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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, $223 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
1,116
Rank: 21st
out of 223 providers in this state & specialty
Services
Performed
26,208
Rank: 1st
out of 223 providers in this state & specialty
Avg Services
Per Patient
23.5 This Provider is in the top 10%
Avg 5.3
Total Paid
by Medicare
$430K
Rank: 1st
out of 223 providers in this state & specialty
Avg Paid
Per Patient
$386 This Provider is in the top 10%
Avg $223

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.

Robert W. Given
Average for Urology 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

JEFFERSON LIN

KATHY BYUN

CHARLENE REYES

MARK SHAVES

CHRISTOPHER DOBZYNIAK

Organizations

SENTARA HOSPITALS

SENTARA HOSPITALS

Patients saw before

Robert W. Given

Patients saw after

Individuals

JEFFERSON LIN

CHARLENE REYES

RAYMOND LANCE

HARLAN VINGAN

MARK SHAVES

Organizations

SENTARA HOSPITALS

SENTARA HOSPITALS

This Provider's Services

This provider performed 38 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
CHEMOTHERAPY DRUGS

Injection, degarelix (firmagon), 1 mg

Service Code: J9155
Performed in an office
11,801
times performed,
45% of his services

1st 7th

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

32
patients got this service, 3% of his patients
3.6
average number of visits a patient made for this service
(Peers: 2.8)
$59,005an average of $5 per time performed $23,602
an average of $2 per time performed
DRUGS

Injection, denosumab (prolia, xgeva), 1 mg

Service Code: J0897
Performed in an office
7,213
times performed,
28% of his services

2nd 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
4.4
average number of visits a patient made for this service
$122,621an average of $17 per time performed $79,343
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
1,088
times performed,
4% of his services

3rd 6th

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

725
patients got this service, 65% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$11,968an average of $11 per time performed $3,264
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
981
times performed,
4% of his services

4th 8th

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

593
patients got this service, 53% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$68,670an average of $70 per time performed $25,506
an average of $26 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
951
times performed,
4% of his services

5th 5th

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

582
patients got this service, 52% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$30,432an average of $32 per time performed $2,853
an average of $3 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
837
times performed,
3% of his services

6th 1st

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

626
patients got this service, 56% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$112,995an average of $135 per time performed $40,176
an average of $48 per time performed
CHEMOTHERAPY DRUGS

Leuprolide acetate for depot suspension (lupron), 7.5 mg +

Leuprolide acetate for depot suspension (lupron), 7.5 mg ×

Service Code: J9217
Performed in an office
625
times performed,
2% of his services

7th 11th

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

80
patients got this service, 7% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.8)
$443,125an average of $709 per time performed $106,250
an average of $170 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
263
times performed,
1% of his services

8th 3rd

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

206
patients got this service, 18% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$52,600an average of $200 per time performed $19,725
an average of $75 per time performed
MEDICINE

Hormonal anti-neoplastic chemotherapy administration bene... +

Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle ×

Service Code: 96402
Performed in an office
227
times performed,
0.87% of his services

9th 22nd

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

101
patients got this service, 9% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2)
$22,700an average of $100 per time performed $5,675
an average of $25 per time performed
PATHOLOGY AND LABORATORY

Testosterone (hormone) level

Service Code: 84403
Performed in an office
220
times performed,
0.84% of his services

10th 38th

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

113
patients got this service, 10% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.4)
$16,500an average of $75 per time performed $7,920
an average of $36 per time performed
URINARY SYSTEM

Diagnostic examination of the bladder and bladder canal (... +

Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope ×

Service Code: 52000
Performed in an office
198
times performed,
0.76% of his services

11th 12th

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

125
patients got this service, 11% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.2)
$82,566an average of $417 per time performed $30,096
an average of $152 per time performed
URINARY SYSTEM

Ultrasound measurement of bladder capacity after voiding +

Ultrasound measurement of bladder capacity after voiding ×

Service Code: 51798
Performed in an office
185
times performed,
0.71% of his services

12th 9th

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

154
patients got this service, 14% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$16,650an average of $90 per time performed $2,590
an average of $14 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
169
times performed,
0.64% of his services

13th 14th

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

141
patients got this service, 13% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$2,873an average of $17 per time performed $676
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Bacterial colony count, urine

Service Code: 87086
Performed in an office
165
times performed,
0.63% of his services

14th 16th

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

107
patients got this service, 10% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$5,775an average of $35 per time performed $1,815
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Evaluation of antimicrobial drug (antibiotic, antifungal,... +

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) ×

Service Code: 87184
Performed in an office
128
times performed,
0.49% of his services

15th 24th

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

59
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$3,840an average of $30 per time performed $1,280
an average of $10 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
122
times performed,
0.47% of his services

16th 13th

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

81
patients got this service, 7% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$9,882an average of $81 per time performed $3,782
an average of $31 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
119
times performed,
0.45% of his services

17th 25th

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

74
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.7)
$8,925an average of $75 per time performed $3,570
an average of $30 per time performed
PATHOLOGY AND LABORATORY

Bacterial urine culture

Service Code: 87088
Performed in an office
119
times performed,
0.45% of his services

18th 20th

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

61
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$5,355an average of $45 per time performed $1,309
an average of $11 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
117
times performed,
0.45% of his services

19th 27th

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

69
patients got this service, 6% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.3)
$5,265an average of $45 per time performed $2,223
an average of $19 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
88
times performed,
0.34% of his services

20th 26th

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

81
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$23,760an average of $270 per time performed $8,624
an average of $98 per time performed
MEDICINE

Therapeutic exercise to develop strength, endurance, rang... +

Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes ×

Service Code: 97110
Performed in an office
67
times performed,
0.26% of his services

21st 73rd

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

25
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$3,886an average of $58 per time performed $1,541
an average of $23 per time performed
URINARY SYSTEM

Electronic assessment of bladder emptying

Service Code: 51741
Performed in an office
51
times performed,
0.19% of his services

22nd 23rd

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

49
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$7,650an average of $150 per time performed $765
an average of $15 per time performed
DRUGS

Injection, ceftriaxone sodium, per 250 mg

Service Code: J0696
Performed in an office
46
times performed,
0.18% of his services

23rd 74th

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

36
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$322an average of $7 per time performed $46
an average of $1 per time performed
URINARY SYSTEM

Bladder instillation of cancer preventive, inhibiting, or... +

Bladder instillation of cancer preventive, inhibiting, or suppressive agent ×

Service Code: 51720
Performed in an office
43
times performed,
0.16% of his services

24th 44th

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

12
patients got this service, 1% of his patients
3.6
average number of visits a patient made for this service
(Peers: 2.9)
$9,718an average of $226 per time performed $3,053
an average of $71 per time performed
MALE GENITAL SYSTEM

Biopsy of prostate gland

Service Code: 55700
Performed in an office
43
times performed,
0.16% of his services

25th 42nd

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

43
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$19,565an average of $455 per time performed $7,310
an average of $170 per time performed
RADIOLOGY

Ultrasound of rectum

Service Code: 76872
Performed in an office
43
times performed,
0.16% of his services

26th 36th

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

43
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,900an average of $300 per time performed $4,386
an average of $102 per time performed
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
43
times performed,
0.16% of his services

27th 40th

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

43
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,641an average of $387 per time performed $6,966
an average of $162 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
38
times performed,
0.14% of his services

28th 41st

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

38
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,804an average of $258 per time performed $3,952
an average of $104 per time performed
RADIOLOGY

Imaging of urinary tract

Service Code: 74420
Performed in a facility
38
times performed,
0.14% of his services

29th 34th

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

36
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,368an average of $36 per time performed $532
an average of $14 per time performed
URINARY SYSTEM

Insertion of stent in urinary duct (ureter) using an endo... +

Insertion of stent in urinary duct (ureter) using an endoscope ×

Service Code: 52332
Performed in a facility
32
times performed,
0.12% of his services

30th 32nd

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

25
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$31,360an average of $980 per time performed $2,656
an average of $83 per time performed
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
25
times performed,
0.1% of his services

31st 19th

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

25
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,000an average of $200 per time performed $1,650
an average of $66 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
25
times performed,
0.1% of his services

32nd 18th

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

25
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,725an average of $309 per time performed $2,825
an average of $113 per time performed
URINARY SYSTEM

Insertion of indwelling bladder catheter

Service Code: 51702
Performed in an office
23
times performed,
0.09% of his services

33rd 31st

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

14
patients got this service, 1% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.8)
$3,450an average of $150 per time performed $1,288
an average of $56 per time performed
MALE GENITAL SYSTEM

Destruction of prostate gland using ultrasound guidance

Service Code: 55873
Performed in a facility
18
times performed,
0.07% of his services

34th Alert

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$66,906an average of $3,717 per time performed $11,376
an average of $632 per time performed
NERVOUS SYSTEM

Implantation of lower leg neurostimulator electrode, acce... +

Implantation of lower leg neurostimulator electrode, accessed through the skin ×

Service Code: 64566
Performed in an office
18
times performed,
0.07% of his services

35th 67th

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

17
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 4.4)
$7,956an average of $442 per time performed $1,836
an average of $102 per time performed
URINARY SYSTEM

Non-needle measurement and recording of electrical activi... +

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings ×

Service Code: 51784
Performed in an office
16
times performed,
0.06% of his services

36th 35th

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$6,560an average of $410 per time performed $1,504
an average of $94 per time performed
URINARY SYSTEM

Insertion of device into the abdomen with measurement of ... +

Insertion of device into the abdomen with measurement of pressure and urine flow rate ×

Service Code: 51797
Performed in an office
12
times performed,
0.05% of his services

37th 39th

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,800an average of $400 per time performed $1,164
an average of $97 per time performed
MEDICINE

Physical therapy evaluation

Service Code: 97001
Performed in an office
11
times performed,
0.04% of his services

38th Alert

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

11
patients got this service, 0.99% of his patients
1
average number of visits a patient made for this service
$1,562an average of $142 per time performed $638
an average of $58 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 "Urology." 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.


Read our methodology.


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