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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, $267 per patient in 2014.
They performed about 10 services per patient. Here’s how this provider compares.
Number of
Patients
694
Rank: 50th
out of 353 providers in this state & specialty
Services
Performed
10,405
Rank: 43rd
out of 353 providers in this state & specialty
Avg Services
Per Patient
15 This Provider
Avg 10.1
Total Paid
by Medicare
$198K
Rank: 45th
out of 353 providers in this state & specialty
Avg Paid
Per Patient
$285 This Provider
Avg $267

Note: About 15% 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.

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 in 2014.

Individuals

CHARLES TUBBS

CHARLES GIRARD

RAUL DE LA VEGA

KAREN SENNEWALD

MICHAEL WEHMUELLER

Organizations

CLEVELAND COUNTY HEALTH...

THE CHARLOTTE-MECKLENBU...

Patients saw before

GAURANG PALIKH M.D.

Patients saw after

Individuals

CHARLES TUBBS

CHARLES GIRARD

JAMES STEVENS

MICHAEL WEHMUELLER

KENNETH CLONINGER

Organizations

CLEVELAND COUNTY HEALTH...

THE CHARLOTTE-MECKLENBU...

This Provider's Services

This provider performed 50 different services in 2014
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
7,230
times performed,
69% of his services

1st 1st

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

17
patients got this service, 2% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2.4)
$144,600an average of $20 per time performed $28,631
an average of $4 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
608
times performed,
6% of his services

2nd 3rd

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

343
patients got this service, 49% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$124,737an average of $205 per time performed $42,931
an average of $71 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
293
times performed,
3% of his services

3rd 41st

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

52
patients got this service, 7% of his patients
5.3
average number of visits a patient made for this service
(Peers: 3.2)
$20,988an average of $72 per time performed $5,256
an average of $18 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
285
times performed,
3% of his services

4th 28th

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

167
patients got this service, 24% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.8)
$11,115an average of $39 per time performed $1,228
an average of $4 per time performed
drug
DRUGS

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

Service Code: J3420
Performed in an office
245
times performed,
2% of his services

5th 57th

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

39
patients got this service, 6% of his patients
6.3
average number of visits a patient made for this service
(Peers: 5.2)
$1,313an average of $5 per time performed $399
an average of $2 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
235
times performed,
2% of his services

6th 7th

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

235
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$101,050an average of $430 per time performed $26,905
an average of $114 per time performed
medical
NERVOUS SYSTEM

Injection of anesthetic agent, greater occipital nerve

Service Code: 64405
Performed in an office
222
times performed,
2% of his services

7th 37th

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

131
patients got this service, 19% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.8)
$109,304an average of $492 per time performed $19,736
an average of $89 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
194
times performed,
2% of his services

8th 26th

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

170
patients got this service, 24% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$3,104an average of $16 per time performed $570
an average of $3 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
161
times performed,
2% of his services

9th 4th

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

98
patients got this service, 14% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$21,896an average of $136 per time performed $7,377
an average of $46 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
161
times performed,
2% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

102
patients got this service, 15% of his patients
1.5
average number of visits a patient made for this service
$69,325an average of $431 per time performed $5,801
an average of $36 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
91
times performed,
0.87% of his services

11th 16th

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

88
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,015an average of $165 per time performed $3,977
an average of $44 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
81
times performed,
0.78% of his services

12th 15th

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

81
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$45,036an average of $556 per time performed $11,433
an average of $141 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 3 or more muscles

Service Code: 20553
Performed in an office
76
times performed,
0.73% of his services

13th 82nd

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

51
patients got this service, 7% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.9)
$12,920an average of $170 per time performed $1,999
an average of $26 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
67
times performed,
0.64% of his services

14th 10th

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

58
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$19,293an average of $288 per time performed $4,502
an average of $67 per time performed
medical
NERVOUS SYSTEM

Injection of anesthetic agent, trigeminal nerve

Service Code: 64400
Performed in an office
63
times performed,
0.61% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

42
patients got this service, 6% of his patients
1.5
average number of visits a patient made for this service
$30,943an average of $491 per time performed $5,024
an average of $80 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
47
times performed,
0.45% of his services

16th 12th

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)
$23,124an average of $492 per time performed $7,278
an average of $155 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
47
times performed,
0.45% of his services

17th 6th

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

27
patients got this service, 4% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.9)
$6,862an average of $146 per time performed $2,552
an average of $54 per time performed
medical
NA

Nerve transmission studies, 5-6 studies

Service Code: 95909
Performed in an office
45
times performed,
0.43% of his services

18th 55th

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

44
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,297an average of $407 per time performed $4,644
an average of $103 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
37
times performed,
0.36% of his services

19th 11th

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

36
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$15,739an average of $425 per time performed $3,901
an average of $105 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
17
times performed,
0.16% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

17
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$510an average of $30 per time performed $170
an average of $10 per time performed
medical
NA

Nerve transmission studies, 9-10 studies

Service Code: 95911
Performed in an office
15
times performed,
0.14% of his services

21st 32nd

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)
$9,781an average of $652 per time performed $2,363
an average of $158 per time performed
medical
NA

Nerve transmission studies, 7-8 studies

Service Code: 95910
Performed in an office
14
times performed,
0.13% of his services

22nd 30th

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,538an average of $538 per time performed $1,942
an average of $139 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
13
times performed,
0.12% of his services

23rd 19th

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,667an average of $359 per time performed $1,301
an average of $100 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 limited study ×

Service Code: 95885
Performed in an office
13
times performed,
0.12% of his services

24th 43rd

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)
$2,120an average of $163 per time performed $564
an average of $43 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.

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 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.

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