Treatment Tracker

The Doctors and Services in Medicare Part B

This Provider: At A Glance

We aren’t showing our typical comparisons because this provider had an address in a different state in 2015.

Number of
Patients
503
Services
Performed
19,595
Avg Services
Per Patient
39
Total Paid
by Medicare
$237K
Avg Paid
Per Patient
$471

Note: About 23% 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.

This Provider's Services

This provider performed 38 different services in 2015
(18 were redacted as they were performed on less than 11 patients)

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, darbepoetin alfa, 1 microgram (non-esrd use)

Service Code: J0881
Performed in an office
16,910
times performed,
86% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

20
patients got this service, 4% of his patients
4.6
average number of visits a patient made for this service
$136,801.90an average of $8.09 per time performed $53,266.50
an average of $3.15 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
446
times performed,
2% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

136
patients got this service, 27% of his patients
2.7
average number of visits a patient made for this service
$66,213.16an average of $148.46 per time performed $24,726.24
an average of $55.44 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
341
times performed,
2% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

231
patients got this service, 46% of his patients
1.5
average number of visits a patient made for this service
$6,820.00an average of $20.00 per time performed $1,152.58
an average of $3.38 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
299
times performed,
2% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

143
patients got this service, 28% of his patients
2.1
average number of visits a patient made for this service
$64,811.24an average of $216.76 per time performed $23,008.05
an average of $76.95 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
261
times performed,
1% of his services

5th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

190
patients got this service, 38% of his patients
1.4
average number of visits a patient made for this service
$36,887.13an average of $141.33 per time performed $12,642.84
an average of $48.44 per time performed
medical
MEDICINE

Hemodialysis procedure with one physician evaluation

Service Code: 90935
Performed in a facility
232
times performed,
1% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

69
patients got this service, 14% of his patients
3.4
average number of visits a patient made for this service
$82,592.00an average of $356.00 per time performed $13,036.08
an average of $56.19 per time performed
medical
MEDICINE

Dialysis services, per day (less than full month service)... +

Dialysis services, per day (less than full month service), patient 20 years of age or older ×

Service Code: 90970
Performed in an office
188
times performed,
0.96% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
$7,903.52an average of $42.04 per time performed $1,135.52
an average of $6.04 per time performed
medical
MEDICINE

Dialysis services (2-3 physician visits per month), patie... +

Dialysis services (2-3 physician visits per month), patient 20 years of age and older ×

Service Code: 90961
Performed in an office
181
times performed,
0.92% of his services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

38
patients got this service, 8% of his patients
4.8
average number of visits a patient made for this service
$140,999.00an average of $779.00 per time performed $32,766.43
an average of $181.03 per time performed
medical
MEDICINE

Dialysis services (4 or more physician visits per month),... +

Dialysis services (4 or more physician visits per month), patient 20 years of age and older ×

Service Code: 90960
Performed in an office
111
times performed,
0.57% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

31
patients got this service, 6% of his patients
3.6
average number of visits a patient made for this service
$105,339.00an average of $949.00 per time performed $24,370.05
an average of $219.55 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
99
times performed,
0.51% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

83
patients got this service, 17% of his patients
1.2
average number of visits a patient made for this service
$9,603.00an average of $97.00 per time performed $2,943.27
an average of $29.73 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
92
times performed,
0.47% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

85
patients got this service, 17% of his patients
1.1
average number of visits a patient made for this service
$32,568.00an average of $354.00 per time performed $14,494.60
an average of $157.55 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
92
times performed,
0.47% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

20
patients got this service, 4% of his patients
4.6
average number of visits a patient made for this service
$5,888.00an average of $64.00 per time performed $1,681.76
an average of $18.28 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
63
times performed,
0.32% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

56
patients got this service, 11% of his patients
1.1
average number of visits a patient made for this service
$18,086.04an average of $287.08 per time performed $6,501.60
an average of $103.20 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
45
times performed,
0.23% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

31
patients got this service, 6% of his patients
1.5
average number of visits a patient made for this service
$6,975.00an average of $155.00 per time performed $2,507.85
an average of $55.73 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
40
times performed,
0.2% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

40
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
$12,840.00an average of $321.00 per time performed $4,598.00
an average of $114.95 per time performed
medical
MEDICINE

Dialysis services (1 physician visit per month), patient ... +

Dialysis services (1 physician visit per month), patient 20 years of age and older ×

Service Code: 90962
Performed in an office
40
times performed,
0.2% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

25
patients got this service, 5% of his patients
1.6
average number of visits a patient made for this service
$22,520.00an average of $563.00 per time performed $5,688.80
an average of $142.22 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
35
times performed,
0.18% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 2% of his patients
2.9
average number of visits a patient made for this service
$595.00an average of $17.00 per time performed $102.90
an average of $2.94 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 30 minutes per... +

Initial hospital inpatient care, typically 30 minutes per day ×

Service Code: 99221
Performed in a facility
20
times performed,
0.1% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

19
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$4,240.00an average of $212.00 per time performed $1,582.00
an average of $79.10 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
19
times performed,
0.1% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$3,705.00an average of $195.00 per time performed $1,537.86
an average of $80.94 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
14
times performed,
0.07% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$5,644.94an average of $403.21 per time performed $2,227.54
an average of $159.11 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.

Matthew John Novak
Average for Nephrology Providers in Pennsylvania

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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. 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 2015 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.