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, $995 per patient in 2015.
They performed about 59 services per patient. Here’s how this provider compares.

Number of
Patients
508
Rank: 60th
out of 276 providers in this state & specialty
Services
Performed
61,118
Rank: 37th
out of 276 providers in this state & specialty
Avg Services
Per Patient
120.3 This Provider
Avg 59.5
Total Paid
by Medicare
$823K
Rank: 52nd
out of 276 providers in this state & specialty
Avg Paid
Per Patient
$1,620 This Provider
Avg $995

Note: About 84% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

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 66 different services in 2015
(43 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
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
5,521
times performed,
9% of his services

1st 5th

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

61
patients got this service, 12% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$231,882.00an average of $42.00 per time performed $64,540.49
an average of $11.69 per time performed
drug
DRUGS

Hyaluronan or derivative, synvisc or synvisc-one, for int... +

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ×

Service Code: J7325
Performed in an office
1,888
times performed,
3% of his services

2nd 10th

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

22
patients got this service, 4% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.1)
$47,200.00an average of $25.00 per time performed $18,804.48
an average of $9.96 per time performed
drug
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
947
times performed,
2% of his services

3rd 8th

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

119
patients got this service, 23% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$17,046.00an average of $18.00 per time performed $1,231.10
an average of $1.30 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
626
times performed,
1% of his services

4th 6th

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

321
patients got this service, 63% of his patients
2
average number of visits a patient made for this service
(Peers: 2.4)
$131,460.00an average of $210.00 per time performed $47,363.16
an average of $75.66 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, rituximab, 100 mg

Service Code: J9310
Performed in an office
330
times performed,
0.54% of his services

5th 52nd

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

11
patients got this service, 2% of his patients
3.2
average number of visits a patient made for this service
(Peers: 2.9)
$396,000.00an average of $1,200.00 per time performed $190,812.60
an average of $578.22 per time performed
medical
MEDICINE

Non-hormonal anti-neoplastic chemotherapy beneath the ski... +

Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle ×

Service Code: 96401
Performed in an office
276
times performed,
0.45% of his services

6th 21st

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

76
patients got this service, 15% of his patients
2.4
average number of visits a patient made for this service
(Peers: 3.5)
$62,100.00an average of $225.00 per time performed $14,735.64
an average of $53.39 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
211
times performed,
0.35% of his services

7th 26th

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

211
patients got this service, 42% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$67,520.00an average of $320.00 per time performed $24,982.40
an average of $118.40 per time performed
drug
DRUGS

Injection, methylprednisolone sodium succinate, up to 40 mg +

Injection, methylprednisolone sodium succinate, up to 40 mg ×

Service Code: J2920
Performed in an office
147
times performed,
0.24% of his services

8th 119th

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

17
patients got this service, 3% of his patients
4.2
average number of visits a patient made for this service
(Peers: 3.5)
$588.00an average of $4.00 per time performed $260.19
an average of $1.77 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
145
times performed,
0.24% of his services

9th 17th

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

27
patients got this service, 5% of his patients
5.4
average number of visits a patient made for this service
(Peers: 5.3)
$65,250.00an average of $450.00 per time performed $13,596.65
an average of $93.77 per time performed
medical
RADIOLOGY

X-ray of hand, minimum of 3 views

Service Code: 73130
Performed in an office
128
times performed,
0.21% of his services

10th 63rd

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

64
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,080.00an average of $110.00 per time performed $2,763.52
an average of $21.59 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
116
times performed,
0.19% of his services

11th 44th

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

116
patients got this service, 23% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$27,800.56an average of $239.66 per time performed $4,035.64
an average of $34.79 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
113
times performed,
0.18% of his services

12th 19th

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

68
patients got this service, 13% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.9)
$33,600.55an average of $297.35 per time performed $5,880.52
an average of $52.04 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
110
times performed,
0.18% of his services

13th 22nd

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

14
patients got this service, 3% of his patients
3.9
average number of visits a patient made for this service
(Peers: 4.4)
$11,000.00an average of $100.00 per time performed $2,291.30
an average of $20.83 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
90
times performed,
0.15% of his services

14th 9th

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

82
patients got this service, 16% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.9)
$13,050.00an average of $145.00 per time performed $4,548.60
an average of $50.54 per time performed
medical
MEDICINE

Injection of different drug or substance into a vein for ... +

Injection of different drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96375
Performed in an office
71
times performed,
0.12% of his services

15th 62nd

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

17
patients got this service, 3% of his patients
4.2
average number of visits a patient made for this service
(Peers: 3.9)
$7,100.00an average of $100.00 per time performed $1,171.50
an average of $16.50 per time performed
medical
RADIOLOGY

X-ray of foot, minimum of 3 views

Service Code: 73630
Performed in an office
54
times performed,
0.09% of his services

16th 97th

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

27
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,210.00an average of $115.00 per time performed $1,082.16
an average of $20.04 per time performed
medical
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
45
times performed,
0.07% of his services

17th 104th

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

26
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,175.00an average of $115.00 per time performed $1,114.65
an average of $24.77 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
32
times performed,
0.05% of his services

18th 88th

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

23
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$5,590.08an average of $174.69 per time performed $1,269.76
an average of $39.68 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
30
times performed,
0.05% of his services

19th 23rd

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

29
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.7)
$1,800.00an average of $60.00 per time performed $528.30
an average of $17.61 per time performed
medical
EVALUATION AND MANAGEMENT

Smoking and tobacco use intermediate counseling, greater ... +

Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes ×

Service Code: 99406
Performed in an office
22
times performed,
0.04% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
$660.00an average of $30.00 per time performed $242.88
an average of $11.04 per time performed
medical
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
20
times performed,
0.03% of his services

21st 102nd

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

19
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,600.00an average of $80.00 per time performed $341.80
an average of $17.09 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
17
times performed,
0.03% of his services

22nd 91st

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)
$1,445.00an average of $85.00 per time performed $306.68
an average of $18.04 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
14
times performed,
0.02% of his services

23rd 95th

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

12
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$2,720.06an average of $194.29 per time performed $540.96
an average of $38.64 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.

Robert J Koval
Average for Rheumatology 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.