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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, $497 per patient in 2012.
They performed about 18 services per patient. Here’s how this provider compares.
Number of
Patients
768
Rank: 8th
out of 90 providers in this state & specialty
Services
Performed
129,360
Rank: 1st
out of 90 providers in this state & specialty
Avg Services
Per Patient
168.4 This Provider is in the top 10%
Avg 17.7
Total Paid
by Medicare
$2.6M
Rank: 1st
out of 90 providers in this state & specialty
Avg Paid
Per Patient
$3,383 This Provider is in the top 10%
Avg $497

Office Visits

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Top Billing

Related story »

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.

Michael J. Strachan
Average for Rheumatology Providers in Virginia

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.

Patients saw before

Michael J. Strachan

Patients saw after

This Provider's Services

This provider performed 52 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, tocilizumab (actemra), 1 mg

Service Code: J3262
Performed in an office
70,641
times performed,
55% of his services

1st Alert

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

13
patients got this service, 2% of his patients
9.5
average number of visits a patient made for this service
$423,846an average of $6 per time performed $211,923
an average of $3 per time performed
DRUGS

Injection, infliximab (remicade), 10 mg

Service Code: J1745
Performed in an office
30,770
times performed,
24% of his services

2nd 2nd

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

91
patients got this service, 12% of his patients
6.5
average number of visits a patient made for this service
(Peers: 5)
$2,769,300an average of $90 per time performed $1,569,270
an average of $51 per time performed
DRUGS

Injection, abatacept (orencia), 10 mg

Service Code: J0129
Performed in an office
9,125
times performed,
7% of his services

3rd 3rd

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

15
patients got this service, 2% of his patients
8.3
average number of visits a patient made for this service
(Peers: 7.4)
$273,750an average of $30 per time performed $155,125
an average of $17 per time performed
DRUGS

Injection, denosumab (prolia, xgeva), 1 mg

Service Code: J0897
Performed in an office
4,440
times performed,
3% of his services

4th 6th

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

49
patients got this service, 6% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$93,240an average of $21 per time performed $48,840
an average of $11 per time performed
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
2,042
times performed,
2% of his services

5th 9th

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

280
patients got this service, 36% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$10,210an average of $5 per time performed $2,042
an average of $1 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
1,603
times performed,
1% of his services

6th 5th

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

485
patients got this service, 63% of his patients
3.3
average number of visits a patient made for this service
(Peers: 2.4)
$193,963an average of $121 per time performed $113,813
an average of $71 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
1,422
times performed,
1% of his services

7th 19th

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

426
patients got this service, 55% of his patients
3.3
average number of visits a patient made for this service
(Peers: 2.2)
$54,036an average of $38 per time performed $21,330
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
1,332
times performed,
1% of his services

8th 12th

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

363
patients got this service, 47% of his patients
3.7
average number of visits a patient made for this service
(Peers: 2.3)
$26,640an average of $20 per time performed $14,652
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Measurement c-reactive protein for detection of infection... +

Measurement c-reactive protein for detection of infection or inflammation ×

Service Code: 86140
Performed in an office
974
times performed,
0.75% of his services

9th 24th

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

295
patients got this service, 38% of his patients
3.3
average number of visits a patient made for this service
(Peers: 2.3)
$29,220an average of $30 per time performed $6,818
an average of $7 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
888
times performed,
0.69% of his services

10th 14th

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

127
patients got this service, 17% of his patients
7
average number of visits a patient made for this service
(Peers: 5.5)
$324,120an average of $365 per time performed $92,352
an average of $104 per time performed
CARDIOVASCULAR SYSTEM

Insertion of needle into vein for collection of blood sample +

Insertion of needle into vein for collection of blood sample ×

Service Code: 36415
Performed in an office
866
times performed,
0.67% of his services

11th 8th

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

387
patients got this service, 50% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.3)
$10,392an average of $12 per time performed $2,598
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85652
Performed in an office
794
times performed,
0.61% of his services

12th Alert

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

325
patients got this service, 42% of his patients
2.4
average number of visits a patient made for this service
$15,086an average of $19 per time performed $3,176
an average of $4 per time performed
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
665
times performed,
0.51% of his services

13th 11th

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

241
patients got this service, 31% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.9)
$63,175an average of $95 per time performed $29,260
an average of $44 per time performed
CHEMOTHERAPY DRUGS

Injection, rituximab (rituxan), 100 mg

Service Code: J9310
Performed in an office
454
times performed,
0.35% of his services

14th Alert

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

16
patients got this service, 2% of his patients
3
average number of visits a patient made for this service
$340,500an average of $750 per time performed $187,048
an average of $412 per time performed
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
431
times performed,
0.33% of his services

15th 15th

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

269
patients got this service, 35% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.8)
$8,189an average of $19 per time performed $2,155
an average of $5 per time performed
DRUGS

Injection, zoledronic acid (reclast), 1 mg

Service Code: J3488
Performed in an office
360
times performed,
0.28% of his services

16th 23rd

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

72
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$106,920an average of $297 per time performed $63,720
an average of $177 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
330
times performed,
0.26% of his services

17th 7th

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

237
patients got this service, 31% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.9)
$25,410an average of $77 per time performed $16,170
an average of $49 per time performed
DRUGS

Infusion, normal saline solution , 250 cc

Service Code: J7050
Performed in an office
276
times performed,
0.21% of his services

18th 22nd

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

112
patients got this service, 15% of his patients
1.3
average number of visits a patient made for this service
(Peers: 4.2)
$3,588an average of $13 per time performed $0
an average of $0 per time performed
MUSCULOSKELETAL SYSTEM

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

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

Service Code: 20605
Performed in an office
210
times performed,
0.16% of his services

19th 43rd

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

91
patients got this service, 12% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.3)
$16,800an average of $80 per time performed $5,460
an average of $26 per time performed
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
186
times performed,
0.14% of his services

20th 18th

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

32
patients got this service, 4% of his patients
2.8
average number of visits a patient made for this service
(Peers: 4.2)
$14,880an average of $80 per time performed $3,720
an average of $20 per time performed
MEDICINE

Injection of different drug or substance into a vein for ... +

Injection of different drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96375
Performed in an office
134
times performed,
0.1% of his services

21st Alert

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

19
patients got this service, 2% of his patients
4.5
average number of visits a patient made for this service
$5,762an average of $43 per time performed $2,144
an average of $16 per time performed
PATHOLOGY AND LABORATORY

Measurement of antibody for assessment of autoimmune diso... +

Measurement of antibody for assessment of autoimmune disorder ×

Service Code: 86235
Performed in an office
120
times performed,
0.09% of his services

22nd Alert

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$4,440an average of $37 per time performed $3,000
an average of $25 per time performed
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
115
times performed,
0.09% of his services

23rd 50th

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

98
patients got this service, 13% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$7,015an average of $61 per time performed $4,830
an average of $42 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
110
times performed,
0.09% of his services

24th 21st

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

110
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$20,350an average of $185 per time performed $6,930
an average of $63 per time performed
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
103
times performed,
0.08% of his services

25th 29th

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

31
patients got this service, 4% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.7)
$31,930an average of $310 per time performed $16,480
an average of $160 per time performed
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 1 or 2 muscles

Service Code: 20552
Performed in an office
90
times performed,
0.07% of his services

26th 70th

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

61
patients got this service, 8% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$11,250an average of $125 per time performed $2,430
an average of $27 per time performed
MUSCULOSKELETAL SYSTEM

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

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

Service Code: 20600
Performed in an office
76
times performed,
0.06% of his services

27th 40th

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

43
patients got this service, 6% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$5,320an average of $70 per time performed $2,356
an average of $31 per time performed
MEDICINE

Non-hormonal anti-neoplastic chemotherapy beneath the ski... +

Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle ×

Service Code: 96401
Performed in an office
74
times performed,
0.06% of his services

28th 46th

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

49
patients got this service, 6% of his patients
1.5
average number of visits a patient made for this service
(Peers: 4.2)
$8,140an average of $110 per time performed $4,070
an average of $55 per time performed
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour ×

Service Code: 96365
Performed in an office
72
times performed,
0.06% of his services

29th 59th

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

72
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,784an average of $122 per time performed $3,816
an average of $53 per time performed
MUSCULOSKELETAL SYSTEM

Injections of tendon sheath, ligament, or muscle membrane +

Injections of tendon sheath, ligament, or muscle membrane ×

Service Code: 20550
Performed in an office
67
times performed,
0.05% of his services

30th 58th

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

50
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$6,365an average of $95 per time performed $2,412
an average of $36 per time performed
MUSCULOSKELETAL SYSTEM

Injections of tendon attachment to bone

Service Code: 20551
Performed in an office
54
times performed,
0.04% of his services

31st Alert

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

38
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
$6,750an average of $125 per time performed $1,782
an average of $33 per time performed
DRUGS

Injection, methylprednisolone sodium succinate, up to 125 mg +

Injection, methylprednisolone sodium succinate, up to 125 mg ×

Service Code: J2930
Performed in an office
52
times performed,
0.04% of his services

32nd Alert

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

14
patients got this service, 2% of his patients
3.7
average number of visits a patient made for this service
$780an average of $15 per time performed $104
an average of $2 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
42
times performed,
0.03% of his services

33rd 67th

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)
$5,964an average of $142 per time performed $2,982
an average of $71 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
37
times performed,
0.03% of his services

34th 31st

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

37
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,435an average of $255 per time performed $5,069
an average of $137 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
34
times performed,
0.03% of his services

35th Alert

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

26
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
$1,020an average of $30 per time performed $374
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Analysis of substance using immunoassay technique

Service Code: 83516
Performed in an office
32
times performed,
0.02% of his services

36th Alert

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

15
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$768an average of $24 per time performed $512
an average of $16 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
31
times performed,
0.02% of his services

37th 20th

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

31
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 $200 per time performed $3,875
an average of $125 per time performed
PATHOLOGY AND LABORATORY

Skin test for tuberculosis

Service Code: 86580
Performed in an office
29
times performed,
0.02% of his services

38th 72nd

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

29
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$841an average of $29 per time performed $145
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Screening test for autoimmune disorder

Service Code: 86038
Performed in an office
28
times performed,
0.02% of his services

39th Alert

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

28
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$700an average of $25 per time performed $476
an average of $17 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
27
times performed,
0.02% of his services

40th 52nd

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

24
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$405an average of $15 per time performed $135
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
26
times performed,
0.02% of his services

41st 64th

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

26
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$910an average of $35 per time performed $624
an average of $24 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
23
times performed,
0.02% of his services

42nd Alert

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

22
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$1,288an average of $56 per time performed $368
an average of $16 per time performed
PATHOLOGY AND LABORATORY

Measurement of complement (immune system proteins)

Service Code: 86160
Performed in an office
23
times performed,
0.02% of his services

43rd Alert

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

11
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
$690an average of $30 per time performed $391
an average of $17 per time performed
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82550
Performed in an office
22
times performed,
0.02% of his services

44th 68th

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

18
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$440an average of $20 per time performed $110
an average of $5 per time performed
MUSCULOSKELETAL SYSTEM

Injection of carpal tunnel

Service Code: 20526
Performed in an office
21
times performed,
0.02% of his services

45th Alert

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

14
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
$1,995an average of $95 per time performed $1,071
an average of $51 per time performed
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
18
times performed,
0.01% of his services

46th 25th

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

17
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$360an average of $20 per time performed $90
an average of $5 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
17
times performed,
0.01% of his services

47th 55th

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

16
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$969an average of $57 per time performed $527
an average of $31 per time performed
PATHOLOGY AND LABORATORY

Rheumatoid factor level

Service Code: 86431
Performed in an office
16
times performed,
0.01% of his services

48th 81st

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

15
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$192an average of $12 per time performed $128
an average of $8 per time performed
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 3 or more muscles

Service Code: 20553
Performed in an office
15
times performed,
0.01% of his services

49th Alert

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

14
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$2,100an average of $140 per time performed $675
an average of $45 per time performed
PATHOLOGY AND LABORATORY

Measurement of dna antibody

Service Code: 86225
Performed in an office
15
times performed,
0.01% of his services

50th 80th

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$435an average of $29 per time performed $285
an average of $19 per time performed
PATHOLOGY AND LABORATORY

Measurement of dna antibody

Service Code: 86226
Performed in an office
15
times performed,
0.01% of his services

51st Alert

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$375an average of $25 per time performed $255
an average of $17 per time performed
PATHOLOGY AND LABORATORY

Measurement of antibody for rheumatoid arthritis assessment +

Measurement of antibody for rheumatoid arthritis assessment ×

Service Code: 86200
Performed in an office
13
times performed,
0.01% of his services

52nd Alert

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$351an average of $27 per time performed $234
an average of $18 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 "Rheumatology." 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.