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, $427 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
1,246
Rank: 187th
out of 1,046 providers in this state & specialty
Services
Performed
3,596
Rank: 296th
out of 1,046 providers in this state & specialty
Avg Services
Per Patient
2.9 This Provider
Avg 4.1
Total Paid
by Medicare
$364K
Rank: 271st
out of 1,046 providers in this state & specialty
Avg Paid
Per Patient
$292 This Provider
Avg $427

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 54 different services in 2015
(34 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
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits ×

Service Code: 92014
Performed in an office
744
times performed,
21% of his services

1st 1st

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

734
patients got this service, 59% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$182,198.16an average of $244.89 per time performed $58,761.12
an average of $78.98 per time performed
medical
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, established patient ×

Service Code: 92012
Performed in an office
665
times performed,
18% of his services

2nd 2nd

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

475
patients got this service, 38% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$112,451.50an average of $169.10 per time performed $37,871.75
an average of $56.95 per time performed
medical
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits ×

Service Code: 92004
Performed in an office
257
times performed,
7% of his services

3rd 9th

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

257
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$75,732.76an average of $294.68 per time performed $24,869.89
an average of $96.77 per time performed
medical
MEDICINE

Measurement of corneal curvature and depth of eye

Service Code: 92136
Performed in an office
249
times performed,
7% of his services

4th 6th

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

178
patients got this service, 14% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$43,642.23an average of $175.27 per time performed $13,458.45
an average of $54.05 per time performed
medical
EYE

Removal of cataract with insertion of lens

Service Code: 66984
Performed in a facility
218
times performed,
6% of his services

5th 8th

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

134
patients got this service, 11% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$342,260.00an average of $1,570.00 per time performed $103,530.38
an average of $474.91 per time performed
medical
MEDICINE

Diagnostic imaging of retina

Service Code: 92134
Performed in an office
176
times performed,
5% of his services

6th 3rd

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

163
patients got this service, 13% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2)
$15,664.00an average of $89.00 per time performed $5,616.16
an average of $31.91 per time performed
medical
MEDICINE

Diagnostic imaging of optic nerve of eye

Service Code: 92133
Performed in an office
173
times performed,
5% of his services

7th 11th

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

163
patients got this service, 13% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$15,397.00an average of $89.00 per time performed $5,196.92
an average of $30.04 per time performed
medical
MEDICINE

Photography of the retina

Service Code: 92250
Performed in an office
171
times performed,
5% of his services

8th 10th

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

164
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$22,452.30an average of $131.30 per time performed $9,410.13
an average of $55.03 per time performed
medical
MEDICINE

Measurement of field of vision during daylight conditions +

Measurement of field of vision during daylight conditions ×

Service Code: 92083
Performed in an office
152
times performed,
4% of his services

9th 5th

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

149
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$21,280.00an average of $140.00 per time performed $6,526.88
an average of $42.94 per time performed
medical
MEDICINE

Examination of cornea and iris using lens device and slit... +

Examination of cornea and iris using lens device and slit lamp ×

Service Code: 92020
Performed in an office
128
times performed,
4% of his services

10th 19th

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

123
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$7,040.00an average of $55.00 per time performed $2,462.72
an average of $19.24 per time performed
medical
MEDICINE

Microscopic evaluation of deep cells of the eye

Service Code: 92286
Performed in an office
104
times performed,
3% of his services

11th 46th

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

104
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$23,082.80an average of $221.95 per time performed $2,552.16
an average of $24.54 per time performed
medical
EYE

Removal of recurring cataract in lens capsule using laser +

Removal of recurring cataract in lens capsule using laser ×

Service Code: 66821
Performed in a facility
100
times performed,
3% of his services

12th 30th

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

83
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$63,404.00an average of $634.04 per time performed $22,538.00
an average of $225.38 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
96
times performed,
3% of his services

13th 84th

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

94
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$3,800.64an average of $39.59 per time performed $1,352.64
an average of $14.09 per time performed
medical
EYE

Removal of cataract with insertion of lens

Service Code: 66982
Performed in a facility
64
times performed,
2% of his services

14th 38th

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

45
patients got this service, 4% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$126,976.00an average of $1,984.00 per time performed $38,032.00
an average of $594.25 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
47
times performed,
1% of his services

15th 20th

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

47
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$9,885.98an average of $210.34 per time performed $3,443.22
an average of $73.26 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
45
times performed,
1% of his services

16th 17th

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

45
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$6,380.10an average of $141.78 per time performed $1,992.15
an average of $44.27 per time performed
medical
RADIOLOGY

Ultrasound of corneal structure and measurement

Service Code: 76514
Performed in an office
35
times performed,
0.97% of his services

17th 24th

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

34
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,050.00an average of $30.00 per time performed $357.35
an average of $10.21 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
26
times performed,
0.72% of his services

18th 56th

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

26
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$7,341.88an average of $282.38 per time performed $2,525.90
an average of $97.15 per time performed
medical
MEDICINE

Examination of eye by ophthalmoscope with retinal drawing +

Examination of eye by ophthalmoscope with retinal drawing ×

Service Code: 92225
Performed in an office
14
times performed,
0.39% of his services

19th 23rd

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

13
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,022.00an average of $73.00 per time performed $245.42
an average of $17.53 per time performed
medical
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, new patient ×

Service Code: 92002
Performed in an office
13
times performed,
0.36% of his services

20th 41st

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)
$2,074.02an average of $159.54 per time performed $776.75
an average of $59.75 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 higher percentage of 5’s than his peers.

1234512345
Richard J Ruckman
Average for Ophthalmology 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.

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