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Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $233 per patient in 2012.
They performed about 6 services per patient. Here’s how this provider compares.
Number of
Patients
980
Rank: 171st
out of 2,711 providers in this state & specialty
Services
Performed
11,123
Rank: 151st
out of 2,711 providers in this state & specialty
Avg Services
Per Patient
11.4 This Provider
Avg 5.9
Total Paid
by Medicare
$379K
Rank: 76th
out of 2,711 providers in this state & specialty
Avg Paid
Per Patient
$386 This Provider is in the top 10%
Avg $233

Office Visits

Story image rib 8a2c1e812d78fea39cf7fb4926cf598dbc8604e0a950a7f60c1e192c8c412b43

Top Billing

Related story »

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.

Ashish C. Shah
Average for Internal Medicine Providers in North Carolina

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Individuals

GUY DE GENT

LIVIU POP

DAVID CALL

MARK JORDAN

SAMUEL MCDOWELL

Organizations

MOREHEAD MEMORIAL HOSPITAL

LABORATORY CORPORATION ...

Patients saw before

Ashish C. Shah

Patients saw after

Individuals

GUY DE GENT

LIVIU POP

MARK JORDAN

TAYLOR STROUD

SAMUEL MCDOWELL

Organizations

MOREHEAD MEMORIAL HOSPITAL

THE MOSES H. CONE MEMOR...

This Provider's Services

This provider performed 46 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
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
3,826
times performed,
34% of his services

1st 2nd

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

880
patients got this service, 90% of his patients
4.3
average number of visits a patient made for this service
(Peers: 2.1)
$256,342an average of $67 per time performed $168,344
an average of $44 per time performed
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
833
times performed,
7% of his services

2nd 130th

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

206
patients got this service, 21% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$4,165an average of $5 per time performed $2,499
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
759
times performed,
7% of his services

3rd 12th

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

279
patients got this service, 28% of his patients
2.7
average number of visits a patient made for this service
(Peers: 1.8)
$10,626an average of $14 per time performed $10,626
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
739
times performed,
7% of his services

4th 8th

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

98
patients got this service, 10% of his patients
7.5
average number of visits a patient made for this service
(Peers: 5.5)
$4,434an average of $6 per time performed $4,434
an average of $6 per time performed
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
682
times performed,
6% of his services

5th 39th

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

153
patients got this service, 16% of his patients
4.5
average number of visits a patient made for this service
(Peers: 1.8)
$25,234an average of $37 per time performed $19,778
an average of $29 per time performed
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
521
times performed,
5% of his services

6th 38th

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

210
patients got this service, 21% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.8)
$20,840an average of $40 per time performed $14,588
an average of $28 per time performed
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
319
times performed,
3% of his services

7th 45th

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

193
patients got this service, 20% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$1,276an average of $4 per time performed $1,276
an average of $4 per time performed
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
271
times performed,
2% of his services

8th 83rd

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

201
patients got this service, 21% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$2,710an average of $10 per time performed $1,084
an average of $4 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
250
times performed,
2% of his services

9th 29th

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

166
patients got this service, 17% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.1)
$17,000an average of $68 per time performed $13,250
an average of $53 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
214
times performed,
2% of his services

10th 11th

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

148
patients got this service, 15% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.1)
$40,446an average of $189 per time performed $31,886
an average of $149 per time performed
PROCEDURES

Colorectal cancer screening; fecal occult blood test, imm... +

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ×

Service Code: G0328
Performed in an office
211
times performed,
2% of his services

11th 112th

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

211
patients got this service, 22% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,853an average of $23 per time performed $4,642
an average of $22 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) analysis

Service Code: 82044
Performed in an office
199
times performed,
2% of his services

12th 91st

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

169
patients got this service, 17% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$796an average of $4 per time performed $796
an average of $4 per time performed
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
199
times performed,
2% of his services

13th 51st

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

169
patients got this service, 17% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$1,592an average of $8 per time performed $1,393
an average of $7 per time performed
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
182
times performed,
2% of his services

14th 4th

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

82
patients got this service, 8% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.3)
$12,376an average of $68 per time performed $9,828
an average of $54 per time performed
PROCEDURES

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

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

Service Code: G0439
Performed in an office
174
times performed,
2% of his services

15th 41st

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

174
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,270an average of $105 per time performed $18,270
an average of $105 per time performed
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
169
times performed,
2% of his services

16th 1st

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

142
patients got this service, 14% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.4)
$16,900an average of $100 per time performed $10,478
an average of $62 per time performed
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
110
times performed,
0.99% of his services

17th 100th

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

67
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$7,260an average of $66 per time performed $4,950
an average of $45 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
107
times performed,
0.96% of his services

18th 70th

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

54
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,136an average of $48 per time performed $2,996
an average of $28 per time performed
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
102
times performed,
0.92% of his services

19th 117th

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

91
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,020an average of $10 per time performed $714
an average of $7 per time performed
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
102
times performed,
0.92% of his services

20th 95th

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

91
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$918an average of $9 per time performed $612
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
91
times performed,
0.82% of his services

21st 9th

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

73
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$1,729an average of $19 per time performed $1,274
an average of $14 per time performed
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
88
times performed,
0.79% of his services

22nd 53rd

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

88
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,816an average of $157 per time performed $13,816
an average of $157 per time performed
PATHOLOGY AND LABORATORY

Liver enzyme (sgpt), level

Service Code: 84460
Performed in an office
77
times performed,
0.69% of his services

23rd 81st

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

62
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$539an average of $7 per time performed $385
an average of $5 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
76
times performed,
0.68% of his services

24th 59th

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

67
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$5,168an average of $68 per time performed $4,028
an average of $53 per time performed
PATHOLOGY AND LABORATORY

Liver enzyme (sgot), level

Service Code: 84450
Performed in an office
75
times performed,
0.67% of his services

25th 89th

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

62
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$525an average of $7 per time performed $375
an average of $5 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 10 minutes p... +

Subsequent nursing facility visit, typically 10 minutes per day ×

Service Code: 99307
Performed in an office
70
times performed,
0.63% of his services

26th 108th

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

30
patients got this service, 3% of his patients
2.3
average number of visits a patient made for this service
(Peers: 3)
$2,870an average of $41 per time performed $1,680
an average of $24 per time performed
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
66
times performed,
0.59% of his services

27th 88th

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

66
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,600an average of $100 per time performed $4,224
an average of $64 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
63
times performed,
0.57% of his services

28th 61st

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

57
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$9,324an average of $148 per time performed $6,867
an average of $109 per time performed
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
60
times performed,
0.54% of his services

29th 35th

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

16
patients got this service, 2% of his patients
3.8
average number of visits a patient made for this service
(Peers: 4.7)
$0an average of $0 per time performed $0
an average of $0 per time performed
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
54
times performed,
0.49% of his services

30th 93rd

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

54
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,856an average of $164 per time performed $5,832
an average of $108 per time performed
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
52
times performed,
0.47% of his services

31st 48th

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

50
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$6,708an average of $129 per time performed $5,356
an average of $103 per time performed
PROCEDURES

Smoking and tobacco cessation counseling visit for the as... +

Smoking and tobacco cessation counseling visit for the asymptomatic patient; intensive, greater than 10 minutes ×

Service Code: G0437
Performed in an office
51
times performed,
0.46% of his services

32nd 593rd

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

46
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,428an average of $28 per time performed $1,377
an average of $27 per time performed
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
48
times performed,
0.43% of his services

33rd 3rd

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

41
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.3)
$192an average of $4 per time performed $144
an average of $3 per time performed
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
45
times performed,
0.4% of his services

34th 134th

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

38
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$2,160an average of $48 per time performed $1,395
an average of $31 per time performed
PATHOLOGY AND LABORATORY

Strep test (streptococcus, group a)

Service Code: 87880
Performed in an office
34
times performed,
0.31% of his services

35th 188th

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: 1.2)
$476an average of $14 per time performed $476
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Detection test for influenza virus

Service Code: 87804
Performed in an office
32
times performed,
0.29% of his services

36th 172nd

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

15
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$576an average of $18 per time performed $480
an average of $15 per time performed
EVALUATION AND MANAGEMENT

Subsequent observation care, typically 15 minutes per day +

Subsequent observation care, typically 15 minutes per day ×

Service Code: 99224
Performed in a facility
32
times performed,
0.29% of his services

37th 296th

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

24
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$864an average of $27 per time performed $672
an average of $21 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care typically 50 minutes

Service Code: 99219
Performed in a facility
22
times performed,
0.2% of his services

38th 144th

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)
$2,464an average of $112 per time performed $1,848
an average of $84 per time performed
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in an office
21
times performed,
0.19% of his services

39th 162nd

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

18
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$1,386an average of $66 per time performed $987
an average of $47 per time performed
PATHOLOGY AND LABORATORY

Blood glucose (sugar) test performed by hand-held instrument +

Blood glucose (sugar) test performed by hand-held instrument ×

Service Code: 82962
Performed in an office
19
times performed,
0.17% of his services

40th 34th

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: 2.8)
$76an average of $4 per time performed $57
an average of $3 per time performed
RADIOLOGY

Ultrasound of abdomen

Service Code: 76700
Performed in an office
17
times performed,
0.15% of his services

41st 228th

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)
$1,564an average of $92 per time performed $1,139
an average of $67 per time performed
MEDICINE

Ultrasound scanning of blood flow (outside the brain) on ... +

Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck ×

Service Code: 93880
Performed in an office
16
times performed,
0.14% of his services

42nd 114th

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)
$2,352an average of $147 per time performed $1,792
an average of $112 per time performed
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 implementation of the plan of care that meets patient's needs, per certification period ×

Service Code: G0180
Performed in an office
12
times performed,
0.11% of his services

43rd 84th

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$612an average of $51 per time performed $480
an average of $40 per time performed
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
11
times performed,
0.1% of his services

44th 136th

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: 1.2)
$649an average of $59 per time performed $473
an average of $43 per time performed
MEDICINE

Determination of lung volumes using plethysmography

Service Code: 94726
Performed in an office
11
times performed,
0.1% of his services

45th 282nd

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: 1.1)
$550an average of $50 per time performed $440
an average of $40 per time performed
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in an office
11
times performed,
0.1% of his services

46th 184th

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: 1.1)
$550an average of $50 per time performed $440
an average of $40 per time performed

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 2013 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.

Notes: This provider has a self-reported specialty of "Internal Medicine." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

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.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.