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, $347 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
591
Rank: 504th
out of 2,814 providers in this state & specialty
Services
Performed
6,902
Rank: 126th
out of 2,814 providers in this state & specialty
Avg Services
Per Patient
11.7 This Provider is in the top 10%
Avg 6.8
Total Paid
by Medicare
$254K
Rank: 316th
out of 2,814 providers in this state & specialty
Avg Paid
Per Patient
$430 This Provider
Avg $347

Note: About 27% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

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 41 different services in 2015
(16 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
1,292
times performed,
19% of his services

1st 1st

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

514
patients got this service, 87% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.4)
$220,932.00an average of $171.00 per time performed $68,411.40
an average of $52.95 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
715
times performed,
10% of his services

2nd 4th

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

434
patients got this service, 73% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2)
$22,165.00an average of $31.00 per time performed $2,102.10
an average of $2.94 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
568
times performed,
8% of his services

3rd 31st

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

391
patients got this service, 66% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$61,912.00an average of $109.00 per time performed $6,213.92
an average of $10.94 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
448
times performed,
6% of his services

4th 24th

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

367
patients got this service, 62% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$26,432.00an average of $59.00 per time performed $4,645.76
an average of $10.37 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
429
times performed,
6% of his services

5th 37th

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

357
patients got this service, 60% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$62,205.00an average of $145.00 per time performed $9,613.89
an average of $22.41 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
379
times performed,
5% of his services

6th 22nd

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

377
patients got this service, 64% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$92,498.74an average of $244.06 per time performed $62,015.77
an average of $163.63 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
377
times performed,
5% of his services

7th 18th

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

374
patients got this service, 63% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$22,620.00an average of $60.00 per time performed $10,326.03
an average of $27.39 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
354
times performed,
5% of his services

8th 12th

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

354
patients got this service, 60% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$70,800.00an average of $200.00 per time performed $43,980.96
an average of $124.24 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
337
times performed,
5% of his services

9th 29th

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

327
patients got this service, 55% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$45,832.00an average of $136.00 per time performed $4,525.91
an average of $13.43 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
319
times performed,
5% of his services

10th 9th

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

305
patients got this service, 52% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$40,513.00an average of $127.00 per time performed $3,856.71
an average of $12.09 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
222
times performed,
3% of his services

11th 63rd

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

206
patients got this service, 35% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$6,216.00an average of $28.00 per time performed $666.00
an average of $3.00 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
212
times performed,
3% of his services

12th 39th

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

156
patients got this service, 26% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$17,808.00an average of $84.00 per time performed $2,745.40
an average of $12.95 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
176
times performed,
3% of his services

13th 8th

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

176
patients got this service, 30% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,560.00an average of $60.00 per time performed $4,850.56
an average of $27.56 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
171
times performed,
2% of his services

14th 21st

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

171
patients got this service, 29% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,022.00an average of $82.00 per time performed $6,085.89
an average of $35.59 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
158
times performed,
2% of his services

15th 76th

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

145
patients got this service, 25% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$6,320.00an average of $40.00 per time performed $666.76
an average of $4.22 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
136
times performed,
2% of his services

16th 193rd

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

136
patients got this service, 23% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$19,992.00an average of $147.00 per time performed $3,336.08
an average of $24.53 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
123
times performed,
2% of his services

17th 65th

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

81
patients got this service, 14% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$13,161.00an average of $107.00 per time performed $1,478.46
an average of $12.02 per time performed
medical
PATHOLOGY AND LABORATORY

Cholesterol level

Service Code: 82465
Performed in an office
103
times performed,
1% of his services

18th 266th

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

99
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$4,120.00an average of $40.00 per time performed $380.07
an average of $3.69 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
97
times performed,
1% of his services

19th 2nd

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

89
patients got this service, 15% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.3)
$20,952.00an average of $216.00 per time performed $7,982.13
an average of $82.29 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
75
times performed,
1% of his services

20th 41st

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

14
patients got this service, 2% of his patients
5.4
average number of visits a patient made for this service
(Peers: 6.3)
$3,075.00an average of $41.00 per time performed $393.00
an average of $5.24 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
42
times performed,
0.61% of his services

21st 152nd

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

39
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$6,258.00an average of $149.00 per time performed $1,030.26
an average of $24.53 per time performed
medical
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
22
times performed,
0.32% of his services

22nd 57th

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

22
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,600.00an average of $300.00 per time performed $4,022.70
an average of $182.85 per time performed
medical
PROCEDURES

Initial preventive physical examination; face-to-face vis... +

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment ×

Service Code: G0402
Performed in an office
16
times performed,
0.23% of his services

23rd 120th

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

16
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,256.00an average of $391.00 per time performed $2,834.72
an average of $177.17 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
14
times performed,
0.2% of his services

24th 68th

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

13
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$1,358.00an average of $97.00 per time performed $155.96
an average of $11.14 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
13
times performed,
0.19% of his services

25th 131st

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: 1.7)
$507.00an average of $39.00 per time performed $61.36
an average of $4.72 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.

Paul V Lacava
Average for Internal Medicine Providers in New Jersey

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.

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