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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, $101 per patient in 2012.
They performed about 2 services per patient. Here’s how this provider compares.
Number of
Patients
428
Rank: 20th
out of 841 providers in this state & specialty
Services
Performed
5,732
Rank: 2nd
out of 841 providers in this state & specialty
Avg Services
Per Patient
13.4 This Provider is in the top 10%
Avg 2.4
Total Paid
by Medicare
$158K
Rank: 7th
out of 841 providers in this state & specialty
Avg Paid
Per Patient
$368 This Provider is in the top 10%
Avg $101

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.

Carrol W. Ellison
Average for Obstetrics/Gynecology Providers in North Carolina

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.

Individuals

RAY ANTLEY

DAVID GLOWACKI

SCOTT WHIDDON

KEVIN LEONARD

DORWYN CROOM

Organizations

SOLSTAS LAB PARTNERS GR...

BLUE RIDGE HEALTHCARE H...

Patients saw before

Carrol W. Ellison

Patients saw after

Individuals

RAY ANTLEY

SCOTT WHIDDON

DAVID GLOWACKI

JEFFREY ZAPAWA

KEVIN LEONARD

Organizations

SOLSTAS LAB PARTNERS GR...

BLUE RIDGE HEALTHCARE H...

This Provider's Services

This provider performed 25 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
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
2,268
times performed,
40% of his services

1st 1st

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

375
patients got this service, 88% of his patients
6
average number of visits a patient made for this service
(Peers: 1.6)
$192,780an average of $85 per time performed $108,864
an average of $48 per time performed
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
1,538
times performed,
27% of his services

2nd 5th

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

332
patients got this service, 78% of his patients
4.6
average number of visits a patient made for this service
(Peers: 1.4)
$18,456an average of $12 per time performed $6,152
an average of $4 per time performed
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
476
times performed,
8% of his services

3rd 13th

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

231
patients got this service, 54% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.4)
$5,712an average of $12 per time performed $1,428
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
284
times performed,
5% of his services

4th 8th

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

177
patients got this service, 41% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$5,680an average of $20 per time performed $852
an average of $3 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
138
times performed,
2% of his services

5th 25th

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

138
patients got this service, 32% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$27,462an average of $199 per time performed $14,490
an average of $105 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
116
times performed,
2% of his services

6th 6th

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

88
patients got this service, 21% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$7,540an average of $65 per time performed $3,248
an average of $28 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin measurement

Service Code: 85018
Performed in an office
114
times performed,
2% of his services

7th 21st

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

61
patients got this service, 14% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.1)
$1,596an average of $14 per time performed $342
an average of $3 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 (flulaval) ×

Service Code: Q2036
Performed in an office
93
times performed,
2% of his services

8th Alert

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

91
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
$3,255an average of $35 per time performed $930
an average of $10 per time performed
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
80
times performed,
1% of his services

9th 14th

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

80
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,120an average of $139 per time performed $5,840
an average of $73 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
72
times performed,
1% of his services

10th Alert

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

65
patients got this service, 15% of his patients
1.1
average number of visits a patient made for this service
$2,952an average of $41 per time performed $936
an average of $13 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
72
times performed,
1% of his services

11th 27th

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

71
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,512an average of $21 per time performed $1,440
an average of $20 per time performed
PATHOLOGY AND LABORATORY

Strep test (streptococcus, group a)

Service Code: 87880
Performed in an office
60
times performed,
1% of his services

12th Alert

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

46
patients got this service, 11% of his patients
1.3
average number of visits a patient made for this service
$1,920an average of $32 per time performed $960
an average of $16 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
58
times performed,
1% of his services

13th 3rd

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

49
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$7,540an average of $130 per time performed $3,422
an average of $59 per time performed
PATHOLOGY AND LABORATORY

Stool analysis for blood to screen for colon tumors

Service Code: 82270
Performed in an office
56
times performed,
0.98% of his services

14th 17th

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

56
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$840an average of $15 per time performed $280
an average of $5 per time performed
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
43
times performed,
0.75% of his services

15th 33rd

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

13
patients got this service, 3% of his patients
3.3
average number of visits a patient made for this service
(Peers: 6.7)
$860an average of $20 per time performed $0
an average of $0 per time performed
DRUGS

Injection, ceftriaxone sodium, per 250 mg

Service Code: J0696
Performed in an office
40
times performed,
0.7% of his services

16th Alert

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

11
patients got this service, 3% of his patients
1.7
average number of visits a patient made for this service
$320an average of $8 per time performed $40
an average of $1 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
38
times performed,
0.66% of his services

17th Alert

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

35
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
$570an average of $15 per time performed $380
an average of $10 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77081
Performed in an office
31
times performed,
0.54% of his services

18th Alert

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

31
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$3,100an average of $100 per time performed $837
an average of $27 per time performed
PROCEDURES

Cervical or vaginal cancer screening; pelvic and clinical... +

Cervical or vaginal cancer screening; pelvic and clinical breast examination ×

Service Code: G0101
Performed in an office
27
times performed,
0.47% of his services

19th 2nd

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

27
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,566an average of $58 per time performed $945
an average of $35 per time performed
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
26
times performed,
0.45% of his services

20th 86th

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

26
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$702an average of $27 per time performed $442
an average of $17 per time performed
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
25
times performed,
0.44% of his services

21st 43rd

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

25
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,500an average of $100 per time performed $1,375
an average of $55 per time performed
TEMPORARY CODES

Screening papanicolaou smear; obtaining, preparing and co... +

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ×

Service Code: Q0091
Performed in an office
23
times performed,
0.4% of his services

22nd 4th

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

23
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,150an average of $50 per time performed $966
an average of $42 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
22
times performed,
0.38% of his services

23rd 20th

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

16
patients got this service, 4% of his patients
1.4
average number of visits a patient made for this service
(Peers: 4.4)
$352an average of $16 per time performed $242
an average of $11 per time performed
URINARY SYSTEM

Insertion of temporary bladder catheter

Service Code: 51701
Performed in an office
17
times performed,
0.3% of his services

24th 37th

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

16
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,700an average of $100 per time performed $646
an average of $38 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
15
times performed,
0.26% of his services

25th 67th

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

15
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,970an average of $198 per time performed $2,370
an average of $158 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 "Obstetrics & Gynecology." 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.


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Credits: Warning icon designed by Stefan Parnarov from the Noun Project.