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, $258 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
671
Rank: 276th
out of 2,523 providers in this state & specialty
Services
Performed
4,496
Rank: 429th
out of 2,523 providers in this state & specialty
Avg Services
Per Patient
6.7 This Provider
Avg 7.3
Total Paid
by Medicare
$239K
Rank: 222nd
out of 2,523 providers in this state & specialty
Avg Paid
Per Patient
$357 This Provider
Avg $258

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 42 different services in 2015
(26 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 15 minutes ×

Service Code: 99213
Performed in an office
2,008
times performed,
45% of his services

1st 4th

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

563
patients got this service, 84% of his patients
3.6
average number of visits a patient made for this service
(Peers: 2)
$178,571.44an average of $88.93 per time performed $87,669.28
an average of $43.66 per time performed
medical
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
561
times performed,
12% of his services

2nd 6th

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

142
patients got this service, 21% of his patients
4
average number of visits a patient made for this service
(Peers: 2)
$97,614.00an average of $174.00 per time performed $43,393.35
an average of $77.35 per time performed
medical
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
241
times performed,
5% of his services

3rd 16th

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

149
patients got this service, 22% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1)
$85,073.00an average of $353.00 per time performed $35,499.30
an average of $147.30 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
236
times performed,
5% of his services

4th 36th

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

151
patients got this service, 23% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.1)
$30,916.00an average of $131.00 per time performed $12,635.44
an average of $53.54 per time performed
medical
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
222
times performed,
5% of his services

5th 26th

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

36
patients got this service, 5% of his patients
6.2
average number of visits a patient made for this service
(Peers: 3.1)
$7,705.62an average of $34.71 per time performed $2,834.94
an average of $12.77 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
212
times performed,
5% of his services

6th 15th

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

212
patients got this service, 32% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,300.00an average of $25.00 per time performed $4,984.12
an average of $23.51 per time performed
drug
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 (fluvirin) ×

Service Code: Q2037
Performed in an office
211
times performed,
5% of his services

7th 46th

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

211
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,275.00an average of $25.00 per time performed $3,257.84
an average of $15.44 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
183
times performed,
4% of his services

8th 1st

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

147
patients got this service, 22% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.3)
$24,280.44an average of $132.68 per time performed $12,068.85
an average of $65.95 per time performed
medical
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
110
times performed,
2% of his services

9th 74th

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

35
patients got this service, 5% of his patients
3.1
average number of visits a patient made for this service
(Peers: 2.3)
$17,270.00an average of $157.00 per time performed $6,916.80
an average of $62.88 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
69
times performed,
2% of his services

10th 50th

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

60
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$6,072.00an average of $88.00 per time performed $3,710.82
an average of $53.78 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
67
times performed,
1% of his services

11th 49th

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

58
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$15,745.00an average of $235.00 per time performed $9,148.18
an average of $136.54 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
41
times performed,
0.91% of his services

12th 78th

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

40
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$3,895.00an average of $95.00 per time performed $1,605.56
an average of $39.16 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in a facility
35
times performed,
0.78% of his services

13th 94th

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

32
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$6,650.00an average of $190.00 per time performed $4,319.35
an average of $123.41 per time performed
medical
EVALUATION AND MANAGEMENT

Nursing facility discharge day management, 30 minutes or ... +

Nursing facility discharge day management, 30 minutes or less ×

Service Code: 99315
Performed in a facility
27
times performed,
0.6% of his services

14th 217th

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

27
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,727.00an average of $101.00 per time performed $1,455.03
an average of $53.89 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
20
times performed,
0.44% of his services

15th 108th

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)
$2,780.00an average of $139.00 per time performed $1,126.00
an average of $56.30 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
20
times performed,
0.44% of his services

16th 56th

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

17
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.8)
$1,200.00an average of $60.00 per time performed $604.80
an average of $30.24 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.

Shilpesh P. Patel
Average for Internal Medicine Providers in North Carolina

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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