Treatment Tracker

The Doctors and Services in Medicare Part B

This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $336 per patient in 2015.
They performed about 14 services per patient. Here’s how this provider compares.

Number of
Patients
973
Rank: 1st
out of 21 providers in this state & specialty
Services
Performed
227,884
Rank: 1st
out of 21 providers in this state & specialty
Avg Services
Per Patient
234.2 This Provider is in the top 10%
Avg 13.9
Total Paid
by Medicare
$3.21M
Rank: 1st
out of 21 providers in this state & specialty
Avg Paid
Per Patient
$3,296 This Provider is in the top 10%
Avg $336

Note: About 88% 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 Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 173 different services in 2015
(100 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, darbepoetin alfa, 1 microgram (non-esrd use)

Service Code: J0881
Performed in an office
41,350
times performed,
18% of his services

1st Alert

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

31
patients got this service, 3% of his patients
3.8
average number of visits a patient made for this service
$951,050.00an average of $23.00 per time performed $123,636.50
an average of $2.99 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, azacitidine, 1 mg

Service Code: J9025
Performed in an office
25,900
times performed,
11% of his services

2nd Alert

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

16
patients got this service, 2% of his patients
8.6
average number of visits a patient made for this service
$518,000.00an average of $20.00 per time performed $65,009.00
an average of $2.51 per time performed
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
10,380
times performed,
5% of his services

3rd Alert

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

32
patients got this service, 3% of his patients
3
average number of visits a patient made for this service
$726,600.00an average of $70.00 per time performed $118,851.00
an average of $11.45 per time performed
drug
DRUGS

Injection, fosaprepitant, 1 mg

Service Code: J1453
Performed in an office
9,600
times performed,
4% of his services

4th Alert

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

23
patients got this service, 2% of his patients
2.8
average number of visits a patient made for this service
$67,200.00an average of $7.00 per time performed $12,768.00
an average of $1.33 per time performed
drug

Injection, paclitaxel, 1 mg

Service Code: J9267
Performed in an office
8,930
times performed,
4% of his services

5th Alert

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

13
patients got this service, 1% of his patients
5
average number of visits a patient made for this service
$98,230.00an average of $11.00 per time performed $1,160.90
an average of $0.13 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, bortezomib, 0.1 mg

Service Code: J9041
Performed in an office
4,830
times performed,
2% of his services

6th Alert

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

18
patients got this service, 2% of his patients
7.7
average number of visits a patient made for this service
$767,970.00an average of $159.00 per time performed $157,361.40
an average of $32.58 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, trastuzumab, 10 mg

Service Code: J9355
Performed in an office
4,150
times performed,
2% of his services

7th Alert

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

18
patients got this service, 2% of his patients
6.1
average number of visits a patient made for this service
$1,112,200.00an average of $268.00 per time performed $280,332.50
an average of $67.55 per time performed
drug
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
3,842
times performed,
2% of his services

8th Alert

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

98
patients got this service, 10% of his patients
3.4
average number of visits a patient made for this service
$3,842.00an average of $1.00 per time performed $422.62
an average of $0.11 per time performed
drug
DRUGS

Injection, palonosetron hcl, 25 mcg

Service Code: J2469
Performed in an office
2,690
times performed,
1% of his services

9th Alert

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

71
patients got this service, 7% of his patients
3.8
average number of visits a patient made for this service
$376,600.00an average of $140.00 per time performed $41,668.10
an average of $15.49 per time performed
drug
DRUGS

Injection, immune globulin (privigen), intravenous, non-l... +

Injection, immune globulin (privigen), intravenous, non-lyophilized (e.g. liquid), 500 mg ×

Service Code: J1459
Performed in an office
2,670
times performed,
1% of his services

10th Alert

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

14
patients got this service, 1% of his patients
2.4
average number of visits a patient made for this service
$557,202.30an average of $208.69 per time performed $78,845.10
an average of $29.53 per time performed
medical
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
2,197
times performed,
0.96% of his services

11th Alert

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

480
patients got this service, 49% of his patients
4.6
average number of visits a patient made for this service
$61,516.00an average of $28.00 per time performed $22,277.58
an average of $10.14 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
2,196
times performed,
0.96% of his services

12th Alert

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

501
patients got this service, 51% of his patients
4.4
average number of visits a patient made for this service
$35,136.00an average of $16.00 per time performed $6,390.36
an average of $2.91 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, fulvestrant, 25 mg

Service Code: J9395
Performed in an office
2,030
times performed,
0.89% of his services

13th Alert

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

15
patients got this service, 2% of his patients
6.8
average number of visits a patient made for this service
$651,630.00an average of $321.00 per time performed $146,769.00
an average of $72.30 per time performed
drug
DRUGS

Injection, ondansetron hydrochloride, per 1 mg

Service Code: J2405
Performed in an office
1,808
times performed,
0.79% of his services

14th Alert

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

43
patients got this service, 4% of his patients
3.3
average number of visits a patient made for this service
$21,696.00an average of $12.00 per time performed $108.48
an average of $0.06 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
968
times performed,
0.42% of his services

15th Alert

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

287
patients got this service, 29% of his patients
3.4
average number of visits a patient made for this service
$29,040.00an average of $30.00 per time performed $10,396.32
an average of $10.74 per time performed
drug
DRUGS

Injection, iron dextran, 50 mg

Service Code: J1750
Performed in an office
898
times performed,
0.39% of his services

16th Alert

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

29
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
$60,166.00an average of $67.00 per time performed $8,234.66
an average of $9.17 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
780
times performed,
0.34% of his services

17th Alert

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

163
patients got this service, 17% of his patients
3.6
average number of visits a patient made for this service
$83,460.00an average of $107.00 per time performed $12,620.40
an average of $16.18 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
738
times performed,
0.32% of his services

18th Alert

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

395
patients got this service, 41% of his patients
1.9
average number of visits a patient made for this service
$100,368.00an average of $136.00 per time performed $36,840.96
an average of $49.92 per time performed
drug
CHEMOTHERAPY DRUGS

Cyclophosphamide, 100 mg

Service Code: J9070
Performed in an office
697
times performed,
0.31% of his services

19th Alert

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

18
patients got this service, 2% of his patients
4.1
average number of visits a patient made for this service
$207,706.00an average of $298.00 per time performed $28,925.50
an average of $41.50 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
595
times performed,
0.26% of his services

20th Alert

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

150
patients got this service, 15% of his patients
3.9
average number of visits a patient made for this service
$42,245.00an average of $71.00 per time performed $10,763.55
an average of $18.09 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, rituximab, 100 mg

Service Code: J9310
Performed in an office
558
times performed,
0.24% of his services

21st Alert

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

22
patients got this service, 2% of his patients
3.1
average number of visits a patient made for this service
$1,291,212.00an average of $2,314.00 per time performed $301,180.50
an average of $539.75 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
534
times performed,
0.23% of his services

22nd Alert

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

128
patients got this service, 13% of his patients
4.2
average number of visits a patient made for this service
$427,200.00an average of $800.00 per time performed $51,920.82
an average of $97.23 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
510
times performed,
0.22% of his services

23rd Alert

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

242
patients got this service, 25% of his patients
2.1
average number of visits a patient made for this service
$104,550.00an average of $205.00 per time performed $40,381.80
an average of $79.18 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, carboplatin, 50 mg

Service Code: J9045
Performed in an office
449
times performed,
0.2% of his services

24th Alert

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

21
patients got this service, 2% of his patients
2.8
average number of visits a patient made for this service
$132,904.00an average of $296.00 per time performed $1,270.67
an average of $2.83 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
362
times performed,
0.16% of his services

25th Alert

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

40
patients got this service, 4% of his patients
6.3
average number of visits a patient made for this service
$83,260.00an average of $230.00 per time performed $19,164.28
an average of $52.94 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, doxorubicin hydrochloride, 10 mg

Service Code: J9000
Performed in an office
332
times performed,
0.15% of his services

26th Alert

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

11
patients got this service, 1% of his patients
3.2
average number of visits a patient made for this service
$12,284.00an average of $37.00 per time performed $863.20
an average of $2.60 per time performed
drug
DRUGS

Injection, diphenhydramine hcl, up to 50 mg

Service Code: J1200
Performed in an office
275
times performed,
0.12% of his services

27th Alert

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

76
patients got this service, 8% of his patients
3.6
average number of visits a patient made for this service
$1,375.00an average of $5.00 per time performed $118.25
an average of $0.43 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
257
times performed,
0.11% of his services

28th Alert

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

95
patients got this service, 10% of his patients
2.7
average number of visits a patient made for this service
$7,453.00an average of $29.00 per time performed $2,654.81
an average of $10.33 per time performed
medical
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
220
times performed,
0.1% of his services

29th Alert

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

32
patients got this service, 3% of his patients
4.1
average number of visits a patient made for this service
$49,280.00an average of $224.00 per time performed $5,233.80
an average of $23.79 per time performed
medical
MEDICINE

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

Infusion into a vein for therapy, prevention, or diagnosis ×

Service Code: 96366
Performed in an office
200
times performed,
0.09% of his services

30th Alert

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

47
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
$21,400.00an average of $107.00 per time performed $2,776.00
an average of $13.88 per time performed
medical
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
195
times performed,
0.09% of his services

31st Alert

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

176
patients got this service, 18% of his patients
1.1
average number of visits a patient made for this service
$18,720.00an average of $96.00 per time performed $5,900.70
an average of $30.26 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
193
times performed,
0.08% of his services

32nd Alert

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

47
patients got this service, 5% of his patients
3.1
average number of visits a patient made for this service
$56,742.00an average of $294.00 per time performed $3,885.09
an average of $20.13 per time performed
medical
PATHOLOGY AND LABORATORY

Ferritin (blood protein) level

Service Code: 82728
Performed in an office
191
times performed,
0.08% of his services

33rd Alert

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

123
patients got this service, 13% of his patients
1.6
average number of visits a patient made for this service
$9,168.00an average of $48.00 per time performed $3,432.27
an average of $17.97 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, cisplatin, powder or solution, 10 mg

Service Code: J9060
Performed in an office
190
times performed,
0.08% of his services

34th Alert

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

11
patients got this service, 1% of his patients
2.5
average number of visits a patient made for this service
$5,890.00an average of $31.00 per time performed $315.40
an average of $1.66 per time performed
medical
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
146
times performed,
0.06% of his services

35th Alert

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

95
patients got this service, 10% of his patients
1.4
average number of visits a patient made for this service
$12,556.00an average of $86.00 per time performed $4,350.80
an average of $29.80 per time performed
medical
MEDICINE

Infusion of different chemotherapy drug or substance into... +

Infusion of different chemotherapy drug or substance into a vein up to 1 hour ×

Service Code: 96417
Performed in an office
136
times performed,
0.06% of his services

36th Alert

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

38
patients got this service, 4% of his patients
3.1
average number of visits a patient made for this service
$51,136.00an average of $376.00 per time performed $6,103.68
an average of $44.88 per time performed
drug

Injection, zoledronic acid, 1 mg

Service Code: J3489
Performed in an office
136
times performed,
0.06% of his services

37th Alert

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

16
patients got this service, 2% of his patients
2.1
average number of visits a patient made for this service
$114,512.00an average of $842.00 per time performed $3,942.64
an average of $28.99 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
129
times performed,
0.06% of his services

38th Alert

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

129
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
$55,470.00an average of $430.00 per time performed $13,921.68
an average of $107.92 per time performed
medical
PATHOLOGY AND LABORATORY

Carcinoembryonic antigen (cea) protein level

Service Code: 82378
Performed in an office
127
times performed,
0.06% of his services

39th Alert

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

41
patients got this service, 4% of his patients
3.1
average number of visits a patient made for this service
$8,509.00an average of $67.00 per time performed $3,211.83
an average of $25.29 per time performed
drug
DRUGS

Injection, pegfilgrastim, 6 mg

Service Code: J2505
Performed in an office
112
times performed,
0.05% of his services

40th Alert

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

50
patients got this service, 5% of his patients
2.2
average number of visits a patient made for this service
$1,938,720.00an average of $17,310.00 per time performed $292,194.56
an average of $2,608.88 per time performed
medical
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
103
times performed,
0.05% of his services

41st Alert

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

57
patients got this service, 6% of his patients
1.8
average number of visits a patient made for this service
$22,351.00an average of $217.00 per time performed $5,148.97
an average of $49.99 per time performed
medical
MEDICINE

Infusion of different chemotherapy drug or substance into... +

Infusion of different chemotherapy drug or substance into a vein ×

Service Code: 96411
Performed in an office
99
times performed,
0.04% of his services

42nd Alert

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

29
patients got this service, 3% of his patients
2.5
average number of visits a patient made for this service
$32,868.00an average of $332.00 per time performed $4,345.11
an average of $43.89 per time performed
medical
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
96
times performed,
0.04% of his services

43rd Alert

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

96
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
$53,376.00an average of $556.00 per time performed $14,818.56
an average of $154.36 per time performed
medical
MEDICINE

Hydration infusion into a vein

Service Code: 96361
Performed in an office
94
times performed,
0.04% of his services

44th Alert

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

31
patients got this service, 3% of his patients
2.4
average number of visits a patient made for this service
$10,058.00an average of $107.00 per time performed $1,046.22
an average of $11.13 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
92
times performed,
0.04% of his services

45th Alert

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

24
patients got this service, 2% of his patients
3.8
average number of visits a patient made for this service
$5,980.00an average of $65.00 per time performed $2,179.48
an average of $23.69 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein using push technique +

Infusion of chemotherapy into a vein using push technique ×

Service Code: 96409
Performed in an office
89
times performed,
0.04% of his services

46th Alert

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

20
patients got this service, 2% of his patients
4.5
average number of visits a patient made for this service
$47,170.00an average of $530.00 per time performed $6,600.24
an average of $74.16 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
86
times performed,
0.04% of his services

47th Alert

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

26
patients got this service, 3% of his patients
1.6
average number of visits a patient made for this service
$774.00an average of $9.00 per time performed $158.24
an average of $1.84 per time performed
medical
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
85
times performed,
0.04% of his services

48th Alert

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

25
patients got this service, 3% of his patients
3.4
average number of visits a patient made for this service
$2,040.00an average of $24.00 per time performed $695.30
an average of $8.18 per time performed
drug
CHEMOTHERAPY DRUGS

Leuprolide acetate (for depot suspension), 7.5 mg

Service Code: J9217
Performed in an office
73
times performed,
0.03% of his services

49th Alert

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

11
patients got this service, 1% of his patients
2.7
average number of visits a patient made for this service
$164,447.83an average of $2,252.71 per time performed $12,218.74
an average of $167.38 per time performed
medical
MEDICINE

Irrigation of implanted venous access drug delivery device +

Irrigation of implanted venous access drug delivery device ×

Service Code: 96523
Performed in an office
68
times performed,
0.03% of his services

50th Alert

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

34
patients got this service, 3% of his patients
2
average number of visits a patient made for this service
$8,228.00an average of $121.00 per time performed $1,221.96
an average of $17.97 per time performed
medical
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
67
times performed,
0.03% of his services

51st Alert

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

28
patients got this service, 3% of his patients
2.4
average number of visits a patient made for this service
$11,323.00an average of $169.00 per time performed $1,486.06
an average of $22.18 per time performed
medical
DRUGS

Unclassified drugs

Service Code: J3490
Performed in an office
63
times performed,
0.03% of his services

52nd Alert

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

12
patients got this service, 1% of his patients
5.3
average number of visits a patient made for this service
$347.13an average of $5.51 per time performed $40.32
an average of $0.64 per time performed
drug
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
55
times performed,
0.02% of his services

53rd Alert

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

17
patients got this service, 2% of his patients
3.2
average number of visits a patient made for this service
$330.00an average of $6.00 per time performed $112.20
an average of $2.04 per time performed
medical
PATHOLOGY AND LABORATORY

Lactate dehydrogenase (enzyme) level

Service Code: 83615
Performed in an office
50
times performed,
0.02% of his services

54th Alert

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

39
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
$1,100.00an average of $22.00 per time performed $242.50
an average of $4.85 per time performed
medical
MEDICINE

Injection of drug or substance into a vein for therapy, d... +

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

Service Code: 96374
Performed in an office
50
times performed,
0.02% of his services

55th Alert

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

28
patients got this service, 3% of his patients
1.8
average number of visits a patient made for this service
$10,300.00an average of $206.00 per time performed $2,058.00
an average of $41.16 per time performed
drug
DRUGS

Infusion, normal saline solution , 1000 cc

Service Code: J7030
Performed in an office
49
times performed,
0.02% of his services

56th Alert

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

27
patients got this service, 3% of his patients
1.8
average number of visits a patient made for this service
$539.00an average of $11.00 per time performed $59.29
an average of $1.21 per time performed
medical
MEDICINE

Therapeutic removal of whole blood to correct blood level... +

Therapeutic removal of whole blood to correct blood level imbalance ×

Service Code: 99195
Performed in an office
48
times performed,
0.02% of his services

57th Alert

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

23
patients got this service, 2% of his patients
2.1
average number of visits a patient made for this service
$8,352.00an average of $174.00 per time performed $3,457.92
an average of $72.04 per time performed
medical
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
44
times performed,
0.02% of his services

58th Alert

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

44
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$21,648.00an average of $492.00 per time performed $6,550.28
an average of $148.87 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
44
times performed,
0.02% of his services

59th 26th

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

34
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.9)
$6,424.00an average of $146.00 per time performed $2,392.72
an average of $54.38 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
43
times performed,
0.02% of his services

60th Alert

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

43
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$1,763.00an average of $41.00 per time performed $1,015.23
an average of $23.61 per time performed
drug
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 (fluvirin) ×

Service Code: Q2037
Performed in an office
41
times performed,
0.02% of his services

61st Alert

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

41
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$1,148.00an average of $28.00 per time performed $634.27
an average of $15.47 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood count, automated test

Service Code: 85045
Performed in an office
32
times performed,
0.01% of his services

62nd Alert

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

28
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$480.00an average of $15.00 per time performed $170.56
an average of $5.33 per time performed
medical
MEDICINE

Hydration infusion into a vein 31 minutes to 1 hour

Service Code: 96360
Performed in an office
30
times performed,
0.01% of his services

63rd Alert

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

18
patients got this service, 2% of his patients
1.7
average number of visits a patient made for this service
$7,530.00an average of $251.00 per time performed $1,274.10
an average of $42.47 per time performed
medical
HEMIC AND LYMPHATIC SYSTEMS

Needle or trocar bone marrow biopsy

Service Code: 38221
Performed in an office
27
times performed,
0.01% of his services

64th Alert

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

27
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$14,742.00an average of $546.00 per time performed $3,358.53
an average of $124.39 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
27
times performed,
0.01% of his services

65th Alert

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

16
patients got this service, 2% of his patients
1.7
average number of visits a patient made for this service
$405.00an average of $15.00 per time performed $113.94
an average of $4.22 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
24
times performed,
0.01% of his services

66th Alert

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

21
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$7,695.12an average of $320.63 per time performed $2,578.56
an average of $107.44 per time performed
medical
CARDIOVASCULAR SYSTEM

Collection of blood specimen from a completely implantabl... +

Collection of blood specimen from a completely implantable venous access device ×

Service Code: 36591
Performed in an office
21
times performed,
0.01% of his services

67th Alert

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

15
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
$1,344.00an average of $64.00 per time performed $326.76
an average of $15.56 per time performed
medical
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
20
times performed,
0.01% of his services

68th Alert

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

20
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$7,180.00an average of $359.00 per time performed $2,108.60
an average of $105.43 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
17
times performed,
0.01% of his services

69th Alert

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

12
patients got this service, 1% of his patients
1.4
average number of visits a patient made for this service
$272.00an average of $16.00 per time performed $61.20
an average of $3.60 per time performed
medical
PATHOLOGY AND LABORATORY

Iron binding capacity

Service Code: 83550
Performed in an office
16
times performed,
0.01% of his services

70th Alert

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$496.00an average of $31.00 per time performed $186.56
an average of $11.66 per time performed
medical
PATHOLOGY AND LABORATORY

Blood creatinine level

Service Code: 82565
Performed in an office
16
times performed,
0.01% of his services

71st Alert

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$288.00an average of $18.00 per time performed $109.28
an average of $6.83 per time performed
medical
PATHOLOGY AND LABORATORY

Iron level

Service Code: 83540
Performed in an office
16
times performed,
0.01% of his services

72nd Alert

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$368.00an average of $23.00 per time performed $138.08
an average of $8.63 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
14
times performed,
0.01% of his services

73rd Alert

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$4,256.00an average of $304.00 per time performed $922.74
an average of $65.91 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.

This provider charged Medicare for a lower percentage of 5’s than his peers

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Kenneth W. Kotz
Average for Hematology Providers in North Carolina

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 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.

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.