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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, $185 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
634
Rank: 212th
out of 2,166 providers in this state & specialty
Services
Performed
6,538
Rank: 93rd
out of 2,166 providers in this state & specialty
Avg Services
Per Patient
10.3 This Provider is in the top 10%
Avg 5
Total Paid
by Medicare
$218K
Rank: 58th
out of 2,166 providers in this state & specialty
Avg Paid
Per Patient
$344 This Provider is in the top 10%
Avg $185

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.

James M. Halverson
Average for Family Practice Providers in Virginia

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.

Patients saw before

James M. Halverson

Patients saw after

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
DRUGS

Injection, denosumab (prolia, xgeva), 1 mg

Service Code: J0897
Performed in an office
2,820
times performed,
43% of his services

1st 22nd

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

30
patients got this service, 5% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.2)
$45,120an average of $16 per time performed $31,020
an average of $11 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
720
times performed,
11% of his services

2nd 2nd

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

365
patients got this service, 58% of his patients
2
average number of visits a patient made for this service
(Peers: 2)
$62,640an average of $87 per time performed $34,560
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 25 minutes ×

Service Code: 99214
Performed in an office
678
times performed,
10% of his services

3rd 1st

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

393
patients got this service, 62% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.1)
$88,140an average of $130 per time performed $46,104
an average of $68 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
282
times performed,
4% of his services

4th 6th

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

278
patients got this service, 44% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,460an average of $30 per time performed $6,768
an average of $24 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
255
times performed,
4% of his services

5th 10th

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

149
patients got this service, 24% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.7)
$8,925an average of $35 per time performed $3,570
an average of $14 per time performed
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
255
times performed,
4% of his services

6th 19th

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

249
patients got this service, 39% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$12,750an average of $50 per time performed $3,060
an average of $12 per time performed
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
244
times performed,
4% of his services

7th 29th

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

243
patients got this service, 38% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,980an average of $45 per time performed $7,564
an average of $31 per time performed
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in an office
218
times performed,
3% of his services

8th 51st

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

218
patients got this service, 34% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$26,160an average of $120 per time performed $23,762
an average of $109 per time performed
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
136
times performed,
2% of his services

9th 8th

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

53
patients got this service, 8% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2.4)
$11,560an average of $85 per time performed $7,480
an average of $55 per time performed
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
96
times performed,
1% of his services

10th 86th

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

84
patients got this service, 13% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$7,200an average of $75 per time performed $3,360
an average of $35 per time performed
PROCEDURES

Annual wellness visit; includes a personalized prevention... +

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ×

Service Code: G0438
Performed in an office
92
times performed,
1% of his services

11th 37th

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

92
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,100an average of $175 per time performed $15,088
an average of $164 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
84
times performed,
1% of his services

12th 12th

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

41
patients got this service, 6% of his patients
2
average number of visits a patient made for this service
(Peers: 2.3)
$2,520an average of $30 per time performed $1,428
an average of $17 per time performed
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
71
times performed,
1% of his services

13th 20th

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

58
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$1,207an average of $17 per time performed $213
an average of $3 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
66
times performed,
1% of his services

14th 24th

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

33
patients got this service, 5% of his patients
2
average number of visits a patient made for this service
(Peers: 2)
$8,316an average of $126 per time performed $5,214
an average of $79 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
63
times performed,
0.96% of his services

15th 40th

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

45
patients got this service, 7% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.1)
$14,553an average of $231 per time performed $9,513
an average of $151 per time performed
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per certification period ×

Service Code: G0180
Performed in an office
54
times performed,
0.83% of his services

16th 80th

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

38
patients got this service, 6% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$8,100an average of $150 per time performed $2,160
an average of $40 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
51
times performed,
0.78% of his services

17th 48th

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

39
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$5,151an average of $101 per time performed $2,805
an average of $55 per time performed
PATHOLOGY AND LABORATORY

Blood glucose (sugar) test performed by hand-held instrument +

Blood glucose (sugar) test performed by hand-held instrument ×

Service Code: 82962
Performed in an office
49
times performed,
0.75% of his services

18th 49th

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

39
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.1)
$735an average of $15 per time performed $147
an average of $3 per time performed
MEDICINE

Measurement and graphic recording of total and timed exha... +

Measurement and graphic recording of total and timed exhaled air capacity ×

Service Code: 94010
Performed in an office
43
times performed,
0.66% of his services

19th 105th

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

43
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,150an average of $50 per time performed $860
an average of $20 per time performed
TEMPORARY CODES

Influenza 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 (fluzone) ×

Service Code: Q2038
Performed in an office
38
times performed,
0.58% of his services

20th 18th

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

37
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,140an average of $30 per time performed $494
an average of $13 per time performed
EVALUATION AND MANAGEMENT

Smoking and tobacco use intermediate counseling, greater ... +

Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes ×

Service Code: 99406
Performed in an office
30
times performed,
0.46% of his services

21st 187th

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

26
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$1,500an average of $50 per time performed $210
an average of $7 per time performed
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
27
times performed,
0.41% of his services

22nd 43rd

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

26
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,025an average of $75 per time performed $1,728
an average of $64 per time performed
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
27
times performed,
0.41% of his services

23rd 64th

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

27
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,238an average of $194 per time performed $2,727
an average of $101 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
27
times performed,
0.41% of his services

24th 44th

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

26
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$810an average of $30 per time performed $648
an average of $24 per time performed
PROCEDURES

Initial preventive physical examination; face-to-face vis... +

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment ×

Service Code: G0402
Performed in an office
24
times performed,
0.37% of his services

25th 124th

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

24
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,792an average of $158 per time performed $3,672
an average of $153 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
19
times performed,
0.29% of his services

26th 13th

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

19
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.6)
$1,083an average of $57 per time performed $608
an average of $32 per time performed
PROCEDURES

Electrocardiogram, routine ecg with 12 leads; performed a... +

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report ×

Service Code: G0403
Performed in an office
18
times performed,
0.28% of his services

27th 179th

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

18
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$900an average of $50 per time performed $126
an average of $7 per time performed
PROCEDURES

Physician re-certification for medicare-covered home heal... +

Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per re-certification period ×

Service Code: G0179
Performed in an office
15
times performed,
0.23% of his services

28th 94th

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

11
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2)
$1,500an average of $100 per time performed $450
an average of $30 per time performed
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in an office
14
times performed,
0.21% of his services

29th 70th

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

12
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$1,344an average of $96 per time performed $700
an average of $50 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
11
times performed,
0.17% of his services

30th 196th

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,772an average of $252 per time performed $1,584
an average of $144 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
11
times performed,
0.17% of his services

31st 41st

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,397an average of $127 per time performed $891
an average of $81 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 "Family Medicine." 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.