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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, $281 per patient in 2012.
They performed about 8 services per patient. Here’s how this provider compares.
Number of
Patients
1,576
Rank: 1st
out of 292 providers in this state & specialty
Services
Performed
27,074
Rank: 6th
out of 292 providers in this state & specialty
Avg Services
Per Patient
17.2 This Provider is in the top 10%
Avg 8.2
Total Paid
by Medicare
$853K
Rank: 2nd
out of 292 providers in this state & specialty
Avg Paid
Per Patient
$541 This Provider is in the top 10%
Avg $281

Office Visits

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Top Billing

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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.

Kalpesh Patel
Average for Neurology Providers in Georgia

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, from Jan. 2012 to June 2013.

Individuals

JAMES PALAZZOLO

BRENT DEEM

THOMAS UNGARINO

JAMES BISE

C MITCHELL

Organizations

PHOEBE PUTNEY MEMORIAL ...

DOUGHERTY COUNTY COMMIS...

Patients saw before

Kalpesh Patel

Patients saw after

This Provider's Services

This provider performed 18 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
DRUGS

Injection, onabotulinumtoxina (botox), 1 unit

Service Code: J0585
Performed in an office
14,300
times performed,
53% of his services

1st 1st

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

26
patients got this service, 2% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.2)
$185,900an average of $13 per time performed $57,200
an average of $4 per time performed
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
6,024
times performed,
22% of his services

2nd 7th

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

781
patients got this service, 50% of his patients
7.7
average number of visits a patient made for this service
(Peers: 2)
$722,880an average of $120 per time performed $325,296
an average of $54 per time performed
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
2,338
times performed,
9% of his services

3rd 3rd

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

796
patients got this service, 51% of his patients
2.9
average number of visits a patient made for this service
(Peers: 1.6)
$278,222an average of $119 per time performed $114,562
an average of $49 per time performed
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
990
times performed,
4% of his services

4th 9th

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

794
patients got this service, 50% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$321,750an average of $325 per time performed $149,490
an average of $151 per time performed
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
904
times performed,
3% of his services

5th 2nd

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

472
patients got this service, 30% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.8)
$135,600an average of $150 per time performed $66,896
an average of $74 per time performed
MEDICINE

Needle measurement and recording of nerve sensory (feel) ... +

Needle measurement and recording of nerve sensory (feel) function ×

Service Code: 95904
Performed in an office
641
times performed,
2% of his services

6th 4th

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

142
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$115,380an average of $180 per time performed $25,640
an average of $40 per time performed
MEDICINE

Needle measurement, rate, and recording of nerve motor (m... +

Needle measurement, rate, and recording of nerve motor (movement) function, with f-wave study ×

Service Code: 95903
Performed in an office
589
times performed,
2% of his services

7th 6th

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

142
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$135,470an average of $230 per time performed $31,806
an average of $54 per time performed
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
293
times performed,
1% of his services

8th 17th

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

141
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$103,722an average of $354 per time performed $18,459
an average of $63 per time performed
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
266
times performed,
0.98% of his services

9th 13th

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

266
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$77,140an average of $290 per time performed $31,388
an average of $118 per time performed
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
190
times performed,
0.7% of his services

10th 19th

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

182
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$47,500an average of $250 per time performed $7,980
an average of $42 per time performed
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
108
times performed,
0.4% of his services

11th Alert

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

21
patients got this service, 1% of his patients
1.3
average number of visits a patient made for this service
$1,080an average of $10 per time performed $0
an average of $0 per time performed
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
107
times performed,
0.4% of his services

12th 5th

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

44
patients got this service, 3% of his patients
2.4
average number of visits a patient made for this service
(Peers: 3.8)
$6,420an average of $60 per time performed $1,712
an average of $16 per time performed
MEDICINE

Measurement and recording of nerve conduction patterns of... +

Measurement and recording of nerve conduction patterns of lower leg muscles ×

Service Code: 95934
Performed in an office
90
times performed,
0.33% of his services

13th 24th

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

90
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$24,300an average of $270 per time performed $3,960
an average of $44 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
72
times performed,
0.27% of his services

14th Alert

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

68
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$16,200an average of $225 per time performed $5,688
an average of $79 per time performed
NERVOUS SYSTEM

Injection of chemical for destruction of arms legs and/or... +

Injection of chemical for destruction of arms legs and/or torso muscles ×

Service Code: 64614
Performed in an office
48
times performed,
0.18% of his services

15th 99th

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

20
patients got this service, 1% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2)
$21,600an average of $450 per time performed $6,336
an average of $132 per time performed
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles for guidance with injection of chemical for destruction of muscles ×

Service Code: 95874
Performed in an office
43
times performed,
0.16% of his services

16th 70th

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

17
patients got this service, 1% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.3)
$7,009an average of $163 per time performed $1,978
an average of $46 per time performed
DRUGS

Injection, nalbuphine hydrochloride, per 10 mg

Service Code: J2300
Performed in an office
40
times performed,
0.15% of his services

17th Alert

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

13
patients got this service, 0.82% of his patients
3.1
average number of visits a patient made for this service
$1,080an average of $27 per time performed $40
an average of $1 per time performed
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
31
times performed,
0.11% of his services

18th Alert

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

15
patients got this service, 0.95% of his patients
1.7
average number of visits a patient made for this service
$651an average of $21 per time performed $62
an average of $2 per time performed

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.

Notes: This provider has a self-reported specialty of "Neurology." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

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.


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Credits: Warning icon designed by Stefan Parnarov from the Noun Project.