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, $383 per patient in 2015.
They performed about 11 services per patient. Here’s how this provider compares.

Number of
Patients
1,320
Rank: 37th
out of 400 providers in this state & specialty
Services
Performed
7,195
Rank: 52nd
out of 400 providers in this state & specialty
Avg Services
Per Patient
5.5 This Provider
Avg 11.5
Total Paid
by Medicare
$338K
Rank: 53rd
out of 400 providers in this state & specialty
Avg Paid
Per Patient
$256 This Provider
Avg $383

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 95 different services in 2015
(71 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
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
2,177
times performed,
30% of his services

1st 40th

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

996
patients got this service, 75% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.9)
$20,115.48an average of $9.24 per time performed $9,121.63
an average of $4.19 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
1,497
times performed,
21% of his services

2nd 4th

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

848
patients got this service, 64% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$171,376.56an average of $114.48 per time performed $78,323.04
an average of $52.32 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
712
times performed,
10% of his services

3rd 19th

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

447
patients got this service, 34% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$50,281.44an average of $70.62 per time performed $22,463.60
an average of $31.55 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
346
times performed,
5% of his services

4th 74th

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

104
patients got this service, 8% of his patients
3.3
average number of visits a patient made for this service
(Peers: 1.9)
$29,046.70an average of $83.95 per time performed $10,283.12
an average of $29.72 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,
4% of his services

5th 6th

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

247
patients got this service, 19% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$48,375.21an average of $161.79 per time performed $23,501.40
an average of $78.60 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
285
times performed,
4% of his services

6th 93rd

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

131
patients got this service, 10% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.4)
$10,656.15an average of $37.39 per time performed $3,844.65
an average of $13.49 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
232
times performed,
3% of his services

7th 18th

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

101
patients got this service, 8% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2.7)
$33,294.32an average of $143.51 per time performed $12,771.60
an average of $55.05 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
232
times performed,
3% of his services

8th 39th

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

32
patients got this service, 2% of his patients
7.3
average number of visits a patient made for this service
(Peers: 3.1)
$11,502.56an average of $49.58 per time performed $4,196.88
an average of $18.09 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
217
times performed,
3% of his services

9th 132nd

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

191
patients got this service, 14% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$85,908.13an average of $395.89 per time performed $32,649.82
an average of $150.46 per time performed
medical
URINARY SYSTEM

Insertion of indwelling bladder catheter

Service Code: 51702
Performed in an office
136
times performed,
2% of his services

10th 322nd

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

39
patients got this service, 3% of his patients
3.5
average number of visits a patient made for this service
(Peers: 2.5)
$18,826.48an average of $138.43 per time performed $7,047.52
an average of $51.82 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
115
times performed,
2% of his services

11th 29th

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

115
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$19,205.00an average of $167.00 per time performed $8,968.85
an average of $77.99 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
105
times performed,
1% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

65
patients got this service, 5% of his patients
1.6
average number of visits a patient made for this service
$12,712.35an average of $121.07 per time performed $4,025.70
an average of $38.34 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
69
times performed,
0.96% of his services

13th 78th

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

65
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$17,822.01an average of $258.29 per time performed $7,187.04
an average of $104.16 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
66
times performed,
0.92% of his services

14th 171st

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

65
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,968.24an average of $211.64 per time performed $5,101.14
an average of $77.29 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
61
times performed,
0.85% of his services

15th 52nd

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

57
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$15,644.06an average of $256.46 per time performed $9,402.54
an average of $154.14 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
36
times performed,
0.5% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

29
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
$17,160.12an average of $476.67 per time performed $6,561.00
an average of $182.25 per time performed
medical

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
33
times performed,
0.46% of his services

17th 534th

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

29
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$28,146.03an average of $852.91 per time performed $10,925.97
an average of $331.09 per time performed
medical
SKIN, HAIR AND NAILS

Insertion of hormone pellets beneath the skin

Service Code: 11980
Performed in an office
32
times performed,
0.44% of his services

18th 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, 0.98% of his patients
2.5
average number of visits a patient made for this service
$6,420.16an average of $200.63 per time performed $2,252.80
an average of $70.40 per time performed
medical
DRUGS

Unclassified drugs

Service Code: J3490
Performed in an office
27
times performed,
0.38% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 0.91% of his patients
2.2
average number of visits a patient made for this service
$40,157.91an average of $1,487.33 per time performed $20,612.88
an average of $763.44 per time performed
medical
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
24
times performed,
0.33% of his services

20th 58th

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)
$3,037.92an average of $126.58 per time performed $1,230.72
an average of $51.28 per time performed
medical
URINARY SYSTEM

Insertion of temporary bladder catheter

Service Code: 51701
Performed in an office
23
times performed,
0.32% of his services

21st 315th

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

20
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$2,504.01an average of $108.87 per time performed $934.03
an average of $40.61 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
22
times performed,
0.31% of his services

22nd 519th

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

18
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$21,030.02an average of $955.91 per time performed $2,480.72
an average of $112.76 per time performed
medical
MALE GENITAL SYSTEM

Biopsy of prostate gland

Service Code: 55700
Performed in an office
14
times performed,
0.19% of his services

23rd 505th

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,055.98an average of $432.57 per time performed $2,227.40
an average of $159.10 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
14
times performed,
0.19% of his services

24th 341st

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$1,933.96an average of $138.14 per time performed $631.40
an average of $45.10 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 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.