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, $337 per patient in 2015.
They performed about 11 services per patient. Here’s how this provider compares.

Number of
Patients
412
Rank: 259th
out of 728 providers in this state & specialty
Services
Performed
9,558
Rank: 70th
out of 728 providers in this state & specialty
Avg Services
Per Patient
23.2 This Provider is in the top 10%
Avg 11.1
Total Paid
by Medicare
$145K
Rank: 195th
out of 728 providers in this state & specialty
Avg Paid
Per Patient
$353 This Provider
Avg $337

Note: About 25% 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 35 different services in 2015
(23 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
drug
DRUGS

Injection, onabotulinumtoxina, 1 unit

Service Code: J0585
Performed in an office
7,300
times performed,
76% of his services

1st 1st

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

19
patients got this service, 5% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.4)
$51,100.00an average of $7.00 per time performed $32,266.00
an average of $4.42 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
450
times performed,
5% of his services

2nd 3rd

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

230
patients got this service, 56% of his patients
2
average number of visits a patient made for this service
(Peers: 1.8)
$90,000.00an average of $200.00 per time performed $34,249.50
an average of $76.11 per time performed
medical
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
126
times performed,
1% of his services

3rd 6th

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

56
patients got this service, 14% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2.6)
$15,120.00an average of $120.00 per time performed $7,009.38
an average of $55.63 per time performed
medical
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
103
times performed,
1% of his services

4th 11th

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

98
patients got this service, 24% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$25,750.00an average of $250.00 per time performed $15,937.19
an average of $154.73 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
85
times performed,
0.89% of his services

5th 12th

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

85
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$29,750.00an average of $350.00 per time performed $9,811.55
an average of $115.43 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
48
times performed,
0.5% of his services

6th 10th

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

43
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$14,400.00an average of $300.00 per time performed $4,344.00
an average of $90.50 per time performed
medical
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles of arm or leg complete study ×

Service Code: 95886
Performed in an office
42
times performed,
0.44% of his services

7th 8th

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

24
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,500.00an average of $250.00 per time performed $2,912.70
an average of $69.35 per time performed
medical
MEDICINE

Measurement and recording of brain wave (eeg) activity, a... +

Measurement and recording of brain wave (eeg) activity, awake and drowsy ×

Service Code: 95816
Performed in a facility
28
times performed,
0.29% of his services

8th 22nd

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

28
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,200.00an average of $150.00 per time performed $1,256.36
an average of $44.87 per time performed
medical
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep lab +

Sleep monitoring of patient (6 years or older) in sleep lab ×

Service Code: 95810
Performed in an office
18
times performed,
0.19% of his services

9th 87th

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

17
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$50,400.00an average of $2,800.00 per time performed $8,679.42
an average of $482.19 per time performed
medical
MEDICINE

Measurement and recording of brain wave (eeg) activity, a... +

Measurement and recording of brain wave (eeg) activity, awake and drowsy ×

Service Code: 95816
Performed in an office
12
times performed,
0.13% of his services

10th 38th

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)
$5,300.04an average of $441.67 per time performed $2,874.60
an average of $239.55 per time performed
medical
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep l... +

Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube ×

Service Code: 95811
Performed in an office
12
times performed,
0.13% of his services

11th 83rd

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: 1.1)
$33,600.00an average of $2,800.00 per time performed $5,912.88
an average of $492.74 per time performed
medical

Nerve transmission studies, 3-4 studies

Service Code: 95908
Performed in an office
11
times performed,
0.12% of his services

12th 113th

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

11
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,200.00an average of $200.00 per time performed $1,066.89
an average of $96.99 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.

Roberto M Nieto
Average for Neurology 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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