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, $280 per patient in 2015.
They performed about 11 services per patient. Here’s how this provider compares.

Number of
Patients
1,885
Rank: 1st
out of 252 providers in this state & specialty
Services
Performed
17,270
Rank: 17th
out of 252 providers in this state & specialty
Avg Services
Per Patient
9.2 This Provider
Avg 10.6
Total Paid
by Medicare
$828K
Rank: 2nd
out of 252 providers in this state & specialty
Avg Paid
Per Patient
$439 This Provider
Avg $280

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 38 different services in 2015
(19 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

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
7,175
times performed,
42% of his services

1st 5th

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

854
patients got this service, 45% of his patients
8.4
average number of visits a patient made for this service
(Peers: 2.6)
$861,000.00an average of $120.00 per time performed $387,880.50
an average of $54.06 per time performed
drug
DRUGS

Injection, onabotulinumtoxina, 1 unit

Service Code: J0585
Performed in an office
3,801
times performed,
22% of his services

2nd 1st

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

11
patients got this service, 0.58% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.5)
$57,015.00an average of $15.00 per time performed $16,876.44
an average of $4.44 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
2,200
times performed,
13% of his services

3rd 3rd

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

821
patients got this service, 44% of his patients
2.7
average number of visits a patient made for this service
(Peers: 1.6)
$261,800.00an average of $119.00 per time performed $107,140.00
an average of $48.70 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
1,645
times performed,
10% of his services

4th 2nd

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

682
patients got this service, 36% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.7)
$246,750.00an average of $150.00 per time performed $121,203.60
an average of $73.68 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
1,115
times performed,
6% of his services

5th 17th

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

851
patients got this service, 45% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$301,050.00an average of $270.00 per time performed $114,031.05
an average of $102.27 per time performed
medical
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
170
times performed,
0.98% of his services

6th 16th

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

156
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$42,500.00an average of $250.00 per time performed $7,293.00
an average of $42.90 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
151
times performed,
0.87% of his services

7th 42nd

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

151
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$37,750.00an average of $250.00 per time performed $11,210.24
an average of $74.24 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
149
times performed,
0.86% of his services

8th 99th

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

144
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$33,525.00an average of $225.00 per time performed $11,903.61
an average of $79.89 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
123
times performed,
0.71% of his services

9th 31st

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

52
patients got this service, 3% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.4)
$7,380.00an average of $60.00 per time performed $2,137.74
an average of $17.38 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
119
times performed,
0.69% of his services

10th 8th

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

119
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$34,510.00an average of $290.00 per time performed $13,481.51
an average of $113.29 per time performed
drug
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
80
times performed,
0.46% of his services

11th 58th

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

18
patients got this service, 0.95% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$800.00an average of $10.00 per time performed $26.40
an average of $0.33 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
78
times performed,
0.45% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

54
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
$3,120.00an average of $40.00 per time performed $383.76
an average of $4.92 per time performed
medical
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
76
times performed,
0.44% of his services

13th 11th

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

37
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$26,904.00an average of $354.00 per time performed $4,898.96
an average of $64.46 per time performed
drug
DRUGS

Injection, nalbuphine hydrochloride, per 10 mg

Service Code: J2300
Performed in an office
74
times performed,
0.43% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

32
patients got this service, 2% of his patients
2.3
average number of visits a patient made for this service
$2,909.68an average of $39.32 per time performed $139.86
an average of $1.89 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
50
times performed,
0.29% of his services

15th 7th

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

36
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$11,660.00an average of $233.20 per time performed $5,073.50
an average of $101.47 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
49
times performed,
0.28% of his services

16th 13th

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

48
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,925.00an average of $325.00 per time performed $6,824.23
an average of $139.27 per time performed
drug
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
46
times performed,
0.27% of his services

17th 64th

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

16
patients got this service, 0.85% of his patients
2.9
average number of visits a patient made for this service
(Peers: 2.8)
$599.84an average of $13.04 per time performed $109.48
an average of $2.38 per time performed
medical

Nerve transmission studies, 9-10 studies

Service Code: 95911
Performed in an office
30
times performed,
0.17% of his services

18th 23rd

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

30
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$57,069.90an average of $1,902.33 per time performed $4,830.00
an average of $161.00 per time performed
medical

Nerve transmission studies, 7-8 studies

Service Code: 95910
Performed in an office
25
times performed,
0.14% of his services

19th 25th

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

25
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$46,920.00an average of $1,876.80 per time performed $3,550.50
an average of $142.02 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.

Kalpesh Patel
Average for Neurology Providers in Georgia

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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