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, $386 per patient in 2014.
They performed about 3 services per patient. Here’s how this provider compares.

Number of
Patients
542
Rank: 53rd
out of 683 providers in this state & specialty
Services
Performed
1,130
Rank: 97th
out of 683 providers in this state & specialty
Avg Services
Per Patient
2.1 This Provider
Avg 2.7
Total Paid
by Medicare
$137K
Rank: 110th
out of 683 providers in this state & specialty
Avg Paid
Per Patient
$254 This Provider
Avg $386

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.

Who Patients See Before and After This Provider

Providers often refer their patients to a small network of other providers and organizations. Here’s who patients saw the most within 30 days before or after this provider in 2014.

Individuals

SURENDER KURAPATI

HENRY ARMAH

ASHOK VASHISHTA

JOHN CAREY

MARIA LAYNES

Organizations

CENTRAL MICHIGAN COMMUN...

MIDMICHIGAN MEDICAL CEN...

Patients saw before

JAMES PILKINGTON MD

Patients saw after

Individuals

HENRY ARMAH

SURENDER KURAPATI

ASHOK VASHISHTA

MICHAEL GROSS

LAKSHMI SHANKARIAH

Organizations

CENTRAL MICHIGAN COMMUN...

MIDMICHIGAN MEDICAL CEN...

This Provider's Services

This provider performed 101 different services in 2014

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
137
times performed,
12% of his services

1st 2nd

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

121
patients got this service, 22% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$13,749an average of $100 per time performed $7,025
an average of $51 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 an office
131
times performed,
12% of his services

2nd 9th

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

96
patients got this service, 18% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$9,825an average of $75 per time performed $3,781
an average of $29 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
117
times performed,
10% of his services

3rd 7th

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

117
patients got this service, 22% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,550an average of $150 per time performed $7,899
an average of $68 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
108
times performed,
10% of his services

4th 4th

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

104
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$12,960an average of $120 per time performed $7,960
an average of $74 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
79
times performed,
7% of his services

5th 13th

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

77
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,800an average of $200 per time performed $6,039
an average of $76 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
67
times performed,
6% of his services

6th 1st

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

36
patients got this service, 7% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.1)
$6,700an average of $100 per time performed $1,999
an average of $30 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
58
times performed,
5% of his services

7th 14th

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

58
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$35,264an average of $608 per time performed $5,494
an average of $95 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
52
times performed,
5% of his services

8th 21st

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

52
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$40,560an average of $780 per time performed $6,947
an average of $134 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
34
times performed,
3% of his services

9th 17th

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

34
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,400an average of $100 per time performed $1,580
an average of $46 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
33
times performed,
3% of his services

10th 39th

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

33
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$25,740an average of $780 per time performed $6,428
an average of $195 per time performed
medical
DIGESTIVE SYSTEM

Removal of gallbladder using an endoscope

Service Code: 47562
Performed in a facility
23
times performed,
2% of his services

11th 30th

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

23
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$52,440an average of $2,280 per time performed $11,498
an average of $500 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
21
times performed,
2% of his services

12th 10th

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

21
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,200an average of $295 per time performed $2,310
an average of $110 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
20
times performed,
2% of his services

13th 36th

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

20
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,600an average of $780 per time performed $3,793
an average of $190 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
19
times performed,
2% of his services

14th 45th

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

19
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,450an average of $550 per time performed $1,731
an average of $91 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
17
times performed,
2% of his services

15th 26th

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)
$17,000an average of $1,000 per time performed $3,925
an average of $231 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
14
times performed,
1% of his services

16th 51st

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)
$15,050an average of $1,075 per time performed $2,805
an average of $200 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 checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. 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 2013 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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