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, $365 per patient in 2015.
They performed about 3 services per patient. Here’s how this provider compares.

Number of
Patients
575
Rank: 39th
out of 701 providers in this state & specialty
Services
Performed
1,264
Rank: 69th
out of 701 providers in this state & specialty
Avg Services
Per Patient
2.2 This Provider
Avg 2.7
Total Paid
by Medicare
$154K
Rank: 69th
out of 701 providers in this state & specialty
Avg Paid
Per Patient
$268 This Provider
Avg $365

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 104 different services in 2015
(87 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 10 minutes ×

Service Code: 99212
Performed in an office
154
times performed,
12% of his services

1st 9th

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

119
patients got this service, 21% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$11,550.00an average of $75.00 per time performed $4,151.84
an average of $26.96 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
130
times performed,
10% of his services

2nd 1st

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

110
patients got this service, 19% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$13,000.00an average of $100.00 per time performed $6,305.00
an average of $48.50 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
124
times performed,
10% of his services

3rd 7th

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

124
patients got this service, 22% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,600.00an average of $150.00 per time performed $8,734.56
an average of $70.44 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 2... +

New patient office or other outpatient visit, typically 20 minutes ×

Service Code: 99202
Performed in an office
92
times performed,
7% of his services

4th 19th

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

92
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,200.00an average of $100.00 per time performed $4,056.28
an average of $44.09 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
87
times performed,
7% of his services

5th 13th

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

86
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$17,400.00an average of $200.00 per time performed $6,476.28
an average of $74.44 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
74
times performed,
6% of his services

6th 2nd

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

39
patients got this service, 7% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2)
$7,400.00an average of $100.00 per time performed $2,143.04
an average of $28.96 per time performed
medical
DIGESTIVE SYSTEM

Biopsy of the esophagus, stomach, and/or upper small bowe... +

Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope ×

Service Code: 43239
Performed in a facility
73
times performed,
6% of his services

7th 14th

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

68
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$44,384.00an average of $608.00 per time performed $7,023.33
an average of $96.21 per time performed
medical
DIGESTIVE SYSTEM

Diagnostic examination of large bowel using an endoscope +

Diagnostic examination of large bowel using an endoscope ×

Service Code: 45378
Performed in a facility
66
times performed,
5% of his services

8th 21st

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

66
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$51,480.00an average of $780.00 per time performed $8,296.86
an average of $125.71 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
50
times performed,
4% of his services

9th 4th

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

49
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$6,000.00an average of $120.00 per time performed $3,698.50
an average of $73.97 per time performed
medical
PROCEDURES

Colorectal cancer screening; colonoscopy on individual at... +

Colorectal cancer screening; colonoscopy on individual at high risk ×

Service Code: G0105
Performed in a facility
47
times performed,
4% of his services

10th 39th

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

47
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$36,660.00an average of $780.00 per time performed $8,742.94
an average of $186.02 per time performed
medical
PROCEDURES

Colorectal cancer screening; colonoscopy on individual no... +

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk ×

Service Code: G0121
Performed in a facility
43
times performed,
3% of his services

11th 35th

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

43
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$33,540.00an average of $780.00 per time performed $8,384.14
an average of $194.98 per time performed
medical
DIGESTIVE SYSTEM

Removal of gallbladder using an endoscope

Service Code: 47562
Performed in a facility
35
times performed,
3% of his services

12th 28th

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

35
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$79,800.00an average of $2,280.00 per time performed $17,181.15
an average of $490.89 per time performed
medical
DIGESTIVE SYSTEM

Removal of polyps or growths of large bowel using an endo... +

Removal of polyps or growths of large bowel using an endoscope ×

Service Code: 45385
Performed in a facility
28
times performed,
2% of his services

13th 23rd

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

28
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$28,000.00an average of $1,000.00 per time performed $6,433.84
an average of $229.78 per time performed
medical
DIGESTIVE SYSTEM

Diagnostic examination of esophagus, stomach, and/or uppe... +

Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope ×

Service Code: 43235
Performed in a facility
27
times performed,
2% of his services

14th 47th

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

27
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,850.00an average of $550.00 per time performed $2,467.80
an average of $91.40 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
17
times performed,
1% of his services

15th 10th

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

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,100.00an average of $300.00 per time performed $1,214.65
an average of $71.45 per time performed
medical
DIGESTIVE SYSTEM

Biopsy of large bowel using an endoscope

Service Code: 45380
Performed in a facility
11
times performed,
0.87% of his services

16th 20th

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,933.00an average of $903.00 per time performed $2,215.40
an average of $201.40 per time performed
medical
DIGESTIVE SYSTEM

Removal of polyps or growths in large bowel using an endo... +

Removal of polyps or growths in large bowel using an endoscope ×

Service Code: 45384
Performed in a facility
11
times performed,
0.87% of his services

17th 44th

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,825.00an average of $1,075.00 per time performed $2,247.74
an average of $204.34 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.

James D Pilkington
Average for Surgery Providers in Michigan

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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