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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, $184 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
2,906
Rank: 23rd
out of 614 providers in this state & specialty
Services
Performed
11,180
Rank: 24th
out of 614 providers in this state & specialty
Avg Services
Per Patient
3.8 This Provider
Avg 3.2
Total Paid
by Medicare
$492K
Rank: 36th
out of 614 providers in this state & specialty
Avg Paid
Per Patient
$169 This Provider
Avg $184

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.

Lakshmi M. Narasimhan
Average for Cardiology Providers in North Carolina

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

SAMUEL BUFF

ELIZABETH D'ANGELO

ANDRE TSE

CATHERINE EVERETT

CHRISTOPHER FLYE

Organizations

ONSLOW MEMORIAL HOSPITA...

COUNTY OF ONSLOW

Patients saw before

Lakshmi M. Narasimhan

Patients saw after

This Provider's Services

This provider performed 26 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
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
4,054
times performed,
36% of his services

1st 2nd

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

2,176
patients got this service, 75% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.3)
$89,188an average of $22 per time performed $24,324
an average of $6 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
1,071
times performed,
10% of his services

2nd 1st

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

630
patients got this service, 22% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.7)
$149,940an average of $140 per time performed $77,112
an average of $72 per time performed
DRUGS

Injection, regadenoson (lexiscan), 0.1 mg

Service Code: J2785
Performed in an office
870
times performed,
8% of his services

3rd 9th

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

223
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$69,600an average of $80 per time performed $36,540
an average of $42 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
866
times performed,
8% of his services

4th 6th

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

85
patients got this service, 3% of his patients
10.2
average number of visits a patient made for this service
(Peers: 3.5)
$8,660an average of $10 per time performed $5,196
an average of $6 per time performed
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
802
times performed,
7% of his services

5th 11th

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

99
patients got this service, 3% of his patients
8.1
average number of visits a patient made for this service
(Peers: 2.6)
$32,080an average of $40 per time performed $11,228
an average of $14 per time performed
ADMINISTRATIVE

Technetium tc-99m sestamibi, diagnostic, per study dose

Service Code: A9500
Performed in an office
526
times performed,
5% of his services

6th 12th

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

263
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$58,386an average of $111 per time performed $46,288
an average of $88 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
478
times performed,
4% of his services

7th 13th

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

193
patients got this service, 7% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.8)
$118,066an average of $247 per time performed $36,806
an average of $77 per time performed
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in an office
287
times performed,
3% of his services

8th 10th

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

283
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$214,102an average of $746 per time performed $44,772
an average of $156 per time performed
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician supervision, interpretation, and report ×

Service Code: 93015
Performed in an office
266
times performed,
2% of his services

9th 18th

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

265
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$101,080an average of $380 per time performed $17,556
an average of $66 per time performed
DRUGS

Infusion, normal saline solution , 250 cc

Service Code: J7050
Performed in an office
262
times performed,
2% of his services

10th 112th

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

261
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,550an average of $25 per time performed $0
an average of $0 per time performed
RADIOLOGY

Nuclear medicine study of vessels of heart using drugs or... +

Nuclear medicine study of vessels of heart using drugs or exercise multiple studies ×

Service Code: 78452
Performed in an office
262
times performed,
2% of his services

11th 15th

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

261
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$170,300an average of $650 per time performed $97,726
an average of $373 per time performed
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
260
times performed,
2% of his services

12th 3rd

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

243
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$20,800an average of $80 per time performed $3,640
an average of $14 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
208
times performed,
2% of his services

13th 8th

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

91
patients got this service, 3% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2)
$32,448an average of $156 per time performed $11,024
an average of $53 per time performed
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
168
times performed,
2% of his services

14th 22nd

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

148
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$56,952an average of $339 per time performed $17,304
an average of $103 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
108
times performed,
0.97% of his services

15th 17th

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

102
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$46,764an average of $433 per time performed $16,200
an average of $150 per time performed
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
90
times performed,
0.81% of his services

16th 25th

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

83
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$18,450an average of $205 per time performed $9,090
an average of $101 per time performed
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
85
times performed,
0.76% of his services

17th 41st

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

85
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$25,075an average of $295 per time performed $12,580
an average of $148 per time performed
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in a facility
84
times performed,
0.75% of his services

18th 4th

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

84
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,440an average of $160 per time performed $4,200
an average of $50 per time performed
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring and physician supervision ×

Service Code: 93016
Performed in a facility
72
times performed,
0.64% of his services

19th 19th

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

71
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,032an average of $56 per time performed $1,224
an average of $17 per time performed
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report ×

Service Code: 93018
Performed in a facility
72
times performed,
0.64% of his services

20th 16th

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

71
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,736an average of $38 per time performed $792
an average of $11 per time performed
MEDICINE

Evaluation, testing, and programming adjustment of perman... +

Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report ×

Service Code: 93280
Performed in an office
71
times performed,
0.64% of his services

21st 24th

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

54
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$7,810an average of $110 per time performed $2,698
an average of $38 per time performed
MEDICINE

Heart rhythm tracing, analysis, and interpretation of 48-... +

Heart rhythm tracing, analysis, and interpretation of 48-hour ekg ×

Service Code: 93224
Performed in an office
67
times performed,
0.6% of his services

22nd 44th

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

66
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$31,825an average of $475 per time performed $4,958
an average of $74 per time performed
RADIOLOGY

Ultrasound behind abdominal cavity, limited

Service Code: 76775
Performed in an office
52
times performed,
0.47% of his services

23rd 109th

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

52
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,320an average of $160 per time performed $4,368
an average of $84 per time performed
MEDICINE

Heart rhythm symptom-related interpretation of 24-hour ek... +

Heart rhythm symptom-related interpretation of 24-hour ekg monitoring up to 30 days ×

Service Code: 93272
Performed in an office
29
times performed,
0.26% of his services

24th 88th

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

29
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,885an average of $65 per time performed $551
an average of $19 per time performed
MEDICINE

Evaluation of parameters of single, dual, or multiple lea... +

Evaluation of parameters of single, dual, or multiple lead pacemaker including device connection, recording, and disconnection ×

Service Code: 93288
Performed in an office
23
times performed,
0.21% of his services

25th 36th

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

21
patients got this service, 0.72% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$1,610an average of $70 per time performed $667
an average of $29 per time performed
MEDICINE

Evaluation of parameters of single, dual, or multiple lea... +

Evaluation of parameters of single, dual, or multiple lead cardioverter-defibrillator including device connection, recording, and disconnection ×

Service Code: 93289
Performed in an office
17
times performed,
0.15% of his services

26th 93rd

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

15
patients got this service, 0.52% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$1,870an average of $110 per time performed $850
an average of $50 per time performed
RADIOLOGY

Nuclear medicine study of vessels of heart using drugs or... +

Nuclear medicine study of vessels of heart using drugs or exercise multiple studies ×

Service Code: 78452
Performed in a facility
16
times performed,
0.14% of his services

27th 20th

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

16
patients got this service, 0.55% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,720an average of $170 per time performed $960
an average of $60 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
14
times performed,
0.13% of his services

28th 23rd

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

14
patients got this service, 0.48% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,290an average of $235 per time performed $1,652
an average of $118 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 "Specialist." 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.