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, $188 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
458
Rank: 293rd
out of 1,396 providers in this state & specialty
Services
Performed
5,081
Rank: 177th
out of 1,396 providers in this state & specialty
Avg Services
Per Patient
11.1 This Provider
Avg 7
Total Paid
by Medicare
$150K
Rank: 116th
out of 1,396 providers in this state & specialty
Avg Paid
Per Patient
$327 This Provider
Avg $188

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 51 different services in 2015
(29 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
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
865
times performed,
17% of his services

1st 3rd

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

301
patients got this service, 66% of his patients
2.9
average number of visits a patient made for this service
(Peers: 2)
$14,393.60an average of $16.64 per time performed $2,534.45
an average of $2.93 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
841
times performed,
17% of his services

2nd 2nd

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

322
patients got this service, 70% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2)
$147,175.00an average of $175.00 per time performed $57,515.99
an average of $68.39 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in an office
615
times performed,
12% of his services

3rd 42nd

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

89
patients got this service, 19% of his patients
6.9
average number of visits a patient made for this service
(Peers: 2.5)
$101,475.00an average of $165.00 per time performed $37,853.25
an average of $61.55 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
523
times performed,
10% of his services

4th 6th

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

264
patients got this service, 58% of his patients
2
average number of visits a patient made for this service
(Peers: 1.5)
$20,125.04an average of $38.48 per time performed $5,423.51
an average of $10.37 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
420
times performed,
8% of his services

5th 8th

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

214
patients got this service, 47% of his patients
2
average number of visits a patient made for this service
(Peers: 1.3)
$38,396.40an average of $91.42 per time performed $7,497.00
an average of $17.85 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
360
times performed,
7% of his services

6th 24th

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

81
patients got this service, 18% of his patients
4.4
average number of visits a patient made for this service
(Peers: 1.5)
$28,800.00an average of $80.00 per time performed $10,339.20
an average of $28.72 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83037
Performed in an office
213
times performed,
4% of his services

7th 98th

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

92
patients got this service, 20% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2)
$17,278.56an average of $81.12 per time performed $2,758.35
an average of $12.95 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
125
times performed,
2% of his services

8th 126th

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

124
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,750.00an average of $30.00 per time performed $1,922.50
an average of $15.38 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
125
times performed,
2% of his services

9th 9th

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

124
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,845.00an average of $54.76 per time performed $2,851.25
an average of $22.81 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
121
times performed,
2% of his services

10th 1st

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

94
patients got this service, 21% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$15,730.00an average of $130.00 per time performed $5,677.32
an average of $46.92 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
112
times performed,
2% of his services

11th 23rd

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

14
patients got this service, 3% of his patients
8
average number of visits a patient made for this service
(Peers: 2.4)
$5,405.12an average of $48.26 per time performed $1,808.80
an average of $16.15 per time performed
medical
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
107
times performed,
2% of his services

12th 30th

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

67
patients got this service, 15% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.1)
$4,451.20an average of $41.60 per time performed $738.30
an average of $6.90 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) analysis

Service Code: 82044
Performed in an office
104
times performed,
2% of his services

13th 44th

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

66
patients got this service, 14% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.2)
$4,110.08an average of $39.52 per time performed $634.40
an average of $6.10 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
94
times performed,
2% of his services

14th 28th

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

50
patients got this service, 11% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.4)
$4,301.44an average of $45.76 per time performed $396.68
an average of $4.22 per time performed
medical
PATHOLOGY AND LABORATORY

Stool analysis for blood

Service Code: 82274
Performed in an office
58
times performed,
1% of his services

15th 163rd

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

57
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,412.80an average of $41.60 per time performed $1,230.76
an average of $21.22 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 35 minutes per day +

Initial nursing facility visit, typically 35 minutes per day ×

Service Code: 99305
Performed in an office
28
times performed,
0.55% of his services

16th 109th

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

28
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$5,180.00an average of $185.00 per time performed $2,665.32
an average of $95.19 per time performed
medical
PROCEDURES

Physician re-certification for medicare-covered home heal... +

Physician re-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 im ×

Service Code: G0179
Performed in an office
23
times performed,
0.45% of his services

17th 99th

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

12
patients got this service, 3% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.5)
$1,150.00an average of $50.00 per time performed $633.65
an average of $27.55 per time performed
medical
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 imple ×

Service Code: G0180
Performed in an office
21
times performed,
0.41% of his services

18th 113th

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

19
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,260.00an average of $60.00 per time performed $822.36
an average of $39.16 per time performed
medical
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
21
times performed,
0.41% of his services

19th 38th

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

18
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$2,625.00an average of $125.00 per time performed $222.18
an average of $10.58 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
17
times performed,
0.33% of his services

20th 11th

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

14
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$1,379.04an average of $81.12 per time performed $220.15
an average of $12.95 per time performed
medical
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
14
times performed,
0.28% of his services

21st 82nd

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

14
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,730.00an average of $195.00 per time performed $938.56
an average of $67.04 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
11
times performed,
0.22% of his services

22nd 12th

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$454.96an average of $41.36 per time performed $251.35
an average of $22.85 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 F Holsinger
Average for Family Medicine Providers in Iowa

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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