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, $380 per patient in 2015.
They performed about 13 services per patient. Here’s how this provider compares.

Number of
Patients
521
Rank: 192nd
out of 488 providers in this state & specialty
Services
Performed
2,018
Rank: 193rd
out of 488 providers in this state & specialty
Avg Services
Per Patient
3.9 This Provider
Avg 13.2
Total Paid
by Medicare
$103K
Rank: 251st
out of 488 providers in this state & specialty
Avg Paid
Per Patient
$197 This Provider
Avg $380

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 21 different services in 2015
(7 were redacted as they were performed on less than 11 patients)

All Services

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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 a facility
725
times performed,
36% of her services

1st 54th

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

339
patients got this service, 65% of her patients
2.1
average number of visits a patient made for this service
(Peers: 1.8)
$53,128.00an average of $73.28 per time performed $24,896.50
an average of $34.34 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 a facility
598
times performed,
30% of her services

2nd 47th

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

230
patients got this service, 44% of her patients
2.6
average number of visits a patient made for this service
(Peers: 1.7)
$67,029.82an average of $112.09 per time performed $33,189.00
an average of $55.50 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
209
times performed,
10% of her services

3rd 16th

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

84
patients got this service, 16% of her patients
2.5
average number of visits a patient made for this service
(Peers: 2.8)
$25,080.00an average of $120.00 per time performed $11,219.12
an average of $53.68 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 a facility
111
times performed,
6% of her services

4th 177th

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

80
patients got this service, 15% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$16,859.79an average of $151.89 per time performed $9,080.91
an average of $81.81 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
78
times performed,
4% of her services

5th 60th

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

40
patients got this service, 8% of her patients
2
average number of visits a patient made for this service
(Peers: 1.6)
$5,226.00an average of $67.00 per time performed $2,356.38
an average of $30.21 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
63
times performed,
3% of her services

6th 46th

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

35
patients got this service, 7% of her patients
1.8
average number of visits a patient made for this service
(Peers: 2)
$10,836.00an average of $172.00 per time performed $5,007.87
an average of $79.49 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 a facility
52
times performed,
3% of her services

7th 216th

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

44
patients got this service, 8% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$2,297.88an average of $44.19 per time performed $947.96
an average of $18.23 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in a facility
45
times performed,
2% of her services

8th 272nd

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

45
patients got this service, 9% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,800.10an average of $217.78 per time performed $5,786.55
an average of $128.59 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
27
times performed,
1% of her services

9th 235th

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

25
patients got this service, 5% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$3,024.00an average of $112.00 per time performed $1,412.37
an average of $52.31 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
23
times performed,
1% of her services

10th 67th

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

22
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$7,199.00an average of $313.00 per time performed $3,617.44
an average of $157.28 per time performed
medical
HEMIC AND LYMPHATIC SYSTEMS

Needle or trocar bone marrow biopsy

Service Code: 38221
Performed in a facility
19
times performed,
0.94% of her services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

19
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
$6,650.00an average of $350.00 per time performed $1,067.80
an average of $56.20 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
18
times performed,
0.89% of her services

12th 68th

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

18
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$3,834.00an average of $213.00 per time performed $1,912.14
an average of $106.23 per time performed
medical
PROCEDURES

Bone marrow aspiration performed with bone marrow biopsy ... +

Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ×

Service Code: G0364
Performed in a facility
12
times performed,
0.59% of her services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
$240.00an average of $20.00 per time performed $82.68
an average of $6.89 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 a facility
11
times performed,
0.55% of her services

14th 228th

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

11
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,784.97an average of $162.27 per time performed $772.97
an average of $70.27 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.

Kathleen Phillips Paul
Average for Specialist Providers in 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.

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