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, $324 per patient in 2015.
They performed about 21 services per patient. Here’s how this provider compares.

Number of
Patients
981
Rank: 29th
out of 200 providers in this state & specialty
Services
Performed
46,710
Rank: 18th
out of 200 providers in this state & specialty
Avg Services
Per Patient
47.6 This Provider
Avg 21
Total Paid
by Medicare
$659K
Rank: 5th
out of 200 providers in this state & specialty
Avg Paid
Per Patient
$672 This Provider is in the top 10%
Avg $324

Note: About 54% 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 133 different services in 2015
(92 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

Injection, testosterone cypionate, 1mg

Service Code: J1071
Performed in an office
24,700
times performed,
53% of his services

1st 1st

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

20
patients got this service, 2% of his patients
5.6
average number of visits a patient made for this service
(Peers: 6.5)
$3,705.00an average of $0.15 per time performed $494.00
an average of $0.02 per time performed
drug
TEMPORARY CODES

Low osmolar contrast material, 300-399 mg/ml iodine conce... +

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ×

Service Code: Q9967
Performed in an office
6,560
times performed,
14% of his services

2nd 2nd

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

65
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$3,280.00an average of $0.50 per time performed $787.20
an average of $0.12 per time performed
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
6,480
times performed,
14% of his services

3rd 5th

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

43
patients got this service, 4% of his patients
2
average number of visits a patient made for this service
(Peers: 2.3)
$253,368.00an average of $39.10 per time performed $63,698.40
an average of $9.83 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
1,300
times performed,
3% of his services

4th 10th

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

794
patients got this service, 81% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$23,400.00an average of $18.00 per time performed $3,887.00
an average of $2.99 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
984
times performed,
2% of his services

5th 6th

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

654
patients got this service, 67% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$134,808.00an average of $137.00 per time performed $71,133.36
an average of $72.29 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
759
times performed,
2% of his services

6th 8th

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

515
patients got this service, 52% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$11,385.00an average of $15.00 per time performed $2,216.28
an average of $2.92 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
695
times performed,
1% of his services

7th 12th

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

483
patients got this service, 49% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$38,920.00an average of $56.00 per time performed $16,951.05
an average of $24.39 per time performed
medical
URINARY SYSTEM

Ultrasound measurement of bladder capacity after voiding +

Ultrasound measurement of bladder capacity after voiding ×

Service Code: 51798
Performed in an office
646
times performed,
1% of his services

8th 9th

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

483
patients got this service, 49% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$35,530.00an average of $55.00 per time performed $8,029.78
an average of $12.43 per time performed
drug
CHEMOTHERAPY DRUGS

Leuprolide acetate (for depot suspension), 7.5 mg

Service Code: J9217
Performed in an office
392
times performed,
0.84% of his services

9th 13th

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

42
patients got this service, 4% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.7)
$274,400.00an average of $700.00 per time performed $70,783.44
an average of $180.57 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
352
times performed,
0.75% of his services

10th 3rd

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

287
patients got this service, 29% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$31,680.00an average of $90.00 per time performed $16,375.04
an average of $46.52 per time performed
medical
DRUGS

Unclassified drugs

Service Code: J3490
Performed in an office
264
times performed,
0.57% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

23
patients got this service, 2% of his patients
1.9
average number of visits a patient made for this service
$47,520.00an average of $180.00 per time performed $19,411.92
an average of $73.53 per time performed
medical
PATHOLOGY AND LABORATORY

Testosterone (hormone) level

Service Code: 84403
Performed in an office
224
times performed,
0.48% of his services

12th 30th

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

155
patients got this service, 16% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$19,488.00an average of $87.00 per time performed $7,598.08
an average of $33.92 per time performed
medical
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
148
times performed,
0.32% of his services

13th 16th

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

124
patients got this service, 13% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$81,844.00an average of $553.00 per time performed $20,718.52
an average of $139.99 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
147
times performed,
0.31% of his services

14th 17th

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

36
patients got this service, 4% of his patients
4.1
average number of visits a patient made for this service
(Peers: 3.2)
$7,350.00an average of $50.00 per time performed $2,601.90
an average of $17.70 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
139
times performed,
0.3% of his services

15th 18th

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

139
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$32,943.00an average of $237.00 per time performed $16,292.19
an average of $117.21 per time performed
medical
RADIOLOGY

X-ray of abdomen, single view

Service Code: 74000
Performed in an office
79
times performed,
0.17% of his services

16th 22nd

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

51
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$5,214.00an average of $66.00 per time performed $1,230.82
an average of $15.58 per time performed
medical
URINARY SYSTEM

Bladder irrigation and/or instillation

Service Code: 51700
Performed in an office
70
times performed,
0.15% of his services

17th 32nd

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

55
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$25,970.00an average of $371.00 per time performed $4,149.60
an average of $59.28 per time performed
medical
RADIOLOGY

Ct scan of abdomen and pelvis before and after contrast

Service Code: 74178
Performed in an office
63
times performed,
0.13% of his services

18th 35th

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

61
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$129,150.00an average of $2,050.00 per time performed $15,740.55
an average of $249.85 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
60
times performed,
0.13% of his services

19th 4th

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

55
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.8)
$1,080.00an average of $18.00 per time performed $246.00
an average of $4.10 per time performed
drug
DRUGS

Injection, garamycin, gentamicin, up to 80 mg

Service Code: J1580
Performed in an office
55
times performed,
0.12% of his services

20th 25th

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

25
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$935.00an average of $17.00 per time performed $58.85
an average of $1.07 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
51
times performed,
0.11% of his services

21st 28th

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

45
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$11,016.00an average of $216.00 per time performed $5,208.12
an average of $102.12 per time performed
medical
SKIN, HAIR AND NAILS

Insertion of hormone pellets beneath the skin

Service Code: 11980
Performed in an office
45
times performed,
0.1% of his services

22nd 97th

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

23
patients got this service, 2% of his patients
2
average number of visits a patient made for this service
(Peers: 1.9)
$9,675.00an average of $215.00 per time performed $3,108.15
an average of $69.07 per time performed
medical
URINARY SYSTEM

Electronic assessment of bladder emptying

Service Code: 51741
Performed in an office
34
times performed,
0.07% of his services

23rd 24th

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

32
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$8,262.00an average of $243.00 per time performed $325.72
an average of $9.58 per time performed
medical
RADIOLOGY

Ct scan of abdomen and pelvis

Service Code: 74176
Performed in an office
33
times performed,
0.07% of his services

24th 36th

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

33
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$41,250.00an average of $1,250.00 per time performed $4,747.38
an average of $143.86 per time performed
medical
URINARY SYSTEM

Insertion of temporary bladder catheter

Service Code: 51701
Performed in an office
31
times performed,
0.07% of his services

25th 48th

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

31
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$4,929.00an average of $159.00 per time performed $1,209.00
an average of $39.00 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
29
times performed,
0.06% of his services

26th 44th

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

27
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$7,598.00an average of $262.00 per time performed $2,878.54
an average of $99.26 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
27
times performed,
0.06% of his services

27th 41st

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

23
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$3,348.00an average of $124.00 per time performed $1,471.23
an average of $54.49 per time performed
medical
URINARY SYSTEM

Insertion of indwelling bladder catheter

Service Code: 51702
Performed in an office
24
times performed,
0.05% of his services

28th 39th

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

16
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.1)
$6,000.00an average of $250.00 per time performed $1,221.12
an average of $50.88 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
23
times performed,
0.05% of his services

29th 19th

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

16
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$1,449.00an average of $63.00 per time performed $736.92
an average of $32.04 per time performed
medical
PATHOLOGY AND LABORATORY

Cell examination of specimen

Service Code: 88112
Performed in an office
22
times performed,
0.05% of his services

30th 80th

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

21
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$3,630.00an average of $165.00 per time performed $488.40
an average of $22.20 per time performed
medical
RADIOLOGY

Ultrasound of rectum

Service Code: 76872
Performed in an office
21
times performed,
0.04% of his services

31st 42nd

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

20
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$8,589.00an average of $409.00 per time performed $1,433.67
an average of $68.27 per time performed
medical
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
20
times performed,
0.04% of his services

32nd 45th

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

19
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$6,780.00an average of $339.00 per time performed $886.00
an average of $44.30 per time performed
medical
RADIOLOGY

Ultrasound behind abdominal cavity, limited

Service Code: 76775
Performed in an office
20
times performed,
0.04% of his services

33rd 54th

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

13
patients got this service, 1% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.1)
$6,600.00an average of $330.00 per time performed $805.80
an average of $40.29 per time performed
medical
MALE GENITAL SYSTEM

Biopsy of prostate gland

Service Code: 55700
Performed in an office
19
times performed,
0.04% of his services

34th 47th

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

19
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,809.00an average of $411.00 per time performed $2,930.18
an average of $154.22 per time performed
medical
URINARY SYSTEM

Shock wave crushing of kidney stones

Service Code: 50590
Performed in a facility
19
times performed,
0.04% of his services

35th 67th

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

16
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$41,800.00an average of $2,200.00 per time performed $8,132.00
an average of $428.00 per time performed
medical
URINARY SYSTEM

Laser fragmentation of prostate tissue with control of bl... +

Laser fragmentation of prostate tissue with control of bleeding using an endoscope ×

Service Code: 52649
Performed in a facility
18
times performed,
0.04% of his services

36th 121st

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

16
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$47,646.00an average of $2,647.00 per time performed $11,181.60
an average of $621.20 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
17
times performed,
0.04% of his services

37th 84th

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

17
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$340.00an average of $20.00 per time performed $195.50
an average of $11.50 per time performed
medical
RADIOLOGY

Imaging of urinary tract

Service Code: 74420
Performed in a facility
16
times performed,
0.03% of his services

38th 43rd

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$5,232.00an average of $327.00 per time performed $219.20
an average of $13.70 per time performed
medical
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
14
times performed,
0.03% of his services

39th 38th

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

13
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$14,499.94an average of $1,035.71 per time performed $1,179.92
an average of $84.28 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
13
times performed,
0.03% of his services

40th 20th

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

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,067.00an average of $159.00 per time performed $1,033.63
an average of $79.51 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
11
times performed,
0.02% of his services

41st 33rd

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.7)
$924.00an average of $84.00 per time performed $323.29
an average of $29.39 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.

Lee Congleton
Average for Urology Providers in Tennessee

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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