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
785
Rank: 16th
out of 276 providers in this state & specialty
Services
Performed
95,182
Rank: 17th
out of 276 providers in this state & specialty
Avg Services
Per Patient
121.3 This Provider
Avg 59.5
Total Paid
by Medicare
$2.06M
Rank: 8th
out of 276 providers in this state & specialty
Avg Paid
Per Patient
$2,625 This Provider is in the top 10%
Avg $995

Note: About 85% 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 38 different services in 2015
(18 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, abatacept, 10 mg (code may be used for medicar... +

Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) ×

Service Code: J0129
Performed in an office
34,300
times performed,
36% of his services

1st 3rd

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

55
patients got this service, 7% of his patients
7.2
average number of visits a patient made for this service
(Peers: 6.2)
$2,273,061.00an average of $66.27 per time performed $945,651.00
an average of $27.57 per time performed
drug
DRUGS

Injection infliximab, 10 mg

Service Code: J1745
Performed in an office
7,970
times performed,
8% of his services

2nd 4th

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

32
patients got this service, 4% of his patients
5.3
average number of visits a patient made for this service
(Peers: 4.9)
$1,188,087.90an average of $149.07 per time performed $471,186.40
an average of $59.12 per time performed
medical
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
1,736
times performed,
2% of his services

3rd 11th

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

649
patients got this service, 83% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.2)
$10,433.36an average of $6.01 per time performed $5,034.40
an average of $2.90 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
1,634
times performed,
2% of his services

4th 6th

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

607
patients got this service, 77% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.4)
$337,829.50an average of $206.75 per time performed $115,197.00
an average of $70.50 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
618
times performed,
0.65% of his services

5th 17th

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

99
patients got this service, 13% of his patients
6.2
average number of visits a patient made for this service
(Peers: 5.3)
$163,207.62an average of $264.09 per time performed $57,529.62
an average of $93.09 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
454
times performed,
0.48% of his services

6th 9th

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

265
patients got this service, 34% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.9)
$65,371.46an average of $143.99 per time performed $21,742.06
an average of $47.89 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
290
times performed,
0.3% of his services

7th 27th

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

163
patients got this service, 21% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$5,307.00an average of $18.30 per time performed $756.90
an average of $2.61 per time performed
medical
RADIOLOGY

Mri scan of arm

Service Code: 73218
Performed in an office
251
times performed,
0.26% of his services

8th 113th

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

138
patients got this service, 18% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$188,696.78an average of $751.78 per time performed $40,795.03
an average of $162.53 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
243
times performed,
0.26% of his services

9th 22nd

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

38
patients got this service, 5% of his patients
4.9
average number of visits a patient made for this service
(Peers: 4.4)
$13,437.90an average of $55.30 per time performed $4,784.67
an average of $19.69 per time performed
medical

Aspiration and/or injection of major joint or joint capsu... +

Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance ×

Service Code: 20611
Performed in an office
221
times performed,
0.23% of his services

10th 28th

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

133
patients got this service, 17% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.4)
$40,283.88an average of $182.28 per time performed $14,727.44
an average of $66.64 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
117
times performed,
0.12% of his services

11th 26th

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

117
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$38,280.06an average of $327.18 per time performed $12,987.00
an average of $111.00 per time performed
medical
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
93
times performed,
0.1% of his services

12th 45th

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

73
patients got this service, 9% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$26,339.46an average of $283.22 per time performed $7,841.76
an average of $84.32 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
55
times performed,
0.06% of his services

13th 19th

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

52
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.9)
$7,172.00an average of $130.40 per time performed $2,220.35
an average of $40.37 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
48
times performed,
0.05% of his services

14th 72nd

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

48
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,419.84an average of $217.08 per time performed $3,807.84
an average of $79.33 per time performed
medical
RADIOLOGY

Mri scan of arm joint

Service Code: 73221
Performed in an office
48
times performed,
0.05% of his services

15th 103rd

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

27
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$25,045.44an average of $521.78 per time performed $4,359.84
an average of $90.83 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 20 mg

Service Code: J1020
Performed in an office
46
times performed,
0.05% of his services

16th 92nd

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

36
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$770.96an average of $16.76 per time performed $97.06
an average of $2.11 per time performed
medical
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
43
times performed,
0.05% of his services

17th 71st

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

13
patients got this service, 2% of his patients
3.3
average number of visits a patient made for this service
(Peers: 2.9)
$6,189.85an average of $143.95 per time performed $2,356.40
an average of $54.80 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
37
times performed,
0.04% of his services

18th 83rd

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

33
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$4,381.91an average of $118.43 per time performed $1,573.61
an average of $42.53 per time performed
medical
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
18
times performed,
0.02% of his services

19th 122nd

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

15
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.8)
$3,736.26an average of $207.57 per time performed $1,293.12
an average of $71.84 per time performed
medical
RADIOLOGY

Mri scan of leg joint

Service Code: 73721
Performed in an office
17
times performed,
0.02% of his services

20th 192nd

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

12
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$8,863.46an average of $521.38 per time performed $1,654.44
an average of $97.32 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.

Scott P Stein
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.

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