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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, $233 per patient in 2012.
They performed about 6 services per patient. Here’s how this provider compares.
Number of
Patients
1,130
Rank: 109th
out of 2,711 providers in this state & specialty
Services
Performed
5,532
Rank: 365th
out of 2,711 providers in this state & specialty
Avg Services
Per Patient
4.9 This Provider
Avg 5.9
Total Paid
by Medicare
$222K
Rank: 283rd
out of 2,711 providers in this state & specialty
Avg Paid
Per Patient
$197 This Provider
Avg $233

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.

Shilpesh P. Patel
Average for Internal Medicine 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

SCOTT HEES

OLUJIDE LAWAL

JOHNNY CAMARGO

AMIR DARWISH

SHOUKATH ANSARI

Organizations

FIRSTHEALTH OF THE CARO...

CAROLINA MEDICAL LAB GR...

Patients saw before

Shilpesh P. Patel

Patients saw after

Individuals

SCOTT HEES

OLUJIDE LAWAL

JOHNNY CAMARGO

SHOUKATH ANSARI

DAVID SHIN

Organizations

FIRSTHEALTH OF THE CARO...

CAROLINA MEDICAL LAB GR...

This Provider's Services

This provider performed 22 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
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
2,313
times performed,
42% of his services

1st 2nd

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

685
patients got this service, 61% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.1)
$171,162an average of $74 per time performed $99,459
an average of $43 per time performed
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
604
times performed,
11% of his services

2nd 20th

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

442
patients got this service, 39% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$36,844an average of $61 per time performed $3,624
an average of $6 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
313
times performed,
6% of his services

3rd 16th

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

54
patients got this service, 5% of his patients
5.8
average number of visits a patient made for this service
(Peers: 3.3)
$8,764an average of $28 per time performed $4,069
an average of $13 per time performed
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
300
times performed,
5% of his services

4th 5th

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

105
patients got this service, 9% of his patients
2.9
average number of visits a patient made for this service
(Peers: 2.1)
$43,500an average of $145 per time performed $23,100
an average of $77 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval) ×

Service Code: Q2036
Performed in an office
272
times performed,
5% of his services

5th 78th

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

272
patients got this service, 24% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,800an average of $25 per time performed $2,448
an average of $9 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
264
times performed,
5% of his services

6th 13th

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

264
patients got this service, 23% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,600an average of $25 per time performed $6,072
an average of $23 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
207
times performed,
4% of his services

7th 29th

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

137
patients got this service, 12% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.1)
$22,563an average of $109 per time performed $11,178
an average of $54 per time performed
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
206
times performed,
4% of his services

8th 11th

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

137
patients got this service, 12% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.1)
$60,564an average of $294 per time performed $30,488
an average of $148 per time performed
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
178
times performed,
3% of his services

9th 4th

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

91
patients got this service, 8% of his patients
2
average number of visits a patient made for this service
(Peers: 2.3)
$15,486an average of $87 per time performed $9,612
an average of $54 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in a facility
119
times performed,
2% of his services

10th 60th

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

39
patients got this service, 3% of his patients
3.1
average number of visits a patient made for this service
(Peers: 2.8)
$15,589an average of $131 per time performed $6,783
an average of $57 per time performed
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in an office
109
times performed,
2% of his services

11th 95th

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

108
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,398an average of $22 per time performed $545
an average of $5 per time performed
MEDICINE

Routine electrocardiogram (ekg) with tracing using at lea... +

Routine electrocardiogram (ekg) with tracing using at least 12 leads ×

Service Code: 93005
Performed in an office
108
times performed,
2% of his services

12th 117th

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

107
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,428an average of $41 per time performed $648
an average of $6 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
100
times performed,
2% of his services

13th 1st

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

97
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 2.4)
$11,100an average of $111 per time performed $7,300
an average of $73 per time performed
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
80
times performed,
1% of his services

14th 35th

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

17
patients got this service, 2% of his patients
4.7
average number of visits a patient made for this service
(Peers: 4.7)
$480an average of $6 per time performed $0
an average of $0 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in an office
59
times performed,
1% of his services

15th 85th

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

19
patients got this service, 2% of his patients
3.1
average number of visits a patient made for this service
(Peers: 2.5)
$7,729an average of $131 per time performed $3,422
an average of $58 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
48
times performed,
0.87% of his services

16th 61st

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

41
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$9,408an average of $196 per time performed $6,384
an average of $133 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
46
times performed,
0.83% of his services

17th 59th

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

41
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$3,772an average of $82 per time performed $2,484
an average of $54 per time performed
DRUGS

Injection, ceftriaxone sodium, per 250 mg

Service Code: J0696
Performed in an office
43
times performed,
0.78% of his services

18th 43rd

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

11
patients got this service, 0.97% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$688an average of $16 per time performed $43
an average of $1 per time performed
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
37
times performed,
0.67% of his services

19th 39th

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

22
patients got this service, 2% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.8)
$2,220an average of $60 per time performed $1,073
an average of $29 per time performed
PROCEDURES

Physician re-certification for medicare-covered home heal... +

Physician re-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 implementation of the plan of care that meets patient's needs, per re-certification period ×

Service Code: G0179
Performed in an office
32
times performed,
0.58% of his services

20th 87th

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

15
patients got this service, 1% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.4)
$2,240an average of $70 per time performed $928
an average of $29 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
25
times performed,
0.45% of his services

21st 38th

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

24
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.8)
$1,250an average of $50 per time performed $625
an average of $25 per time performed
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 implementation of the plan of care that meets patient's needs, per certification period ×

Service Code: G0180
Performed in an office
25
times performed,
0.45% of his services

22nd 84th

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

23
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,375an average of $95 per time performed $1,000
an average of $40 per time performed
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
16
times performed,
0.29% of his services

23rd 68th

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$976an average of $61 per time performed $960
an average of $60 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
16
times performed,
0.29% of his services

24th 71st

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$400an average of $25 per time performed $368
an average of $23 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 a facility
12
times performed,
0.22% of his services

25th 37th

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

11
patients got this service, 0.97% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.8)
$888an average of $74 per time performed $456
an average of $38 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 "Internal 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.


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