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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, $314 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
1,249
Rank: 21st
out of 371 providers in this state & specialty
Services
Performed
7,101
Rank: 17th
out of 371 providers in this state & specialty
Avg Services
Per Patient
5.7 This Provider
Avg 4.5
Total Paid
by Medicare
$726K
Rank: 6th
out of 371 providers in this state & specialty
Avg Paid
Per Patient
$581 This Provider is in the top 10%
Avg $314

Office Visits

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Top Billing

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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.

Prakash Vaishnav
Average for Pulmonary Disease Providers in Illinois

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

NANCY PUTNAM

THOMAS KASON

MICHAEL MICALETTI

DAVID CHOE

MICHAEL HORTON

Organizations

PALOS COMMUNITY HOSPITAL

TRACE AMBULANCE INC

Patients saw before

Prakash Vaishnav

Patients saw after

This Provider's Services

This provider performed 27 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

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
3,008
times performed,
42% of his services

1st 2nd

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

699
patients got this service, 56% of his patients
3.8
average number of visits a patient made for this service
(Peers: 2.5)
$700,864an average of $233 per time performed $258,688
an average of $86 per time performed
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient,... +

Critical care delivery critically ill or injured patient, first 30-74 minutes ×

Service Code: 99291
Performed in a facility
1,047
times performed,
15% of his services

2nd 3rd

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

341
patients got this service, 27% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.4)
$687,879an average of $657 per time performed $195,789
an average of $187 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
561
times performed,
8% of his services

3rd 7th

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

478
patients got this service, 38% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$233,937an average of $417 per time performed $91,443
an average of $163 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
440
times performed,
6% of his services

4th 4th

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

310
patients got this service, 25% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.8)
$104,280an average of $237 per time performed $36,080
an average of $82 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
327
times performed,
5% of his services

5th 1st

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

211
patients got this service, 17% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2.9)
$51,993an average of $159 per time performed $18,966
an average of $58 per time performed
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 an office
301
times performed,
4% of his services

6th 11th

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

243
patients got this service, 19% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$33,110an average of $110 per time performed $9,030
an average of $30 per time performed
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
180
times performed,
3% of his services

7th 17th

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

142
patients got this service, 11% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$56,700an average of $315 per time performed $21,060
an average of $117 per time performed
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in an office
160
times performed,
2% of his services

8th 16th

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

158
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$20,320an average of $127 per time performed $7,040
an average of $44 per time performed
MEDICINE

Determination of lung volumes using plethysmography

Service Code: 94726
Performed in an office
159
times performed,
2% of his services

9th 20th

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

157
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$19,398an average of $122 per time performed $6,996
an average of $44 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
152
times performed,
2% of his services

10th 10th

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

150
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$20,520an average of $135 per time performed $7,448
an average of $49 per time performed
RESPIRATORY SYSTEM

Insertion of catheter between ribs for removal of fluid f... +

Insertion of catheter between ribs for removal of fluid from chest cavity ×

Service Code: 32422
Performed in a facility
147
times performed,
2% of his services

11th 71st

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

114
patients got this service, 9% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$100,107an average of $681 per time performed $15,582
an average of $106 per time performed
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in a facility
118
times performed,
2% of his services

12th 76th

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

96
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$20,768an average of $176 per time performed $3,304
an average of $28 per time performed
MEDICINE

Demonstration and/or evaluation of patient use of aerosol... +

Demonstration and/or evaluation of patient use of aerosol generator, nebulizer, metered dose inhaler or intermittent positive pressure breathing (ippb) device ×

Service Code: 94664
Performed in an office
85
times performed,
1% of his services

13th 69th

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

82
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,165an average of $49 per time performed $1,190
an average of $14 per time performed
RESPIRATORY SYSTEM

Irrigation and suction of lung airways to obtain cells us... +

Irrigation and suction of lung airways to obtain cells using an endoscope ×

Service Code: 31624
Performed in a facility
76
times performed,
1% of his services

14th 64th

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

73
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$55,556an average of $731 per time performed $9,728
an average of $128 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
61
times performed,
0.86% of his services

15th 67th

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

61
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,677an average of $257 per time performed $5,185
an average of $85 per time performed
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
34
times performed,
0.48% of his services

16th 37th

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

34
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$47,226an average of $1,389 per time performed $11,798
an average of $347 per time performed
RADIOLOGY

Ct scan chest

Service Code: 71250
Performed in an office
33
times performed,
0.46% of his services

17th 161st

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

30
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$17,523an average of $531 per time performed $6,567
an average of $199 per time performed
MEDICINE

Measurement of largest amount of air breathed in an out o... +

Measurement of largest amount of air breathed in an out of lungs over one minute ×

Service Code: 94200
Performed in an office
29
times performed,
0.41% of his services

18th 60th

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

29
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,508an average of $52 per time performed $638
an average of $22 per time performed
RADIOLOGY

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

Service Code: 71020
Performed in an office
28
times performed,
0.39% of his services

19th 41st

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

28
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$2,464an average of $88 per time performed $700
an average of $25 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
28
times performed,
0.39% of his services

20th 31st

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

28
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,600an average of $450 per time performed $4,816
an average of $172 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
26
times performed,
0.37% of his services

21st 131st

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

26
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,522an average of $97 per time performed $1,118
an average of $43 per time performed
MEDICINE

Pulmonary exercise testing

Service Code: 94620
Performed in an office
21
times performed,
0.3% of his services

22nd 36th

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)
$4,599an average of $219 per time performed $1,029
an average of $49 per time performed
RESPIRATORY SYSTEM

Biopsy of lung airways using an endoscope

Service Code: 31625
Performed in a facility
19
times performed,
0.27% of his services

23rd 111th

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: 1.1)
$15,580an average of $820 per time performed $2,869
an average of $151 per time performed
RESPIRATORY SYSTEM

Diagnostic examination of lung airways using an endoscope +

Diagnostic examination of lung airways using an endoscope ×

Service Code: 31622
Performed in a facility
16
times performed,
0.23% of his services

24th 93rd

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$12,000an average of $750 per time performed $2,048
an average of $128 per time performed
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
16
times performed,
0.23% of his services

25th 43rd

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$21,008an average of $1,313 per time performed $6,576
an average of $411 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
15
times performed,
0.21% of his services

26th 34th

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$510an average of $34 per time performed $390
an average of $26 per time performed
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 (flulaval) ×

Service Code: Q2036
Performed in an office
14
times performed,
0.2% of his services

27th 132nd

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)
$630an average of $45 per time performed $126
an average of $9 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 "Specialist." 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.


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