Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $266 per patient in 2015.
They performed about 9 services per patient. Here’s how this provider compares.

Number of
Patients
1,415
Rank: 48th
out of 1,056 providers in this state & specialty
Services
Performed
19,149
Rank: 48th
out of 1,056 providers in this state & specialty
Avg Services
Per Patient
13.5 This Provider
Avg 8.6
Total Paid
by Medicare
$467K
Rank: 42nd
out of 1,056 providers in this state & specialty
Avg Paid
Per Patient
$330 This Provider
Avg $266

Note: About 12% 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 105 different services in 2015
(47 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

Injection, testosterone cypionate, 1mg

Service Code: J1071
Performed in an office
3,000
times performed,
16% of his services

1st 1st

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

11
patients got this service, 0.78% of his patients
1.4
average number of visits a patient made for this service
(Peers: 6.3)
$240.00an average of $0.08 per time performed $60.00
an average of $0.02 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
1,773
times performed,
9% of his services

2nd 5th

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

930
patients got this service, 66% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2)
$10,638.00an average of $6.00 per time performed $5,212.62
an average of $2.94 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
1,244
times performed,
6% of his services

3rd 10th

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

801
patients got this service, 57% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.7)
$34,832.00an average of $28.00 per time performed $14,505.04
an average of $11.66 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
1,156
times performed,
6% of his services

4th 12th

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

784
patients got this service, 55% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$38,148.00an average of $33.00 per time performed $15,571.32
an average of $13.47 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
920
times performed,
5% of his services

5th 17th

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

714
patients got this service, 50% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$30,360.00an average of $33.00 per time performed $20,562.00
an average of $22.35 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
866
times performed,
5% of his services

6th 2nd

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

666
patients got this service, 47% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.4)
$116,910.00an average of $135.00 per time performed $56,861.56
an average of $65.66 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
803
times performed,
4% of his services

7th 4th

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

559
patients got this service, 40% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.1)
$73,073.00an average of $91.00 per time performed $36,624.83
an average of $45.61 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
801
times performed,
4% of his services

8th 8th

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

690
patients got this service, 49% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$14,418.00an average of $18.00 per time performed $8,282.34
an average of $10.34 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
674
times performed,
4% of his services

9th 42nd

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

636
patients got this service, 45% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$4,044.00an average of $6.00 per time performed $2,291.60
an average of $3.40 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
619
times performed,
3% of his services

10th 3rd

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

216
patients got this service, 15% of his patients
2.9
average number of visits a patient made for this service
(Peers: 2.7)
$57,381.30an average of $92.70 per time performed $32,924.61
an average of $53.19 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
539
times performed,
3% of his services

11th 16th

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

188
patients got this service, 13% of his patients
2.9
average number of visits a patient made for this service
(Peers: 2.7)
$28,448.42an average of $52.78 per time performed $15,614.83
an average of $28.97 per time performed
medical
RADIOLOGY

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

Service Code: 71020
Performed in an office
533
times performed,
3% of his services

12th 27th

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

521
patients got this service, 37% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$36,777.00an average of $69.00 per time performed $8,943.74
an average of $16.78 per time performed
medical
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in an office
523
times performed,
3% of his services

13th 29th

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

523
patients got this service, 37% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$74,789.00an average of $143.00 per time performed $56,028.99
an average of $107.13 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
494
times performed,
3% of his services

14th 62nd

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

492
patients got this service, 35% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$5,434.00an average of $11.00 per time performed $3,793.92
an average of $7.68 per time performed
medical
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
494
times performed,
3% of his services

15th 44th

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

492
patients got this service, 35% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$4,940.00an average of $10.00 per time performed $3,393.78
an average of $6.87 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
482
times performed,
3% of his services

16th 22nd

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

152
patients got this service, 11% of his patients
3.2
average number of visits a patient made for this service
(Peers: 6.5)
$4,338.00an average of $9.00 per time performed $2,506.40
an average of $5.20 per time performed
medical
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
445
times performed,
2% of his services

17th 28th

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

442
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$25,810.00an average of $58.00 per time performed $4,583.50
an average of $10.30 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
339
times performed,
2% of his services

18th 15th

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

202
patients got this service, 14% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.8)
$6,441.00an average of $19.00 per time performed $4,359.54
an average of $12.86 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
288
times performed,
2% of his services

19th 32nd

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

284
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,928.00an average of $31.00 per time performed $6,442.56
an average of $22.37 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
270
times performed,
1% of his services

20th 34th

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

268
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$47,250.00an average of $175.00 per time performed $45,759.60
an average of $169.48 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
241
times performed,
1% of his services

21st 19th

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

240
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,471.00an average of $31.00 per time performed $5,463.47
an average of $22.67 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
235
times performed,
1% of his services

22nd 52nd

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

234
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,310.55an average of $48.13 per time performed $8,335.45
an average of $35.47 per time performed
medical
PROCEDURES

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

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

Service Code: G0103
Performed in an office
228
times performed,
1% of his services

23rd 73rd

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

228
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,120.00an average of $40.00 per time performed $5,592.84
an average of $24.53 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
223
times performed,
1% of his services

24th 25th

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

159
patients got this service, 11% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$21,717.97an average of $97.39 per time performed $12,035.31
an average of $53.97 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
183
times performed,
0.96% of his services

25th 20th

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

167
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$47,223.15an average of $258.05 per time performed $27,063.87
an average of $147.89 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
181
times performed,
0.95% of his services

26th 7th

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

100
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2)
$5,611.00an average of $31.00 per time performed $2,975.64
an average of $16.44 per time performed
medical
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 imple ×

Service Code: G0180
Performed in an office
103
times performed,
0.54% of his services

27th 55th

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

83
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$8,652.00an average of $84.00 per time performed $3,952.11
an average of $38.37 per time performed
drug
DRUGS

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

Service Code: J3420
Performed in an office
101
times performed,
0.53% of his services

28th 35th

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

50
patients got this service, 4% of his patients
2
average number of visits a patient made for this service
(Peers: 3.2)
$1,313.00an average of $13.00 per time performed $213.11
an average of $2.11 per time performed
drug
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
100
times performed,
0.52% of his services

29th 11th

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

23
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$350.00an average of $3.50 per time performed $10.00
an average of $0.10 per time performed
drug
DRUGS

Injection, ceftriaxone sodium, per 250 mg

Service Code: J0696
Performed in an office
88
times performed,
0.46% of his services

30th 14th

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

38
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$1,496.00an average of $17.00 per time performed $46.64
an average of $0.53 per time performed
medical

Transitional care management services, moderately complex... +

Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge ×

Service Code: 99495
Performed in an office
77
times performed,
0.4% of his services

31st 114th

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

68
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$13,937.00an average of $181.00 per time performed $8,831.13
an average of $114.69 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
73
times performed,
0.38% of his services

32nd 33rd

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

59
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$1,606.00an average of $22.00 per time performed $816.87
an average of $11.19 per time performed
medical
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 im ×

Service Code: G0179
Performed in an office
72
times performed,
0.38% of his services

33rd 64th

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

37
patients got this service, 3% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.8)
$5,040.00an average of $70.00 per time performed $2,045.52
an average of $28.41 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
70
times performed,
0.37% of his services

34th 38th

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

63
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$2,030.00an average of $29.00 per time performed $841.40
an average of $12.02 per time performed
medical
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
68
times performed,
0.36% of his services

35th 49th

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

64
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,904.00an average of $28.00 per time performed $1,366.80
an average of $20.10 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 10 minutes p... +

Subsequent nursing facility visit, typically 10 minutes per day ×

Service Code: 99307
Performed in a facility
67
times performed,
0.35% of his services

36th 69th

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

40
patients got this service, 3% of his patients
1.7
average number of visits a patient made for this service
(Peers: 3.6)
$3,819.00an average of $57.00 per time performed $1,927.59
an average of $28.77 per time performed
medical
PATHOLOGY AND LABORATORY

Iron level

Service Code: 83540
Performed in an office
60
times performed,
0.31% of his services

37th 89th

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

54
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$720.00an average of $12.00 per time performed $517.80
an average of $8.63 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
58
times performed,
0.3% of his services

38th 94th

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

55
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$13,746.00an average of $237.00 per time performed $7,813.18
an average of $134.71 per time performed
medical
PATHOLOGY AND LABORATORY

Ferritin (blood protein) level

Service Code: 82728
Performed in an office
57
times performed,
0.3% of his services

39th 98th

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

53
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,425.00an average of $25.00 per time performed $1,035.69
an average of $18.17 per time performed
medical
PATHOLOGY AND LABORATORY

Folic acid level

Service Code: 82746
Performed in an office
50
times performed,
0.26% of his services

40th 106th

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

46
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,350.00an average of $27.00 per time performed $834.00
an average of $16.68 per time performed
medical
PATHOLOGY AND LABORATORY

Transferrin (iron binding protein) level

Service Code: 84466
Performed in an office
48
times performed,
0.25% of his services

41st 180th

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

45
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,728.00an average of $36.00 per time performed $817.44
an average of $17.03 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
45
times performed,
0.23% of his services

42nd 81st

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

42
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$4,129.20an average of $91.76 per time performed $2,413.80
an average of $53.64 per time performed
medical
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
39
times performed,
0.2% of his services

43rd 13th

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

34
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,111.50an average of $28.50 per time performed $246.87
an average of $6.33 per time performed
medical

Transitional care management services, highly complexity,... +

Transitional care management services, highly complexity, requiring face-to-face visits within 7 days of discharge ×

Service Code: 99496
Performed in an office
32
times performed,
0.17% of his services

44th 130th

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

32
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$8,192.00an average of $256.00 per time performed $5,456.64
an average of $170.52 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
26
times performed,
0.14% of his services

45th 6th

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

21
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.3)
$3,357.90an average of $129.15 per time performed $1,959.62
an average of $75.37 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
24
times performed,
0.13% of his services

46th 107th

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

24
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$960.00an average of $40.00 per time performed $588.72
an average of $24.53 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent observation care, typically 25 minutes per day +

Subsequent observation care, typically 25 minutes per day ×

Service Code: 99225
Performed in a facility
21
times performed,
0.11% of his services

47th 146th

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

14
patients got this service, 0.99% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$1,953.00an average of $93.00 per time performed $1,150.59
an average of $54.79 per time performed
medical
PROCEDURES

Initial preventive physical examination; face-to-face vis... +

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment ×

Service Code: G0402
Performed in an office
20
times performed,
0.1% of his services

48th 157th

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

20
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,160.00an average of $208.00 per time performed $3,057.60
an average of $152.88 per time performed
drug
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
19
times performed,
0.1% of his services

49th 96th

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

19
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,691.00an average of $89.00 per time performed $1,458.63
an average of $76.77 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
18
times performed,
0.09% of his services

50th 70th

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

18
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,438.00an average of $191.00 per time performed $660.78
an average of $36.71 per time performed
medical
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
14
times performed,
0.07% of his services

51st 90th

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

14
patients got this service, 0.99% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$154.00an average of $11.00 per time performed $66.08
an average of $4.72 per time performed
medical
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
14
times performed,
0.07% of his services

52nd 68th

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

14
patients got this service, 0.99% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$434.00an average of $31.00 per time performed $228.90
an average of $16.35 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent observation care, typically 15 minutes per day +

Subsequent observation care, typically 15 minutes per day ×

Service Code: 99224
Performed in a facility
14
times performed,
0.07% of his services

53rd 292nd

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

12
patients got this service, 0.85% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$714.00an average of $51.00 per time performed $416.08
an average of $29.72 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
13
times performed,
0.07% of his services

54th 36th

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

13
patients got this service, 0.92% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,273.96an average of $174.92 per time performed $1,339.00
an average of $103.00 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation or inpatient care high severity, 55 ... +

Hospital observation or inpatient care high severity, 55 minutes per day ×

Service Code: 99236
Performed in a facility
12
times performed,
0.06% of his services

55th 230th

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

11
patients got this service, 0.78% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$3,360.00an average of $280.00 per time performed $1,952.64
an average of $162.72 per time performed
medical
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
12
times performed,
0.06% of his services

56th 63rd

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

11
patients got this service, 0.78% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$780.00an average of $65.00 per time performed $473.76
an average of $39.48 per time performed
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
11
times performed,
0.06% of his services

57th 60th

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

11
patients got this service, 0.78% of his patients
1
average number of visits a patient made for this service
(Peers: 4.6)
$385.00an average of $35.00 per time performed $100.98
an average of $9.18 per time performed
medical
PROCEDURES

Annual depression screening, 15 minutes

Service Code: G0444
Performed in an office
11
times performed,
0.06% of his services

58th 127th

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

11
patients got this service, 0.78% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$253.00an average of $23.00 per time performed $181.17
an average of $16.47 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.

Scott R Fulgham
Average for Internal Medicine Providers in Alabama

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.