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, $417 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
840
Rank: 277th
out of 635 providers in this state & specialty
Services
Performed
17,013
Rank: 9th
out of 635 providers in this state & specialty
Avg Services
Per Patient
20.3 This Provider is in the top 10%
Avg 4.4
Total Paid
by Medicare
$2.22M
Rank: 11th
out of 635 providers in this state & specialty
Avg Paid
Per Patient
$2,639 This Provider is in the top 10%
Avg $417

Note: About 69% of this provider’s Medicare payments were for drugs administered in her 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 her Part B patients.

This Provider's Services

This provider performed 39 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
MEDICINE

Diagnostic imaging of retina

Service Code: 92134
Performed in an office
3,489
times performed,
21% of her services

1st 3rd

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

677
patients got this service, 81% of her patients
5.2
average number of visits a patient made for this service
(Peers: 2.1)
$477,993.00an average of $137.00 per time performed $112,206.24
an average of $32.16 per time performed
medical
EYE

Injection of drug into eye

Service Code: 67028
Performed in an office
2,981
times performed,
18% of her services

2nd 7th

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

387
patients got this service, 46% of her patients
7.7
average number of visits a patient made for this service
(Peers: 4.3)
$2,215,866.73an average of $743.33 per time performed $232,249.71
an average of $77.91 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
2,594
times performed,
15% of her services

3rd 2nd

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

378
patients got this service, 45% of her patients
6.9
average number of visits a patient made for this service
(Peers: 1.6)
$389,100.00an average of $150.00 per time performed $154,213.30
an average of $59.45 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, bevacizumab, 10 mg

Service Code: J9035
Performed in an office
1,883
times performed,
11% of her services

4th 17th

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

290
patients got this service, 35% of her patients
6.5
average number of visits a patient made for this service
(Peers: 3.7)
$188,300.00an average of $100.00 per time performed $99,949.64
an average of $53.08 per time performed
medical
MEDICINE

Examination of eye by ophthalmoscope with retinal drawing +

Examination of eye by ophthalmoscope with retinal drawing ×

Service Code: 92226
Performed in an office
1,466
times performed,
9% of her services

5th 5th

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

590
patients got this service, 70% of her patients
1.7
average number of visits a patient made for this service
(Peers: 2)
$123,144.00an average of $84.00 per time performed $26,270.72
an average of $17.92 per time performed
drug

Injection, aflibercept, 1 mg

Service Code: J0178
Performed in an office
1,414
times performed,
8% of her services

6th 10th

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

90
patients got this service, 11% of her patients
7.9
average number of visits a patient made for this service
(Peers: 4.3)
$1,700,335.00an average of $1,202.50 per time performed $1,076,732.72
an average of $761.48 per time performed
drug
DRUGS

Injection, ranibizumab, 0.1 mg

Service Code: J2778
Performed in an office
1,109
times performed,
7% of her services

7th 13th

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

50
patients got this service, 6% of her patients
6.8
average number of visits a patient made for this service
(Peers: 3.9)
$562,263.00an average of $507.00 per time performed $337,845.76
an average of $304.64 per time performed
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
936
times performed,
6% of her services

8th 1st

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

593
patients got this service, 71% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.3)
$215,223.84an average of $229.94 per time performed $79,223.04
an average of $84.64 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
358
times performed,
2% of her services

9th 19th

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

194
patients got this service, 23% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$40,525.60an average of $113.20 per time performed $7,317.52
an average of $20.44 per time performed
medical
MEDICINE

Examination of retinal blood vessels by ophthalmoscope

Service Code: 92235
Performed in an office
259
times performed,
2% of her services

10th 20th

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

141
patients got this service, 17% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$88,181.73an average of $340.47 per time performed $19,878.25
an average of $76.75 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
187
times performed,
1% of her services

11th 24th

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

187
patients got this service, 22% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$56,100.00an average of $300.00 per time performed $21,048.72
an average of $112.56 per time performed
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
86
times performed,
0.51% of her services

12th 27th

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

68
patients got this service, 8% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$9,460.00an average of $110.00 per time performed $2,586.88
an average of $30.08 per time performed
medical
MEDICINE

Diagnostic imaging of optic nerve of eye

Service Code: 92133
Performed in an office
34
times performed,
0.2% of her services

13th 8th

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

32
patients got this service, 4% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$4,658.00an average of $137.00 per time performed $1,125.74
an average of $33.11 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
24
times performed,
0.14% of her services

14th 74th

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

23
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,560.00an average of $65.00 per time performed $342.00
an average of $14.25 per time performed
medical
MEDICINE

Photography of the retina

Service Code: 92250
Performed in an office
12
times performed,
0.07% of her services

15th 11th

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

12
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,196.00an average of $183.00 per time performed $679.44
an average of $56.62 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.

Susan M Fowell
Average for Ophthalmology Providers in Illinois

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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