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, $347 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
296
Rank: 1503rd
out of 2,814 providers in this state & specialty
Services
Performed
2,159
Rank: 1027th
out of 2,814 providers in this state & specialty
Avg Services
Per Patient
7.3 This Provider
Avg 6.8
Total Paid
by Medicare
$84.7K
Rank: 1571st
out of 2,814 providers in this state & specialty
Avg Paid
Per Patient
$286 This Provider
Avg $347

Note: About 13% 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 67 different services in 2015
(41 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
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
466
times performed,
22% of his services

1st 2nd

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

205
patients got this service, 69% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2.3)
$90,870.00an average of $195.00 per time performed $37,359.22
an average of $80.17 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
268
times performed,
12% of his services

2nd 4th

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

154
patients got this service, 52% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2)
$4,020.00an average of $15.00 per time performed $755.76
an average of $2.82 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
170
times performed,
8% of his services

3rd 31st

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

122
patients got this service, 41% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$10,200.00an average of $60.00 per time performed $1,970.30
an average of $11.59 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
169
times performed,
8% of his services

4th 24th

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

117
patients got this service, 40% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$7,267.00an average of $43.00 per time performed $1,732.25
an average of $10.25 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
133
times performed,
6% of his services

5th 1st

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

101
patients got this service, 34% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.4)
$17,955.00an average of $135.00 per time performed $6,865.46
an average of $51.62 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
99
times performed,
5% of his services

6th 8th

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

98
patients got this service, 33% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,881.89an average of $29.11 per time performed $2,767.05
an average of $27.95 per time performed
drug

Vaccine for influenza administered into muscle to individ... +

Vaccine for influenza administered into muscle to individuals 3 years of age and older ×

Service Code: 90686
Performed in an office
94
times performed,
4% of his services

7th 61st

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

93
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,256.00an average of $24.00 per time performed $1,601.76
an average of $17.04 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
93
times performed,
4% of his services

8th 29th

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

82
patients got this service, 28% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$6,882.00an average of $74.00 per time performed $1,231.32
an average of $13.24 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
79
times performed,
4% of his services

9th 37th

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

61
patients got this service, 21% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$5,846.00an average of $74.00 per time performed $1,770.39
an average of $22.41 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
60
times performed,
3% of his services

10th 18th

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

60
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,746.60an average of $29.11 per time performed $1,683.00
an average of $28.05 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
59
times performed,
3% of his services

11th 22nd

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

58
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,508.00an average of $212.00 per time performed $9,106.65
an average of $154.35 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
53
times performed,
2% of his services

12th 19th

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

45
patients got this service, 15% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$14,416.00an average of $272.00 per time performed $6,087.05
an average of $114.85 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
43
times performed,
2% of his services

13th 39th

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

37
patients got this service, 13% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$1,548.00an average of $36.00 per time performed $518.15
an average of $12.05 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
42
times performed,
2% of his services

14th 76th

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

35
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$1,008.00an average of $24.00 per time performed $177.24
an average of $4.22 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
23
times performed,
1% of his services

15th 48th

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

23
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,900.00an average of $300.00 per time performed $3,035.77
an average of $131.99 per time performed
medical
PATHOLOGY AND LABORATORY

Bacterial urine culture

Service Code: 87088
Performed in an office
20
times performed,
0.93% of his services

16th 209th

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

19
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$920.00an average of $46.00 per time performed $216.00
an average of $10.80 per time performed
medical
PATHOLOGY AND LABORATORY

Bacterial colony count, urine

Service Code: 87086
Performed in an office
18
times performed,
0.83% of his services

17th 227th

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

16
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$666.00an average of $37.00 per time performed $193.86
an average of $10.77 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
16
times performed,
0.74% of his services

18th 65th

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

11
patients got this service, 4% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$560.00an average of $35.00 per time performed $192.32
an average of $12.02 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
15
times performed,
0.69% of his services

19th 68th

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

14
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$585.00an average of $39.00 per time performed $150.90
an average of $10.06 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
14
times performed,
0.65% of his services

20th 146th

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

13
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$462.00an average of $33.00 per time performed $84.84
an average of $6.06 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
14
times performed,
0.65% of his services

21st 117th

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

13
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$406.00an average of $29.00 per time performed $75.88
an average of $5.42 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
13
times performed,
0.6% of his services

22nd 114th

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

13
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,810.00an average of $370.00 per time performed $2,141.36
an average of $164.72 per time performed
medical
PATHOLOGY AND LABORATORY

Bacterial culture for aerobic isolates

Service Code: 87077
Performed in an office
13
times performed,
0.6% of his services

23rd 293rd

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

12
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$377.00an average of $29.00 per time performed $140.14
an average of $10.78 per time performed
medical
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
12
times performed,
0.56% of his services

24th 99th

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

12
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$648.00an average of $54.00 per time performed $241.20
an average of $20.10 per time performed
medical
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
11
times performed,
0.51% of his services

25th 90th

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

11
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$1,848.00an average of $168.00 per time performed $434.28
an average of $39.48 per time performed
medical
PATHOLOGY AND LABORATORY

Folic acid level

Service Code: 82746
Performed in an office
11
times performed,
0.51% of his services

26th 130th

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

11
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$572.00an average of $52.00 per time performed $215.71
an average of $19.61 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.

Rafael E Pajaro
Average for Internal Medicine Providers in New Jersey

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.