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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, $233 per patient in 2012.
They performed about 6 services per patient. Here’s how this provider compares.
Number of
Patients
779
Rank: 330th
out of 2,711 providers in this state & specialty
Services
Performed
13,176
Rank: 109th
out of 2,711 providers in this state & specialty
Avg Services
Per Patient
16.9 This Provider is in the top 10%
Avg 5.9
Total Paid
by Medicare
$249K
Rank: 221st
out of 2,711 providers in this state & specialty
Avg Paid
Per Patient
$320 This Provider
Avg $233

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.

Gerardo M. Maradiaga
Average for Internal Medicine 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.

Patients saw before

Gerardo M. Maradiaga

Patients saw after

This Provider's Services

This provider performed 48 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
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
2,006
times performed,
15% of his services

1st 2nd

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

579
patients got this service, 74% of his patients
3.5
average number of visits a patient made for this service
(Peers: 2.1)
$150,450an average of $75 per time performed $90,270
an average of $45 per time performed
DRUGS

Injection, denosumab (prolia, xgeva), 1 mg

Service Code: J0897
Performed in an office
1,560
times performed,
12% of his services

2nd 33rd

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

17
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$28,080an average of $18 per time performed $17,160
an average of $11 per time performed
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
1,225
times performed,
9% of his services

3rd 3rd

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

601
patients got this service, 77% of his patients
2
average number of visits a patient made for this service
(Peers: 2.3)
$18,375an average of $15 per time performed $3,675
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
829
times performed,
6% of his services

4th 9th

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

532
patients got this service, 68% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$49,740an average of $60 per time performed $10,777
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
816
times performed,
6% of his services

5th 10th

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

468
patients got this service, 60% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$44,880an average of $55 per time performed $8,976
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
793
times performed,
6% of his services

6th 7th

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

500
patients got this service, 64% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$31,720an average of $40 per time performed $8,723
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
630
times performed,
5% of his services

7th 8th

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

97
patients got this service, 12% of his patients
6.5
average number of visits a patient made for this service
(Peers: 5.5)
$18,900an average of $30 per time performed $3,780
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
579
times performed,
4% of his services

8th 17th

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

406
patients got this service, 52% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$35,898an average of $62 per time performed $13,317
an average of $23 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
414
times performed,
3% of his services

9th 16th

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

96
patients got this service, 12% of his patients
4.3
average number of visits a patient made for this service
(Peers: 3.3)
$16,560an average of $40 per time performed $5,382
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
391
times performed,
3% of his services

10th 12th

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

227
patients got this service, 29% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.8)
$17,595an average of $45 per time performed $5,474
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81000
Performed in an office
344
times performed,
3% of his services

11th 74th

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

285
patients got this service, 37% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$6,880an average of $20 per time performed $1,376
an average of $4 per time performed
DRUGS

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

Service Code: J3420
Performed in an office
270
times performed,
2% of his services

12th 35th

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

54
patients got this service, 7% of his patients
5
average number of visits a patient made for this service
(Peers: 4.7)
$3,780an average of $14 per time performed $0
an average of $0 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
265
times performed,
2% of his services

13th 13th

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

263
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,625an average of $25 per time performed $6,095
an average of $23 per time performed
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
264
times performed,
2% of his services

14th 30th

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

262
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,752an average of $18 per time performed $3,696
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
262
times performed,
2% of his services

15th 22nd

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

232
patients got this service, 30% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$11,004an average of $42 per time performed $2,620
an average of $10 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
246
times performed,
2% of his services

16th 18th

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

80
patients got this service, 10% of his patients
3.1
average number of visits a patient made for this service
(Peers: 3)
$9,840an average of $40 per time performed $3,690
an average of $15 per time performed
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
222
times performed,
2% of his services

17th 32nd

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

42
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$222an average of $1 per time performed $0
an average of $0 per time performed
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
220
times performed,
2% of his services

18th 38th

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

160
patients got this service, 21% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.8)
$12,540an average of $57 per time performed $6,380
an average of $29 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
216
times performed,
2% of his services

19th 1st

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

194
patients got this service, 25% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.4)
$22,680an average of $105 per time performed $15,336
an average of $71 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
171
times performed,
1% of his services

20th 69th

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

150
patients got this service, 19% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$3,249an average of $19 per time performed $1,368
an average of $8 per time performed
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
171
times performed,
1% of his services

21st 51st

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

150
patients got this service, 19% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$2,394an average of $14 per time performed $1,197
an average of $7 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
162
times performed,
1% of his services

22nd 39th

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

50
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.8)
$12,150an average of $75 per time performed $4,698
an average of $29 per time performed
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
104
times performed,
0.79% of his services

23rd 27th

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

28
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,352an average of $13 per time performed $104
an average of $1 per time performed
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
92
times performed,
0.7% of his services

24th 40th

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

78
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$8,280an average of $90 per time performed $1,932
an average of $21 per time performed
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
76
times performed,
0.58% of his services

25th 72nd

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

76
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,320an average of $70 per time performed $1,976
an average of $26 per time performed
DRUGS

Injection, ceftriaxone sodium, per 250 mg

Service Code: J0696
Performed in an office
76
times performed,
0.58% of his services

26th 43rd

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

15
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$1,368an average of $18 per time performed $76
an average of $1 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
71
times performed,
0.54% of his services

27th 24th

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

70
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$10,650an average of $150 per time performed $6,106
an average of $86 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
63
times performed,
0.48% of his services

28th 11th

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

58
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$14,490an average of $230 per time performed $8,505
an average of $135 per time performed
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
57
times performed,
0.43% of his services

29th 77th

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

20
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$855an average of $15 per time performed $0
an average of $0 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
55
times performed,
0.42% of his services

30th 4th

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

50
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.3)
$5,775an average of $105 per time performed $2,970
an average of $54 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
54
times performed,
0.41% of his services

31st 29th

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

49
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$6,750an average of $125 per time performed $2,916
an average of $54 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
53
times performed,
0.4% of his services

32nd 23rd

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

51
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$3,445an average of $65 per time performed $689
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
51
times performed,
0.39% of his services

33rd 42nd

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

37
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$1,020an average of $20 per time performed $663
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
50
times performed,
0.38% of his services

34th 90th

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

37
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$1,100an average of $22 per time performed $200
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
42
times performed,
0.32% of his services

35th 107th

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

38
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,050an average of $25 per time performed $210
an average of $5 per time performed
PROCEDURES

Physician re-certification for medicare-covered home heal... +

Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per re-certification period ×

Service Code: G0179
Performed in an office
35
times performed,
0.27% of his services

36th 87th

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

14
patients got this service, 2% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.4)
$2,100an average of $60 per time performed $1,050
an average of $30 per time performed
DRUGS

Injection, lidocaine hydrochloride for intravenous infusi... +

Injection, lidocaine hydrochloride for intravenous infusion, 10 mg ×

Service Code: J2001
Performed in an office
33
times performed,
0.25% of his services

37th 371st

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

19
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$396an average of $12 per time performed $0
an average of $0 per time performed
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
32
times performed,
0.24% of his services

38th 25th

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

30
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$640an average of $20 per time performed $96
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
30
times performed,
0.23% of his services

39th 36th

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

27
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$1,500an average of $50 per time performed $270
an average of $9 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
25
times performed,
0.19% of his services

40th 70th

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

25
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,875an average of $275 per time performed $1,475
an average of $59 per time performed
PATHOLOGY AND LABORATORY

Detection test for influenza virus

Service Code: 87804
Performed in an office
21
times performed,
0.16% of his services

41st 172nd

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$525an average of $25 per time performed $315
an average of $15 per time performed
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
19
times performed,
0.14% of his services

42nd 100th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$2,470an average of $130 per time performed $627
an average of $33 per time performed
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
18
times performed,
0.14% of his services

43rd 68th

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,224an average of $68 per time performed $1,098
an average of $61 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
16
times performed,
0.12% of his services

44th 71st

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$400an average of $25 per time performed $368
an average of $23 per time performed
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
14
times performed,
0.11% of his services

45th 191st

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,470an average of $105 per time performed $336
an average of $24 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
11
times performed,
0.08% of his services

46th 59th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,265an average of $115 per time performed $594
an average of $54 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
11
times performed,
0.08% of his services

47th 61st

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,310an average of $210 per time performed $1,397
an average of $127 per time performed
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per certification period ×

Service Code: G0180
Performed in an office
11
times performed,
0.08% of his services

48th 84th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$825an average of $75 per time performed $440
an average of $40 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 "Internal Medicine." 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.