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Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $324 per patient in 2012.
They performed about 8 services per patient. Here’s how this provider compares.
Number of
Patients
415
Rank: 72nd
out of 179 providers in this state & specialty
Services
Performed
5,263
Rank: 31st
out of 179 providers in this state & specialty
Avg Services
Per Patient
12.7 This Provider
Avg 7.8
Total Paid
by Medicare
$133K
Rank: 60th
out of 179 providers in this state & specialty
Avg Paid
Per Patient
$320 This Provider
Avg $324

Office Visits

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Top Billing

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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.

Monica J. Carrion
Average for Physical Medicine and Rehabilitation Providers in North Carolina

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 patients within 30 days before or after this provider, from Jan. 2012 to June 2013.

Individuals

THOMAS FISHER

MACK MCCLAIN

BOYD GASQUE

THOMAS FLORIAN

ANDREW SIMAYS

Organizations

SOUTHEASTERN REGIONAL M...

SOUTHEASTERN REGIONAL P...

Patients saw before

Monica J. Carrion

Patients saw after

Individuals

THOMAS FISHER

THOMAS FLORIAN

MACK MCCLAIN

BOYD GASQUE

ANDREW SIMAYS

Organizations

SOUTHEASTERN REGIONAL M...

SOUTHEASTERN REGIONAL P...

This Provider's Services

This provider performed 16 different services in 2012
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
DRUGS

Injection, onabotulinumtoxina (botox), 1 unit

Service Code: J0585
Performed in an office
3,000
times performed,
57% of her services

1st 1st

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

12
patients got this service, 3% of her patients
1.5
average number of visits a patient made for this service
(Peers: 2.2)
$27,000an average of $9 per time performed $12,000
an average of $4 per time performed
MEDICINE

Needle measurement and recording of nerve sensory (feel) ... +

Needle measurement and recording of nerve sensory (feel) function ×

Service Code: 95904
Performed in an office
636
times performed,
12% of her services

2nd 8th

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

199
patients got this service, 48% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$50,880an average of $80 per time performed $26,712
an average of $42 per time performed
MEDICINE

Needle measurement and recording of nerve motor (movement... +

Needle measurement and recording of nerve motor (movement) function ×

Service Code: 95900
Performed in an office
478
times performed,
9% of her services

3rd 11th

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

180
patients got this service, 43% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$43,976an average of $92 per time performed $22,944
an average of $48 per time performed
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
328
times performed,
6% of her services

4th 4th

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

153
patients got this service, 37% of her patients
2.1
average number of visits a patient made for this service
(Peers: 2.4)
$34,768an average of $106 per time performed $16,400
an average of $50 per time performed
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles of arm or leg complete study ×

Service Code: 95886
Performed in an office
230
times performed,
4% of her services

5th 23rd

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

190
patients got this service, 46% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$22,540an average of $98 per time performed $15,180
an average of $66 per time performed
MEDICINE

Needle measurement, rate, and recording of nerve motor (m... +

Needle measurement, rate, and recording of nerve motor (movement) function, with f-wave study ×

Service Code: 95903
Performed in an office
164
times performed,
3% of her services

6th 20th

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

102
patients got this service, 25% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,548an average of $107 per time performed $9,184
an average of $56 per time performed
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
158
times performed,
3% of her services

7th 5th

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

93
patients got this service, 22% of her patients
1.7
average number of visits a patient made for this service
(Peers: 2.3)
$24,806an average of $157 per time performed $11,534
an average of $73 per time performed
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
90
times performed,
2% of her services

8th 17th

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

90
patients got this service, 22% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$23,040an average of $256 per time performed $10,890
an average of $121 per time performed
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
48
times performed,
0.91% of her services

9th 22nd

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

48
patients got this service, 12% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,592an average of $179 per time performed $3,456
an average of $72 per time performed
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
31
times performed,
0.59% of her services

10th 61st

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

20
patients got this service, 5% of her patients
1.6
average number of visits a patient made for this service
(Peers: 2.1)
$1,085an average of $35 per time performed $527
an average of $17 per time performed
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
26
times performed,
0.49% of her services

11th 28th

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

18
patients got this service, 4% of her patients
1.4
average number of visits a patient made for this service
(Peers: 2.1)
$52an average of $2 per time performed $0
an average of $0 per time performed
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 35 minutes per day +

Initial nursing facility visit, typically 35 minutes per day ×

Service Code: 99305
Performed in a facility
18
times performed,
0.34% of her services

12th 75th

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

18
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,582an average of $199 per time performed $1,764
an average of $98 per time performed
MEDICINE

Needle measurement and recording of electrical activity o... +

Needle measurement and recording of electrical activity of muscles for guidance with injection of chemical for destruction of muscles ×

Service Code: 95874
Performed in an office
17
times performed,
0.32% of her services

13th Alert

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

11
patients got this service, 3% of her patients
1.5
average number of visits a patient made for this service
$1,581an average of $93 per time performed $765
an average of $45 per time performed
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
17
times performed,
0.32% of her services

14th 29th

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

15
patients got this service, 4% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$204an average of $12 per time performed $85
an average of $5 per time performed
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 an office
11
times performed,
0.21% of her services

15th 82nd

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

11
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,663an average of $333 per time performed $1,562
an average of $142 per time performed
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
11
times performed,
0.21% of her services

16th 39th

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

11
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$880an average of $80 per time performed $352
an average of $32 per time performed

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.

Notes: This provider has a self-reported specialty of "Neuromuscular Medicine." In some cases the self-reported specialty may differ from the specialty listed above, which comes from Medicare. Medicare redacted this data for any services provided to fewer than 11 patients.

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.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.