Treatment Tracker
The Doctors and Services in Medicare Part B
This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.
How This Provider Compares
This Provider
Avg in State & Specialty
Providers in this state and specialty were reimbursed, on average, $208 per patient in 2015.
They performed about 6 services per patient. Here’s how this provider compares.
Number of
Patients
Services
Performed
Avg Services
Per Patient
Total Paid
by Medicare
Avg Paid
Per Patient
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 86 different services in 2015
(67 were redacted as they were performed on less than 11 patients)
Show Only:
CATEGORYDescription of Service |
Times Performed (or Units) | This Service's Rank | Patients | Unique Visits Per Patient |
Billed to Medicare | Payments from Medicare |
|---|---|---|---|---|---|---|
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 25 minutes × Service Code: 99214Performed in an office |
1,238 times performed, 41% of his services |
1st 1st most performed service for this provider most performed service in this state & specialty |
221 patients got this service, 94% of his patients |
5.6 average number of visits a patient made for this service (Peers: 2.3) |
$186,938.00an average of $151.00 per time performed |
$87,452.32 an average of $70.64 per time performed |
CARDIOVASCULAR SYSTEMInsertion of needle into vein for collection of blood sample + Insertion of needle into vein for collection of blood sample × Service Code: 36415Performed in an office |
322 times performed, 11% of his services |
2nd 4th most performed service for this provider most performed service in this state & specialty |
176 patients got this service, 75% of his patients |
1.8 average number of visits a patient made for this service (Peers: 1.6) |
$5,090.82an average of $15.81 per time performed |
$943.46 an average of $2.93 per time performed |
PATHOLOGY AND LABORATORYService Code: 85610Performed in an office |
219 times performed, 7% of his services |
3rd
most performed service for this provider 5 or fewer providers in this specialty in SC perform this service |
23 patients got this service, 10% of his patients |
9.5 average number of visits a patient made for this service |
$5,475.00an average of $25.00 per time performed |
$1,147.56 an average of $5.24 per time performed |
DRUGSInjection, dexamethasone sodium phosphate, 1mg Service Code: J1100Performed in an office |
164 times performed, 5% of his services |
4th 3rd most performed service for this provider most performed service in this state & specialty |
32 patients got this service, 14% of his patients |
1.3 average number of visits a patient made for this service (Peers: 1.1) |
$32.80an average of $0.20 per time performed |
$16.40 an average of $0.10 per time performed |
PATHOLOGY AND LABORATORYService Code: 83036Performed in an office |
115 times performed, 4% of his services |
5th 25th most performed service for this provider most performed service in this state & specialty |
47 patients got this service, 20% of his patients |
2.4 average number of visits a patient made for this service (Peers: 1.4) |
$2,875.00an average of $25.00 per time performed |
$1,489.25 an average of $12.95 per time performed |
TEMPORARY CODESInfluenza virus vaccine, split virus, when administered t... + Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) × Service Code: Q2037Performed in an office |
79 times performed, 3% of his services |
6th
most performed service for this provider 5 or fewer providers in this specialty in SC perform this service |
79 patients got this service, 34% of his patients |
1 average number of visits a patient made for this service |
$1,975.00an average of $25.00 per time performed |
$1,220.55 an average of $15.45 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 15 minutes × Service Code: 99213Performed in an office |
79 times performed, 3% of his services |
7th 2nd most performed service for this provider most performed service in this state & specialty |
62 patients got this service, 26% of his patients |
1.3 average number of visits a patient made for this service (Peers: 1.8) |
$7,900.00an average of $100.00 per time performed |
$3,656.12 an average of $46.28 per time performed |
PROCEDURESAdministration of influenza virus vaccine Service Code: G0008Performed in an office |
77 times performed, 3% of his services |
8th 7th most performed service for this provider most performed service in this state & specialty |
77 patients got this service, 33% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$2,310.00an average of $30.00 per time performed |
$1,791.02 an average of $23.26 per time performed |
PATHOLOGY AND LABORATORYManual urinalysis test with examination using microscope + Manual urinalysis test with examination using microscope × Service Code: 81000Performed in an office |
66 times performed, 2% of his services |
9th
most performed service for this provider 5 or fewer providers in this specialty in SC perform this service |
39 patients got this service, 17% of his patients |
1.7 average number of visits a patient made for this service |
$990.00an average of $15.00 per time performed |
$277.86 an average of $4.21 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 10 minutes × Service Code: 99212Performed in an office |
46 times performed, 2% of his services |
10th 15th most performed service for this provider most performed service in this state & specialty |
38 patients got this service, 16% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.5) |
$2,806.00an average of $61.00 per time performed |
$1,267.76 an average of $27.56 per time performed |
DRUGSInjection, methylprednisolone acetate, 80 mg Service Code: J1040Performed in an office |
40 times performed, 1% of his services |
11th 54th most performed service for this provider most performed service in this state & specialty |
23 patients got this service, 10% of his patients |
1.7 average number of visits a patient made for this service (Peers: 1.2) |
$600.00an average of $15.00 per time performed |
$193.60 an average of $4.84 per time performed |
PROCEDURESAdministration of pneumococcal vaccine Service Code: G0009Performed in an office |
37 times performed, 1% of his services |
12th 20th most performed service for this provider most performed service in this state & specialty |
34 patients got this service, 14% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1) |
$1,110.00an average of $30.00 per time performed |
$859.88 an average of $23.24 per time performed |
DRUGSInjection, ketorolac tromethamine, per 15 mg Service Code: J1885Performed in an office |
36 times performed, 1% of his services |
13th
most performed service for this provider 5 or fewer providers in this specialty in SC perform this service |
13 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service |
$14.40an average of $0.40 per time performed |
$10.08 an average of $0.28 per time performed |
MEDICINEInjection beneath the skin or into muscle for therapy, di... + Injection beneath the skin or into muscle for therapy, diagnosis, or prevention × Service Code: 96372Performed in an office |
33 times performed, 1% of his services |
14th 5th most performed service for this provider most performed service in this state & specialty |
19 patients got this service, 8% of his patients |
1.7 average number of visits a patient made for this service (Peers: 1.4) |
$825.00an average of $25.00 per time performed |
$484.44 an average of $14.68 per time performed |
MEDICINEPneumococcal vaccine for injection into muscle Service Code: 90670Performed in an office |
30 times performed, 1% of his services |
15th 22nd most performed service for this provider most performed service in this state & specialty |
30 patients got this service, 13% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$5,166.00an average of $172.20 per time performed |
$5,015.70 an average of $167.19 per time performed |
MUSCULOSKELETAL SYSTEMAspiration and/or injection of large joint or joint capsule + Aspiration and/or injection of large joint or joint capsule × Service Code: 20610Performed in an office |
27 times performed, 0.9% of his services |
16th
most performed service for this provider 5 or fewer providers in this specialty in SC perform this service |
16 patients got this service, 7% of his patients |
1.7 average number of visits a patient made for this service |
$3,645.00an average of $135.00 per time performed |
$1,023.03 an average of $37.89 per time performed |
PATHOLOGY AND LABORATORYUrine microalbumin (protein) analysis Service Code: 82044Performed in an office |
22 times performed, 0.73% of his services |
17th
most performed service for this provider 5 or fewer providers in this specialty in SC perform this service |
22 patients got this service, 9% of his patients |
1 average number of visits a patient made for this service |
$330.00an average of $15.00 per time performed |
$134.20 an average of $6.10 per time performed |
PROCEDURESAnnual wellness visit, includes a personalized prevention... + Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit × Service Code: G0439Performed in an office |
14 times performed, 0.47% of his services |
18th
most performed service for this provider 5 or fewer providers in this specialty in SC perform this service |
14 patients got this service, 6% of his patients |
1 average number of visits a patient made for this service |
$1,553.58an average of $110.97 per time performed |
$1,522.50 an average of $108.75 per time performed |
PROCEDURESAnnual wellness visit; includes a personalized prevention... + Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit × Service Code: G0438Performed in an office |
12 times performed, 0.4% of his services |
19th 33rd most performed service for this provider most performed service in this state & specialty |
12 patients got this service, 5% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$1,966.56an average of $163.88 per time performed |
$1,927.20 an average of $160.60 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.
This provider did not bill Medicare for any 5’s.
James Elwyn James
Average for General Practice Providers in South 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.