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, $251 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
953
Rank: 17th
out of 224 providers in this state & specialty
Services
Performed
4,183
Rank: 18th
out of 224 providers in this state & specialty
Avg Services
Per Patient
4.4 This Provider
Avg 3.8
Total Paid
by Medicare
$152K
Rank: 77th
out of 224 providers in this state & specialty
Avg Paid
Per Patient
$159 This Provider
Avg $251

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 29 different services in 2015
(8 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
898
times performed,
21% of his services

1st 3rd

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

459
patients got this service, 48% of his patients
2
average number of visits a patient made for this service
(Peers: 1.7)
$179,600.00an average of $200.00 per time performed $65,859.32
an average of $73.34 per time performed
medical
MEDICINE

Diagnostic testing in a pulmonary function lab

Service Code: 94375
Performed in an office
886
times performed,
21% of his services

2nd 15th

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

467
patients got this service, 49% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.5)
$88,600.00an average of $100.00 per time performed $24,116.92
an average of $27.22 per time performed
medical
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in an office
358
times performed,
9% of his services

3rd 6th

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

233
patients got this service, 24% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.1)
$50,120.00an average of $140.00 per time performed $13,546.72
an average of $37.84 per time performed
medical
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in a facility
349
times performed,
8% of his services

4th 14th

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

338
patients got this service, 35% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,980.00an average of $20.00 per time performed $2,415.08
an average of $6.92 per time performed
medical
MEDICINE

Measurement and graphic recording of the amount and speed... +

Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94060
Performed in a facility
319
times performed,
8% of his services

5th 20th

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

315
patients got this service, 33% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,975.00an average of $25.00 per time performed $3,154.91
an average of $9.89 per time performed
medical
MEDICINE

Determination of lung volumes using plethysmography

Service Code: 94726
Performed in a facility
290
times performed,
7% of his services

6th 21st

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

279
patients got this service, 29% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,250.00an average of $25.00 per time performed $2,714.40
an average of $9.36 per time performed
medical
MEDICINE

Measurement and graphic recording of the amount and speed... +

Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94060
Performed in an office
137
times performed,
3% of his services

7th 12th

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

134
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$19,865.00an average of $145.00 per time performed $5,827.98
an average of $42.54 per time performed
medical
RADIOLOGY

X-ray of chest, 1 view, front

Service Code: 71010
Performed in an office
136
times performed,
3% of his services

8th 52nd

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

116
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$12,920.00an average of $95.00 per time performed $2,129.76
an average of $15.66 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
131
times performed,
3% of his services

9th 11th

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

131
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$39,955.00an average of $305.00 per time performed $14,878.98
an average of $113.58 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
127
times performed,
3% of his services

10th 4th

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

109
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$17,145.00an average of $135.00 per time performed $5,814.06
an average of $45.78 per time performed
medical
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
102
times performed,
2% of his services

11th 9th

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

98
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$11,730.00an average of $115.00 per time performed $2,042.04
an average of $20.02 per time performed
medical
MEDICINE

Determination of lung volumes using gas dilution or washout +

Determination of lung volumes using gas dilution or washout ×

Service Code: 94727
Performed in an office
99
times performed,
2% of his services

12th 13th

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

99
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$11,385.00an average of $115.00 per time performed $3,024.45
an average of $30.55 per time performed
medical
MEDICINE

Respiratory inhaled pressure or nonpressure treatment to ... +

Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen ×

Service Code: 94640
Performed in an office
52
times performed,
1% of his services

13th 68th

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

44
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$3,120.00an average of $60.00 per time performed $662.48
an average of $12.74 per time performed
medical
MEDICINE

Pulmonary exercise testing

Service Code: 94620
Performed in a facility
48
times performed,
1% of his services

14th 54th

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

40
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$2,880.00an average of $60.00 per time performed $1,120.32
an average of $23.34 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
47
times performed,
1% of his services

15th 25th

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

36
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$470.00an average of $10.00 per time performed $138.18
an average of $2.94 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
45
times performed,
1% of his services

16th 26th

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

45
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$225.00an average of $5.00 per time performed $220.50
an average of $4.90 per time performed
medical
MEDICINE

Determination of lung volumes using gas dilution or washout +

Determination of lung volumes using gas dilution or washout ×

Service Code: 94727
Performed in a facility
38
times performed,
0.91% of his services

17th 33rd

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

38
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$950.00an average of $25.00 per time performed $353.78
an average of $9.31 per time performed
drug
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
33
times performed,
0.79% of his services

18th 56th

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)
$660.00an average of $20.00 per time performed $501.93
an average of $15.21 per time performed
medical
EVALUATION AND MANAGEMENT

Smoking and tobacco use intensive counseling, greater tha... +

Smoking and tobacco use intensive counseling, greater than 10 minutes ×

Service Code: 99407
Performed in an office
19
times performed,
0.45% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$1,045.00an average of $55.00 per time performed $383.23
an average of $20.17 per time performed
medical
MEDICINE

Measurement and graphic recording of total and timed exha... +

Measurement and graphic recording of total and timed exhaled air capacity ×

Service Code: 94010
Performed in a facility
15
times performed,
0.36% of his services

20th 17th

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

11
patients got this service, 1% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.1)
$300.00an average of $20.00 per time performed $91.95
an average of $6.13 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle, patient ... +

Vaccine for influenza for injection into muscle, patient 3 years and older ×

Service Code: 90656
Performed in an office
14
times performed,
0.33% of his services

21st 118th

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$280.00an average of $20.00 per time performed $190.40
an average of $13.60 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.

Michael D Wilons
Average for Pulmonary Disease 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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