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, $995 per patient in 2015.
They performed about 59 services per patient. Here’s how this provider compares.

Number of
Patients
667
Rank: 30th
out of 276 providers in this state & specialty
Services
Performed
62,822
Rank: 34th
out of 276 providers in this state & specialty
Avg Services
Per Patient
94.2 This Provider
Avg 59.5
Total Paid
by Medicare
$628K
Rank: 69th
out of 276 providers in this state & specialty
Avg Paid
Per Patient
$942 This Provider
Avg $995

Note: About 78% 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 66 different services in 2015
(31 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 15 minutes ×

Service Code: 99213
Performed in an office
1,191
times performed,
2% of his services

1st 9th

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

593
patients got this service, 89% of his patients
2
average number of visits a patient made for this service
(Peers: 1.9)
$136,965.00an average of $115.00 per time performed $53,213.88
an average of $44.68 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
869
times performed,
1% of his services

2nd 11th

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

441
patients got this service, 66% of his patients
2
average number of visits a patient made for this service
(Peers: 2.2)
$6,083.00an average of $7.00 per time performed $2,494.03
an average of $2.87 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
752
times performed,
1% of his services

3rd 12th

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

393
patients got this service, 59% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.3)
$18,800.00an average of $25.00 per time performed $7,640.32
an average of $10.16 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
649
times performed,
1% of his services

4th 15th

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

362
patients got this service, 54% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.2)
$22,715.00an average of $35.00 per time performed $8,709.58
an average of $13.42 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
366
times performed,
0.58% of his services

5th 20th

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

274
patients got this service, 41% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.1)
$3,660.00an average of $10.00 per time performed $1,679.94
an average of $4.59 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement c-reactive protein for detection of infection... +

Measurement c-reactive protein for detection of infection or inflammation ×

Service Code: 86140
Performed in an office
273
times performed,
0.43% of his services

6th 14th

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

236
patients got this service, 35% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.1)
$9,828.00an average of $36.00 per time performed $1,834.56
an average of $6.72 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
216
times performed,
0.34% of his services

7th 17th

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

31
patients got this service, 5% of his patients
7
average number of visits a patient made for this service
(Peers: 5.3)
$64,800.00an average of $300.00 per time performed $20,623.68
an average of $95.48 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of complement (immune system proteins)

Service Code: 86160
Performed in an office
144
times performed,
0.23% of his services

8th 32nd

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

57
patients got this service, 9% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$5,040.00an average of $35.00 per time performed $2,187.36
an average of $15.19 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of antibody for assessment of autoimmune diso... +

Measurement of antibody for assessment of autoimmune disorder ×

Service Code: 86235
Performed in an office
133
times performed,
0.21% of his services

9th 13th

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

26
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$6,650.00an average of $50.00 per time performed $2,941.96
an average of $22.12 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
101
times performed,
0.16% of his services

10th 6th

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

70
patients got this service, 10% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.4)
$17,675.00an average of $175.00 per time performed $6,894.26
an average of $68.26 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
97
times performed,
0.15% of his services

11th 26th

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

97
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$26,245.29an average of $270.57 per time performed $10,774.76
an average of $111.08 per time performed
medical
PATHOLOGY AND LABORATORY

Rheumatoid factor level

Service Code: 86431
Performed in an office
96
times performed,
0.15% of his services

12th 34th

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

95
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,920.00an average of $20.00 per time performed $703.68
an average of $7.33 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
91
times performed,
0.14% of his services

13th 68th

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

60
patients got this service, 9% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$910.00an average of $10.00 per time performed $261.17
an average of $2.87 per time performed
medical
RADIOLOGY

X-ray of hand, minimum of 3 views

Service Code: 73130
Performed in an office
89
times performed,
0.14% of his services

14th 63rd

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

46
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,340.00an average of $60.00 per time performed $1,941.09
an average of $21.81 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of antibody for rheumatoid arthritis assessment +

Measurement of antibody for rheumatoid arthritis assessment ×

Service Code: 86200
Performed in an office
79
times performed,
0.13% of his services

15th 36th

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

79
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$3,160.00an average of $40.00 per time performed $1,329.57
an average of $16.83 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
71
times performed,
0.11% of his services

16th 82nd

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

43
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,260.00an average of $60.00 per time performed $1,339.77
an average of $18.87 per time performed
drug

Injection, zoledronic acid, 1 mg

Service Code: J3489
Performed in an office
65
times performed,
0.1% of his services

17th 57th

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,300.00an average of $220.00 per time performed $1,838.20
an average of $28.28 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of dna antibody

Service Code: 86225
Performed in an office
58
times performed,
0.09% of his services

18th 46th

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

51
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,320.00an average of $40.00 per time performed $1,007.46
an average of $17.37 per time performed
medical
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
56
times performed,
0.09% of his services

19th 39th

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

50
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$4,480.00an average of $80.00 per time performed $2,029.44
an average of $36.24 per time performed
medical
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82550
Performed in an office
52
times performed,
0.08% of his services

20th 43rd

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

38
patients got this service, 6% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.9)
$1,040.00an average of $20.00 per time performed $274.56
an average of $5.28 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
51
times performed,
0.08% of his services

21st 44th

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

51
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,200.00an average of $200.00 per time performed $1,935.96
an average of $37.96 per time performed
medical
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
45
times performed,
0.07% of his services

22nd 51st

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

32
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.2)
$1,125.00an average of $25.00 per time performed $490.05
an average of $10.89 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
41
times performed,
0.07% of his services

23rd 27th

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

18
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$615.00an average of $15.00 per time performed $82.82
an average of $2.02 per time performed
medical
PATHOLOGY AND LABORATORY

Acute hepatitis panel

Service Code: 80074
Performed in an office
34
times performed,
0.05% of his services

24th 213th

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

34
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,760.00an average of $140.00 per time performed $2,096.44
an average of $61.66 per time performed
medical
PATHOLOGY AND LABORATORY

Hepatitis b surface antibody measurement

Service Code: 86706
Performed in an office
34
times performed,
0.05% of his services

25th 195th

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

34
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,190.00an average of $35.00 per time performed $487.22
an average of $14.33 per time performed
medical
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
30
times performed,
0.05% of his services

26th 19th

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

15
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$4,050.00an average of $135.00 per time performed $1,052.10
an average of $35.07 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
28
times performed,
0.04% of his services

27th 31st

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

28
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.9)
$420.00an average of $15.00 per time performed $131.32
an average of $4.69 per time performed
medical
RADIOLOGY

X-ray of foot, minimum of 3 views

Service Code: 73630
Performed in an office
28
times performed,
0.04% of his services

28th 97th

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,680.00an average of $60.00 per time performed $595.56
an average of $21.27 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
18
times performed,
0.03% of his services

29th 49th

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

18
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$900.00an average of $50.00 per time performed $403.38
an average of $22.41 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
18
times performed,
0.03% of his services

30th 23rd

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

14
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$900.00an average of $50.00 per time performed $299.70
an average of $16.65 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
17
times performed,
0.03% of his services

31st 164th

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

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$510.00an average of $30.00 per time performed $180.37
an average of $10.61 per time performed
medical
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
17
times performed,
0.03% of his services

32nd 173rd

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)
$1,105.00an average of $65.00 per time performed $413.10
an average of $24.30 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
16
times performed,
0.03% of his services

33rd 61st

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: 1.5)
$1,120.00an average of $70.00 per time performed $449.60
an average of $28.10 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, minimum of 4 views

Service Code: 72110
Performed in an office
15
times performed,
0.02% of his services

34th 135th

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,500.00an average of $100.00 per time performed $299.40
an average of $19.96 per time performed
medical
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour ×

Service Code: 96365
Performed in an office
13
times performed,
0.02% of his services

35th 73rd

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 2.2)
$1,625.00an average of $125.00 per time performed $663.65
an average of $51.05 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.

James Michael Calmes
Average for Rheumatology 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 [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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