Treatment Tracker

The Doctors and Services in Medicare Part B

This Provider: At A Glance

Number of
Patients
228
Services
Performed
682
Avg Services
Per Patient
3
Total Paid
by Medicare
$137K
Avg Paid
Per Patient
$601

This Provider's Services

This provider performed 74 different services in 2015
(61 were redacted as they were performed on less than 11 patients)

All Services

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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
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 a facility
155
times performed,
23% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

155
patients got this service, 68% of his patients
1
average number of visits a patient made for this service
$18,290.00an average of $118.00 per time performed $9,096.95
an average of $58.69 per time performed
medical
SKIN, HAIR AND NAILS

Tissue transfer repair of wound (30.0 sq centimeters)

Service Code: 14302
Performed in a facility
69
times performed,
10% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

17
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
$35,673.00an average of $517.00 per time performed $13,395.66
an average of $194.14 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 a facility
57
times performed,
8% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

40
patients got this service, 18% of his patients
1.4
average number of visits a patient made for this service
$4,446.00an average of $78.00 per time performed $2,167.71
an average of $38.03 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 a facility
40
times performed,
6% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

33
patients got this service, 14% of his patients
1.2
average number of visits a patient made for this service
$4,800.00an average of $120.00 per time performed $2,214.80
an average of $55.37 per time performed
medical
SKIN, HAIR AND NAILS

Tissue transfer repair of wound (30.1 to 60.0 sq centimet... +

Tissue transfer repair of wound (30.1 to 60.0 sq centimeters) ×

Service Code: 14301
Performed in a facility
28
times performed,
4% of his services

5th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

23
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
$65,324.00an average of $2,333.00 per time performed $20,694.24
an average of $739.08 per time performed
medical
SKIN, HAIR AND NAILS

Tissue transfer repair of wound (10 sq centimeters or les... +

Tissue transfer repair of wound (10 sq centimeters or less) of the forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet ×

Service Code: 14040
Performed in a facility
27
times performed,
4% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

23
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
$37,827.00an average of $1,401.00 per time performed $11,573.82
an average of $428.66 per time performed
medical
SKIN, HAIR AND NAILS

Preparation of graft site at trunk, arms, or legs (first ... +

Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children) ×

Service Code: 15002
Performed in a facility
21
times performed,
3% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

16
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
$10,539.06an average of $501.86 per time performed $4,072.95
an average of $193.95 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 a facility
20
times performed,
3% of his services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
$800.00an average of $40.00 per time performed $428.80
an average of $21.44 per time performed
medical
MUSCULOSKELETAL SYSTEM

Release of wrist ligament using an endoscope

Service Code: 29848
Performed in a facility
16
times performed,
2% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
$17,648.00an average of $1,103.00 per time performed $6,806.88
an average of $425.43 per time performed
medical
SKIN, HAIR AND NAILS

Repair of wound (2.6 to 7.5 centimeters) of forehead, che... +

Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet ×

Service Code: 13132
Performed in a facility
15
times performed,
2% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$16,215.00an average of $1,081.00 per time performed $2,996.40
an average of $199.76 per time performed
medical
SKIN, HAIR AND NAILS

Relocation of patient skin to forehead, cheeks, chin, mou... +

Relocation of patient skin to forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (20 sq centimeters or less) ×

Service Code: 15240
Performed in a facility
14
times performed,
2% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$22,890.00an average of $1,635.00 per time performed $8,674.68
an average of $619.62 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 30 minutes per... +

Initial hospital inpatient care, typically 30 minutes per day ×

Service Code: 99221
Performed in a facility
12
times performed,
2% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$1,656.00an average of $138.00 per time performed $829.80
an average of $69.15 per time performed
medical
SKIN, HAIR AND NAILS

Removal of malignant growth (1.1 to 2.0 centimeters) of t... +

Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips ×

Service Code: 11642
Performed in a facility
12
times performed,
2% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$6,636.00an average of $553.00 per time performed $956.40
an average of $79.70 per time performed

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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