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, $242 per patient in 2015.
They performed about 9 services per patient. Here’s how this provider compares.

Number of
Patients
591
Rank: 234th
out of 1,425 providers in this state & specialty
Services
Performed
13,373
Rank: 73rd
out of 1,425 providers in this state & specialty
Avg Services
Per Patient
22.6 This Provider is in the top 10%
Avg 8.6
Total Paid
by Medicare
$111K
Rank: 388th
out of 1,425 providers in this state & specialty
Avg Paid
Per Patient
$187 This Provider
Avg $242

Note: About 25% 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 110 different services in 2015
(71 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
1,740
times performed,
13% of his services

1st 13th

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

19
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$34,800.00an average of $20.00 per time performed $20,288.40
an average of $11.66 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
628
times performed,
5% of his services

2nd 3rd

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

392
patients got this service, 66% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.9)
$6,280.00an average of $10.00 per time performed $1,833.76
an average of $2.92 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
395
times performed,
3% of his services

3rd 9th

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

312
patients got this service, 53% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$15,800.00an average of $40.00 per time performed $4,451.65
an average of $11.27 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
376
times performed,
3% of his services

4th 6th

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

296
patients got this service, 50% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$13,160.00an average of $35.00 per time performed $3,692.32
an average of $9.82 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
303
times performed,
2% of his services

5th 7th

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

156
patients got this service, 26% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.7)
$13,635.00an average of $45.00 per time performed $3,914.76
an average of $12.92 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
250
times performed,
2% of his services

6th 8th

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

226
patients got this service, 38% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$12,500.00an average of $50.00 per time performed $3,247.50
an average of $12.99 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
248
times performed,
2% of his services

7th 18th

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

40
patients got this service, 7% of his patients
6.2
average number of visits a patient made for this service
(Peers: 5.8)
$7,936.00an average of $32.00 per time performed $1,299.52
an average of $5.24 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
188
times performed,
1% of his services

8th 43rd

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

125
patients got this service, 21% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$1,128.00an average of $6.00 per time performed $639.20
an average of $3.40 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
158
times performed,
1% of his services

9th 15th

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

128
patients got this service, 22% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$9,480.00an average of $60.00 per time performed $3,540.78
an average of $22.41 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
147
times performed,
1% of his services

10th 2nd

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

85
patients got this service, 14% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.9)
$10,579.59an average of $71.97 per time performed $4,626.09
an average of $31.47 per time performed
medical
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
118
times performed,
0.88% of his services

11th 92nd

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

35
patients got this service, 6% of his patients
3.4
average number of visits a patient made for this service
(Peers: 1.1)
$2,950.00an average of $25.00 per time performed $1,790.06
an average of $15.17 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
107
times performed,
0.8% of his services

12th 50th

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

86
patients got this service, 15% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$6,527.00an average of $61.00 per time performed $872.05
an average of $8.15 per time performed
medical
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
95
times performed,
0.71% of his services

13th 49th

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

92
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$3,504.55an average of $36.89 per time performed $655.50
an average of $6.90 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
90
times performed,
0.67% of his services

14th 16th

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

87
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$900.00an average of $10.00 per time performed $270.00
an average of $3.00 per time performed
medical
PROCEDURES

Annual wellness visit; includes a personalized prevention... +

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ×

Service Code: G0438
Performed in an office
89
times performed,
0.67% of his services

15th 58th

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

89
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,350.00an average of $150.00 per time performed $13,083.00
an average of $147.00 per time performed
medical
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
85
times performed,
0.64% of his services

16th 74th

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

85
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,475.00an average of $135.00 per time performed $2,085.05
an average of $24.53 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
72
times performed,
0.54% of his services

17th 47th

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

60
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.6)
$2,160.00an average of $30.00 per time performed $840.96
an average of $11.68 per time performed
medical
MEDICINE

Routine electrocardiogram (ekg) with tracing using at lea... +

Routine electrocardiogram (ekg) with tracing using at least 12 leads ×

Service Code: 93005
Performed in an office
55
times performed,
0.41% of his services

18th 110th

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

54
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,100.00an average of $20.00 per time performed $274.45
an average of $4.99 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) analysis

Service Code: 82044
Performed in an office
52
times performed,
0.39% of his services

19th 41st

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

47
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$1,846.00an average of $35.50 per time performed $317.20
an average of $6.10 per time performed
medical
PATHOLOGY AND LABORATORY

Blood glucose (sugar) level

Service Code: 82947
Performed in an office
49
times performed,
0.37% of his services

20th 33rd

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

33
patients got this service, 6% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.3)
$1,617.00an average of $33.00 per time performed $110.25
an average of $2.25 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin measurement

Service Code: 85018
Performed in an office
46
times performed,
0.34% of his services

21st 121st

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

19
patients got this service, 3% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.6)
$1,380.00an average of $30.00 per time performed $145.82
an average of $3.17 per time performed
medical
PROCEDURES

Drug screen, other than chromatographic; any number of dr... +

Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter ×

Service Code: G0434
Performed in an office
42
times performed,
0.31% of his services

22nd 144th

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

38
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$2,940.00an average of $70.00 per time performed $814.38
an average of $19.39 per time performed
medical
PATHOLOGY AND LABORATORY

Detection test for influenza virus

Service Code: 87804
Performed in an office
40
times performed,
0.3% of his services

23rd 53rd

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

17
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$1,800.00an average of $45.00 per time performed $639.60
an average of $15.99 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
32
times performed,
0.24% of his services

24th 19th

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

32
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$800.00an average of $25.00 per time performed $744.00
an average of $23.25 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
32
times performed,
0.24% of his services

25th 20th

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

32
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,400.00an average of $200.00 per time performed $5,411.20
an average of $169.10 per time performed
medical
PROCEDURES

Drug screen, qualitative; multiple drug classes by high c... +

Drug screen, qualitative; multiple drug classes by high complexity test method (e.g., immunoassay, enzyme assay), per patient encounter ×

Service Code: G0431
Performed in an office
31
times performed,
0.23% of his services

26th 91st

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

29
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 3.2)
$2,790.00an average of $90.00 per time performed $2,734.20
an average of $88.20 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
28
times performed,
0.21% of his services

27th 14th

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

19
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2)
$840.00an average of $30.00 per time performed $514.36
an average of $18.37 per time performed
medical
ADMINISTRATIVE

Technetium tc-99m tetrofosmin, diagnostic, per study dose +

Technetium tc-99m tetrofosmin, diagnostic, per study dose ×

Service Code: A9502
Performed in an office
26
times performed,
0.19% of his services

28th 150th

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,550.00an average of $175.00 per time performed $2,231.32
an average of $85.82 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
24
times performed,
0.18% of his services

29th 97th

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

23
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,600.00an average of $400.00 per time performed $661.20
an average of $27.55 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
22
times performed,
0.16% of his services

30th 26th

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

22
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$330.00an average of $15.00 per time performed $92.62
an average of $4.21 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
22
times performed,
0.16% of his services

31st 46th

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

18
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.9)
$726.00an average of $33.00 per time performed $97.90
an average of $4.45 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
20
times performed,
0.15% of his services

32nd 17th

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

18
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.9)
$540.00an average of $27.00 per time performed $215.00
an average of $10.75 per time performed
medical
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple ×

Service Code: G0180
Performed in an office
17
times performed,
0.13% of his services

33rd 116th

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

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,292.00an average of $76.00 per time performed $674.39
an average of $39.67 per time performed
medical
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in an office
17
times performed,
0.13% of his services

34th 108th

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

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,666.00an average of $1,098.00 per time performed $1,934.94
an average of $113.82 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
15
times performed,
0.11% of his services

35th 1st

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

14
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.2)
$1,470.00an average of $98.00 per time performed $842.40
an average of $56.16 per time performed
medical
DIGESTIVE SYSTEM

Removal of polyps or growths in large bowel using an endo... +

Removal of polyps or growths in large bowel using an endoscope ×

Service Code: 45384
Performed in a facility
14
times performed,
0.1% of his services

36th 316th

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,300.00an average of $950.00 per time performed $1,799.28
an average of $128.52 per time performed
medical
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in an office
13
times performed,
0.1% of his services

37th 214th

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$390.00an average of $30.00 per time performed $73.06
an average of $5.62 per time performed
medical
DIGESTIVE SYSTEM

Biopsy of large bowel using an endoscope

Service Code: 45380
Performed in a facility
11
times performed,
0.08% of his services

38th 400th

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,625.00an average of $875.00 per time performed $777.59
an average of $70.69 per time performed
medical
RADIOLOGY

Nuclear medicine study of vessels of heart using drugs or... +

Nuclear medicine study of vessels of heart using drugs or exercise multiple studies ×

Service Code: 78452
Performed in an office
11
times performed,
0.08% of his services

39th 161st

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,430.00an average of $1,130.00 per time performed $3,122.79
an average of $283.89 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.

Roger A Gaddy
Average for Family Medicine Providers in South 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 [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.