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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, $234 per patient in 2012.
They performed about 7 services per patient. Here’s how this provider compares.
Number of
Patients
1,641
Rank: 4th
out of 303 providers in this state & specialty
Services
Performed
8,221
Rank: 57th
out of 303 providers in this state & specialty
Avg Services
Per Patient
5 This Provider
Avg 6.9
Total Paid
by Medicare
$351K
Rank: 18th
out of 303 providers in this state & specialty
Avg Paid
Per Patient
$214 This Provider
Avg $234

Office Visits

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Top Billing

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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 L. Cox
Average for Urology Providers in North Carolina

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Individuals

MARK ADKINS

TOBIN FINIZIO

JOHN HERLONG

WILLIAM KOZEL

ROBERT GALLAHER

Organizations

LABORATORY CORPORATION ...

LENOIR MEMORIAL HOSPITA...

Patients saw before

Ralph L. Cox

Patients saw after

Individuals

MARK ADKINS

TOBIN FINIZIO

JOHN HERLONG

WILLIAM KOZEL

ROBERT GALLAHER

Organizations

LABORATORY CORPORATION ...

LENOIR MEMORIAL HOSPITA...

This Provider's Services

This provider performed 31 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81000
Performed in an office
2,147
times performed,
26% of his services

1st 4th

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

1,039
patients got this service, 63% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2)
$21,470an average of $10 per time performed $8,588
an average of $4 per time performed
EVALUATION AND MANAGEMENT

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

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

Service Code: 99213
Performed in an office
1,746
times performed,
21% of his services

2nd 2nd

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

996
patients got this service, 61% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.6)
$153,648an average of $88 per time performed $83,808
an average of $48 per time performed
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
1,356
times performed,
16% of his services

3rd 15th

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

716
patients got this service, 44% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.4)
$82,716an average of $61 per time performed $40,680
an average of $30 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
584
times performed,
7% of his services

4th 38th

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

176
patients got this service, 11% of his patients
3.3
average number of visits a patient made for this service
(Peers: 1.8)
$46,136an average of $79 per time performed $16,936
an average of $29 per time performed
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
300
times performed,
4% of his services

5th 14th

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

246
patients got this service, 15% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$91,500an average of $305 per time performed $45,000
an average of $150 per time performed
MEDICINE

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

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

Service Code: 96372
Performed in an office
256
times performed,
3% of his services

6th 21st

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

32
patients got this service, 2% of his patients
8
average number of visits a patient made for this service
(Peers: 2.9)
$6,400an average of $25 per time performed $4,352
an average of $17 per time performed
DRUGS

Unclassified drugs

Service Code: J3490
Performed in an office
251
times performed,
3% of his services

7th 71st

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

18
patients got this service, 1% of his patients
2.8
average number of visits a patient made for this service
(Peers: 1.7)
$41,164an average of $164 per time performed $27,610
an average of $110 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
203
times performed,
2% of his services

8th 55th

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

187
patients got this service, 11% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$47,299an average of $233 per time performed $20,706
an average of $102 per time performed
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
187
times performed,
2% of his services

9th Alert

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

130
patients got this service, 8% of his patients
1.4
average number of visits a patient made for this service
$12,529an average of $67 per time performed $6,545
an average of $35 per time performed
URINARY SYSTEM

Insertion of indwelling bladder catheter

Service Code: 51702
Performed in an office
155
times performed,
2% of his services

10th 47th

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

41
patients got this service, 2% of his patients
3.8
average number of visits a patient made for this service
(Peers: 2)
$15,500an average of $100 per time performed $8,215
an average of $53 per time performed
EVALUATION AND MANAGEMENT

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

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

Service Code: 99214
Performed in an office
123
times performed,
1% of his services

11th 3rd

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

112
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$15,744an average of $128 per time performed $8,856
an average of $72 per time performed
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
123
times performed,
1% of his services

12th Alert

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

25
patients got this service, 2% of his patients
4.9
average number of visits a patient made for this service
$8,364an average of $68 per time performed $4,059
an average of $33 per time performed
CHEMOTHERAPY DRUGS

Leuprolide acetate for depot suspension (lupron), 7.5 mg +

Leuprolide acetate for depot suspension (lupron), 7.5 mg ×

Service Code: J9217
Performed in an office
97
times performed,
1% of his services

13th 13th

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

15
patients got this service, 0.91% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.7)
$63,050an average of $650 per time performed $16,684
an average of $172 per time performed
EVALUATION AND MANAGEMENT

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

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

Service Code: 99203
Performed in an office
90
times performed,
1% of his services

14th 22nd

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

90
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,600an average of $140 per time performed $5,850
an average of $65 per time performed
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
80
times performed,
0.97% of his services

15th 32nd

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

46
patients got this service, 3% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.3)
$104,000an average of $1,300 per time performed $6,880
an average of $86 per time performed
URINARY SYSTEM

Electronic assessment of bladder emptying

Service Code: 51741
Performed in an office
79
times performed,
0.96% of his services

16th 20th

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

59
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$12,956an average of $164 per time performed $1,185
an average of $15 per time performed
URINARY SYSTEM

Insertion of temporary bladder catheter

Service Code: 51701
Performed in an office
64
times performed,
0.78% of his services

17th 30th

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

56
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$4,800an average of $75 per time performed $2,368
an average of $37 per time performed
SKIN, HAIR AND NAILS

Insertion of hormone pellets beneath the skin

Service Code: 11980
Performed in an office
51
times performed,
0.62% of his services

18th 95th

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

18
patients got this service, 1% of his patients
2.8
average number of visits a patient made for this service
(Peers: 1.7)
$7,650an average of $150 per time performed $3,978
an average of $78 per time performed
URINARY SYSTEM

Ultrasound measurement of bladder capacity after voiding +

Ultrasound measurement of bladder capacity after voiding ×

Service Code: 51798
Performed in an office
45
times performed,
0.55% of his services

19th 7th

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

29
patients got this service, 2% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$1,800an average of $40 per time performed $585
an average of $13 per time performed
DRUGS

Injection, garamycin, gentamicin, up to 80 mg

Service Code: J1580
Performed in an office
37
times performed,
0.45% of his services

20th 59th

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

23
patients got this service, 1% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.3)
$481an average of $13 per time performed $37
an average of $1 per time performed
URINARY SYSTEM

Crushing of stone in urinary duct (ureter) using an endos... +

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

Service Code: 52353
Performed in a facility
34
times performed,
0.41% of his services

21st 77th

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

27
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$76,942an average of $2,263 per time performed $11,152
an average of $328 per time performed
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
30
times performed,
0.36% of his services

22nd 26th

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

29
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$1,020an average of $34 per time performed $390
an average of $13 per time performed
RADIOLOGY

Ultrasound of rectum

Service Code: 76872
Performed in an office
29
times performed,
0.35% of his services

23rd 34th

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

29
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,438an average of $222 per time performed $2,639
an average of $91 per time performed
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
28
times performed,
0.34% of his services

24th 36th

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

28
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$6,580an average of $235 per time performed $4,284
an average of $153 per time performed
MALE GENITAL SYSTEM

Biopsy of prostate gland

Service Code: 55700
Performed in an office
27
times performed,
0.33% of his services

25th 43rd

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

27
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,800an average of $400 per time performed $4,293
an average of $159 per time performed
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
24
times performed,
0.29% of his services

26th 70th

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

21
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$18,000an average of $750 per time performed $4,512
an average of $188 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
22
times performed,
0.27% of his services

27th Alert

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

16
patients got this service, 0.98% of his patients
1.4
average number of visits a patient made for this service
$2,882an average of $131 per time performed $1,188
an average of $54 per time performed
URINARY SYSTEM

Destruction of (less than 0.5 centimeters) growths of the... +

Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope ×

Service Code: 52224
Performed in an office
14
times performed,
0.17% of his services

28th 119th

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

12
patients got this service, 0.73% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$15,260an average of $1,090 per time performed $6,972
an average of $498 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 2... +

New patient office or other outpatient visit, typically 20 minutes ×

Service Code: 99202
Performed in an office
14
times performed,
0.17% of his services

29th 92nd

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

14
patients got this service, 0.85% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,456an average of $104 per time performed $770
an average of $55 per time performed
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
13
times performed,
0.16% of his services

30th 74th

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

13
patients got this service, 0.79% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$3,380an average of $260 per time performed $1,963
an average of $151 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in a facility
12
times performed,
0.15% of his services

31st Alert

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

11
patients got this service, 0.67% of his patients
1.1
average number of visits a patient made for this service
$2,040an average of $170 per time performed $804
an average of $67 per time performed

Sources: Centers for Medicare and Medicaid Services, National Plan and Provider Enumeration System, American Medical Association

Services that begin with a letter come from CMS. All other codes and descriptions of the medical procedures are from the Current Procedural Terminology (CPT®) code set, copyright 2013 American Medical Association. All rights reserved. Where practical, AMA’s consumer friendly translation of the CPT descriptor was used. ProPublica has received permission from the AMA to use these codes on this site.

Notes: This provider has a self-reported specialty of "Specialist." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

Incorrect Info? If you are a provider and you believe your address is incorrect, check the listing you created on the National Provider Identifier registry. If you change your listing, send a note to checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. Here's a link to Medicare's data on this provider.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.