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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, $375 per patient in 2014.
They performed about 11 services per patient. Here’s how this provider compares.
Number of
Patients
1,401
Rank: 32nd
out of 431 providers in this state & specialty
Services
Performed
7,092
Rank: 58th
out of 431 providers in this state & specialty
Avg Services
Per Patient
5.1 This Provider
Avg 11.1
Total Paid
by Medicare
$315K
Rank: 60th
out of 431 providers in this state & specialty
Avg Paid
Per Patient
$225 This Provider
Avg $375

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

MARK ADKINS

JOHN HERLONG

WILLIAM KOZEL

TOBIN FINIZIO

ALAN KIROLLOS

Organizations

LABORATORY CORPORATION ...

LENOIR MEMORIAL HOSPITA...

Patients saw before

RALPH COX MD

Patients saw after

Individuals

MARK ADKINS

JOHN HERLONG

WILLIAM KOZEL

TOBIN FINIZIO

ALAN KIROLLOS

Organizations

LABORATORY CORPORATION ...

LENOIR MEMORIAL HOSPITA...

This Provider's Services

This provider performed 76 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
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81000
Performed in an office
1,877
times performed,
26% of his services

1st 37th

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

896
patients got this service, 64% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2)
$18,770an average of $10 per time performed $7,902
an average of $4 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
1,770
times performed,
25% of his services

2nd 3rd

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

912
patients got this service, 65% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.7)
$155,849an average of $88 per time performed $86,996
an average of $49 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
1,003
times performed,
14% of his services

3rd 19th

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

548
patients got this service, 39% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.5)
$61,303an average of $61 per time performed $29,227
an average of $29 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
503
times performed,
7% of his services

4th 63rd

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

122
patients got this service, 9% of his patients
4.1
average number of visits a patient made for this service
(Peers: 1.9)
$39,752an average of $79 per time performed $15,060
an average of $30 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
291
times performed,
4% of his services

5th 33rd

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

30
patients got this service, 2% of his patients
9.7
average number of visits a patient made for this service
(Peers: 3.1)
$7,275an average of $25 per time performed $4,976
an average of $17 per time performed
medical
URINARY SYSTEM

Diagnostic examination of the bladder and bladder canal (... +

Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope ×

Service Code: 52000
Performed in an office
234
times performed,
3% of his services

6th 128th

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

190
patients got this service, 14% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$71,370an average of $305 per time performed $33,609
an average of $144 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient assisted living visit, typically 15 m... +

Established patient assisted living visit, typically 15 minutes ×

Service Code: 99334
Performed in an office
172
times performed,
2% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

122
patients got this service, 9% of his patients
1.4
average number of visits a patient made for this service
$11,524an average of $67 per time performed $4,900
an average of $28 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
156
times performed,
2% of his services

8th 4th

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

135
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$19,988an average of $128 per time performed $11,920
an average of $76 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
128
times performed,
2% of his services

9th 79th

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

116
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$29,824an average of $233 per time performed $13,248
an average of $104 per time performed
medical
URINARY SYSTEM

Insertion of indwelling bladder catheter

Service Code: 51702
Performed in an office
108
times performed,
2% of his services

10th 364th

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

31
patients got this service, 2% of his patients
3.5
average number of visits a patient made for this service
(Peers: 2.2)
$10,866an average of $101 per time performed $5,316
an average of $49 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
101
times performed,
1% of his services

11th 29th

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

101
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,061an average of $139 per time performed $6,892
an average of $68 per time performed
medical
DRUGS

Unclassified drugs

Service Code: J3490
Performed in an office
99
times performed,
1% of his services

12th 220th

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

13
patients got this service, 0.93% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2.3)
$28,904an average of $292 per time performed $19,641
an average of $198 per time performed
drug
CHEMOTHERAPY DRUGS

Leuprolide acetate (for depot suspension), 7.5 mg

Service Code: J9217
Performed in an office
96
times performed,
1% of his services

13th 113th

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

12
patients got this service, 0.86% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$62,400an average of $650 per time performed $16,493
an average of $172 per time performed
medical
URINARY SYSTEM

Electronic assessment of bladder emptying

Service Code: 51741
Performed in an office
41
times performed,
0.58% of his services

14th 388th

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

34
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$6,724an average of $164 per time performed $405
an average of $10 per time performed
medical
URINARY SYSTEM

Removal of foreign body, stone, or stent from bladder can... +

Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope ×

Service Code: 52310
Performed in an office
39
times performed,
0.55% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

31
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
$29,250an average of $750 per time performed $6,766
an average of $173 per time performed
medical
URINARY SYSTEM

Insertion of stent in urinary duct (ureter) using an endo... +

Insertion of stent in urinary duct (ureter) using an endoscope ×

Service Code: 52332
Performed in a facility
38
times performed,
0.54% of his services

16th 485th

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

27
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$49,400an average of $1,300 per time performed $3,771
an average of $99 per time performed
medical
SKIN, HAIR AND NAILS

Insertion of hormone pellets beneath the skin

Service Code: 11980
Performed in an office
34
times performed,
0.48% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 0.93% of his patients
2.6
average number of visits a patient made for this service
$5,100an average of $150 per time performed $2,598
an average of $76 per time performed
medical
URINARY SYSTEM

Insertion of temporary bladder catheter

Service Code: 51701
Performed in an office
26
times performed,
0.37% of his services

18th 321st

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

23
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,950an average of $75 per time performed $878
an average of $34 per time performed
medical
NA

Crushing of stone in urinary duct (ureter) with stent usi... +

Crushing of stone in urinary duct (ureter) with stent using an endoscope ×

Service Code: 52356
Performed in a facility
25
times performed,
0.35% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

24
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$15,000an average of $600 per time performed $7,990
an average of $320 per time performed
medical
URINARY SYSTEM

Ultrasound measurement of bladder capacity after voiding +

Ultrasound measurement of bladder capacity after voiding ×

Service Code: 51798
Performed in an office
22
times performed,
0.31% of his services

20th 107th

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

11
patients got this service, 0.79% of his patients
2
average number of visits a patient made for this service
(Peers: 1.3)
$880an average of $40 per time performed $289
an average of $13 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
20
times performed,
0.28% of his services

21st 197th

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)
$3,160an average of $158 per time performed $1,102
an average of $55 per time performed
medical
RADIOLOGY

Ultrasound of rectum

Service Code: 76872
Performed in an office
17
times performed,
0.24% of his services

22nd 522nd

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

16
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$3,774an average of $222 per time performed $1,051
an average of $62 per time performed
medical
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
16
times performed,
0.23% of his services

23rd 147th

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.7)
$3,760an average of $235 per time performed $868
an average of $54 per time performed
medical
MALE GENITAL SYSTEM

Biopsy of prostate gland

Service Code: 55700
Performed in an office
15
times performed,
0.21% of his services

24th 493rd

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,000an average of $400 per time performed $2,409
an average of $161 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
13
times performed,
0.18% of his services

25th 68th

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

12
patients got this service, 0.86% of his patients
1.1
average number of visits a patient made for this service
(Peers: 3.8)
$442an average of $34 per time performed $194
an average of $15 per time performed
medical
URINARY SYSTEM

Removal or manipulation of stone in urinary duct (ureter)... +

Removal or manipulation of stone in urinary duct (ureter) or kidney using an endoscope ×

Service Code: 52352
Performed in a facility
12
times performed,
0.17% of his services

26th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 0.79% of his patients
1.1
average number of visits a patient made for this service
$21,732an average of $1,811 per time performed $1,179
an average of $98 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
11
times performed,
0.16% of his services

27th 112th

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

11
patients got this service, 0.79% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,441an average of $131 per time performed $606
an average of $55 per time performed
medical
URINARY SYSTEM

Insertion of catheter into urinary duct (ureter) using an... +

Insertion of catheter into urinary duct (ureter) using an endoscope ×

Service Code: 52005
Performed in a facility
11
times performed,
0.16% of his services

28th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 0.79% of his patients
1
average number of visits a patient made for this service
$4,125an average of $375 per time performed $1,126
an average of $102 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.

Ralph Lee Cox
Average for Specialist Providers in North Carolina

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.

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