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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, $375 per patient in 2014.
They performed about 11 services per patient. Here’s how this provider compares.
Number of
Patients
1,906
Rank: 21st
out of 431 providers in this state & specialty
Services
Performed
6,684
Rank: 61st
out of 431 providers in this state & specialty
Avg Services
Per Patient
3.5 This Provider
Avg 11.1
Total Paid
by Medicare
$193K
Rank: 124th
out of 431 providers in this state & specialty
Avg Paid
Per Patient
$101 This Provider
Avg $375

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.

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 in 2014.

Individuals

SHYAMAL MITRA

JAMES LORENTZEN

SAMUEL BUFF

ANDRE TSE

ROBERT BOWERMAN

Organizations

ONSLOW MEMORIAL HOSPITA...

COUNTY OF ONSLOW

Patients saw before

LAKSHMI NARASIMHAN MD

Patients saw after

Individuals

SHYAMAL MITRA

GREGORY HALL

SAMUEL BUFF

MICHAEL KENNEDY

ANDRE TSE

Organizations

ONSLOW MEMORIAL HOSPITA...

LABORATORY CORPORATION ...

This Provider's Services

This provider performed 56 different services in 2014
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

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
1,867
times performed,
28% of his services

1st 26th

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

1,228
patients got this service, 64% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$42,530an average of $23 per time performed $11,482
an average of $6 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
1,052
times performed,
16% of his services

2nd 67th

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

103
patients got this service, 5% of his patients
10.2
average number of visits a patient made for this service
(Peers: 6.8)
$10,520an average of $10 per time performed $5,534
an average of $5 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
1,013
times performed,
15% of his services

3rd 68th

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

107
patients got this service, 6% of his patients
9.5
average number of visits a patient made for this service
(Peers: 3.8)
$40,520an average of $40 per time performed $13,645
an average of $13 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
503
times performed,
8% of his services

4th 4th

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

283
patients got this service, 15% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$70,420an average of $140 per time performed $34,501
an average of $69 per time performed
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
324
times performed,
5% of his services

5th 15th

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

157
patients got this service, 8% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.6)
$57,024an average of $176 per time performed $17,833
an average of $55 per time performed
medical
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
282
times performed,
4% of his services

6th 109th

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

281
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$130,149an average of $462 per time performed $13,629
an average of $48 per time performed
medical
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
269
times performed,
4% of his services

7th 51st

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

230
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$21,520an average of $80 per time performed $3,050
an average of $11 per time performed
medical
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
260
times performed,
4% of his services

8th 41st

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

107
patients got this service, 6% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2)
$66,040an average of $254 per time performed $20,449
an average of $79 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
152
times performed,
2% of his services

9th 79th

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

139
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$51,298an average of $337 per time performed $15,688
an average of $103 per time performed
medical
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
137
times performed,
2% of his services

10th 122nd

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

137
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$102,750an average of $750 per time performed $22,302
an average of $163 per time performed
medical
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
113
times performed,
2% of his services

11th 24th

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

97
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2)
$1,130an average of $10 per time performed $332
an average of $3 per time performed
medical
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
64
times performed,
0.96% of his services

12th 167th

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

64
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,432an average of $38 per time performed $719
an average of $11 per time performed
medical
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
63
times performed,
0.94% of his services

13th 193rd

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

63
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,591an average of $57 per time performed $1,072
an average of $17 per time performed
medical
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
63
times performed,
0.94% of his services

14th 160th

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

63
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$80,640an average of $1,280 per time performed $3,780
an average of $60 per time performed
medical
EVALUATION AND MANAGEMENT

Smoking and tobacco use intermediate counseling, greater ... +

Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes ×

Service Code: 99406
Performed in an office
52
times performed,
0.78% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

35
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
$1,040an average of $20 per time performed $515
an average of $10 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
35
times performed,
0.52% of his services

16th 40th

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

35
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,225an average of $235 per time performed $3,514
an average of $100 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 a facility
34
times performed,
0.51% of his services

17th 157th

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

30
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$6,596an average of $194 per time performed $2,043
an average of $60 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
33
times performed,
0.49% of his services

18th 35th

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

30
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$6,765an average of $205 per time performed $3,319
an average of $101 per time performed
medical
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
31
times performed,
0.46% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

30
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$2,015an average of $65 per time performed $565
an average of $18 per time performed
medical
ADMINISTRATIVE

Technetium tc-99m tetrofosmin, diagnostic, per study dose +

Technetium tc-99m tetrofosmin, diagnostic, per study dose ×

Service Code: A9502
Performed in an office
28
times performed,
0.42% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 0.73% of his patients
1
average number of visits a patient made for this service
$3,108an average of $111 per time performed $2,437
an average of $87 per time performed
medical
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
23
times performed,
0.34% of his services

21st 398th

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

20
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$2,530an average of $110 per time performed $626
an average of $27 per time performed
medical
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
20
times performed,
0.3% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 0.79% of his patients
1.3
average number of visits a patient made for this service
$1,400an average of $70 per time performed $292
an average of $15 per time performed
medical
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
16
times performed,
0.24% of his services

23rd 318th

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

16
patients got this service, 0.84% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,080an average of $380 per time performed $807
an average of $50 per time performed
drug
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
15
times performed,
0.22% of his services

24th 127th

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

15
patients got this service, 0.79% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$375an average of $25 per time performed $224
an average of $15 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
15
times performed,
0.22% of his services

25th 95th

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

15
patients got this service, 0.79% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$540an average of $36 per time performed $348
an average of $23 per time performed
medical
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
14
times performed,
0.21% of his services

26th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 0.58% of his patients
1.3
average number of visits a patient made for this service
$1,540an average of $110 per time performed $495
an average of $35 per time performed
medical
RADIOLOGY

Ultrasound behind abdominal cavity, limited

Service Code: 76775
Performed in an office
14
times performed,
0.21% of his services

27th 392nd

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

14
patients got this service, 0.73% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,240an average of $160 per time performed $659
an average of $47 per time performed
medical
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
14
times performed,
0.21% of his services

28th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 0.73% of his patients
1
average number of visits a patient made for this service
$9,100an average of $650 per time performed $4,999
an average of $357 per time performed
medical
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
13
times performed,
0.19% of his services

29th 90th

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

13
patients got this service, 0.68% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,835an average of $295 per time performed $2,024
an average of $156 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 a facility
11
times performed,
0.16% of his services

30th 111th

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

11
patients got this service, 0.58% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$1,386an average of $126 per time performed $430
an average of $39 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.

Lakshmi M.r. Narasimhan
Average for Specialist Providers in North Carolina

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 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.

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