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, $261 per patient in 2015.
They performed about 6 services per patient. Here’s how this provider compares.

Number of
Patients
625
Rank: 3rd
out of 11 providers in this state & specialty
Services
Performed
3,811
Rank: 3rd
out of 11 providers in this state & specialty
Avg Services
Per Patient
6.1 This Provider
Avg 6.3
Total Paid
by Medicare
$189K
Rank: 2nd
out of 11 providers in this state & specialty
Avg Paid
Per Patient
$302 This Provider
Avg $261

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 her Part B patients.

This Provider's Services

This provider performed 47 different services in 2015
(31 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

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in an office
1,378
times performed,
36% of her services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

182
patients got this service, 29% of her patients
7.6
average number of visits a patient made for this service
$117,130.00an average of $85.00 per time performed $69,230.72
an average of $50.24 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
646
times performed,
17% of her services

2nd 2nd

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

299
patients got this service, 48% of her patients
2.2
average number of visits a patient made for this service
(Peers: 2.4)
$55,556.00an average of $86.00 per time performed $28,747.00
an average of $44.50 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
488
times performed,
13% of her services

3rd 1st

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

311
patients got this service, 50% of her patients
1.6
average number of visits a patient made for this service
(Peers: 2.3)
$56,120.00an average of $115.00 per time performed $31,876.16
an average of $65.32 per time performed
medical
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
190
times performed,
5% of her services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

95
patients got this service, 15% of her patients
1.8
average number of visits a patient made for this service
$5,700.00an average of $30.00 per time performed $3,199.60
an average of $16.84 per time performed
medical
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
147
times performed,
4% of her services

5th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

147
patients got this service, 24% of her patients
1
average number of visits a patient made for this service
$25,725.00an average of $175.00 per time performed $15,026.34
an average of $102.22 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 35 minutes per day +

Initial nursing facility visit, typically 35 minutes per day ×

Service Code: 99305
Performed in an office
128
times performed,
3% of her services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

111
patients got this service, 18% of her patients
1.2
average number of visits a patient made for this service
$19,840.00an average of $155.00 per time performed $12,527.36
an average of $97.87 per time performed
medical
PROCEDURES

Annual alcohol misuse screening, 15 minutes

Service Code: G0442
Performed in an office
123
times performed,
3% of her services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

123
patients got this service, 20% of her patients
1
average number of visits a patient made for this service
$1,952.01an average of $15.87 per time performed $1,912.65
an average of $15.55 per time performed
medical
PROCEDURES

Annual depression screening, 15 minutes

Service Code: G0444
Performed in an office
114
times performed,
3% of her services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

114
patients got this service, 18% of her patients
1
average number of visits a patient made for this service
$1,809.18an average of $15.87 per time performed $1,772.70
an average of $15.55 per time performed
drug
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
110
times performed,
3% of her services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

69
patients got this service, 11% of her patients
1.2
average number of visits a patient made for this service
$275.00an average of $2.50 per time performed $143.00
an average of $1.30 per time performed
drug
DRUGS

Injection, ceftriaxone sodium, per 250 mg

Service Code: J0696
Performed in an office
87
times performed,
2% of her services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

46
patients got this service, 7% of her patients
1.2
average number of visits a patient made for this service
$261.00an average of $3.00 per time performed $43.50
an average of $0.50 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
78
times performed,
2% of her services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

78
patients got this service, 12% of her patients
1
average number of visits a patient made for this service
$1,950.00an average of $25.00 per time performed $1,750.32
an average of $22.44 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
76
times performed,
2% of her services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

76
patients got this service, 12% of her patients
1
average number of visits a patient made for this service
$18,949.84an average of $249.34 per time performed $12,859.20
an average of $169.20 per time performed
medical
EVALUATION AND MANAGEMENT

Nursing facility annual assessment, typically 30 minutes +

Nursing facility annual assessment, typically 30 minutes ×

Service Code: 99318
Performed in an office
40
times performed,
1% of her services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

40
patients got this service, 6% of her patients
1
average number of visits a patient made for this service
$4,600.00an average of $115.00 per time performed $2,820.40
an average of $70.51 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
34
times performed,
0.89% of her services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

33
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
$340.00an average of $10.00 per time performed $102.00
an average of $3.00 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
26
times performed,
0.68% of her services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 3% of her patients
1.3
average number of visits a patient made for this service
$4,160.00an average of $160.00 per time performed $923.78
an average of $35.53 per time performed
medical
PATHOLOGY AND LABORATORY

Stool analysis for blood to screen for colon tumors

Service Code: 82270
Performed in an office
15
times performed,
0.39% of her services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
$195.00an average of $13.00 per time performed $65.10
an average of $4.34 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.

Elizabeth A Toms
Average for Geriatric Medicine Providers in Kentucky

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.