusion, normal saline solution , 1000 cc

Service Code: J7030
Performed in an office
300
times performed,
2% of his services

3rd Alert

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

42
patients got this service, 22% of his patients
7.1
average number of visits a patient made for this service
$300an average of $1 per time performed $300
an average of $1 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
280
times performed,
2% of his services

4th 6th

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

133
patients got this service, 69% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.6)
$15,400an average of $55 per time performed $10,920
an average of $39 per time performed
MEDICINE

Infusion into a vein for therapy prevention or diagnosis ... +

Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour ×

Service Code: 96367
Performed in an office
266
times performed,
2% of his services

5th 12th

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

15
patients got this service, 8% of his patients
10.6
average number of visits a patient made for this service
(Peers: 7.9)
$6,118an average of $23 per time performed $4,788
an average of $18 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
226
times performed,
2% of his services

6th 11th

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

29
patients got this service, 15% of his patients
7.8
average number of visits a patient made for this service
(Peers: 5.7)
$21,244an average of $94 per time performed $16,272
an average of $72 per time performed
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
121
times performed,
0.92% of his services

7th 23rd

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

33
patients got this service, 17% of his patients
3.7
average number of visits a patient made for this service
(Peers: 3.1)
$5,808an average of $48 per time performed $4,356
an average of $36 per time performed
DRUGS

Injection, zoledronic acid (reclast), 1 mg

Service Code: J3488
Performed in an office
77
times performed,
0.59% of his services

8th 21st

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

17
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,171an average of $223 per time performed $13,552
an average of $176 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
56
times performed,
0.43% of his services

9th Alert

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

19
patients got this service, 10% of his patients
2.9
average number of visits a patient made for this service
$840an average of $15 per time performed $616
an average of $11 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
29
times performed,
0.22% of his services

10th 8th

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

21
patients got this service, 11% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.7)
$2,407an average of $83 per time performed $1,856
an average of $64 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
24
times performed,
0.18% of his services

11th 27th

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

24
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,160an average of $90 per time performed $1,584
an average of $66 per time performed
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
23
times performed,
0.18% of his services

12th 22nd

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

14
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
(Peers: 4.4)
$391an average of $17 per time performed $299
an average of $13 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 "Hematology & Oncology." 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.