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, $260 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
756
Rank: 60th
out of 279 providers in this state & specialty
Services
Performed
2,546
Rank: 82nd
out of 279 providers in this state & specialty
Avg Services
Per Patient
3.4 This Provider
Avg 4.2
Total Paid
by Medicare
$112K
Rank: 121st
out of 279 providers in this state & specialty
Avg Paid
Per Patient
$149 This Provider
Avg $260

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 Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 35 different services in 2015
(23 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
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
724
times performed,
28% of his services

1st 3rd

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

479
patients got this service, 63% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$111,061.60an average of $153.40 per time performed $35,657.00
an average of $49.25 per time performed
medical
MEDICINE

Diagnostic testing in a pulmonary function lab

Service Code: 94375
Performed in an office
603
times performed,
24% of his services

2nd 20th

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

562
patients got this service, 74% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$70,551.00an average of $117.00 per time performed $16,805.61
an average of $27.87 per time performed
medical
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in an office
272
times performed,
11% of his services

3rd 7th

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

265
patients got this service, 35% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$54,128.00an average of $199.00 per time performed $10,365.92
an average of $38.11 per time performed
medical
MEDICINE

Determination of lung volumes using gas dilution or washout +

Determination of lung volumes using gas dilution or washout ×

Service Code: 94727
Performed in an office
248
times performed,
10% of his services

4th 25th

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

247
patients got this service, 33% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$39,184.00an average of $158.00 per time performed $7,618.56
an average of $30.72 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
168
times performed,
7% of his services

5th 1st

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

147
patients got this service, 19% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.8)
$38,900.40an average of $231.55 per time performed $11,946.48
an average of $71.11 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
138
times performed,
5% of his services

6th 42nd

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

138
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$31,266.66an average of $226.57 per time performed $10,296.18
an average of $74.61 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
91
times performed,
4% of his services

7th 16th

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

91
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$31,560.62an average of $346.82 per time performed $10,753.47
an average of $118.17 per time performed
medical
MEDICINE

Pulmonary exercise testing

Service Code: 94620
Performed in an office
38
times performed,
1% of his services

8th 21st

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

36
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$13,338.00an average of $351.00 per time performed $1,342.54
an average of $35.33 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
35
times performed,
1% of his services

9th 30th

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

35
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,792.00an average of $51.20 per time performed $826.70
an average of $23.62 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle, patient ... +

Vaccine for influenza for injection into muscle, patient 3 years and older ×

Service Code: 90656
Performed in an office
33
times performed,
1% of his services

10th 126th

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

33
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,155.00an average of $35.00 per time performed $450.45
an average of $13.65 per time performed
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
24
times performed,
0.94% of his services

11th 14th

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

24
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$7,302.96an average of $304.29 per time performed $2,360.40
an average of $98.35 per time performed
medical
MEDICINE

Measurement of inhaled nitric oxide gas

Service Code: 95012
Performed in an office
17
times performed,
0.67% of his services

12th Alert

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

16
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$1,020.00an average of $60.00 per time performed $228.99
an average of $13.47 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.

This provider charged Medicare for a lower percentage of 5’s than his peers

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David A Hayes
Average for Pulmonary Disease 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.

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