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, $405 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.
Number of
Patients
Services
Performed
Avg Services
Per Patient
Total Paid
by Medicare
Avg Paid
Per Patient
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 43 different services in 2015
(22 were redacted as they were performed on less than 11 patients)
Show Only:
CATEGORYDescription of Service |
Times Performed (or Units) | This Service's Rank | Patients | Unique Visits Per Patient |
Billed to Medicare | Payments from Medicare |
|---|---|---|---|---|---|---|
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 25 minutes × Service Code: 99214Performed in an office |
367 times performed, 25% of his services |
1st 5th most performed service for this provider most performed service in this state & specialty |
250 patients got this service, 58% of his patients |
1.5 average number of visits a patient made for this service (Peers: 1.4) |
$57,252.00an average of $156.00 per time performed |
$26,768.98 an average of $72.94 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 4... + New patient office or other outpatient visit, typically 45 minutes × Service Code: 99204Performed in an office |
200 times performed, 13% of his services |
2nd 20th most performed service for this provider most performed service in this state & specialty |
200 patients got this service, 46% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$52,200.00an average of $261.00 per time performed |
$21,560.00 an average of $107.80 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 15 minutes × Service Code: 99213Performed in an office |
136 times performed, 9% of his services |
3rd 2nd most performed service for this provider most performed service in this state & specialty |
100 patients got this service, 23% of his patients |
1.4 average number of visits a patient made for this service (Peers: 1.6) |
$13,600.00an average of $100.00 per time performed |
$5,891.52 an average of $43.32 per time performed |
NERVOUS SYSTEMPartial removal of spine bone with release of spinal cord... + Partial removal of spine bone with release of spinal cord and/or nerves × Service Code: 63048Performed in a facility |
95 times performed, 6% of his services |
4th 98th most performed service for this provider most performed service in this state & specialty |
55 patients got this service, 13% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$59,850.00an average of $630.00 per time performed |
$14,745.90 an average of $155.22 per time performed |
MUSCULOSKELETAL SYSTEMInsertion of spinal instrumentation for spinal stabilization + Insertion of spinal instrumentation for spinal stabilization × Service Code: 22851Performed in a facility |
72 times performed, 5% of his services |
5th 90th most performed service for this provider most performed service in this state & specialty |
54 patients got this service, 12% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$92,520.00an average of $1,285.00 per time performed |
$21,870.00 an average of $303.75 per time performed |
RADIOLOGYFluoroscopic guidance for spine or spinal canal injection + Fluoroscopic guidance for spine or spinal canal injection × Service Code: 77003Performed in a facility |
65 times performed, 4% of his services |
6th 183rd most performed service for this provider most performed service in this state & specialty |
62 patients got this service, 14% of his patients |
1 average number of visits a patient made for this service (Peers: 1.1) |
$13,000.00an average of $200.00 per time performed |
$1,429.35 an average of $21.99 per time performed |
NERVOUS SYSTEMPartial removal of middle spine bone with release of spin... + Partial removal of middle spine bone with release of spinal cord and/or nerves × Service Code: 63047Performed in a facility |
54 times performed, 4% of his services |
7th 101st most performed service for this provider most performed service in this state & specialty |
54 patients got this service, 12% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$164,592.00an average of $3,048.00 per time performed |
$21,866.22 an average of $404.93 per time performed |
MUSCULOSKELETAL SYSTEMFusion of spine bones, posterior or posterolateral approach + Fusion of spine bones, posterior or posterolateral approach × Service Code: 22614Performed in a facility |
47 times performed, 3% of his services |
8th 89th most performed service for this provider most performed service in this state & specialty |
27 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$58,280.00an average of $1,240.00 per time performed |
$13,636.11 an average of $290.13 per time performed |
PROCEDURESPhysician 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: G0180Performed in an office |
45 times performed, 3% of his services |
9th 52nd most performed service for this provider most performed service in this state & specialty |
45 patients got this service, 10% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$4,500.00an average of $100.00 per time performed |
$1,755.45 an average of $39.01 per time performed |
MUSCULOSKELETAL SYSTEMHarvest of bone fragments for spine surgery graft Service Code: 20937Performed in a facility |
45 times performed, 3% of his services |
10th 160th most performed service for this provider most performed service in this state & specialty |
45 patients got this service, 10% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$23,895.00an average of $531.00 per time performed |
$5,573.25 an average of $123.85 per time performed |
MUSCULOSKELETAL SYSTEMFusion of lower spine bones, posterior or posterolateral ... + Fusion of lower spine bones, posterior or posterolateral approach × Service Code: 22612Performed in a facility |
41 times performed, 3% of his services |
11th 130th most performed service for this provider most performed service in this state & specialty |
41 patients got this service, 9% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$178,678.00an average of $4,358.00 per time performed |
$45,906.06 an average of $1,119.66 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 6... + New patient office or other outpatient visit, typically 60 minutes × Service Code: 99205Performed in an office |
36 times performed, 2% of his services |
12th 93rd most performed service for this provider most performed service in this state & specialty |
36 patients got this service, 8% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$11,952.00an average of $332.00 per time performed |
$4,408.56 an average of $122.46 per time performed |
MUSCULOSKELETAL SYSTEMFusion of spine bones with removal of disc at lower spina... + Fusion of spine bones with removal of disc at lower spinal column, anterior approach × Service Code: 22558Performed in a facility |
35 times performed, 2% of his services |
13th 202nd most performed service for this provider most performed service in this state & specialty |
35 patients got this service, 8% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$141,925.00an average of $4,055.00 per time performed |
$21,360.15 an average of $610.29 per time performed |
MUSCULOSKELETAL SYSTEMInsertion of posterior spinal instrumentation for spinal ... + Insertion of posterior spinal instrumentation for spinal stabilization, 3 to 6 vertebral segments × Service Code: 22842Performed in a facility |
31 times performed, 2% of his services |
14th 143rd most performed service for this provider most performed service in this state & specialty |
31 patients got this service, 7% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$74,896.00an average of $2,416.00 per time performed |
$17,285.60 an average of $557.60 per time performed |
DRUGSInjection, betamethasone acetate 3mg and betamethasone so... + Injection, betamethasone acetate 3mg and betamethasone sodium phosphate 3mg × Service Code: J0702Performed in an office |
26 times performed, 2% of his services |
15th 11th most performed service for this provider most performed service in this state & specialty |
12 patients got this service, 3% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.4) |
$468.00an average of $18.00 per time performed |
$120.38 an average of $4.63 per time performed |
MUSCULOSKELETAL SYSTEMService Code: 22830Performed in a facility |
18 times performed, 1% of his services |
16th 248th most performed service for this provider most performed service in this state & specialty |
18 patients got this service, 4% of his patients |
1 average number of visits a patient made for this service (Peers: 1.1) |
$41,616.00an average of $2,312.00 per time performed |
$4,849.38 an average of $269.41 per time performed |
MUSCULOSKELETAL SYSTEMInsertion of posterior spinal instrumentation at base of ... + Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace × Service Code: 22840Performed in a facility |
18 times performed, 1% of his services |
17th 155th most performed service for this provider most performed service in this state & specialty |
18 patients got this service, 4% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$27,630.00an average of $1,535.00 per time performed |
$10,379.70 an average of $576.65 per time performed |
MUSCULOSKELETAL SYSTEMFusion of spine bones with removal of disc, anterior appr... + Fusion of spine bones with removal of disc, anterior approach × Service Code: 22585Performed in a facility |
17 times performed, 1% of his services |
18th
most performed service for this provider 5 or fewer providers in this specialty in TX perform this service |
12 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service |
$17,986.00an average of $1,058.00 per time performed |
$4,235.38 an average of $249.14 per time performed |
MUSCULOSKELETAL SYSTEMRemoval of posterior spinal instrumentation Service Code: 22852Performed in a facility |
16 times performed, 1% of his services |
19th
most performed service for this provider 5 or fewer providers in this specialty in TX perform this service |
16 patients got this service, 4% of his patients |
1 average number of visits a patient made for this service |
$30,992.00an average of $1,937.00 per time performed |
$3,619.68 an average of $226.23 per time performed |
MUSCULOSKELETAL SYSTEMAspiration and/or injection of large joint or joint capsule + Aspiration and/or injection of large joint or joint capsule × Service Code: 20610Performed in an office |
14 times performed, 0.94% of his services |
20th 3rd most performed service for this provider most performed service in this state & specialty |
13 patients got this service, 3% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.7) |
$2,828.00an average of $202.00 per time performed |
$580.30 an average of $41.45 per time performed |
MUSCULOSKELETAL SYSTEMFusion of lower spine bones with removal of disc, posteri... + Fusion of lower spine bones with removal of disc, posterior or posterolateral approach × Service Code: 22633Performed in a facility |
12 times performed, 0.81% of his services |
21st 163rd most performed service for this provider most performed service in this state & specialty |
12 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$29,640.00an average of $2,470.00 per time performed |
$16,628.88 an average of $1,385.74 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.
This provider did not bill Medicare for any 5’s.
Dean E Smith
Average for Orthopaedic Surgery Providers in Texas
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.