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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, $402 per patient in 2012.
They performed about 18 services per patient. Here’s how this provider compares.
Number of
Patients
571
Rank: 3rd
out of 24 providers in this state & specialty
Services
Performed
95,207
Rank: 1st
out of 24 providers in this state & specialty
Avg Services
Per Patient
166.7 This Provider is in the top 10%
Avg 18.4
Total Paid
by Medicare
$1.22M
Rank: 1st
out of 24 providers in this state & specialty
Avg Paid
Per Patient
$2,128 This Provider is in the top 10%
Avg $402

Office Visits

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Top Billing

Related story »

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.

Randal J. West
Average for Gynecological/Oncology Providers in Virginia

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

Randal J. West

Patients saw after

Individuals

DANNA JOHNSON

JAMES SNYDER

WILLIAM BAKER

GEORGE MARTIN

ATUL AGGARWAL

Organizations

CHIPPENHAM & JOHNSTON-W...

LABORATORY CORPORATION ...

This Provider's Services

This provider performed 47 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, fosaprepitant (emend), 1 mg

Service Code: J1453
Performed in an office
43,800
times performed,
46% of his services

1st Alert

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

56
patients got this service, 10% of his patients
5.2
average number of visits a patient made for this service
$262,800an average of $6 per time performed $43,800
an average of $1 per time performed
CHEMOTHERAPY DRUGS

Injection, docetaxel, 1 mg

Service Code: J9171
Performed in an office
10,400
times performed,
11% of his services

2nd Alert

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

24
patients got this service, 4% of his patients
4
average number of visits a patient made for this service
$416,000an average of $40 per time performed $83,200
an average of $8 per time performed
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
10,350
times performed,
11% of his services

3rd 3rd

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

65
patients got this service, 11% of his patients
8
average number of visits a patient made for this service
(Peers: 5.1)
$51,750an average of $5 per time performed $0
an average of $0 per time performed
DRUGS

Injection, epoetin alfa, (for non-end-stage renal disease... +

Injection, epoetin alfa, (for non-end-stage renal disease use), 1000 units ×

Service Code: J0885
Performed in an office
5,400
times performed,
6% of his services

4th Alert

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

27
patients got this service, 5% of his patients
5
average number of visits a patient made for this service
$108,000an average of $20 per time performed $43,200
an average of $8 per time performed
DRUGS

Injection, palonosetron hydrochloride, 25 mcg

Service Code: J2469
Performed in an office
5,070
times performed,
5% of his services

5th 4th

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

65
patients got this service, 11% of his patients
7.8
average number of visits a patient made for this service
(Peers: 5.4)
$253,500an average of $50 per time performed $76,050
an average of $15 per time performed
CHEMOTHERAPY DRUGS

Injection, bevacizumab (avastin), 10 mg

Service Code: J9035
Performed in an office
3,693
times performed,
4% of his services

6th Alert

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

11
patients got this service, 2% of his patients
5.2
average number of visits a patient made for this service
$276,975an average of $75 per time performed $184,650
an average of $50 per time performed
CHEMOTHERAPY DRUGS

Injection, carboplatin, 50 mg

Service Code: J9045
Performed in an office
2,421
times performed,
3% of his services

7th 6th

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

52
patients got this service, 9% of his patients
4.8
average number of visits a patient made for this service
(Peers: 4.3)
$242,100an average of $100 per time performed $7,263
an average of $3 per time performed
CHEMOTHERAPY DRUGS

Injection, paclitaxel, 30 mg

Service Code: J9265
Performed in an office
1,087
times performed,
1% of his services

8th 9th

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

28
patients got this service, 5% of his patients
6.9
average number of visits a patient made for this service
(Peers: 5)
$282,620an average of $260 per time performed $6,522
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
1,082
times performed,
1% of his services

9th 8th

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

425
patients got this service, 74% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.9)
$162,300an average of $150 per time performed $78,986
an average of $73 per time performed
DRUGS

Infusion, normal saline solution , 250 cc

Service Code: J7050
Performed in an office
1,022
times performed,
1% of his services

10th Alert

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

66
patients got this service, 12% of his patients
8.7
average number of visits a patient made for this service
$15,330an average of $15 per time performed $0
an average of $0 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
1,007
times performed,
1% of his services

11th 12th

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

171
patients got this service, 30% of his patients
5.9
average number of visits a patient made for this service
(Peers: 5.6)
$8,056an average of $8 per time performed $3,021
an average of $3 per time performed
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
1,004
times performed,
1% of his services

12th 18th

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

65
patients got this service, 11% of his patients
8.2
average number of visits a patient made for this service
(Peers: 4.4)
$85,340an average of $85 per time performed $24,096
an average of $24 per time performed
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosis +

Infusion into a vein for therapy, prevention, or diagnosis ×

Service Code: 96366
Performed in an office
936
times performed,
0.98% of his services

13th Alert

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

65
patients got this service, 11% of his patients
7.7
average number of visits a patient made for this service
$44,928an average of $48 per time performed $15,912
an average of $17 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
763
times performed,
0.8% of his services

14th Alert

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

88
patients got this service, 15% of his patients
8.7
average number of visits a patient made for this service
$22,890an average of $30 per time performed $6,867
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
763
times performed,
0.8% of his services

15th Alert

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

88
patients got this service, 15% of his patients
8.7
average number of visits a patient made for this service
$10,682an average of $14 per time performed $6,867
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Lactate dehydrogenase (enzyme) level

Service Code: 83615
Performed in an office
761
times performed,
0.8% of his services

16th Alert

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

87
patients got this service, 15% of his patients
8.7
average number of visits a patient made for this service
$9,132an average of $12 per time performed $3,044
an average of $4 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
754
times performed,
0.79% of his services

17th 11th

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

81
patients got this service, 14% of his patients
9.3
average number of visits a patient made for this service
(Peers: 9.6)
$13,572an average of $18 per time performed $8,294
an average of $11 per time performed
CHEMOTHERAPY DRUGS

Injection, gemcitabine hydrochloride (gemzar), 200 mg

Service Code: J9201
Performed in an office
588
times performed,
0.62% of his services

18th Alert

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

14
patients got this service, 2% of his patients
7.5
average number of visits a patient made for this service
$111,720an average of $190 per time performed $15,288
an average of $26 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
535
times performed,
0.56% of his services

19th 14th

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

65
patients got this service, 11% of his patients
8.2
average number of visits a patient made for this service
(Peers: 5.4)
$240,750an average of $450 per time performed $57,245
an average of $107 per time performed
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour ×

Service Code: 96365
Performed in an office
493
times performed,
0.52% of his services

20th 23rd

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

65
patients got this service, 11% of his patients
7.6
average number of visits a patient made for this service
(Peers: 4.9)
$86,275an average of $175 per time performed $28,101
an average of $57 per time performed
DRUGS

Injection, diphenhydramine hydrochloride, up to 50 mg

Service Code: J1200
Performed in an office
447
times performed,
0.47% of his services

21st 22nd

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

65
patients got this service, 11% of his patients
6.9
average number of visits a patient made for this service
(Peers: 4.8)
$1,341an average of $3 per time performed $447
an average of $1 per time performed
DRUGS

Injection, magnesium sulfate, per 500 mg

Service Code: J3475
Performed in an office
439
times performed,
0.46% of his services

22nd Alert

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

23
patients got this service, 4% of his patients
3.4
average number of visits a patient made for this service
$3,073an average of $7 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
438
times performed,
0.46% of his services

23rd Alert

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

39
patients got this service, 7% of his patients
5.3
average number of visits a patient made for this service
$43,800an average of $100 per time performed $24,090
an average of $55 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
307
times performed,
0.32% of his services

24th Alert

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

41
patients got this service, 7% of his patients
6.4
average number of visits a patient made for this service
$12,280an average of $40 per time performed $5,833
an average of $19 per time performed
PATHOLOGY AND LABORATORY

Pap test (pap smear)

Service Code: 88142
Performed in an office
306
times performed,
0.32% of his services

25th Alert

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

261
patients got this service, 46% of his patients
1.2
average number of visits a patient made for this service
$13,770an average of $45 per time performed $8,874
an average of $29 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
236
times performed,
0.25% of his services

26th Alert

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

33
patients got this service, 6% of his patients
3.3
average number of visits a patient made for this service
$17,700an average of $75 per time performed $6,844
an average of $29 per time performed
PATHOLOGY AND LABORATORY

Stool analysis for blood to screen for colon tumors

Service Code: 82270
Performed in an office
204
times performed,
0.21% of his services

27th Alert

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

204
patients got this service, 36% of his patients
1
average number of visits a patient made for this service
$2,856an average of $14 per time performed $1,020
an average of $5 per time performed
DRUGS

Injection, pegfilgrastim, 6 mg

Service Code: J2505
Performed in an office
162
times performed,
0.17% of his services

28th Alert

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

26
patients got this service, 5% of his patients
6.2
average number of visits a patient made for this service
$680,400an average of $4,200 per time performed $364,662
an average of $2,251 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
116
times performed,
0.12% of his services

29th 13th

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

83
patients got this service, 15% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$14,500an average of $125 per time performed $5,336
an average of $46 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
79
times performed,
0.08% of his services

30th 50th

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

79
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,800an average of $200 per time performed $9,480
an average of $120 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
78
times performed,
0.08% of his services

31st Alert

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

50
patients got this service, 9% of his patients
1.6
average number of visits a patient made for this service
$15,600an average of $200 per time performed $7,956
an average of $102 per time performed
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
56
times performed,
0.06% of his services

32nd 55th

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

15
patients got this service, 3% of his patients
3.7
average number of visits a patient made for this service
(Peers: 1.8)
$784an average of $14 per time performed $224
an average of $4 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
49
times performed,
0.05% of his services

33rd Alert

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

27
patients got this service, 5% of his patients
1.8
average number of visits a patient made for this service
$7,350an average of $150 per time performed $2,646
an average of $54 per time performed
MEDICINE

Hydration infusion into a vein

Service Code: 96361
Performed in an office
49
times performed,
0.05% of his services

34th Alert

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

15
patients got this service, 3% of his patients
1.8
average number of visits a patient made for this service
$3,675an average of $75 per time performed $588
an average of $12 per time performed
FEMALE GENITAL SYSTEM

Abdominal removal of uterus (250 grams or less) with remo... +

Abdominal removal of uterus (250 grams or less) with removal of tubes and/or ovaries using an endoscope ×

Service Code: 58571
Performed in a facility
40
times performed,
0.04% of his services

35th 60th

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

40
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$84,000an average of $2,100 per time performed $32,000
an average of $800 per time performed
DRUGS

5% dextrose/water (500 ml = 1 unit)

Service Code: J7060
Performed in an office
38
times performed,
0.04% of his services

36th Alert

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

17
patients got this service, 3% of his patients
2.2
average number of visits a patient made for this service
$570an average of $15 per time performed $38
an average of $1 per time performed
DRUGS

Infusion, normal saline solution, sterile (500 ml=1 unit) +

Infusion, normal saline solution, sterile (500 ml=1 unit) ×

Service Code: J7040
Performed in an office
37
times performed,
0.04% of his services

37th Alert

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

18
patients got this service, 3% of his patients
1.9
average number of visits a patient made for this service
$555an average of $15 per time performed $0
an average of $0 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
35
times performed,
0.04% of his services

38th Alert

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

11
patients got this service, 2% of his patients
1.8
average number of visits a patient made for this service
$4,375an average of $125 per time performed $2,765
an average of $79 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
35
times performed,
0.04% of his services

39th Alert

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

31
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$2,625an average of $75 per time performed $945
an average of $27 per time performed
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
24
times performed,
0.03% of his services

40th Alert

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

24
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$3,600an average of $150 per time performed $1,800
an average of $75 per time performed
HEMIC AND LYMPHATIC SYSTEMS

Removal of total lymph nodes of both sides of pelvis and ... +

Removal of total lymph nodes of both sides of pelvis and abdominal lymph node biopsy using an endoscope ×

Service Code: 38572
Performed in a facility
19
times performed,
0.02% of his services

41st Alert

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

19
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$34,200an average of $1,800 per time performed $8,835
an average of $465 per time performed
MEDICINE

Irrigation of implanted venous access drug delivery device +

Irrigation of implanted venous access drug delivery device ×

Service Code: 96523
Performed in an office
16
times performed,
0.02% of his services

42nd Alert

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

12
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
$640an average of $40 per time performed $272
an average of $17 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
16
times performed,
0.02% of his services

43rd 41st

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

16
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,000an average of $250 per time performed $2,496
an average of $156 per time performed
CARDIOVASCULAR SYSTEM

Removal of peripheral venous catheter for infusion

Service Code: 36590
Performed in a facility
14
times performed,
0.01% of his services

44th Alert

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$7,700an average of $550 per time performed $2,254
an average of $161 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
14
times performed,
0.01% of his services

45th 19th

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

11
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.2)
$2,800an average of $200 per time performed $1,428
an average of $102 per time performed
FEMALE GENITAL SYSTEM

Biopsy and/or removal of polyp of the uterus using an end... +

Biopsy and/or removal of polyp of the uterus using an endoscope ×

Service Code: 58558
Performed in a facility
12
times performed,
0.01% of his services

46th Alert

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$8,580an average of $715 per time performed $2,508
an average of $209 per time performed
FEMALE GENITAL SYSTEM

Removal of abdominal lining, uterus, both ovaries and fal... +

Removal of abdominal lining, uterus, both ovaries and fallopian tubes with tumor reduction ×

Service Code: 58953
Performed in a facility
12
times performed,
0.01% of his services

47th Alert

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$41,100an average of $3,425 per time performed $18,276
an average of $1,523 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 "Gynecologic Oncology." 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.