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, $249 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
Services
Performed
Avg Services
Per Patient
Total Paid
by Medicare
Avg Paid
Per Patient
Note: About 19% of this provider’s Medicare payments were for drugs administered in his 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 his Part B patients.
This Provider's Services
This provider performed 100 different services in 2015
(58 were redacted as they were performed on less than 11 patients)
Show Only:
CATEGORYDescription of Service |
Times Performed (or Units) | This Service's Rank | Patients | Unique Visits Per Patient |
Billed to Medicare | Payments from Medicare |
|---|---|---|---|---|---|---|
CARDIOVASCULAR SYSTEMInsertion of needle into vein for collection of blood sample + Insertion of needle into vein for collection of blood sample × Service Code: 36415Performed in an office |
1,482 times performed, 12% of his services |
1st 5th most performed service for this provider most performed service in this state & specialty |
412 patients got this service, 71% of his patients |
3.6 average number of visits a patient made for this service (Peers: 2.1) |
$11,115.00an average of $7.50 per time performed |
$4,342.26 an average of $2.93 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 40 minutes × Service Code: 99215Performed in an office |
1,335 times performed, 11% of his services |
2nd 16th most performed service for this provider most performed service in this state & specialty |
473 patients got this service, 82% of his patients |
2.8 average number of visits a patient made for this service (Peers: 1.5) |
$225,615.00an average of $169.00 per time performed |
$131,404.05 an average of $98.43 per time performed |
PATHOLOGY AND LABORATORYBlood test, comprehensive group of blood chemicals Service Code: 80053Performed in an office |
862 times performed, 7% of his services |
3rd 33rd most performed service for this provider most performed service in this state & specialty |
386 patients got this service, 67% of his patients |
2.2 average number of visits a patient made for this service (Peers: 1.7) |
$18,964.00an average of $22.00 per time performed |
$7,895.92 an average of $9.16 per time performed |
PATHOLOGY AND LABORATORYService Code: 83718Performed in an office |
725 times performed, 6% of his services |
4th 94th most performed service for this provider most performed service in this state & specialty |
363 patients got this service, 63% of his patients |
2 average number of visits a patient made for this service (Peers: 1.7) |
$20,300.00an average of $28.00 per time performed |
$7,909.75 an average of $10.91 per time performed |
PATHOLOGY AND LABORATORYService Code: 84478Performed in an office |
692 times performed, 6% of his services |
5th 97th most performed service for this provider most performed service in this state & specialty |
358 patients got this service, 62% of his patients |
1.9 average number of visits a patient made for this service (Peers: 1.7) |
$11,764.00an average of $17.00 per time performed |
$4,214.28 an average of $6.09 per time performed |
PATHOLOGY AND LABORATORYService Code: 85610Performed in an office |
454 times performed, 4% of his services |
6th 27th most performed service for this provider most performed service in this state & specialty |
47 patients got this service, 8% of his patients |
9.7 average number of visits a patient made for this service (Peers: 6.8) |
$5,902.00an average of $13.00 per time performed |
$2,365.34 an average of $5.21 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 5 minutes × Service Code: 99211Performed in an office |
415 times performed, 3% of his services |
7th 36th most performed service for this provider most performed service in this state & specialty |
53 patients got this service, 9% of his patients |
7.8 average number of visits a patient made for this service (Peers: 3.4) |
$18,675.00an average of $45.00 per time performed |
$5,511.20 an average of $13.28 per time performed |
PATHOLOGY AND LABORATORYComplete blood cell count (red cells, white blood cell, p... + Complete blood cell count (red cells, white blood cell, platelets), automated test × Service Code: 85025Performed in an office |
409 times performed, 3% of his services |
8th 29th most performed service for this provider most performed service in this state & specialty |
240 patients got this service, 41% of his patients |
1.7 average number of visits a patient made for this service (Peers: 1.9) |
$6,544.00an average of $16.00 per time performed |
$4,241.33 an average of $10.37 per time performed |
PATHOLOGY AND LABORATORYService Code: 83036Performed in an office |
349 times performed, 3% of his services |
9th 52nd most performed service for this provider most performed service in this state & specialty |
180 patients got this service, 31% of his patients |
1.9 average number of visits a patient made for this service (Peers: 1.7) |
$6,980.00an average of $20.00 per time performed |
$4,495.12 an average of $12.88 per time performed |
PROCEDURESAdministration of pneumococcal vaccine Service Code: G0009Performed in an office |
344 times performed, 3% of his services |
10th 9th most performed service for this provider most performed service in this state & specialty |
335 patients got this service, 58% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$10,320.00an average of $30.00 per time performed |
$8,111.52 an average of $23.58 per time performed |
MEDICINEPneumococcal vaccine for injection into muscle Service Code: 90670Performed in an office |
330 times performed, 3% of his services |
11th 11th most performed service for this provider most performed service in this state & specialty |
323 patients got this service, 56% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$64,680.00an average of $196.00 per time performed |
$54,268.50 an average of $164.45 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 25 minutes × Service Code: 99214Performed in an office |
268 times performed, 2% of his services |
12th 2nd most performed service for this provider most performed service in this state & specialty |
180 patients got this service, 31% of his patients |
1.5 average number of visits a patient made for this service (Peers: 2.2) |
$32,964.00an average of $123.00 per time performed |
$20,201.84 an average of $75.38 per time performed |
PROCEDURESAdministration of influenza virus vaccine Service Code: G0008Performed in an office |
245 times performed, 2% of his services |
13th 7th most performed service for this provider most performed service in this state & specialty |
240 patients got this service, 41% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$7,350.00an average of $30.00 per time performed |
$5,801.60 an average of $23.68 per time performed |
|
Vaccine for influenza administered into muscle to individ... + Vaccine for influenza administered into muscle to individuals 3 years of age and older × Service Code: 90686Performed in an office |
238 times performed, 2% of his services |
14th 37th most performed service for this provider most performed service in this state & specialty |
237 patients got this service, 41% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$6,426.00an average of $27.00 per time performed |
$4,236.40 an average of $17.80 per time performed |
PATHOLOGY AND LABORATORYBlood test, thyroid stimulating hormone (tsh) Service Code: 84443Performed in an office |
197 times performed, 2% of his services |
15th 41st most performed service for this provider most performed service in this state & specialty |
138 patients got this service, 24% of his patients |
1.4 average number of visits a patient made for this service (Peers: 1.5) |
$6,895.00an average of $35.00 per time performed |
$4,414.77 an average of $22.41 per time performed |
MEDICINERoutine ekg using at least 12 leads including interpretat... + Routine ekg using at least 12 leads including interpretation and report × Service Code: 93000Performed in an office |
180 times performed, 1% of his services |
16th 21st most performed service for this provider most performed service in this state & specialty |
169 patients got this service, 29% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.2) |
$10,260.00an average of $57.00 per time performed |
$2,170.80 an average of $12.06 per time performed |
PATHOLOGY AND LABORATORYPsa (prostate specific antigen) measurement Service Code: 84153Performed in an office |
164 times performed, 1% of his services |
17th 137th most performed service for this provider most performed service in this state & specialty |
134 patients got this service, 23% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.2) |
$7,380.00an average of $45.00 per time performed |
$4,022.92 an average of $24.53 per time performed |
PATHOLOGY AND LABORATORYRed blood cell sedimentation rate, to detect inflammation + Red blood cell sedimentation rate, to detect inflammation × Service Code: 85652Performed in an office |
161 times performed, 1% of his services |
18th 212th most performed service for this provider most performed service in this state & specialty |
109 patients got this service, 19% of his patients |
1.5 average number of visits a patient made for this service (Peers: 1.5) |
$1,932.00an average of $12.00 per time performed |
$581.21 an average of $3.61 per time performed |
PROCEDURESAnnual wellness visit, includes a personalized prevention... + Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit × Service Code: G0439Performed in an office |
134 times performed, 1% of his services |
19th 24th most performed service for this provider most performed service in this state & specialty |
134 patients got this service, 23% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$17,286.00an average of $129.00 per time performed |
$14,852.56 an average of $110.84 per time performed |
MEDICINEInjection beneath the skin or into muscle for therapy, di... + Injection beneath the skin or into muscle for therapy, diagnosis, or prevention × Service Code: 96372Performed in an office |
123 times performed, 1% of his services |
20th 28th most performed service for this provider most performed service in this state & specialty |
32 patients got this service, 6% of his patients |
3.5 average number of visits a patient made for this service (Peers: 2.9) |
$3,690.00an average of $30.00 per time performed |
$2,190.63 an average of $17.81 per time performed |
PATHOLOGY AND LABORATORYUrine microalbumin (protein) level Service Code: 82043Performed in an office |
120 times performed, 0.99% of his services |
21st 124th most performed service for this provider most performed service in this state & specialty |
107 patients got this service, 18% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.2) |
$1,320.00an average of $11.00 per time performed |
$925.20 an average of $7.71 per time performed |
PATHOLOGY AND LABORATORYCreatinine level to test for kidney function or muscle in... + Creatinine level to test for kidney function or muscle injury × Service Code: 82570Performed in an office |
119 times performed, 0.98% of his services |
22nd 99th most performed service for this provider most performed service in this state & specialty |
107 patients got this service, 18% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.2) |
$1,190.00an average of $10.00 per time performed |
$821.10 an average of $6.90 per time performed |
PATHOLOGY AND LABORATORYBlood test, basic group of blood chemicals Service Code: 80048Performed in an office |
106 times performed, 0.87% of his services |
23rd 65th most performed service for this provider most performed service in this state & specialty |
54 patients got this service, 9% of his patients |
2 average number of visits a patient made for this service (Peers: 1.8) |
$1,908.00an average of $18.00 per time performed |
$1,181.90 an average of $11.15 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 15 minutes × Service Code: 99213Performed in an office |
93 times performed, 0.76% of his services |
24th 3rd most performed service for this provider most performed service in this state & specialty |
71 patients got this service, 12% of his patients |
1.3 average number of visits a patient made for this service (Peers: 2.1) |
$8,370.00an average of $90.00 per time performed |
$4,895.52 an average of $52.64 per time performed |
DRUGSInjection, vitamin b-12 cyanocobalamin, up to 1000 mcg Service Code: J3420Performed in an office |
80 times performed, 0.66% of his services |
25th 42nd most performed service for this provider most performed service in this state & specialty |
17 patients got this service, 3% of his patients |
4.7 average number of visits a patient made for this service (Peers: 4.2) |
$1,200.00an average of $15.00 per time performed |
$177.60 an average of $2.22 per time performed |
PATHOLOGY AND LABORATORYManual urinalysis test with examination using microscope + Manual urinalysis test with examination using microscope × Service Code: 81001Performed in an office |
72 times performed, 0.59% of his services |
26th 104th most performed service for this provider most performed service in this state & specialty |
60 patients got this service, 10% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.3) |
$1,080.00an average of $15.00 per time performed |
$303.84 an average of $4.22 per time performed |
PATHOLOGY AND LABORATORYService Code: 83550Performed in an office |
48 times performed, 0.39% of his services |
27th 184th most performed service for this provider most performed service in this state & specialty |
33 patients got this service, 6% of his patients |
1.5 average number of visits a patient made for this service (Peers: 1.5) |
$1,200.00an average of $25.00 per time performed |
$559.68 an average of $11.66 per time performed |
PATHOLOGY AND LABORATORYService Code: 83540Performed in an office |
47 times performed, 0.39% of his services |
28th 182nd most performed service for this provider most performed service in this state & specialty |
33 patients got this service, 6% of his patients |
1.4 average number of visits a patient made for this service (Peers: 1.4) |
$1,034.00an average of $22.00 per time performed |
$405.61 an average of $8.63 per time performed |
MEDICINERoutine electrocardiogram (ekg) using at least 12 leads w... + Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report × Service Code: 93010Performed in a facility |
43 times performed, 0.35% of his services |
29th 12th most performed service for this provider most performed service in this state & specialty |
43 patients got this service, 7% of his patients |
1 average number of visits a patient made for this service (Peers: 1.3) |
$1,634.00an average of $38.00 per time performed |
$284.23 an average of $6.61 per time performed |
PATHOLOGY AND LABORATORYCyanocobalamin (vitamin b-12) level Service Code: 82607Performed in an office |
38 times performed, 0.31% of his services |
30th 134th most performed service for this provider most performed service in this state & specialty |
33 patients got this service, 6% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.2) |
$1,900.00an average of $50.00 per time performed |
$763.80 an average of $20.10 per time performed |
PATHOLOGY AND LABORATORYService Code: 82565Performed in an office |
31 times performed, 0.25% of his services |
31st 197th most performed service for this provider most performed service in this state & specialty |
24 patients got this service, 4% of his patients |
1.3 average number of visits a patient made for this service (Peers: 1.7) |
$527.00an average of $17.00 per time performed |
$127.41 an average of $4.11 per time performed |
PATHOLOGY AND LABORATORYCreatine kinase (cardiac enzyme) level Service Code: 82550Performed in an office |
28 times performed, 0.23% of his services |
32nd 139th most performed service for this provider most performed service in this state & specialty |
17 patients got this service, 3% of his patients |
1.6 average number of visits a patient made for this service (Peers: 1.5) |
$420.00an average of $15.00 per time performed |
$144.20 an average of $5.15 per time performed |
MEDICINEUltrasound scanning of blood flow (outside the brain) on ... + Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck × Service Code: 93880Performed in an office |
27 times performed, 0.22% of his services |
33rd 131st most performed service for this provider most performed service in this state & specialty |
27 patients got this service, 5% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$7,560.00an average of $280.00 per time performed |
$3,010.23 an average of $111.49 per time performed |
MEDICINEVaccine 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: 90732Performed in an office |
22 times performed, 0.18% of his services |
34th 84th most performed service for this provider most performed service in this state & specialty |
22 patients got this service, 4% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$1,914.00an average of $87.00 per time performed |
$1,760.66 an average of $80.03 per time performed |
PATHOLOGY AND LABORATORYUrea nitrogen level to assess kidney function Service Code: 84520Performed in an office |
19 times performed, 0.16% of his services |
35th 213th most performed service for this provider most performed service in this state & specialty |
19 patients got this service, 3% of his patients |
1 average number of visits a patient made for this service (Peers: 1.6) |
$247.00an average of $13.00 per time performed |
$55.86 an average of $2.94 per time performed |
MEDICINEUltrasound examination of heart including color-depicted ... + Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function × Service Code: 93306Performed in an office |
14 times performed, 0.12% of his services |
36th 111th 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) |
$5,950.00an average of $425.00 per time performed |
$1,459.50 an average of $104.25 per time performed |
EVALUATION AND MANAGEMENTNew patient office or other outpatient visit, typically 6... + New patient office or other outpatient visit, typically 60 minutes × Service Code: 99205Performed in an office |
14 times performed, 0.12% of his services |
37th 112th 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) |
$3,360.00an average of $240.00 per time performed |
$1,997.94 an average of $142.71 per time performed |
PATHOLOGY AND LABORATORYFerritin (blood protein) level Service Code: 82728Performed in an office |
14 times performed, 0.12% of his services |
38th 175th most performed service for this provider most performed service in this state & specialty |
11 patients got this service, 2% of his patients |
1.3 average number of visits a patient made for this service (Peers: 1.5) |
$700.00an average of $50.00 per time performed |
$254.38 an average of $18.17 per time performed |
PROCEDURESUltrasound b-scan and/or real time with image documentati... + Ultrasound b-scan and/or real time with image documentation; for abdominal aortic aneurysm (aaa) screening × Service Code: G0389Performed in an office |
13 times performed, 0.11% of his services |
39th 504th most performed service for this provider most performed service in this state & specialty |
13 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$1,183.00an average of $91.00 per time performed |
$1,032.85 an average of $79.45 per time performed |
PATHOLOGY AND LABORATORYService Code: 82306Performed in an office |
13 times performed, 0.11% of his services |
40th 92nd most performed service for this provider most performed service in this state & specialty |
12 patients got this service, 2% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.3) |
$650.00an average of $50.00 per time performed |
$513.24 an average of $39.48 per time performed |
PATHOLOGY AND LABORATORYService Code: 82150Performed in an office |
12 times performed, 0.1% of his services |
41st 487th most performed service for this provider most performed service in this state & specialty |
12 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service (Peers: 1.2) |
$336.00an average of $28.00 per time performed |
$103.68 an average of $8.64 per time performed |
PATHOLOGY AND LABORATORYService Code: 83690Performed in an office |
11 times performed, 0.09% of his services |
42nd
most performed service for this provider 5 or fewer providers in this specialty in PA perform this service |
11 patients got this service, 2% of his patients |
1 average number of visits a patient made for this service |
$440.00an average of $40.00 per time performed |
$101.09 an average of $9.19 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.
This provider charged Medicare for a higher percentage of 5’s than his peers.
Lester L Himmelreich
Average for Internal Medicine Providers in Pennsylvania
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.