Treatment Tracker
The Doctors and Services in Medicare Part B
This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.
How This Provider Compares
This Provider
Avg in State & Specialty
Providers in this state and specialty were reimbursed, on average, $405 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.
Number of
Patients
Services
Performed
Avg Services
Per Patient
Total Paid
by Medicare
Avg Paid
Per Patient
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 82 different services in 2015
(57 were redacted as they were performed on less than 11 patients)
Show Only:
CATEGORYDescription of Service |
Times Performed (or Units) | This Service's Rank | Patients | Unique Visits Per Patient |
Billed to Medicare | Payments from Medicare |
|---|---|---|---|---|---|---|
DRUGSInjection, dexamethasone sodium phosphate, 1mg Service Code: J1100Performed in an office |
2,686 times performed, 38% of his services |
1st 10th most performed service for this provider most performed service in this state & specialty |
193 patients got this service, 22% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.4) |
$64,464.00an average of $24.00 per time performed |
$295.46 an average of $0.11 per time performed |
DRUGSInjection, triamcinolone acetonide, not otherwise specif... + Injection, triamcinolone acetonide, not otherwise specified, 10 mg × Service Code: J3301Performed in an office |
1,289 times performed, 18% of his services |
2nd 4th most performed service for this provider most performed service in this state & specialty |
199 patients got this service, 23% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.4) |
$30,936.00an average of $24.00 per time performed |
$1,727.26 an average of $1.34 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 25 minutes × Service Code: 99214Performed in an office |
875 times performed, 12% of his services |
3rd 5th most performed service for this provider most performed service in this state & specialty |
573 patients got this service, 66% of his patients |
1.5 average number of visits a patient made for this service (Peers: 1.4) |
$360,500.00an average of $412.00 per time performed |
$63,533.75 an average of $72.61 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 4... + New patient office or other outpatient visit, typically 45 minutes × Service Code: 99204Performed in an office |
350 times performed, 5% of his services |
4th 20th most performed service for this provider most performed service in this state & specialty |
350 patients got this service, 40% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$222,600.00an average of $636.00 per time performed |
$40,327.00 an average of $115.22 per time performed |
RADIOLOGYX-ray of knee, 4 or more views Service Code: 73564Performed in an office |
266 times performed, 4% of his services |
5th 17th most performed service for this provider most performed service in this state & specialty |
216 patients got this service, 25% of his patients |
1 average number of visits a patient made for this service (Peers: 1.1) |
$38,774.82an average of $145.77 per time performed |
$7,144.76 an average of $26.86 per time performed |
RADIOLOGYX-ray of ribs of one side of body, minimum of 2 views Service Code: 73510Performed in an office |
258 times performed, 4% of his services |
6th 15th most performed service for this provider most performed service in this state & specialty |
209 patients got this service, 24% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.4) |
$38,958.00an average of $151.00 per time performed |
$6,579.00 an average of $25.50 per time performed |
RADIOLOGYService Code: 73562Performed in an office |
237 times performed, 3% of his services |
7th 8th most performed service for this provider most performed service in this state & specialty |
193 patients got this service, 22% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.2) |
$30,158.25an average of $127.25 per time performed |
$5,472.33 an average of $23.09 per time performed |
MUSCULOSKELETAL SYSTEMAspiration and/or injection of large joint or joint capsule + Aspiration and/or injection of large joint or joint capsule × Service Code: 20610Performed in an office |
220 times performed, 3% of his services |
8th 3rd most performed service for this provider most performed service in this state & specialty |
185 patients got this service, 21% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.7) |
$57,409.00an average of $260.95 per time performed |
$10,832.80 an average of $49.24 per time performed |
MUSCULOSKELETAL SYSTEMReplacement of thigh bone and hip joint prosthesis Service Code: 27130Performed in a facility |
97 times performed, 1% of his services |
9th 41st most performed service for this provider most performed service in this state & specialty |
96 patients got this service, 11% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$514,585.00an average of $5,305.00 per time performed |
$97,890.46 an average of $1,009.18 per time performed |
|
Aspiration and/or injection of major joint or joint capsu... + Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance × Service Code: 20611Performed in an office |
82 times performed, 1% of his services |
10th 21st most performed service for this provider most performed service in this state & specialty |
67 patients got this service, 8% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.7) |
$65,600.00an average of $800.00 per time performed |
$6,118.02 an average of $74.61 per time performed |
MUSCULOSKELETAL SYSTEMService Code: 27447Performed in a facility |
81 times performed, 1% of his services |
11th 22nd most performed service for this provider most performed service in this state & specialty |
78 patients got this service, 9% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$429,543.00an average of $5,303.00 per time performed |
$87,399.81 an average of $1,079.01 per time performed |
MUSCULOSKELETAL SYSTEMAspiration and/or injection of large joint or joint capsule + Aspiration and/or injection of large joint or joint capsule × Service Code: 20610Performed in a facility |
78 times performed, 1% of his services |
12th 33rd most performed service for this provider most performed service in this state & specialty |
63 patients got this service, 7% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.5) |
$20,791.68an average of $266.56 per time performed |
$3,067.74 an average of $39.33 per time performed |
RADIOLOGYFluoroscopic guidance for insertion of needle Service Code: 77002Performed in a facility |
74 times performed, 1% of his services |
13th 133rd most performed service for this provider most performed service in this state & specialty |
61 patients got this service, 7% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.1) |
$28,416.00an average of $384.00 per time performed |
$1,914.38 an average of $25.87 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 15 minutes × Service Code: 99213Performed in an office |
62 times performed, 0.87% of his services |
14th 2nd most performed service for this provider most performed service in this state & specialty |
59 patients got this service, 7% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.6) |
$17,298.00an average of $279.00 per time performed |
$3,109.92 an average of $50.16 per time performed |
DRUGSHyaluronan or derivative, hyalgan or supartz, for intra-a... + Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose × Service Code: J7321Performed in an office |
52 times performed, 0.73% of his services |
15th 29th most performed service for this provider most performed service in this state & specialty |
17 patients got this service, 2% of his patients |
2.1 average number of visits a patient made for this service (Peers: 4) |
$20,800.00an average of $400.00 per time performed |
$3,636.88 an average of $69.94 per time performed |
EVALUATION AND MANAGEMENTInitial hospital inpatient care, typically 70 minutes per... + Initial hospital inpatient care, typically 70 minutes per day × Service Code: 99223Performed in a facility |
24 times performed, 0.34% of his services |
16th 42nd most performed service for this provider most performed service in this state & specialty |
24 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$18,984.00an average of $791.00 per time performed |
$3,704.88 an average of $154.37 per time performed |
RADIOLOGYX-ray of both hips minimum 2 views Service Code: 73520Performed in an office |
23 times performed, 0.32% of his services |
17th 51st most performed service for this provider most performed service in this state & specialty |
23 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service (Peers: 1.2) |
$3,657.00an average of $159.00 per time performed |
$646.30 an average of $28.10 per time performed |
EVALUATION AND MANAGEMENTInitial hospital inpatient care, typically 50 minutes per... + Initial hospital inpatient care, typically 50 minutes per day × Service Code: 99222Performed in a facility |
21 times performed, 0.3% of his services |
18th 38th most performed service for this provider most performed service in this state & specialty |
21 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$11,277.00an average of $537.00 per time performed |
$2,189.88 an average of $104.28 per time performed |
MUSCULOSKELETAL SYSTEMReplacement of thigh bone and hip joint prosthesis Service Code: 27132Performed in a facility |
15 times performed, 0.21% of his services |
19th
most performed service for this provider 5 or fewer providers in this specialty in TX perform this service |
15 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service |
$98,325.00an average of $6,555.00 per time performed |
$18,174.30 an average of $1,211.62 per time performed |
MUSCULOSKELETAL SYSTEMOpen treatment of broken thigh bone with insertion of har... + Open treatment of broken thigh bone with insertion of hardware or prosthetic replacement × Service Code: 27236Performed in a facility |
15 times performed, 0.21% of his services |
20th 85th 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) |
$69,930.00an average of $4,662.00 per time performed |
$13,719.45 an average of $914.63 per time performed |
MUSCULOSKELETAL SYSTEMService Code: 27446Performed in a facility |
15 times performed, 0.21% of his services |
21st 210th most performed service for this provider most performed service in this state & specialty |
14 patients got this service, 2% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1) |
$67,980.00an average of $4,532.00 per time performed |
$12,691.35 an average of $846.09 per time performed |
RADIOLOGYService Code: 72170Performed in an office |
13 times performed, 0.18% of his services |
22nd 19th most performed service for this provider most performed service in this state & specialty |
13 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service (Peers: 1.2) |
$1,443.00an average of $111.00 per time performed |
$226.85 an average of $17.45 per time performed |
RADIOLOGYX-ray of pelvis, minimum of 3 views Service Code: 72190Performed in an office |
13 times performed, 0.18% of his services |
23rd 128th most performed service for this provider most performed service in this state & specialty |
13 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service (Peers: 1.2) |
$2,132.00an average of $164.00 per time performed |
$96.33 an average of $7.41 per time performed |
RADIOLOGYFluoroscopic guidance for insertion of needle Service Code: 77002Performed in an office |
13 times performed, 0.18% of his services |
24th 111th most performed service for this provider most performed service in this state & specialty |
11 patients got this service, 1% of his patients |
1.2 average number of visits a patient made for this service (Peers: 2.2) |
$4,992.00an average of $384.00 per time performed |
$875.81 an average of $67.37 per time performed |
MUSCULOSKELETAL SYSTEMRevision of one component of total knee joint prosthesis + Revision of one component of total knee joint prosthesis × Service Code: 27486Performed in a facility |
12 times performed, 0.17% of his services |
25th
most performed service for this provider 5 or fewer providers in this specialty in TX perform this service |
12 patients got this service, 1% of his patients |
1 average number of visits a patient made for this service |
$65,964.00an average of $5,497.00 per time performed |
$12,906.24 an average of $1,075.52 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.
This provider did not bill Medicare for any 5’s.
Charles Ernest Toulson
Average for Orthopaedic Surgery 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 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.
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.