ProPublica

Journalism in the Public Interest

Cancel

Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $234 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
952
Rank: 121st
out of 2,169 providers in this state & specialty
Services
Performed
17,154
Rank: 13th
out of 2,169 providers in this state & specialty
Avg Services
Per Patient
18 This Provider is in the top 10%
Avg 5
Total Paid
by Medicare
$341K
Rank: 46th
out of 2,169 providers in this state & specialty
Avg Paid
Per Patient
$358 This Provider
Avg $234

Office Visits

Story image rib

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.

Larry F. Smith
Average for Internal Medicine 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

Larry F. Smith

Patients saw after

This Provider's Services

This provider performed 91 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
3,308
times performed,
19% of his services

1st 2nd

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

830
patients got this service, 87% of his patients
4
average number of visits a patient made for this service
(Peers: 2.3)
$231,560an average of $70 per time performed $168,708
an average of $51 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
1,625
times performed,
9% of his services

2nd 4th

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

703
patients got this service, 74% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2.2)
$4,875an average of $3 per time performed $4,875
an average of $3 per time performed
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
1,266
times performed,
7% of his services

3rd 34th

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

340
patients got this service, 36% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.9)
$30,384an average of $24 per time performed $22,788
an average of $18 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
936
times performed,
5% of his services

4th 12th

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

547
patients got this service, 57% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$14,040an average of $15 per time performed $13,104
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Blood glucose (sugar) level

Service Code: 82947
Performed in an office
573
times performed,
3% of his services

5th 62nd

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

248
patients got this service, 26% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.1)
$3,438an average of $6 per time performed $2,865
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
514
times performed,
3% of his services

6th 42nd

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

304
patients got this service, 32% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.3)
$1,542an average of $3 per time performed $1,542
an average of $3 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
462
times performed,
3% of his services

7th 9th

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

339
patients got this service, 36% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$6,468an average of $14 per time performed $5,082
an average of $11 per time performed
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
449
times performed,
3% of his services

8th 65th

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

310
patients got this service, 33% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.1)
$13,470an average of $30 per time performed $6,735
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Blood glucose (sugar) test performed by hand-held instrument +

Blood glucose (sugar) test performed by hand-held instrument ×

Service Code: 82962
Performed in an office
416
times performed,
2% of his services

9th 51st

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

179
patients got this service, 19% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2.2)
$1,248an average of $3 per time performed $1,248
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
383
times performed,
2% of his services

10th 8th

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

43
patients got this service, 5% of his patients
8.9
average number of visits a patient made for this service
(Peers: 6.7)
$2,681an average of $7 per time performed $2,298
an average of $6 per time performed
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
382
times performed,
2% of his services

11th 110th

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

230
patients got this service, 24% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.3)
$1,910an average of $5 per time performed $1,146
an average of $3 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
376
times performed,
2% of his services

12th 13th

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

370
patients got this service, 39% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,520an average of $20 per time performed $7,520
an average of $20 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) analysis

Service Code: 82044
Performed in an office
328
times performed,
2% of his services

13th 97th

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

203
patients got this service, 21% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.3)
$1,968an average of $6 per time performed $1,968
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
313
times performed,
2% of his services

14th 11th

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

263
patients got this service, 28% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$5,947an average of $19 per time performed $5,008
an average of $16 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
313
times performed,
2% of his services

15th 31st

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

205
patients got this service, 22% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$13,459an average of $43 per time performed $9,390
an average of $30 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 (fluzone) ×

Service Code: Q2038
Performed in an office
266
times performed,
2% of his services

16th 41st

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

266
patients got this service, 28% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,384an average of $24 per time performed $3,192
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
259
times performed,
2% of his services

17th 23rd

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

176
patients got this service, 18% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.8)
$3,626an average of $14 per time performed $3,626
an average of $14 per time performed
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
246
times performed,
1% of his services

18th 16th

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

201
patients got this service, 21% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$4,674an average of $19 per time performed $3,444
an average of $14 per time performed
MEDICINE

Respiratory inhaled pressure or nonpressure treatment to ... +

Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen ×

Service Code: 94640
Performed in an office
231
times performed,
1% of his services

19th 176th

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

113
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$4,158an average of $18 per time performed $3,003
an average of $13 per time performed
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
187
times performed,
1% of his services

20th 154th

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

83
patients got this service, 9% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$187an average of $1 per time performed $0
an average of $0 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin measurement

Service Code: 85018
Performed in an office
183
times performed,
1% of his services

21st 169th

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

146
patients got this service, 15% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$549an average of $3 per time performed $549
an average of $3 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
177
times performed,
1% of his services

22nd 17th

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

77
patients got this service, 8% of his patients
2.3
average number of visits a patient made for this service
(Peers: 3.1)
$3,894an average of $22 per time performed $2,478
an average of $14 per time performed
DRUGS

Injection, nalbuphine hydrochloride, per 10 mg

Service Code: J2300
Performed in an office
162
times performed,
0.94% of his services

23rd Alert

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

42
patients got this service, 4% of his patients
3.3
average number of visits a patient made for this service
$1,944an average of $12 per time performed $162
an average of $1 per time performed
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
156
times performed,
0.91% of his services

24th 71st

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

124
patients got this service, 13% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$1,092an average of $7 per time performed $1,092
an average of $7 per time performed
DRUGS

Injection, promethazine hydrochloride, up to 50 mg

Service Code: J2550
Performed in an office
153
times performed,
0.89% of his services

25th Alert

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

34
patients got this service, 4% of his patients
4.5
average number of visits a patient made for this service
$306an average of $2 per time performed $153
an average of $1 per time performed
RADIOLOGY

Imaging of abdomen

Service Code: 74020
Performed in an office
150
times performed,
0.87% of his services

26th Alert

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

119
patients got this service, 13% of his patients
1.3
average number of visits a patient made for this service
$6,000an average of $40 per time performed $3,150
an average of $21 per time performed
PATHOLOGY AND LABORATORY

Detection test for influenza virus

Service Code: 87804
Performed in an office
143
times performed,
0.83% of his services

27th 212th

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

78
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,431an average of $17 per time performed $2,431
an average of $17 per time performed
DRUGS

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

Service Code: J3420
Performed in an office
138
times performed,
0.8% of his services

28th 74th

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

41
patients got this service, 4% of his patients
3.4
average number of visits a patient made for this service
(Peers: 3.7)
$1,932an average of $14 per time performed $0
an average of $0 per time performed
PATHOLOGY AND LABORATORY

Strep test (streptococcus, group a)

Service Code: 87880
Performed in an office
138
times performed,
0.8% of his services

29th 152nd

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

110
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$2,346an average of $17 per time performed $2,346
an average of $17 per time performed
DRUGS

Budesonide, inhalation solution, fda-approved final produ... +

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through durable medical equipment, unit dose form, up to 0.5 mg ×

Service Code: J7626
Performed in an office
134
times performed,
0.78% of his services

30th Alert

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

97
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
$1,474an average of $11 per time performed $536
an average of $4 per time performed
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
130
times performed,
0.76% of his services

31st 236th

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

116
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$5,070an average of $39 per time performed $2,600
an average of $20 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
126
times performed,
0.73% of his services

32nd 64th

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

126
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,852an average of $102 per time performed $8,946
an average of $71 per time performed
PATHOLOGY AND LABORATORY

Stool analysis for blood

Service Code: 82274
Performed in an office
114
times performed,
0.66% of his services

33rd 124th

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

98
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$2,508an average of $22 per time performed $2,508
an average of $22 per time performed
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
106
times performed,
0.62% of his services

34th 40th

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

94
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$424an average of $4 per time performed $424
an average of $4 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
102
times performed,
0.59% of his services

35th 76th

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

102
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,224an average of $12 per time performed $1,020
an average of $10 per time performed
DRUGS

Injection, diphenhydramine hydrochloride, up to 50 mg

Service Code: J1200
Performed in an office
96
times performed,
0.56% 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
6.3
average number of visits a patient made for this service
$480an average of $5 per time performed $96
an average of $1 per time performed
PATHOLOGY AND LABORATORY

Detection of infectious agent antibody

Service Code: 86318
Performed in an office
96
times performed,
0.56% of his services

37th Alert

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

83
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
$1,920an average of $20 per time performed $1,728
an average of $18 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
95
times performed,
0.55% of his services

38th 1st

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

85
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.2)
$9,785an average of $103 per time performed $7,600
an average of $80 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
82
times performed,
0.48% of his services

39th 60th

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

82
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,100an average of $50 per time performed $4,100
an average of $50 per time performed
DRUGS

Injection, ondansetron hydrochloride, per 1 mg

Service Code: J2405
Performed in an office
80
times performed,
0.47% of his services

40th Alert

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

46
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
$1,120an average of $14 per time performed $0
an average of $0 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
71
times performed,
0.41% of his services

41st 59th

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

71
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$923an average of $13 per time performed $923
an average of $13 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
70
times performed,
0.41% of his services

42nd 187th

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

58
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$280an average of $4 per time performed $280
an average of $4 per time performed
DRUGS

Injection, ceftriaxone sodium, per 250 mg

Service Code: J0696
Performed in an office
63
times performed,
0.37% of his services

43rd 85th

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

34
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$126an average of $2 per time performed $63
an average of $1 per time performed
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
60
times performed,
0.35% of his services

44th 81st

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

59
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,380an average of $23 per time performed $1,080
an average of $18 per time performed
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
59
times performed,
0.34% of his services

45th 317th

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

55
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,770an average of $30 per time performed $885
an average of $15 per time performed
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
58
times performed,
0.34% of his services

46th 264th

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

53
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,740an average of $30 per time performed $986
an average of $17 per time performed
PROCEDURES

Annual wellness visit; includes a personalized prevention... +

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ×

Service Code: G0438
Performed in an office
55
times performed,
0.32% of his services

47th 53rd

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

55
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,130an average of $166 per time performed $9,020
an average of $164 per time performed
DRUGS

Injection, furosemide, up to 20 mg

Service Code: J1940
Performed in an office
53
times performed,
0.31% of his services

48th Alert

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

20
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
$106an average of $2 per time performed $0
an average of $0 per time performed
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82553
Performed in an office
53
times performed,
0.31% of his services

49th Alert

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

49
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$848an average of $16 per time performed $848
an average of $16 per time performed
PATHOLOGY AND LABORATORY

Myoglobin (muscle protein) level

Service Code: 83874
Performed in an office
53
times performed,
0.31% of his services

50th Alert

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

49
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$954an average of $18 per time performed $954
an average of $18 per time performed
DRUGS

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.... +

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through durable medical equipment ×

Service Code: J7620
Performed in an office
52
times performed,
0.3% of his services

51st Alert

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

47
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$260an average of $5 per time performed $0
an average of $0 per time performed
DRUGS

Ipratropium bromide, inhalation solution, fda-approved fi... +

Ipratropium bromide, inhalation solution, fda-approved final product, non-compounded, administered through durable medical equipment, unit dose form, per milligram ×

Service Code: J7644
Performed in an office
52
times performed,
0.3% of his services

52nd Alert

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

46
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$260an average of $5 per time performed $0
an average of $0 per time performed
PATHOLOGY AND LABORATORY

Natriuretic peptide (heart and blood vessel protein) level +

Natriuretic peptide (heart and blood vessel protein) level ×

Service Code: 83880
Performed in an office
52
times performed,
0.3% of his services

53rd 239th

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

49
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$2,652an average of $51 per time performed $2,496
an average of $48 per time performed
RADIOLOGY

X-ray of spine of neck, 2 or 3 views

Service Code: 72040
Performed in an office
49
times performed,
0.29% of his services

54th 423rd

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

47
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,862an average of $38 per time performed $1,029
an average of $21 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
48
times performed,
0.28% of his services

55th 70th

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: 1.6)
$384an average of $8 per time performed $240
an average of $5 per time performed
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
47
times performed,
0.27% of his services

56th 277th

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

45
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,786an average of $38 per time performed $987
an average of $21 per time performed
PATHOLOGY AND LABORATORY

Troponin (protein) analysis

Service Code: 84484
Performed in an office
46
times performed,
0.27% of his services

57th Alert

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

44
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$644an average of $14 per time performed $644
an average of $14 per time performed
RADIOLOGY

X-ray of foot, minimum of 3 views

Service Code: 73630
Performed in an office
42
times performed,
0.24% of his services

58th 438th

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

37
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,302an average of $31 per time performed $756
an average of $18 per time performed
PATHOLOGY AND LABORATORY

Albumin (protein) level

Service Code: 82040
Performed in an office
35
times performed,
0.2% of his services

59th Alert

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

32
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$210an average of $6 per time performed $35
an average of $1 per time performed
PATHOLOGY AND LABORATORY

Amylase (enzyme) level

Service Code: 82150
Performed in an office
35
times performed,
0.2% of his services

60th 285th

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

32
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$315an average of $9 per time performed $315
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
35
times performed,
0.2% of his services

61st 104th

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

32
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$210an average of $6 per time performed $35
an average of $1 per time performed
PATHOLOGY AND LABORATORY

Phosphatase (enzyme) level

Service Code: 84075
Performed in an office
34
times performed,
0.2% of his services

62nd 237th

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

31
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$238an average of $7 per time performed $34
an average of $1 per time performed
PATHOLOGY AND LABORATORY

Bilirubin level

Service Code: 82247
Performed in an office
33
times performed,
0.19% of his services

63rd 366th

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

30
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$231an average of $7 per time performed $33
an average of $1 per time performed
PATHOLOGY AND LABORATORY

Calcium level

Service Code: 82310
Performed in an office
33
times performed,
0.19% of his services

64th 190th

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

30
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$231an average of $7 per time performed $33
an average of $1 per time performed
PATHOLOGY AND LABORATORY

Blood creatinine level

Service Code: 82565
Performed in an office
33
times performed,
0.19% of his services

65th 96th

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

30
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$231an average of $7 per time performed $33
an average of $1 per time performed
PATHOLOGY AND LABORATORY

Total protein level, blood

Service Code: 84155
Performed in an office
33
times performed,
0.19% of his services

66th Alert

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

30
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$165an average of $5 per time performed $33
an average of $1 per time performed
PATHOLOGY AND LABORATORY

Liver enzyme (sgot), level

Service Code: 84450
Performed in an office
33
times performed,
0.19% of his services

67th 73rd

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

30
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$231an average of $7 per time performed $33
an average of $1 per time performed
PATHOLOGY AND LABORATORY

Liver enzyme (sgpt), level

Service Code: 84460
Performed in an office
33
times performed,
0.19% of his services

68th 68th

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

30
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$231an average of $7 per time performed $66
an average of $2 per time performed
PATHOLOGY AND LABORATORY

Urea nitrogen level to assess kidney function

Service Code: 84520
Performed in an office
33
times performed,
0.19% of his services

69th 100th

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

30
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.8)
$165an average of $5 per time performed $33
an average of $1 per time performed
RADIOLOGY

X-ray of ankle, minimum of 3 views

Service Code: 73610
Performed in an office
29
times performed,
0.17% of his services

70th Alert

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

25
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$928an average of $32 per time performed $522
an average of $18 per time performed
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in an office
27
times performed,
0.16% of his services

71st 146th

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

19
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$2,106an average of $78 per time performed $1,620
an average of $60 per time performed
RADIOLOGY

X-ray of hand, minimum of 3 views

Service Code: 73130
Performed in an office
27
times performed,
0.16% of his services

72nd Alert

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

24
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$864an average of $32 per time performed $486
an average of $18 per time performed
DRUGS

Injection, diazepam, up to 5 mg

Service Code: J3360
Performed in an office
26
times performed,
0.15% of his services

73rd Alert

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

17
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
$390an average of $15 per time performed $26
an average of $1 per time performed
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
25
times performed,
0.15% of his services

74th 118th

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: 1.1)
$1,225an average of $49 per time performed $850
an average of $34 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
24
times performed,
0.14% of his services

75th 82nd

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: 1.6)
$1,680an average of $70 per time performed $1,104
an average of $46 per time performed
RADIOLOGY

X-ray of lower leg, 2 views

Service Code: 73590
Performed in an office
23
times performed,
0.13% of his services

76th Alert

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

22
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$598an average of $26 per time performed $345
an average of $15 per time performed
RADIOLOGY

X-ray of wrist, minimum of 3 views

Service Code: 73110
Performed in an office
21
times performed,
0.12% of his services

77th Alert

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

20
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$756an average of $36 per time performed $462
an average of $22 per time performed
PROCEDURES

Smoking and tobacco cessation counseling visit for the as... +

Smoking and tobacco cessation counseling visit for the asymptomatic patient; intermediate, greater than 3 minutes, up to 10 minutes ×

Service Code: G0436
Performed in an office
21
times performed,
0.12% of his services

78th 305th

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

19
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$294an average of $14 per time performed $273
an average of $13 per time performed
DRUGS

Infusion, normal saline solution , 1000 cc

Service Code: J7030
Performed in an office
19
times performed,
0.11% of his services

79th 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
1
average number of visits a patient made for this service
$190an average of $10 per time performed $19
an average of $1 per time performed
MEDICINE

Hydration infusion into a vein 31 minutes to 1 hour

Service Code: 96360
Performed in an office
19
times performed,
0.11% of his services

80th 432nd

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

19
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$1,064an average of $56 per time performed $836
an average of $44 per time performed
PATHOLOGY AND LABORATORY

Coagulation function measurement

Service Code: 85379
Performed in an office
17
times performed,
0.1% of his services

81st 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
$238an average of $14 per time performed $238
an average of $14 per time performed
MEDICINE

Vaccine for influenza for injection into muscle, patient ... +

Vaccine for influenza for injection into muscle, patient 3 years and older ×

Service Code: 90656
Performed in an office
16
times performed,
0.09% of his services

82nd 72nd

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$192an average of $12 per time performed $192
an average of $12 per time performed
RADIOLOGY

X-ray of ribs of one side of body, 2 views

Service Code: 71100
Performed in an office
15
times performed,
0.09% of his services

83rd Alert

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

14
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
$480an average of $32 per time performed $255
an average of $17 per time performed
RADIOLOGY

X-ray of fingers, minimum of 2 views

Service Code: 73140
Performed in an office
14
times performed,
0.08% of his services

84th Alert

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$434an average of $31 per time performed $294
an average of $21 per time performed
RADIOLOGY

X-ray of middle spine, 3 views

Service Code: 72070
Performed in an office
13
times performed,
0.08% of his services

85th Alert

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

12
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
$442an average of $34 per time performed $234
an average of $18 per time performed
RADIOLOGY

X-ray of abdomen, single view

Service Code: 74000
Performed in an office
13
times performed,
0.08% of his services

86th Alert

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

12
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
$325an average of $25 per time performed $169
an average of $13 per time performed
EVALUATION AND MANAGEMENT

Smoking and tobacco use intermediate counseling, greater ... +

Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes ×

Service Code: 99406
Performed in an office
13
times performed,
0.08% of his services

87th 223rd

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

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$169an average of $13 per time performed $130
an average of $10 per time performed
RADIOLOGY

X-ray of upper arm, minimum of 2 views

Service Code: 73060
Performed in an office
12
times performed,
0.07% of his services

88th Alert

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$360an average of $30 per time performed $192
an average of $16 per time performed
TEMPORARY CODES

Screening papanicolaou smear; obtaining, preparing and co... +

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ×

Service Code: Q0091
Performed in an office
11
times performed,
0.06% of his services

89th 250th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$473an average of $43 per time performed $473
an average of $43 per time performed
PATHOLOGY AND LABORATORY

Skin test for tuberculosis

Service Code: 86580
Performed in an office
11
times performed,
0.06% of his services

90th 258th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$88an average of $8 per time performed $55
an average of $5 per time performed
MEDICAL AND SURGICAL SUPPLIES

Slings

Service Code: A4565
Performed in an office
11
times performed,
0.06% of his services

91st 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
average number of visits a patient made for this service
$99an average of $9 per time performed $66
an average of $6 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.


Read our methodology.


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