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, $275 per patient in 2015.
They performed about 11 services per patient. Here’s how this provider compares.

Number of
Patients
644
Rank: 73rd
out of 349 providers in this state & specialty
Services
Performed
8,333
Rank: 46th
out of 349 providers in this state & specialty
Avg Services
Per Patient
12.9 This Provider
Avg 10.6
Total Paid
by Medicare
$185K
Rank: 55th
out of 349 providers in this state & specialty
Avg Paid
Per Patient
$287 This Provider
Avg $275

Note: About 12% 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 Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 48 different services in 2015
(28 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
5,400
times performed,
65% of his services

1st 1st

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

12
patients got this service, 2% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.5)
$108,000.00an average of $20.00 per time performed $20,142.00
an average of $3.73 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
775
times performed,
9% of his services

2nd 3rd

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

381
patients got this service, 59% of his patients
2
average number of visits a patient made for this service
(Peers: 1.7)
$158,875.00an average of $205.00 per time performed $55,559.75
an average of $71.69 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
259
times performed,
3% of his services

3rd 26th

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

128
patients got this service, 20% of his patients
2
average number of visits a patient made for this service
(Peers: 1.9)
$10,101.00an average of $39.00 per time performed $1,315.72
an average of $5.08 per time performed
medical
NERVOUS SYSTEM

Injection of anesthetic agent, other peripheral nerve or ... +

Injection of anesthetic agent, other peripheral nerve or branch ×

Service Code: 64450
Performed in an office
218
times performed,
3% of his services

4th Alert

most performed service for this provider 5 or fewer providers in this specialty in NC perform this service

106
patients got this service, 16% of his patients
2
average number of visits a patient made for this service
$107,674.56an average of $493.92 per time performed $8,794.12
an average of $40.34 per time performed
medical
NERVOUS SYSTEM

Injection of anesthetic agent, greater occipital nerve

Service Code: 64405
Performed in an office
215
times performed,
3% of his services

5th 38th

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

107
patients got this service, 17% of his patients
2
average number of visits a patient made for this service
(Peers: 2.1)
$114,659.50an average of $533.30 per time performed $20,500.25
an average of $95.35 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
200
times performed,
2% of his services

6th 41st

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

43
patients got this service, 7% of his patients
4.3
average number of visits a patient made for this service
(Peers: 2.8)
$14,200.00an average of $71.00 per time performed $3,432.00
an average of $17.16 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
171
times performed,
2% of his services

7th 7th

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

171
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$73,530.00an average of $430.00 per time performed $19,620.54
an average of $114.74 per time performed
drug
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
167
times performed,
2% of his services

8th 60th

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

30
patients got this service, 5% of his patients
5.6
average number of visits a patient made for this service
(Peers: 4.5)
$1,002.00an average of $6.00 per time performed $360.72
an average of $2.16 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
147
times performed,
2% of his services

9th 27th

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

124
patients got this service, 19% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$2,352.00an average of $16.00 per time performed $432.18
an average of $2.94 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
119
times performed,
1% of his services

10th 4th

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

82
patients got this service, 13% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$16,184.00an average of $136.00 per time performed $5,243.14
an average of $44.06 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 3 or more muscles

Service Code: 20553
Performed in an office
106
times performed,
1% of his services

11th 72nd

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

56
patients got this service, 9% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.2)
$18,020.00an average of $170.00 per time performed $2,564.14
an average of $24.19 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
71
times performed,
0.85% of his services

12th 10th

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

65
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,531.00an average of $261.00 per time performed $4,805.28
an average of $67.68 per time performed
medical
NERVOUS SYSTEM

Injection of anesthetic agent, trigeminal nerve

Service Code: 64400
Performed in an office
65
times performed,
0.78% of his services

13th 70th

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

31
patients got this service, 5% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.6)
$29,667.30an average of $456.42 per time performed $5,868.85
an average of $90.29 per time performed
medical
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
62
times performed,
0.74% of his services

14th 15th

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

62
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$34,472.00an average of $556.00 per time performed $9,043.94
an average of $145.87 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
61
times performed,
0.73% of his services

15th 17th

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

57
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$10,065.00an average of $165.00 per time performed $2,691.32
an average of $44.12 per time performed
medical

Nerve transmission studies, 5-6 studies

Service Code: 95909
Performed in an office
57
times performed,
0.68% of his services

16th 57th

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

56
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$23,028.00an average of $404.00 per time performed $6,125.22
an average of $107.46 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
48
times performed,
0.58% of his services

17th 14th

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

46
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$23,616.00an average of $492.00 per time performed $7,301.76
an average of $152.12 per time performed
medical
EVALUATION AND MANAGEMENT

Smoking and tobacco use intermediate counseling, greater ... +

Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes ×

Service Code: 99406
Performed in an office
25
times performed,
0.3% of his services

18th Alert

most performed service for this provider 5 or fewer providers in this specialty in NC perform this service

23
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$750.00an average of $30.00 per time performed $260.00
an average of $10.40 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
24
times performed,
0.29% of his services

19th 6th

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

16
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.8)
$3,504.00an average of $146.00 per time performed $1,298.40
an average of $54.10 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
17
times performed,
0.2% of his services

20th 9th

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

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$6,766.00an average of $398.00 per time performed $1,828.86
an average of $107.58 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.

This provider charged Medicare for a lower percentage of 5’s than his peers

1234512345
Gaurang Manilal Palikh
Average for Neurology Providers in North Carolina

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.

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