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, $396 per patient in 2015.
They performed about 6 services per patient. Here’s how this provider compares.

Number of
Patients
703
Rank: 21st
out of 313 providers in this state & specialty
Services
Performed
4,858
Rank: 40th
out of 313 providers in this state & specialty
Avg Services
Per Patient
6.9 This Provider
Avg 6
Total Paid
by Medicare
$328K
Rank: 17th
out of 313 providers in this state & specialty
Avg Paid
Per Patient
$466 This Provider
Avg $396

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 149 different services in 2015
(122 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

Hyaluronan or derivative, synvisc or synvisc-one, for int... +

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ×

Service Code: J7325
Performed in an office
2,736
times performed,
56% of his services

1st 1st

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

39
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$70,561.44an average of $25.79 per time performed $27,086.40
an average of $9.90 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
508
times performed,
10% of his services

2nd 3rd

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

358
patients got this service, 51% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$48,427.64an average of $95.33 per time performed $26,416.00
an average of $52.00 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
208
times performed,
4% of his services

3rd 4th

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

166
patients got this service, 24% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$36,487.36an average of $175.42 per time performed $9,647.04
an average of $46.38 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
193
times performed,
4% of his services

4th 13th

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

165
patients got this service, 23% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$4,794.12an average of $24.84 per time performed $966.93
an average of $5.01 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
182
times performed,
4% of his services

5th 7th

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

181
patients got this service, 26% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$26,797.68an average of $147.24 per time performed $14,165.06
an average of $77.83 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 30 minutes per... +

Initial hospital inpatient care, typically 30 minutes per day ×

Service Code: 99221
Performed in a facility
115
times performed,
2% of his services

6th 34th

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

113
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$19,191.20an average of $166.88 per time performed $8,835.45
an average of $76.83 per time performed
medical
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
75
times performed,
2% of his services

7th 12th

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

74
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,916.00an average of $38.88 per time performed $637.50
an average of $8.50 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
61
times performed,
1% of his services

8th 9th

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

55
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$2,923.73an average of $47.93 per time performed $480.07
an average of $7.87 per time performed
medical
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
51
times performed,
1% of his services

9th 17th

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

50
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,274.09an average of $44.59 per time performed $354.96
an average of $6.96 per time performed
medical
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
42
times performed,
0.86% of his services

10th 20th

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

40
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$240,793.98an average of $5,733.19 per time performed $43,756.86
an average of $1,041.83 per time performed
medical
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
40
times performed,
0.82% of his services

11th 14th

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

37
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$1,384.00an average of $34.60 per time performed $343.20
an average of $8.58 per time performed
medical
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
36
times performed,
0.74% of his services

12th 61st

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

30
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$4,047.84an average of $112.44 per time performed $1,973.88
an average of $54.83 per time performed
medical
MUSCULOSKELETAL SYSTEM

Surgical treatment of broken thigh bone

Service Code: 27245
Performed in a facility
33
times performed,
0.68% of his services

13th 66th

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

33
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$127,908.99an average of $3,876.03 per time performed $30,722.01
an average of $930.97 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
33
times performed,
0.68% of his services

14th 11th

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: 1.3)
$969.87an average of $29.39 per time performed $230.34
an average of $6.98 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
26
times performed,
0.54% of his services

15th 8th

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)
$3,729.96an average of $143.46 per time performed $2,047.24
an average of $78.74 per time performed
medical
RADIOLOGY

X-ray of ankle, minimum of 3 views

Service Code: 73610
Performed in an office
25
times performed,
0.51% of his services

16th 25th

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

22
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$740.00an average of $29.60 per time performed $174.25
an average of $6.97 per time performed
medical
NERVOUS SYSTEM

Release and/or relocation of median nerve of hand

Service Code: 64721
Performed in a facility
24
times performed,
0.49% of his services

17th 64th

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

22
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$44,824.08an average of $1,867.67 per time performed $7,417.44
an average of $309.06 per time performed
medical
MUSCULOSKELETAL SYSTEM

Replacement of thigh bone and hip joint prosthesis

Service Code: 27130
Performed in a facility
21
times performed,
0.43% of his services

18th 33rd

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

21
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$178,452.96an average of $8,497.76 per time performed $21,674.52
an average of $1,032.12 per time performed
medical
MUSCULOSKELETAL SYSTEM

Partial removal of collar bone at shoulder using an endos... +

Partial removal of collar bone at shoulder using an endoscope ×

Service Code: 29824
Performed in a facility
19
times performed,
0.39% of his services

19th 63rd

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)
$42,484.95an average of $2,236.05 per time performed $3,471.68
an average of $182.72 per time performed
medical
MUSCULOSKELETAL SYSTEM

Shaving of shoulder bone using an endoscope

Service Code: 29826
Performed in a facility
19
times performed,
0.39% of his services

20th 51st

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)
$54,594.98an average of $2,873.42 per time performed $2,585.33
an average of $136.07 per time performed
medical
MUSCULOSKELETAL SYSTEM

Partial replacement of thigh bone at hip joint with prost... +

Partial replacement of thigh bone at hip joint with prosthesis ×

Service Code: 27125
Performed in a facility
19
times performed,
0.39% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

19
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$128,849.07an average of $6,781.53 per time performed $16,347.98
an average of $860.42 per time performed
medical
MUSCULOSKELETAL SYSTEM

Repair of shoulder rotator cuff using an endoscope

Service Code: 29827
Performed in a facility
18
times performed,
0.37% of his services

22nd 58th

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)
$64,924.92an average of $3,606.94 per time performed $14,225.22
an average of $790.29 per time performed
medical
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
17
times performed,
0.35% of his services

23rd 5th

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

17
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$1,224.00an average of $72.00 per time performed $536.35
an average of $31.55 per time performed
medical
MUSCULOSKELETAL SYSTEM

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

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

Service Code: 20605
Performed in an office
16
times performed,
0.33% of his services

24th 43rd

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

15
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,094.08an average of $130.88 per time performed $562.24
an average of $35.14 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
14
times performed,
0.29% of his services

25th 32nd

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,010.00an average of $215.00 per time performed $1,454.74
an average of $103.91 per time performed
medical
MUSCULOSKELETAL SYSTEM

Open treatment of broken thigh bone with insertion of har... +

Open treatment of broken thigh bone with insertion of hardware or prosthetic replacement ×

Service Code: 27236
Performed in a facility
13
times performed,
0.27% of his services

26th 82nd

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$45,071.00an average of $3,467.00 per time performed $11,234.86
an average of $864.22 per time performed
medical
MUSCULOSKELETAL SYSTEM

Removal of one knee cartilage using an endoscope

Service Code: 29881
Performed in a facility
12
times performed,
0.25% of his services

27th 60th

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$36,120.00an average of $3,010.00 per time performed $4,115.16
an average of $342.93 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.

Chad Douglas Efird
Average for Orthopaedic Surgery Providers in Missouri

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.