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
83
Rank: 241st
out of 276 providers in this state & specialty
Services
Performed
27,898
Rank: 90th
out of 276 providers in this state & specialty
Avg Services
Per Patient
336.1 This Provider is in the top 10%
Avg 59.5
Total Paid
by Medicare
$338K
Rank: 108th
out of 276 providers in this state & specialty
Avg Paid
Per Patient
$4,070 This Provider is in the top 10%
Avg $995

Note: About 86% 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 26 different services in 2015
(14 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, denosumab, 1 mg

Service Code: J0897
Performed in an office
1,920
times performed,
7% of his services

1st 5th

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

18
patients got this service, 22% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.5)
$34,560.00an average of $18.00 per time performed $22,464.00
an average of $11.70 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
330
times performed,
1% of his services

2nd 6th

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

79
patients got this service, 95% of his patients
4.2
average number of visits a patient made for this service
(Peers: 2.4)
$36,300.00an average of $110.00 per time performed $23,113.20
an average of $70.04 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
320
times performed,
1% of his services

3rd 11th

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

78
patients got this service, 94% of his patients
4.1
average number of visits a patient made for this service
(Peers: 2.2)
$2,240.00an average of $7.00 per time performed $940.80
an average of $2.94 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
276
times performed,
0.99% of his services

4th 20th

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

74
patients got this service, 89% of his patients
3.7
average number of visits a patient made for this service
(Peers: 2.1)
$9,668.28an average of $35.03 per time performed $1,302.72
an average of $4.72 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
122
times performed,
0.44% of his services

5th 17th

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

14
patients got this service, 17% of his patients
8.7
average number of visits a patient made for this service
(Peers: 5.3)
$24,400.00an average of $200.00 per time performed $11,710.78
an average of $95.99 per time performed
medical
MEDICINE

Non-hormonal anti-neoplastic chemotherapy beneath the ski... +

Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle ×

Service Code: 96401
Performed in an office
59
times performed,
0.21% of his services

6th 21st

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

16
patients got this service, 19% of his patients
3.7
average number of visits a patient made for this service
(Peers: 3.5)
$5,055.12an average of $85.68 per time performed $3,085.11
an average of $52.29 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 20 mg

Service Code: J1020
Performed in an office
48
times performed,
0.17% of his services

7th 92nd

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

11
patients got this service, 13% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$480.00an average of $10.00 per time performed $115.68
an average of $2.41 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
40
times performed,
0.14% of his services

8th 58th

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

37
patients got this service, 45% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,200.00an average of $30.00 per time performed $938.00
an average of $23.45 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
40
times performed,
0.14% of his services

9th 130th

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

37
patients got this service, 45% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,200.00an average of $30.00 per time performed $615.20
an average of $15.38 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
25
times performed,
0.09% of his services

10th 9th

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

17
patients got this service, 20% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.9)
$2,500.00an average of $100.00 per time performed $1,301.00
an average of $52.04 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
24
times performed,
0.09% of his services

11th 99th

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

16
patients got this service, 19% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$720.00an average of $30.00 per time performed $81.84
an average of $3.41 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
12
times performed,
0.04% of his services

12th 23rd

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

11
patients got this service, 13% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$1,200.00an average of $100.00 per time performed $203.76
an average of $16.98 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.

Joe L Cole
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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