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, $173 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
432
Rank: 79th
out of 99 providers in this state & specialty
Services
Performed
3,798
Rank: 46th
out of 99 providers in this state & specialty
Avg Services
Per Patient
8.8 This Provider is in the top 10%
Avg 3.9
Total Paid
by Medicare
$165K
Rank: 49th
out of 99 providers in this state & specialty
Avg Paid
Per Patient
$382 This Provider is in the top 10%
Avg $173

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 106 different services in 2015
(62 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 25 minutes ×

Service Code: 99214
Performed in an office
372
times performed,
10% of his services

1st 4th

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

202
patients got this service, 47% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.5)
$78,492.00an average of $211.00 per time performed $27,929.76
an average of $75.08 per time performed
medical
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
268
times performed,
7% of his services

2nd 24th

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

199
patients got this service, 46% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$5,896.00an average of $22.00 per time performed $779.88
an average of $2.91 per time performed
medical
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
259
times performed,
7% of his services

3rd 6th

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

200
patients got this service, 46% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$38,850.00an average of $150.00 per time performed $3,019.94
an average of $11.66 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
218
times performed,
6% of his services

4th 59th

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

190
patients got this service, 44% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$43,382.00an average of $199.00 per time performed $3,313.60
an average of $15.20 per time performed
medical
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
201
times performed,
5% of his services

5th 37th

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

178
patients got this service, 41% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$10,653.00an average of $53.00 per time performed $2,056.23
an average of $10.23 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
179
times performed,
5% of his services

6th 40th

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

171
patients got this service, 40% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$18,974.00an average of $106.00 per time performed $1,530.45
an average of $8.55 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
179
times performed,
5% of his services

7th 44th

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

165
patients got this service, 38% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$21,301.00an average of $119.00 per time performed $4,011.39
an average of $22.41 per time performed
medical
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in an office
161
times performed,
4% of his services

8th 9th

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

148
patients got this service, 34% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$211,554.00an average of $1,314.00 per time performed $24,346.42
an average of $151.22 per time performed
medical
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
119
times performed,
3% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

118
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
$29,036.00an average of $244.00 per time performed $4,665.99
an average of $39.21 per time performed
medical
MEDICINE

Ultrasound scanning of blood flow (outside the brain) on ... +

Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck ×

Service Code: 93880
Performed in an office
119
times performed,
3% of his services

10th 23rd

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

118
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$78,540.00an average of $660.00 per time performed $15,285.55
an average of $128.45 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
118
times performed,
3% of his services

11th 13th

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

20
patients got this service, 5% of his patients
5.9
average number of visits a patient made for this service
(Peers: 3.6)
$4,956.00an average of $42.00 per time performed $586.46
an average of $4.97 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
108
times performed,
3% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

105
patients got this service, 24% of his patients
1
average number of visits a patient made for this service
$3,024.00an average of $28.00 per time performed $320.76
an average of $2.97 per time performed
medical
ADMINISTRATIVE

Technetium tc-99m sestamibi, diagnostic, per study dose

Service Code: A9500
Performed in an office
98
times performed,
3% of his services

13th 8th

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

49
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$23,520.00an average of $240.00 per time performed $5,580.12
an average of $56.94 per time performed
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
94
times performed,
2% of his services

14th 41st

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

13
patients got this service, 3% of his patients
7.2
average number of visits a patient made for this service
(Peers: 1.8)
$6,956.00an average of $74.00 per time performed $1,152.44
an average of $12.26 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
91
times performed,
2% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

91
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
$28,210.00an average of $310.00 per time performed $9,600.50
an average of $105.50 per time performed
medical
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician supervision, interpretation, and report ×

Service Code: 93015
Performed in an office
91
times performed,
2% of his services

16th 18th

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

88
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$55,237.00an average of $607.00 per time performed $4,410.77
an average of $48.47 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
84
times performed,
2% of his services

17th 3rd

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

60
patients got this service, 14% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$11,928.00an average of $142.00 per time performed $4,357.92
an average of $51.88 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
83
times performed,
2% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

65
patients got this service, 15% of his patients
1.3
average number of visits a patient made for this service
$2,905.00an average of $35.00 per time performed $346.94
an average of $4.18 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
60
times performed,
2% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

59
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
$7,020.00an average of $117.00 per time performed $709.20
an average of $11.82 per time performed
medical
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
59
times performed,
2% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

59
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
$8,732.00an average of $148.00 per time performed $1,447.27
an average of $24.53 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
52
times performed,
1% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

50
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
$4,368.00an average of $84.00 per time performed $673.40
an average of $12.95 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
50
times performed,
1% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

50
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
$8,750.00an average of $175.00 per time performed $8,315.00
an average of $166.30 per time performed
medical
RADIOLOGY

Nuclear medicine study of vessels of heart using drugs or... +

Nuclear medicine study of vessels of heart using drugs or exercise multiple studies ×

Service Code: 78452
Performed in an office
49
times performed,
1% of his services

23rd 17th

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

49
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$127,204.00an average of $2,596.00 per time performed $15,609.93
an average of $318.57 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
49
times performed,
1% of his services

24th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

49
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
$1,225.00an average of $25.00 per time performed $1,057.42
an average of $21.58 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
48
times performed,
1% of his services

25th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

48
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
$5,280.00an average of $110.00 per time performed $1,682.40
an average of $35.05 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
48
times performed,
1% of his services

26th 70th

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

48
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,200.00an average of $25.00 per time performed $1,057.92
an average of $22.04 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
34
times performed,
0.9% of his services

27th 34th

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

34
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$10,540.00an average of $310.00 per time performed $3,141.60
an average of $92.40 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
31
times performed,
0.82% of his services

28th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

17
patients got this service, 4% of his patients
1.8
average number of visits a patient made for this service
$4,247.00an average of $137.00 per time performed $349.68
an average of $11.28 per time performed
medical
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in a facility
29
times performed,
0.76% of his services

29th 5th

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

29
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$30,972.00an average of $1,068.00 per time performed $1,409.40
an average of $48.60 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
28
times performed,
0.74% of his services

30th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

27
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$980.00an average of $35.00 per time performed $132.16
an average of $4.72 per time performed
medical
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
27
times performed,
0.71% of his services

31st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

27
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$3,753.00an average of $139.00 per time performed $625.05
an average of $23.15 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
25
times performed,
0.66% of his services

32nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

25
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$2,400.00an average of $96.00 per time performed $192.75
an average of $7.71 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
25
times performed,
0.66% of his services

33rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

25
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$1,025.00an average of $41.00 per time performed $68.00
an average of $2.72 per time performed
medical
MEDICINE

Heart rhythm tracing, analysis, and interpretation of 48-... +

Heart rhythm tracing, analysis, and interpretation of 48-hour ekg ×

Service Code: 93224
Performed in an office
25
times performed,
0.66% of his services

34th 30th

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

24
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$14,525.00an average of $581.00 per time performed $1,351.75
an average of $54.07 per time performed
medical
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
25
times performed,
0.66% of his services

35th 22nd

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

24
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$9,875.00an average of $395.00 per time performed $3,907.50
an average of $156.30 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
21
times performed,
0.55% of his services

36th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

21
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$3,108.00an average of $148.00 per time performed $515.13
an average of $24.53 per time performed
medical
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
20
times performed,
0.53% of his services

37th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

20
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$2,780.00an average of $139.00 per time performed $402.00
an average of $20.10 per time performed
medical
MEDICINE

Pure tone air conduction threshold hearing assessment

Service Code: 92552
Performed in an office
17
times performed,
0.45% of his services

38th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

17
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$867.00an average of $51.00 per time performed $353.77
an average of $20.81 per time performed
medical
PATHOLOGY AND LABORATORY

Glutamyltransferase (liver enzyme) level

Service Code: 82977
Performed in an office
17
times performed,
0.45% of his services

39th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$782.00an average of $46.00 per time performed $48.79
an average of $2.87 per time performed
medical
PATHOLOGY AND LABORATORY

Iron level

Service Code: 83540
Performed in an office
14
times performed,
0.37% of his services

40th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$798.00an average of $57.00 per time performed $120.82
an average of $8.63 per time performed
medical
PATHOLOGY AND LABORATORY

Transferrin (iron binding protein) level

Service Code: 84466
Performed in an office
14
times performed,
0.37% of his services

41st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$1,512.00an average of $108.00 per time performed $226.38
an average of $16.17 per time performed
medical
PATHOLOGY AND LABORATORY

Ferritin (blood protein) level

Service Code: 82728
Performed in an office
12
times performed,
0.32% of his services

42nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$1,572.00an average of $131.00 per time performed $218.04
an average of $18.17 per time performed
medical
MEDICINE

Measurement and graphic recording of the amount and speed... +

Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94060
Performed in an office
11
times performed,
0.29% of his services

43rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$2,068.00an average of $188.00 per time performed $460.24
an average of $41.84 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
11
times performed,
0.29% of his services

44th 26th

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

11
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,949.00an average of $359.00 per time performed $1,346.51
an average of $122.41 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.

Randolph Eugene Modlin
Average for Cardiovascular Disease Providers in West Virginia

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.