Treatment Tracker

The Doctors and Services in Medicare Part B

This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $369 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
770
Rank: 38th
out of 838 providers in this state & specialty
Services
Performed
2,278
Rank: 208th
out of 838 providers in this state & specialty
Avg Services
Per Patient
3 This Provider
Avg 4.9
Total Paid
by Medicare
$207K
Rank: 163rd
out of 838 providers in this state & specialty
Avg Paid
Per Patient
$269 This Provider
Avg $369

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 Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 99 different services in 2015
(77 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 25 minutes ×

Service Code: 99214
Performed in an office
511
times performed,
22% of his services

1st 5th

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

397
patients got this service, 52% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$89,266.59an average of $174.69 per time performed $40,139.05
an average of $78.55 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
404
times performed,
18% of his services

2nd 1st

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

292
patients got this service, 38% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$52,358.40an average of $129.60 per time performed $21,250.40
an average of $52.60 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
224
times performed,
10% of his services

3rd 25th

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

188
patients got this service, 24% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$23,105.60an average of $103.15 per time performed $5,505.92
an average of $24.58 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
162
times performed,
7% of his services

4th 6th

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

162
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$32,302.80an average of $199.40 per time performed $12,517.74
an average of $77.27 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
89
times performed,
4% of his services

5th 3rd

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

73
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.8)
$18,908.94an average of $212.46 per time performed $4,311.16
an average of $48.44 per time performed
medical
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
67
times performed,
3% of his services

6th 7th

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

56
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$4,994.18an average of $74.54 per time performed $1,584.55
an average of $23.65 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
54
times performed,
2% of his services

7th 14th

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

42
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$1,620.00an average of $30.00 per time performed $281.34
an average of $5.21 per time performed
medical
NERVOUS SYSTEM

Partial removal of spine bone with release of spinal cord... +

Partial removal of spine bone with release of spinal cord and/or nerves ×

Service Code: 63048
Performed in a facility
51
times performed,
2% of his services

8th 85th

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

21
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$30,651.00an average of $601.00 per time performed $8,442.54
an average of $165.54 per time performed
medical
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
48
times performed,
2% of his services

9th 13th

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

45
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$3,071.04an average of $63.98 per time performed $1,026.24
an average of $21.38 per time performed
medical
RADIOLOGY

X-ray of upper spine, 4 or 5 views

Service Code: 72050
Performed in an office
43
times performed,
2% of his services

10th 83rd

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

42
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$6,235.00an average of $145.00 per time performed $1,323.11
an average of $30.77 per time performed
medical
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
40
times performed,
2% of his services

11th 17th

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

40
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,628.80an average of $65.72 per time performed $705.60
an average of $17.64 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
40
times performed,
2% of his services

12th 40th

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

40
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,800.00an average of $220.00 per time performed $4,230.80
an average of $105.77 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
36
times performed,
2% of his services

13th 12th

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

33
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,682.72an average of $74.52 per time performed $662.40
an average of $18.40 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
30
times performed,
1% of his services

14th 75th

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

17
patients got this service, 2% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$1,980.00an average of $66.00 per time performed $903.30
an average of $30.11 per time performed
medical
RADIOLOGY

X-ray of middle spine, 3 views

Service Code: 72070
Performed in an office
22
times performed,
0.97% of his services

15th 99th

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

20
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,223.54an average of $101.07 per time performed $471.90
an average of $21.45 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
21
times performed,
0.92% of his services

16th 9th

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

15
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$315.00an average of $15.00 per time performed $59.22
an average of $2.82 per time performed
medical
RADIOLOGY

X-ray of spine of neck, 2 or 3 views

Service Code: 72040
Performed in an office
21
times performed,
0.92% of his services

17th 45th

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

12
patients got this service, 2% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.1)
$2,011.38an average of $95.78 per time performed $501.27
an average of $23.87 per time performed
medical
NERVOUS SYSTEM

Partial removal of middle spine bone with release of spin... +

Partial removal of middle spine bone with release of spinal cord and/or nerves ×

Service Code: 63047
Performed in a facility
20
times performed,
0.88% of his services

18th 98th

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

20
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$58,940.00an average of $2,947.00 per time performed $14,121.40
an average of $706.07 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, minimum of 4 views

Service Code: 72110
Performed in an office
20
times performed,
0.88% of his services

19th 44th

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

20
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,825.00an average of $141.25 per time performed $683.20
an average of $34.16 per time performed
medical
RADIOLOGY

X-ray of hip on one side of body, 1 view

Service Code: 73500
Performed in an office
15
times performed,
0.66% of his services

20th 32nd

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$963.00an average of $64.20 per time performed $258.75
an average of $17.25 per time performed
medical
MUSCULOSKELETAL SYSTEM

Harvest of bone fragments for spine surgery graft

Service Code: 20937
Performed in a facility
11
times performed,
0.48% of his services

21st Alert

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$5,632.00an average of $512.00 per time performed $1,438.47
an average of $130.77 per time performed
medical
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple ×

Service Code: G0180
Performed in an office
11
times performed,
0.48% of his services

22nd 84th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,694.00an average of $154.00 per time performed $450.01
an average of $40.91 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.

This provider did not bill Medicare for any 5’s.

1234512345
Richard J Distefano
Average for Orthopaedic Surgery Providers in New York

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 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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