Treatment Tracker

The Doctors and Services in Medicare Part B

Treatment Tracker » Virginia » North chesterfield

RANDAL WEST M.D.

1401 JOHNSTON WILLIS DR SUITE 1100, NORTH CHESTERFIELD, VA, 23235 | (804) 323-5040

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $858 per patient in 2014.
They performed about 43 services per patient. Here’s how this provider compares.

Number of
Patients
612
Rank: 3rd
out of 25 providers in this state & specialty
Services
Performed
84,888
Rank: 3rd
out of 25 providers in this state & specialty
Avg Services
Per Patient
138.7 This Provider is in the top 10%
Avg 43.4
Total Paid
by Medicare
$1.14M
Rank: 2nd
out of 25 providers in this state & specialty
Avg Paid
Per Patient
$1,862 This Provider is in the top 10%
Avg $858

Note: About 62% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

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

JAMES SNYDER

DANNA JOHNSON

JOHN TURNER

ATUL AGGARWAL

ERIC SCOTT

Organizations

LABORATORY CORPORATION ...

CHIPPENHAM & JOHNSTON-W...

Patients saw before

RANDAL WEST M.D.

Patients saw after

Individuals

JAMES SNYDER

WILLIAM BAKER

DANNA JOHNSON

ATUL AGGARWAL

JOHN TURNER

Organizations

CHIPPENHAM & JOHNSTON-W...

LABORATORY CORPORATION ...

This Provider's Services

This provider performed 143 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
drug
DRUGS

Injection, fosaprepitant, 1 mg

Service Code: J1453
Performed in an office
42,750
times performed,
50% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

58
patients got this service, 9% of his patients
4.9
average number of visits a patient made for this service
$335,588an average of $8 per time performed $57,713
an average of $1 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, docetaxel, 1 mg

Service Code: J9171
Performed in an office
9,230
times performed,
11% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
5.6
average number of visits a patient made for this service
$352,032an average of $38 per time performed $31,474
an average of $3 per time performed
drug
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
6,503
times performed,
8% of his services

3rd 5th

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

65
patients got this service, 11% of his patients
7.3
average number of visits a patient made for this service
(Peers: 4.3)
$32,515an average of $5 per time performed $715
an average of $0 per time performed
drug
DRUGS

Injection, palonosetron hcl, 25 mcg

Service Code: J2469
Performed in an office
4,693
times performed,
6% of his services

4th 6th

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

65
patients got this service, 11% of his patients
7.3
average number of visits a patient made for this service
(Peers: 4.2)
$234,650an average of $50 per time performed $71,521
an average of $15 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, carboplatin, 50 mg

Service Code: J9045
Performed in an office
2,117
times performed,
2% of his services

5th 8th

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

46
patients got this service, 8% of his patients
4.5
average number of visits a patient made for this service
(Peers: 3.4)
$211,700an average of $100 per time performed $5,441
an average of $3 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, paclitaxel, 30 mg

Service Code: J9265
Performed in an office
1,263
times performed,
1% of his services

6th 9th

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

33
patients got this service, 5% of his patients
4.9
average number of visits a patient made for this service
(Peers: 3.8)
$328,380an average of $260 per time performed $4,130
an average of $3 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
1,110
times performed,
1% of his services

7th 11th

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

447
patients got this service, 73% of his patients
2.5
average number of visits a patient made for this service
(Peers: 1.9)
$166,500an average of $150 per time performed $79,032
an average of $71 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
997
times performed,
1% of his services

8th 19th

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

65
patients got this service, 11% of his patients
7.4
average number of visits a patient made for this service
(Peers: 3.8)
$84,745an average of $85 per time performed $21,027
an average of $21 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
956
times performed,
1% of his services

9th 17th

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

195
patients got this service, 32% of his patients
4.9
average number of visits a patient made for this service
(Peers: 5.1)
$7,648an average of $8 per time performed $2,811
an average of $3 per time performed
medical
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
951
times performed,
1% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
7.5
average number of visits a patient made for this service
$45,648an average of $48 per time performed $13,324
an average of $14 per time performed
drug
CHEMOTHERAPY DRUGS

Injection, gemcitabine hydrochloride, 200 mg

Service Code: J9201
Performed in an office
753
times performed,
0.89% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 2% of his patients
8.7
average number of visits a patient made for this service
$143,070an average of $190 per time performed $3,983
an average of $5 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
702
times performed,
0.83% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

81
patients got this service, 13% of his patients
8.7
average number of visits a patient made for this service
$21,060an average of $30 per time performed $5,820
an average of $8 per time performed
medical
PATHOLOGY AND LABORATORY

Lactate dehydrogenase (enzyme) level

Service Code: 83615
Performed in an office
702
times performed,
0.83% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

81
patients got this service, 13% of his patients
8.7
average number of visits a patient made for this service
$8,424an average of $12 per time performed $2,331
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
702
times performed,
0.83% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

81
patients got this service, 13% of his patients
8.7
average number of visits a patient made for this service
$9,828an average of $14 per time performed $6,290
an average of $9 per time performed
medical
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
696
times performed,
0.82% of his services

15th 12th

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

80
patients got this service, 13% of his patients
8.7
average number of visits a patient made for this service
(Peers: 6.8)
$12,528an average of $18 per time performed $7,238
an average of $10 per time performed
drug
DRUGS

Infusion, normal saline solution , 250 cc

Service Code: J7050
Performed in an office
611
times performed,
0.72% of his services

16th 22nd

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

66
patients got this service, 11% of his patients
7.5
average number of visits a patient made for this service
(Peers: 4.4)
$9,165an average of $15 per time performed $159
an average of $0 per time performed
medical
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
488
times performed,
0.57% of his services

17th 26th

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

65
patients got this service, 11% of his patients
7.5
average number of visits a patient made for this service
(Peers: 3.3)
$85,400an average of $175 per time performed $25,132
an average of $52 per time performed
medical
MEDICINE

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

Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour ×

Service Code: 96367
Performed in an office
487
times performed,
0.57% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
7.5
average number of visits a patient made for this service
$48,700an average of $100 per time performed $11,016
an average of $23 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
481
times performed,
0.57% of his services

19th 15th

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

65
patients got this service, 11% of his patients
7.4
average number of visits a patient made for this service
(Peers: 4.5)
$216,450an average of $450 per time performed $48,201
an average of $100 per time performed
medical
MEDICINE

Infusion of different chemotherapy drug or substance into... +

Infusion of different chemotherapy drug or substance into a vein up to 1 hour ×

Service Code: 96417
Performed in an office
480
times performed,
0.57% of his services

20th 24th

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

65
patients got this service, 11% of his patients
7.4
average number of visits a patient made for this service
(Peers: 3.9)
$96,000an average of $200 per time performed $22,378
an average of $47 per time performed
drug
DRUGS

Injection, diphenhydramine hcl, up to 50 mg

Service Code: J1200
Performed in an office
388
times performed,
0.46% of his services

21st 23rd

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

65
patients got this service, 11% of his patients
6
average number of visits a patient made for this service
(Peers: 3.9)
$1,164an average of $3 per time performed $182
an average of $0 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
362
times performed,
0.43% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

43
patients got this service, 7% of his patients
4
average number of visits a patient made for this service
$36,200an average of $100 per time performed $19,606
an average of $54 per time performed
drug
TEMPORARY CODES

Injection, doxorubicin hydrochloride, liposomal, imported... +

Injection, doxorubicin hydrochloride, liposomal, imported lipodox, 10 mg ×

Service Code: Q2049
Performed in an office
314
times performed,
0.37% of his services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

20
patients got this service, 3% of his patients
2.7
average number of visits a patient made for this service
$188,400an average of $600 per time performed $123,201
an average of $392 per time performed
medical
PATHOLOGY AND LABORATORY

Pap test (pap smear)

Service Code: 88142
Performed in an office
213
times performed,
0.25% of his services

24th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

198
patients got this service, 32% of his patients
1.1
average number of visits a patient made for this service
$9,585an average of $45 per time performed $5,770
an average of $27 per time performed
medical
PATHOLOGY AND LABORATORY

Stool analysis for blood to screen for colon tumors

Service Code: 82270
Performed in an office
149
times performed,
0.18% of his services

25th 38th

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

149
patients got this service, 24% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,086an average of $14 per time performed $648
an average of $4 per time performed
drug
DRUGS

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

Service Code: J7060
Performed in an office
132
times performed,
0.16% of his services

26th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

44
patients got this service, 7% of his patients
2.8
average number of visits a patient made for this service
$1,980an average of $15 per time performed $123
an average of $1 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
121
times performed,
0.14% of his services

27th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
4.9
average number of visits a patient made for this service
$15,125an average of $125 per time performed $9,557
an average of $79 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
111
times performed,
0.13% of his services

28th 16th

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

90
patients got this service, 15% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$13,875an average of $125 per time performed $5,453
an average of $49 per time performed
medical
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
88
times performed,
0.1% of his services

29th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
2.1
average number of visits a patient made for this service
$6,600an average of $75 per time performed $2,525
an average of $29 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
77
times performed,
0.09% of his services

30th 45th

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

77
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,400an average of $200 per time performed $9,056
an average of $118 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
51
times performed,
0.06% of his services

31st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
2.8
average number of visits a patient made for this service
$714an average of $14 per time performed $174
an average of $3 per time performed
medical
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
47
times performed,
0.06% of his services

32nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

39
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
$3,525an average of $75 per time performed $1,450
an average of $31 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
45
times performed,
0.05% of his services

33rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

37
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
$9,000an average of $200 per time performed $4,489
an average of $100 per time performed
medical
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
40
times performed,
0.05% of his services

34th 20th

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

12
patients got this service, 2% of his patients
3.3
average number of visits a patient made for this service
(Peers: 2.7)
$1,600an average of $40 per time performed $756
an average of $19 per time performed
medical
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
37
times performed,
0.04% of his services

35th 49th

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

37
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$77,700an average of $2,100 per time performed $29,677
an average of $802 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
35
times performed,
0.04% of his services

36th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

27
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
$5,250an average of $150 per time performed $1,928
an average of $55 per time performed
medical
MEDICINE

Hydration infusion into a vein

Service Code: 96361
Performed in an office
29
times performed,
0.03% of his services

37th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
$2,900an average of $100 per time performed $329
an average of $11 per time performed
drug
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
23
times performed,
0.03% of his services

38th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
$345an average of $15 per time performed $12
an average of $1 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
21
times performed,
0.02% of his services

39th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

21
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$3,150an average of $150 per time performed $1,630
an average of $78 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
14
times performed,
0.02% of his services

40th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$4,200an average of $300 per time performed $2,079
an average of $148 per time performed
medical
PROCEDURES

Cervical or vaginal cancer screening; pelvic and clinical... +

Cervical or vaginal cancer screening; pelvic and clinical breast examination ×

Service Code: G0101
Performed in an office
14
times performed,
0.02% of his services

41st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
$1,050an average of $75 per time performed $502
an average of $36 per time performed
medical
TEMPORARY CODES

Screening papanicolaou smear; obtaining, preparing and co... +

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ×

Service Code: Q0091
Performed in an office
13
times performed,
0.02% of his services

42nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$728an average of $56 per time performed $548
an average of $42 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.

Randal John West
Average for Gynecologic Oncology Providers in Virginia

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.

Read our methodology.