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, $656 per patient in 2015.
They performed about 37 services per patient. Here’s how this provider compares.

Number of
Patients
795
Rank: 9th
out of 193 providers in this state & specialty
Services
Performed
12,031
Rank: 53rd
out of 193 providers in this state & specialty
Avg Services
Per Patient
15.1 This Provider
Avg 37.4
Total Paid
by Medicare
$293K
Rank: 55th
out of 193 providers in this state & specialty
Avg Paid
Per Patient
$368 This Provider
Avg $656

Note: About 30% of this provider’s Medicare payments were for drugs administered in her office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

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 her Part B patients.

This Provider's Services

This provider performed 62 different services in 2015
(36 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
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
6,300
times performed,
52% of her services

1st 3rd

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

71
patients got this service, 9% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$214,200.00an average of $34.00 per time performed $73,899.00
an average of $11.73 per time performed
drug
DRUGS

Hyaluronan or derivative, synvisc or synvisc-one, for int... +

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ×

Service Code: J7325
Performed in an office
1,200
times performed,
10% of her services

2nd 10th

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

17
patients got this service, 2% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$30,000.00an average of $25.00 per time performed $12,000.00
an average of $10.00 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
1,098
times performed,
9% of her services

3rd 8th

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

602
patients got this service, 76% of her patients
1.8
average number of visits a patient made for this service
(Peers: 2.1)
$252,616.86an average of $230.07 per time performed $89,201.52
an average of $81.24 per time performed
medical
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
1,094
times performed,
9% of her services

4th 16th

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

161
patients got this service, 20% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$50,324.00an average of $46.00 per time performed $25,501.14
an average of $23.31 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
323
times performed,
3% of her services

5th 11th

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

236
patients got this service, 30% of her patients
1.4
average number of visits a patient made for this service
(Peers: 2)
$35,530.00an average of $110.00 per time performed $17,448.46
an average of $54.02 per time performed
medical
PATHOLOGY AND LABORATORY

Analysis of substance using immunoassay technique

Service Code: 83516
Performed in an office
234
times performed,
2% of her services

6th 42nd

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

118
patients got this service, 15% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$11,466.00an average of $49.00 per time performed $3,549.78
an average of $15.17 per time performed
medical
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
222
times performed,
2% of her services

7th 48th

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

207
patients got this service, 26% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$41,958.00an average of $189.00 per time performed $8,660.22
an average of $39.01 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of dna antibody

Service Code: 86226
Performed in an office
183
times performed,
2% of her services

8th 55th

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

161
patients got this service, 20% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$8,418.00an average of $46.00 per time performed $2,913.36
an average of $15.92 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of dna antibody

Service Code: 86225
Performed in an office
182
times performed,
2% of her services

9th 44th

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

160
patients got this service, 20% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$8,008.00an average of $44.00 per time performed $3,286.92
an average of $18.06 per time performed
medical

Fracture assessment of spine bones using dedicated x-ray ... +

Fracture assessment of spine bones using dedicated x-ray machine for bone density measurement ×

Service Code: 77086
Performed in an office
127
times performed,
1% of her services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

127
patients got this service, 16% of her patients
1
average number of visits a patient made for this service
$12,065.00an average of $95.00 per time performed $3,569.97
an average of $28.11 per time performed
medical
PATHOLOGY AND LABORATORY

Rheumatoid factor level

Service Code: 86431
Performed in an office
119
times performed,
0.99% of her services

11th 59th

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

118
patients got this service, 15% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,618.00an average of $22.00 per time performed $887.74
an average of $7.46 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of antibody for rheumatoid arthritis assessment +

Measurement of antibody for rheumatoid arthritis assessment ×

Service Code: 86200
Performed in an office
109
times performed,
0.91% of her services

12th 57th

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

108
patients got this service, 14% of her patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$9,265.00an average of $85.00 per time performed $1,867.17
an average of $17.13 per time performed
medical
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
105
times performed,
0.87% of her services

13th 22nd

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

71
patients got this service, 9% of her patients
1.5
average number of visits a patient made for this service
(Peers: 2.7)
$11,550.00an average of $110.00 per time performed $6,331.50
an average of $60.30 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
83
times performed,
0.69% of her services

14th 14th

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

56
patients got this service, 7% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.8)
$13,949.81an average of $168.07 per time performed $4,110.99
an average of $49.53 per time performed
medical
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
76
times performed,
0.63% of her services

15th 39th

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

76
patients got this service, 10% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$33,820.00an average of $445.00 per time performed $12,175.20
an average of $160.20 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
69
times performed,
0.57% of her services

16th 21st

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

47
patients got this service, 6% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$1,380.00an average of $20.00 per time performed $181.47
an average of $2.63 per time performed
medical
PATHOLOGY AND LABORATORY

Cardiolipin antibody (tissue antibody) measurement

Service Code: 86147
Performed in an office
69
times performed,
0.57% of her services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

23
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
$4,789.98an average of $69.42 per time performed $2,341.17
an average of $33.93 per time performed
medical
PATHOLOGY AND LABORATORY

Screening test for autoimmune disorder

Service Code: 86038
Performed in an office
66
times performed,
0.55% of her services

18th 71st

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

66
patients got this service, 8% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,904.00an average of $44.00 per time performed $1,063.92
an average of $16.12 per time performed
medical

Bone density measurement using dedicated x-ray machine

Service Code: 77085
Performed in an office
60
times performed,
0.5% of her services

19th 61st

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

60
patients got this service, 8% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,100.00an average of $285.00 per time performed $2,819.40
an average of $46.99 per time performed
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
56
times performed,
0.47% of her services

20th 26th

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

53
patients got this service, 7% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$17,080.00an average of $305.00 per time performed $6,658.96
an average of $118.91 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
43
times performed,
0.36% of her services

21st 53rd

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

39
patients got this service, 5% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$18,920.00an average of $440.00 per time performed $7,322.47
an average of $170.29 per time performed
medical
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
36
times performed,
0.3% of her services

22nd 43rd

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

23
patients got this service, 3% of her patients
1.6
average number of visits a patient made for this service
(Peers: 2.4)
$5,580.00an average of $155.00 per time performed $2,172.24
an average of $60.34 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,
0.25% of her services

23rd 93rd

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

22
patients got this service, 3% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$2,550.00an average of $85.00 per time performed $975.30
an average of $32.51 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 (flulaval) ×

Service Code: Q2036
Performed in an office
18
times performed,
0.15% of her services

24th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
$540.00an average of $30.00 per time performed $151.38
an average of $8.41 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
17
times performed,
0.14% of her services

25th 58th

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

17
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$833.00an average of $49.00 per time performed $448.12
an average of $26.36 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
16
times performed,
0.13% of her services

26th 33rd

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

14
patients got this service, 2% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$1,488.00an average of $93.00 per time performed $549.28
an average of $34.33 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.

Maria C Sosenko
Average for Rheumatology Providers in Illinois

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.

Read our methodology.