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, $582 per patient in 2015.
They performed about 15 services per patient. Here’s how this provider compares.

Number of
Patients
381
Rank: 61st
out of 135 providers in this state & specialty
Services
Performed
3,979
Rank: 62nd
out of 135 providers in this state & specialty
Avg Services
Per Patient
10.4 This Provider
Avg 15.5
Total Paid
by Medicare
$203K
Rank: 64th
out of 135 providers in this state & specialty
Avg Paid
Per Patient
$534 This Provider
Avg $582

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, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
1,235
times performed,
31% of his services

1st 6th

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

41
patients got this service, 11% of his patients
2
average number of visits a patient made for this service
(Peers: 1.6)
$8,225.10an average of $6.66 per time performed $135.85
an average of $0.11 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
630
times performed,
16% of his services

2nd 2nd

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

249
patients got this service, 65% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.8)
$137,963.70an average of $218.99 per time performed $33,944.40
an average of $53.88 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
274
times performed,
7% of his services

3rd 3rd

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

159
patients got this service, 42% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.5)
$89,318.52an average of $325.98 per time performed $21,322.68
an average of $77.82 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64484
Performed in a facility
257
times performed,
6% of his services

4th 33rd

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

97
patients got this service, 25% of his patients
2.6
average number of visits a patient made for this service
(Peers: 1.6)
$75,342.12an average of $293.16 per time performed $12,158.67
an average of $47.31 per time performed
medical
NERVOUS SYSTEM

Injections of anesthetic and/or steroid drug into lower o... +

Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance ×

Service Code: 64483
Performed in a facility
252
times performed,
6% of his services

5th 27th

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

97
patients got this service, 25% of his patients
2.6
average number of visits a patient made for this service
(Peers: 1.7)
$188,909.28an average of $749.64 per time performed $26,087.04
an average of $103.52 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
157
times performed,
4% of his services

6th 31st

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

157
patients got this service, 41% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$77,884.56an average of $496.08 per time performed $18,987.58
an average of $120.94 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
135
times performed,
3% of his services

7th 36th

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

135
patients got this service, 35% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$43,544.25an average of $322.55 per time performed $10,783.80
an average of $79.88 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64493
Performed in a facility
104
times performed,
3% of his services

8th 47th

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

58
patients got this service, 15% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.4)
$68,948.88an average of $662.97 per time performed $10,965.76
an average of $105.44 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64494
Performed in a facility
103
times performed,
3% of his services

9th 52nd

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

57
patients got this service, 15% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.4)
$34,368.01an average of $333.67 per time performed $6,281.97
an average of $60.99 per time performed
medical
NERVOUS SYSTEM

Injections of lower or sacral spine facet joint using ima... +

Injections of lower or sacral spine facet joint using imaging guidance ×

Service Code: 64495
Performed in a facility
103
times performed,
3% of his services

10th 69th

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

57
patients got this service, 15% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.4)
$34,502.94an average of $334.98 per time performed $6,365.40
an average of $61.80 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves with imaging guidance ×

Service Code: 64636
Performed in a facility
96
times performed,
2% of his services

11th 44th

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

27
patients got this service, 7% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.5)
$49,755.84an average of $518.29 per time performed $4,579.20
an average of $47.70 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
78
times performed,
2% of his services

12th 43rd

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

30
patients got this service, 8% of his patients
2.6
average number of visits a patient made for this service
(Peers: 1.6)
$17,318.34an average of $222.03 per time performed $4,107.48
an average of $52.66 per time performed
drug
DRUGS

Hyaluronan or derivative, hyalgan or supartz, for intra-a... +

Hyaluronan or derivative, hyalgan or supartz, for intra-articular injection, per dose ×

Service Code: J7321
Performed in an office
76
times performed,
2% of his services

13th 82nd

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

14
patients got this service, 4% of his patients
4.3
average number of visits a patient made for this service
(Peers: 4)
$18,927.80an average of $249.05 per time performed $5,125.44
an average of $67.44 per time performed
medical
NERVOUS SYSTEM

Injections of substances into upper or middle spine

Service Code: 62310
Performed in a facility
69
times performed,
2% of his services

14th 68th

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

30
patients got this service, 8% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.5)
$47,512.02an average of $688.58 per time performed $5,867.07
an average of $85.03 per time performed
medical
NERVOUS SYSTEM

Destruction of lower or sacral spinal facet joint nerves ... +

Destruction of lower or sacral spinal facet joint nerves using imaging guidance ×

Service Code: 64635
Performed in a facility
51
times performed,
1% of his services

15th 66th

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

29
patients got this service, 8% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.5)
$63,867.30an average of $1,252.30 per time performed $9,038.22
an average of $177.22 per time performed
medical

Aspiration and/or injection of major joint or joint capsu... +

Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance ×

Service Code: 20611
Performed in an office
51
times performed,
1% of his services

16th 73rd

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

19
patients got this service, 5% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2)
$14,280.00an average of $280.00 per time performed $3,996.36
an average of $78.36 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64490
Performed in a facility
42
times performed,
1% of his services

17th 88th

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

25
patients got this service, 7% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$32,083.38an average of $763.89 per time performed $4,835.88
an average of $115.14 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64491
Performed in a facility
42
times performed,
1% of his services

18th 91st

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

25
patients got this service, 7% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$15,836.10an average of $377.05 per time performed $2,741.76
an average of $65.28 per time performed
medical
NERVOUS SYSTEM

Injections of upper or middle spine facet joint using ima... +

Injections of upper or middle spine facet joint using imaging guidance ×

Service Code: 64492
Performed in a facility
41
times performed,
1% of his services

19th 107th

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

24
patients got this service, 6% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$15,608.29an average of $380.69 per time performed $2,725.27
an average of $66.47 per time performed
medical

Aspiration and/or injection of major joint or joint capsu... +

Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance ×

Service Code: 20611
Performed in a facility
26
times performed,
0.65% of his services

20th 137th

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

12
patients got this service, 3% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.8)
$6,906.38an average of $265.63 per time performed $1,263.60
an average of $48.60 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.

Alan Douglas Silberberg
Average for Interventional Pain Medicine Providers in Texas

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.