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, $687 per patient in 2015.
They performed about 30 services per patient. Here’s how this provider compares.

Number of
Patients
710
Rank: 30th
out of 421 providers in this state & specialty
Services
Performed
4,808
Rank: 141st
out of 421 providers in this state & specialty
Avg Services
Per Patient
6.8 This Provider
Avg 30.3
Total Paid
by Medicare
$176K
Rank: 139th
out of 421 providers in this state & specialty
Avg Paid
Per Patient
$248 This Provider
Avg $687

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 her Part B patients.

This Provider's Services

This provider performed 48 different services in 2015
(24 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
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
1,458
times performed,
30% of her services

1st 8th

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

595
patients got this service, 84% of her patients
2.5
average number of visits a patient made for this service
(Peers: 2.3)
$131,220.00an average of $90.00 per time performed $79,752.60
an average of $54.70 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
699
times performed,
15% of her services

2nd 10th

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

363
patients got this service, 51% of her patients
1.9
average number of visits a patient made for this service
(Peers: 2.3)
$10,485.00an average of $15.00 per time performed $2,055.06
an average of $2.94 per time performed
medical
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
631
times performed,
13% of her services

3rd 14th

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

331
patients got this service, 47% of her patients
1.9
average number of visits a patient made for this service
(Peers: 2.5)
$20,192.00an average of $32.00 per time performed $6,543.47
an average of $10.37 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
574
times performed,
12% of her services

4th 15th

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

309
patients got this service, 44% of her patients
1.9
average number of visits a patient made for this service
(Peers: 2.5)
$14,350.00an average of $25.00 per time performed $2,709.28
an average of $4.72 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
254
times performed,
5% of her services

5th 5th

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

194
patients got this service, 27% of her patients
1.3
average number of visits a patient made for this service
(Peers: 2.6)
$33,020.00an average of $130.00 per time performed $20,612.10
an average of $81.15 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
167
times performed,
3% of her services

6th 35th

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

167
patients got this service, 24% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$41,750.00an average of $250.00 per time performed $7,469.91
an average of $44.73 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
163
times performed,
3% of her services

7th 17th

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

153
patients got this service, 22% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.9)
$26,080.00an average of $160.00 per time performed $18,252.74
an average of $111.98 per time performed
medical
RADIOLOGY

X-ray of hand, 2 views

Service Code: 73120
Performed in an office
138
times performed,
3% of her services

8th 124th

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

75
patients got this service, 11% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,250.00an average of $125.00 per time performed $2,751.72
an average of $19.94 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
113
times performed,
2% of her services

9th 42nd

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

113
patients got this service, 16% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$33,900.00an average of $300.00 per time performed $18,637.09
an average of $164.93 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
85
times performed,
2% of her services

10th 162nd

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

20
patients got this service, 3% of her patients
4.3
average number of visits a patient made for this service
(Peers: 2.2)
$8,500.00an average of $100.00 per time performed $2,717.45
an average of $31.97 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
66
times performed,
1% of her services

11th 72nd

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

47
patients got this service, 7% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.8)
$1,320.00an average of $20.00 per time performed $225.06
an average of $3.41 per time performed
medical
RADIOLOGY

X-ray of foot, 2 views

Service Code: 73620
Performed in an office
49
times performed,
1% of her services

12th 182nd

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

30
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,125.00an average of $125.00 per time performed $1,040.76
an average of $21.24 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
47
times performed,
0.98% of her services

13th 207th

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

47
patients got this service, 7% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,225.00an average of $175.00 per time performed $1,258.66
an average of $26.78 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
45
times performed,
0.94% of her services

14th 11th

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

39
patients got this service, 5% of her patients
1.1
average number of visits a patient made for this service
(Peers: 2.3)
$4,500.00an average of $100.00 per time performed $2,101.50
an average of $46.70 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
44
times performed,
0.92% of her services

15th 145th

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

32
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,500.00an average of $125.00 per time performed $1,053.80
an average of $23.95 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
35
times performed,
0.73% of her services

16th 137th

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

31
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,200.00an average of $120.00 per time performed $841.75
an average of $24.05 per time performed
medical
RADIOLOGY

X-ray of upper spine, 4 or 5 views

Service Code: 72050
Performed in an office
32
times performed,
0.67% of her services

17th 264th

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

32
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,600.00an average of $175.00 per time performed $1,070.40
an average of $33.45 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
29
times performed,
0.6% of her services

18th 61st

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

22
patients got this service, 3% of her patients
1.3
average number of visits a patient made for this service
(Peers: 2.6)
$725.00an average of $25.00 per time performed $441.96
an average of $15.24 per time performed
medical
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
26
times performed,
0.54% of her services

19th 185th

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

21
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,120.00an average of $120.00 per time performed $829.40
an average of $31.90 per time performed
medical
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
25
times performed,
0.52% of her services

20th 257th

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

25
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,750.00an average of $150.00 per time performed $564.25
an average of $22.57 per time performed
medical
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
20
times performed,
0.42% of her services

21st 184th

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

13
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,000.00an average of $150.00 per time performed $588.80
an average of $29.44 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
13
times performed,
0.27% of her services

22nd 119th

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

11
patients got this service, 2% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$4,550.00an average of $350.00 per time performed $2,005.38
an average of $154.26 per time performed
medical
RADIOLOGY

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

Service Code: 71020
Performed in an office
12
times performed,
0.25% of her services

23rd 159th

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

11
patients got this service, 2% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,160.00an average of $180.00 per time performed $237.72
an average of $19.81 per time performed
medical
RADIOLOGY

X-ray of middle spine, 3 views

Service Code: 72070
Performed in an office
12
times performed,
0.25% of her services

24th 238th

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

11
patients got this service, 2% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$2,100.00an average of $175.00 per time performed $268.08
an average of $22.34 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.

Nancy Godfrey
Average for Rheumatology Providers in California

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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