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, $582 per patient in 2015.
They performed about 15 services per patient. Here’s how this provider compares.

Number of
Patients
361
Rank: 64th
out of 135 providers in this state & specialty
Services
Performed
2,866
Rank: 75th
out of 135 providers in this state & specialty
Avg Services
Per Patient
7.9 This Provider
Avg 15.5
Total Paid
by Medicare
$148K
Rank: 74th
out of 135 providers in this state & specialty
Avg Paid
Per Patient
$411 This Provider
Avg $582

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 70 different services in 2015
(48 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 25 minutes ×

Service Code: 99214
Performed in an office
866
times performed,
30% of his services

1st 3rd

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

261
patients got this service, 72% of his patients
3.3
average number of visits a patient made for this service
(Peers: 2.5)
$519,600.00an average of $600.00 per time performed $68,223.48
an average of $78.78 per time performed
drug
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
363
times performed,
13% of his services

2nd 45th

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

78
patients got this service, 22% of his patients
2
average number of visits a patient made for this service
(Peers: 1.4)
$72,600.00an average of $200.00 per time performed $196.02
an average of $0.54 per time performed
drug
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
309
times performed,
11% of his services

3rd 6th

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

47
patients got this service, 13% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$61,800.00an average of $200.00 per time performed $33.99
an average of $0.11 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
308
times performed,
11% of his services

4th 2nd

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

142
patients got this service, 39% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.8)
$123,200.00an average of $400.00 per time performed $17,050.88
an average of $55.36 per time performed
medical
MEDICINE

Psychological testing with interpretation and report by c... +

Psychological testing with interpretation and report by computer ×

Service Code: 96103
Performed in an office
126
times performed,
4% of his services

5th 75th

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

83
patients got this service, 23% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$37,800.00an average of $300.00 per time performed $2,608.20
an average of $20.70 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
108
times performed,
4% of his services

6th 115th

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

58
patients got this service, 16% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$27,000.00an average of $250.00 per time performed $2,141.64
an average of $19.83 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
93
times performed,
3% of his services

7th 36th

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

93
patients got this service, 26% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$74,200.05an average of $797.85 per time performed $7,452.09
an average of $80.13 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
81
times performed,
3% of his services

8th 83rd

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

45
patients got this service, 12% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.5)
$56,700.00an average of $700.00 per time performed $8,854.92
an average of $109.32 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 3 or more muscles

Service Code: 20553
Performed in an office
75
times performed,
3% of his services

9th 103rd

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

42
patients got this service, 12% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.5)
$75,000.00an average of $1,000.00 per time performed $3,711.00
an average of $49.48 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 a facility
50
times performed,
2% of his services

10th 131st

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

13
patients got this service, 4% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$56,000.00an average of $1,120.00 per time performed $1,156.50
an average of $23.13 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
31
times performed,
1% of his services

11th 31st

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

31
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$28,582.00an average of $922.00 per time performed $3,666.37
an average of $118.27 per time performed
medical
MUSCULOSKELETAL SYSTEM

Injection procedure into sacroiliac joint for anesthetic ... +

Injection procedure into sacroiliac joint for anesthetic or steroid ×

Service Code: 27096
Performed in a facility
30
times performed,
1% of his services

12th 77th

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

26
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$96,000.00an average of $3,200.00 per time performed $2,654.40
an average of $88.48 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
23
times performed,
0.8% of his services

13th 124th

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

23
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$23,000.00an average of $1,000.00 per time performed $3,506.12
an average of $152.44 per time performed
medical

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: 20611
Performed in a facility
22
times performed,
0.77% of his services

14th 137th

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

16
patients got this service, 4% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.8)
$74,999.98an average of $3,409.09 per time performed $1,116.72
an average of $50.76 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
16
times performed,
0.56% of his services

15th 20th

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

15
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.9)
$3,200.00an average of $200.00 per time performed $43.52
an average of $2.72 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64490
Performed in a facility
14
times performed,
0.49% of his services

16th 88th

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

13
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$74,999.96an average of $5,357.14 per time performed $1,797.04
an average of $128.36 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64491
Performed in a facility
14
times performed,
0.49% of his services

17th 91st

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

13
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$47,999.98an average of $3,428.57 per time performed $1,015.42
an average of $72.53 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64492
Performed in a facility
14
times performed,
0.49% of his services

18th 107th

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

13
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$36,000.02an average of $2,571.43 per time performed $1,027.18
an average of $73.37 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64493
Performed in a facility
14
times performed,
0.49% of his services

19th 47th

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

12
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$74,999.96an average of $5,357.14 per time performed $1,442.98
an average of $103.07 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64494
Performed in a facility
14
times performed,
0.49% of his services

20th 52nd

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

12
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$68,999.98an average of $4,928.57 per time performed $825.72
an average of $58.98 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64495
Performed in a facility
13
times performed,
0.45% of his services

21st 69th

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

11
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$45,999.98an average of $3,538.46 per time performed $773.24
an average of $59.48 per time performed
medical
NERVOUS SYSTEM

Injections of substances into lower or sacral spine

Service Code: 62311
Performed in a facility
12
times performed,
0.42% of his services

22nd 37th

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

12
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$18,000.00an average of $1,500.00 per time performed $703.92
an average of $58.66 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.

Luis Nieves
Average for Interventional Pain Medicine 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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