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, $236 per patient in 2014.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
970
Rank: 79th
out of 1,851 providers in this state & specialty
Services
Performed
22,845
Rank: 5th
out of 1,851 providers in this state & specialty
Avg Services
Per Patient
23.6 This Provider is in the top 10%
Avg 5.1
Total Paid
by Medicare
$471K
Rank: 6th
out of 1,851 providers in this state & specialty
Avg Paid
Per Patient
$486 This Provider is in the top 10%
Avg $236

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.

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 within 30 days before or after this provider in 2014.

Patients saw before

LARRY SMITH M.D.

Patients saw after

This Provider's Services

This provider performed 180 different services in 2014

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient visit, typically 15 minutes ×

Service Code: 99213
Performed in an office
3,773
times performed,
17% of his services

1st 2nd

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

844
patients got this service, 87% of his patients
4.5
average number of visits a patient made for this service
(Peers: 2.2)
$281,504an average of $75 per time performed $180,538
an average of $48 per time performed
medical
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
2,020
times performed,
9% of his services

2nd 4th

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

766
patients got this service, 79% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2.1)
$6,100an average of $3 per time performed $5,939
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
1,315
times performed,
6% of his services

3rd 29th

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

509
patients got this service, 52% of his patients
2.6
average number of visits a patient made for this service
(Peers: 1.3)
$4,221an average of $3 per time performed $3,945
an average of $3 per time performed
medical
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
1,151
times performed,
5% of his services

4th 47th

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

277
patients got this service, 29% of his patients
4.1
average number of visits a patient made for this service
(Peers: 2.5)
$3,833an average of $3 per time performed $3,614
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
1,111
times performed,
5% of his services

5th 8th

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

617
patients got this service, 64% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.6)
$16,676an average of $15 per time performed $14,432
an average of $13 per time performed
medical
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
1,056
times performed,
5% of his services

6th 26th

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

306
patients got this service, 32% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2.7)
$26,738an average of $25 per time performed $18,786
an average of $18 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
572
times performed,
3% of his services

7th 16th

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

283
patients got this service, 29% of his patients
2
average number of visits a patient made for this service
(Peers: 1.7)
$7,642an average of $13 per time performed $7,425
an average of $13 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
508
times performed,
2% of his services

8th 6th

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

405
patients got this service, 42% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$9,642an average of $19 per time performed $7,371
an average of $15 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) analysis

Service Code: 82044
Performed in an office
489
times performed,
2% of his services

9th 72nd

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

253
patients got this service, 26% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.3)
$3,169an average of $6 per time performed $2,993
an average of $6 per time performed
medical
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
483
times performed,
2% of his services

10th 63rd

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

252
patients got this service, 26% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.2)
$3,540an average of $7 per time performed $3,342
an average of $7 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
459
times performed,
2% of his services

11th 32nd

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

284
patients got this service, 29% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$1,685an average of $4 per time performed $1,565
an average of $3 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
455
times performed,
2% of his services

12th 9th

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

435
patients got this service, 45% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,150an average of $20 per time performed $8,923
an average of $20 per time performed
drug
MEDICINE

Vaccine for hepatitis b adult dosage (3 dose schedule) in... +

Vaccine for hepatitis b adult dosage (3 dose schedule) injection into muscle ×

Service Code: 90746
Performed in an office
439
times performed,
2% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

228
patients got this service, 24% of his patients
1.9
average number of visits a patient made for this service
$19,860an average of $45 per time performed $19,298
an average of $44 per time performed
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient, visit typically 25 minutes ×

Service Code: 99214
Performed in an office
438
times performed,
2% of his services

14th 1st

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

318
patients got this service, 33% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.2)
$47,873an average of $109 per time performed $33,419
an average of $76 per time performed
medical
PROCEDURES

Administration of hepatitis b vaccine

Service Code: G0010
Performed in an office
400
times performed,
2% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

217
patients got this service, 22% of his patients
1.8
average number of visits a patient made for this service
$10,196an average of $25 per time performed $9,136
an average of $23 per time performed
medical
RADIOLOGY

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

Service Code: 71020
Performed in an office
368
times performed,
2% of his services

16th 57th

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

286
patients got this service, 29% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$7,356an average of $20 per time performed $4,905
an average of $13 per time performed
medical
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
275
times performed,
1% of his services

17th 14th

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

221
patients got this service, 23% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$5,101an average of $19 per time performed $3,174
an average of $12 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
239
times performed,
1% of his services

18th 25th

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

215
patients got this service, 22% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$10,308an average of $43 per time performed $6,424
an average of $27 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
235
times performed,
1% of his services

19th 10th

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

30
patients got this service, 3% of his patients
7.8
average number of visits a patient made for this service
(Peers: 6.6)
$1,403an average of $6 per time performed $1,236
an average of $5 per time performed
medical
PATHOLOGY AND LABORATORY

Stool analysis for blood

Service Code: 82274
Performed in an office
232
times performed,
1% of his services

20th 114th

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

214
patients got this service, 22% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$5,234an average of $23 per time performed $4,935
an average of $21 per time performed
medical
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 (not otherwise specified) ×

Service Code: Q2039
Performed in an office
231
times performed,
1% of his services

21st 216th

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

231
patients got this service, 24% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,109an average of $13 per time performed $2,832
an average of $12 per time performed
medical
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
225
times performed,
0.98% of his services

22nd 152nd

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

77
patients got this service, 8% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$4,244an average of $19 per time performed $2,927
an average of $13 per time performed
medical
PROCEDURES

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

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

Service Code: G0439
Performed in an office
220
times performed,
0.96% of his services

23rd 22nd

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

220
patients got this service, 23% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$26,530an average of $121 per time performed $24,072
an average of $109 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin measurement

Service Code: 85018
Performed in an office
211
times performed,
0.92% of his services

24th 180th

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

145
patients got this service, 15% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$707an average of $3 per time performed $669
an average of $3 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
210
times performed,
0.92% of his services

25th 109th

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

126
patients got this service, 13% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.3)
$1,073an average of $5 per time performed $433
an average of $2 per time performed
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
171
times performed,
0.75% of his services

26th 19th

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

110
patients got this service, 11% of his patients
1.6
average number of visits a patient made for this service
(Peers: 3.1)
$3,425an average of $20 per time performed $1,997
an average of $12 per time performed
drug
DRUGS

Injection, ceftriaxone sodium, per 250 mg

Service Code: J0696
Performed in an office
166
times performed,
0.73% of his services

27th 97th

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

69
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.3)
$422an average of $3 per time performed $88
an average of $1 per time performed
medical
PATHOLOGY AND LABORATORY

Detection test for influenza virus

Service Code: 87804
Performed in an office
165
times performed,
0.72% of his services

28th 120th

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

82
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,815an average of $17 per time performed $2,614
an average of $16 per time performed
medical
MEDICINE

Ultrasound study of arteries of both arms and legs

Service Code: 93922
Performed in an office
162
times performed,
0.71% of his services

29th 164th

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

156
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,481an average of $89 per time performed $11,048
an average of $68 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
147
times performed,
0.64% of his services

30th 37th

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

144
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,999an average of $14 per time performed $1,957
an average of $13 per time performed
medical
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
142
times performed,
0.62% of his services

31st 74th

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

119
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$1,697an average of $12 per time performed $673
an average of $5 per time performed
drug
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
136
times performed,
0.6% of his services

32nd 51st

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

134
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,754an average of $50 per time performed $6,619
an average of $49 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 (fluzone) ×

Service Code: Q2038
Performed in an office
135
times performed,
0.59% of his services

33rd 44th

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

135
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,378an average of $25 per time performed $1,593
an average of $12 per time performed
medical
PATHOLOGY AND LABORATORY

Amylase (enzyme) level

Service Code: 82150
Performed in an office
134
times performed,
0.59% of his services

34th 225th

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

108
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$1,199an average of $9 per time performed $1,160
an average of $9 per time performed
drug
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
134
times performed,
0.59% of his services

35th 104th

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

50
patients got this service, 5% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$67an average of $1 per time performed $28
an average of $0 per time performed
medical
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
133
times performed,
0.58% of his services

36th 163rd

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

99
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$1,881an average of $14 per time performed $1,370
an average of $10 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
132
times performed,
0.58% of his services

37th 78th

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

106
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$169an average of $1 per time performed $81
an average of $1 per time performed
medical
PATHOLOGY AND LABORATORY

Detection of infectious agent antibody

Service Code: 86318
Performed in an office
129
times performed,
0.56% of his services

38th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

110
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
$2,366an average of $18 per time performed $2,233
an average of $17 per time performed
medical
PATHOLOGY AND LABORATORY

Calcium level

Service Code: 82310
Performed in an office
127
times performed,
0.56% of his services

39th 142nd

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

103
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$182an average of $1 per time performed $86
an average of $1 per time performed
medical
PATHOLOGY AND LABORATORY

Blood creatinine level

Service Code: 82565
Performed in an office
127
times performed,
0.56% of his services

40th 80th

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

103
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.8)
$766an average of $6 per time performed $380
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Bilirubin level

Service Code: 82247
Performed in an office
126
times performed,
0.55% of his services

41st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

102
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
$176an average of $1 per time performed $83
an average of $1 per time performed
medical
PATHOLOGY AND LABORATORY

Phosphatase (enzyme) level

Service Code: 84075
Performed in an office
126
times performed,
0.55% of his services

42nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

102
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
$189an average of $2 per time performed $89
an average of $1 per time performed
medical
PATHOLOGY AND LABORATORY

Liver enzyme (sgot), level

Service Code: 84450
Performed in an office
126
times performed,
0.55% of his services

43rd 70th

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

102
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$183an average of $1 per time performed $87
an average of $1 per time performed
medical
PATHOLOGY AND LABORATORY

Liver enzyme (sgpt), level

Service Code: 84460
Performed in an office
126
times performed,
0.55% of his services

44th 68th

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

102
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$784an average of $6 per time performed $398
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Urea nitrogen level to assess kidney function

Service Code: 84520
Performed in an office
126
times performed,
0.55% of his services

45th 85th

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

102
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.9)
$141an average of $1 per time performed $67
an average of $1 per time performed
medical
PATHOLOGY AND LABORATORY

Albumin (protein) level

Service Code: 82040
Performed in an office
125
times performed,
0.55% of his services

46th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

101
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
$173an average of $1 per time performed $81
an average of $1 per time performed
medical
PATHOLOGY AND LABORATORY

Total protein level, blood

Service Code: 84155
Performed in an office
125
times performed,
0.55% of his services

47th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

101
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
$131an average of $1 per time performed $59
an average of $0 per time performed
drug
DRUGS

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

Service Code: J3420
Performed in an office
122
times performed,
0.53% of his services

48th 59th

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

30
patients got this service, 3% of his patients
4.1
average number of visits a patient made for this service
(Peers: 3.9)
$122an average of $1 per time performed $92
an average of $1 per time performed
drug
DRUGS

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

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

Service Code: J7626
Performed in an office
113
times performed,
0.49% of his services

49th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

70
patients got this service, 7% of his patients
1.5
average number of visits a patient made for this service
$907an average of $8 per time performed $445
an average of $4 per time performed
medical
RADIOLOGY

Imaging of abdomen

Service Code: 74020
Performed in an office
101
times performed,
0.44% of his services

50th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

87
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
$4,091an average of $41 per time performed $1,940
an average of $19 per time performed
medical
MEDICINE

Administration of 1 vaccine

Service Code: 90471
Performed in an office
99
times performed,
0.43% of his services

51st 86th

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

90
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$2,543an average of $26 per time performed $1,499
an average of $15 per time performed
medical
PATHOLOGY AND LABORATORY

Strep test (streptococcus, group a)

Service Code: 87880
Performed in an office
98
times performed,
0.43% of his services

52nd 138th

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

85
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$1,665an average of $17 per time performed $1,571
an average of $16 per time performed
medical
RADIOLOGY

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

Service Code: 72100
Performed in an office
95
times performed,
0.42% of his services

53rd 185th

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

91
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,361an average of $25 per time performed $1,647
an average of $17 per time performed
drug
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 dme ×

Service Code: J7620
Performed in an office
91
times performed,
0.4% of his services

54th 284th

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

68
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$91an average of $1 per time performed $12
an average of $0 per time performed
drug
DRUGS

Injection, nalbuphine hydrochloride, per 10 mg

Service Code: J2300
Performed in an office
87
times performed,
0.38% of his services

55th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

33
patients got this service, 3% of his patients
2.5
average number of visits a patient made for this service
$174an average of $2 per time performed $116
an average of $1 per time performed
drug
DRUGS

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

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

Service Code: J7644
Performed in an office
85
times performed,
0.37% of his services

56th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

64
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
$85an average of $1 per time performed $14
an average of $0 per time performed
drug
DRUGS

Injection, methylprednisolone sodium succinate, up to 125 mg +

Injection, methylprednisolone sodium succinate, up to 125 mg ×

Service Code: J2930
Performed in an office
79
times performed,
0.35% of his services

57th 268th

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

50
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$1,183an average of $15 per time performed $165
an average of $2 per time performed
drug
DRUGS

Injection, promethazine hcl, up to 50 mg

Service Code: J2550
Performed in an office
69
times performed,
0.3% of his services

58th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

27
patients got this service, 3% of his patients
2.6
average number of visits a patient made for this service
$127an average of $2 per time performed $81
an average of $1 per time performed
drug
DRUGS

Injection, ondansetron hydrochloride, per 1 mg

Service Code: J2405
Performed in an office
68
times performed,
0.3% of his services

59th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

48
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
$1,132an average of $17 per time performed $5
an average of $0 per time performed
medical
NA

Transitional care management services, moderately complex... +

Transitional care management services, moderately complexity, requiring face-to-face visits within 14 days of discharge ×

Service Code: 99495
Performed in an office
67
times performed,
0.29% of his services

60th 112th

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

62
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$10,959an average of $164 per time performed $8,467
an average of $126 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
58
times performed,
0.25% of his services

61st 275th

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

49
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,305an average of $23 per time performed $887
an average of $15 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
56
times performed,
0.25% of his services

62nd 256th

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

51
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,237an average of $22 per time performed $902
an average of $16 per time performed
medical
MEDICINE

Hydration infusion into a vein 31 minutes to 1 hour

Service Code: 96360
Performed in an office
56
times performed,
0.25% of his services

63rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

45
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
$3,198an average of $57 per time performed $2,387
an average of $43 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
56
times performed,
0.25% of his services

64th 58th

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

56
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,206an average of $111 per time performed $3,961
an average of $71 per time performed
drug
DRUGS

Infusion, normal saline solution , 1000 cc

Service Code: J7030
Performed in an office
53
times performed,
0.23% of his services

65th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

38
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
$530an average of $10 per time performed $54
an average of $1 per time performed
medical
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple ×

Service Code: G0180
Performed in an office
51
times performed,
0.22% of his services

66th 61st

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

39
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$2,678an average of $53 per time performed $2,097
an average of $41 per time performed
medical
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
50
times performed,
0.22% of his services

67th 41st

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

50
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,504an average of $170 per time performed $8,090
an average of $162 per time performed
medical
PROCEDURES

Cervical or vaginal cancer screening; pelvic and clinical... +

Cervical or vaginal cancer screening; pelvic and clinical breast examination ×

Service Code: G0101
Performed in an office
47
times performed,
0.21% of his services

68th 187th

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)
$1,834an average of $39 per time performed $1,713
an average of $36 per time performed
medical
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
45
times performed,
0.2% of his services

69th 236th

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)
$1,999an average of $44 per time performed $1,922
an average of $43 per time performed
drug
DRUGS

Injection, furosemide, up to 20 mg

Service Code: J1940
Performed in an office
43
times performed,
0.19% of his services

70th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

27
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$25an average of $1 per time performed $19
an average of $0 per time performed
drug
DRUGS

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

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

Service Code: J3301
Performed in an office
43
times performed,
0.19% of his services

71st 46th

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: 1.4)
$553an average of $13 per time performed $58
an average of $1 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
41
times performed,
0.18% of his services

72nd 148th

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

40
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$444an average of $11 per time performed $345
an average of $8 per time performed
medical
PROCEDURES

Electrocardiogram, routine ecg with 12 leads; performed a... +

Electrocardiogram, routine ecg with 12 leads; performed as a screening for the initial preventive physical examination with interpretation and report ×

Service Code: G0403
Performed in an office
38
times performed,
0.17% of his services

73rd 192nd

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

38
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$729an average of $19 per time performed $397
an average of $10 per time performed
medical
PROCEDURES

Colorectal cancer screening; fecal occult blood test, imm... +

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ×

Service Code: G0328
Performed in an office
37
times performed,
0.16% of his services

74th 126th

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

37
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$828an average of $22 per time performed $787
an average of $21 per time performed
medical
MEDICINE

Administration of vaccine

Service Code: 90472
Performed in an office
33
times performed,
0.14% of his services

75th 352nd

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

33
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$843an average of $26 per time performed $291
an average of $9 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
30
times performed,
0.13% of his services

76th 35th

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

30
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,001an average of $33 per time performed $980
an average of $33 per time performed
medical
RADIOLOGY

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

Service Code: 73510
Performed in an office
29
times performed,
0.13% of his services

77th 247th

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

28
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$836an average of $29 per time performed $615
an average of $21 per time performed
medical
RADIOLOGY

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

Service Code: 72040
Performed in an office
28
times performed,
0.12% of his services

78th 350th

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

27
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$686an average of $25 per time performed $498
an average of $18 per time performed
medical
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
27
times performed,
0.12% of his services

79th 107th

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

27
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,406an average of $52 per time performed $1,000
an average of $37 per time performed
medical
PROCEDURES

Initial preventive physical examination; face-to-face vis... +

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment ×

Service Code: G0402
Performed in an office
26
times performed,
0.11% of his services

80th 119th

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)
$4,193an average of $161 per time performed $4,004
an average of $154 per time performed
medical
MEDICINE

Injection of drug or substance into a vein for therapy, d... +

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

Service Code: 96374
Performed in an office
25
times performed,
0.11% of his services

81st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
1.1
average number of visits a patient made for this service
$1,575an average of $63 per time performed $1,059
an average of $42 per time performed
drug
DRUGS

Injection, diphenhydramine hcl, up to 50 mg

Service Code: J1200
Performed in an office
24
times performed,
0.11% of his services

82nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 1% of his patients
1.8
average number of visits a patient made for this service
$120an average of $5 per time performed $10
an average of $0 per time performed
drug
MEDICINE

Vaccine for tetanus and diphtheria toxoids injection into... +

Vaccine for tetanus and diphtheria toxoids injection into muscle, patient 7 years or older ×

Service Code: 90714
Performed in an office
23
times performed,
0.1% of his services

83rd 357th

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

23
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$736an average of $32 per time performed $362
an average of $16 per time performed
medical
RADIOLOGY

X-ray of lower leg, 2 views

Service Code: 73590
Performed in an office
21
times performed,
0.09% of his services

84th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
1.1
average number of visits a patient made for this service
$410an average of $20 per time performed $296
an average of $14 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
20
times performed,
0.09% of his services

85th 81st

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

17
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$1,195an average of $60 per time performed $930
an average of $46 per time performed
medical
RADIOLOGY

X-ray of foot, minimum of 3 views

Service Code: 73630
Performed in an office
20
times performed,
0.09% of his services

86th 304th

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

20
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$477an average of $24 per time performed $308
an average of $15 per time performed
medical
PROCEDURES

Ultrasound 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: G0389
Performed in an office
20
times performed,
0.09% of his services

87th 299th

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

20
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,042an average of $102 per time performed $1,275
an average of $64 per time performed
medical
RADIOLOGY

X-ray of middle spine, 3 views

Service Code: 72070
Performed in an office
18
times performed,
0.08% of his services

88th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$417an average of $23 per time performed $281
an average of $16 per time performed
medical
RADIOLOGY

X-ray of foot, 2 views

Service Code: 73620
Performed in an office
18
times performed,
0.08% of his services

89th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
average number of visits a patient made for this service
$389an average of $22 per time performed $276
an average of $15 per time performed
medical
PATHOLOGY AND LABORATORY

Blood glucose (sugar) level

Service Code: 82947
Performed in an office
18
times performed,
0.08% of his services

90th 64th

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: 1.9)
$100an average of $6 per time performed $43
an average of $2 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
18
times performed,
0.08% of his services

91st 65th

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,610an average of $145 per time performed $2,558
an average of $142 per time performed
medical
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
17
times performed,
0.07% of his services

92nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
average number of visits a patient made for this service
$343an average of $20 per time performed $256
an average of $15 per time performed
medical
PATHOLOGY AND LABORATORY

Glutamyltransferase (liver enzyme) level

Service Code: 82977
Performed in an office
17
times performed,
0.07% of his services

93rd 156th

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: 1.1)
$173an average of $10 per time performed $72
an average of $4 per time performed
medical
MEDICAL AND SURGICAL SUPPLIES

Slings

Service Code: A4565
Performed in an office
17
times performed,
0.07% of his services

94th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
1.1
average number of visits a patient made for this service
$136an average of $8 per time performed $94
an average of $6 per time performed
medical
MEDICINE

Measurement and graphic recording of the amount and speed... +

Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94060
Performed in an office
14
times performed,
0.06% of his services

95th 151st

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$880an average of $63 per time performed $655
an average of $47 per time performed
medical
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
13
times performed,
0.06% of his services

96th 344th

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

12
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$482an average of $37 per time performed $278
an average of $21 per time performed
medical
RADIOLOGY

X-ray of ankle, minimum of 3 views

Service Code: 73610
Performed in an office
13
times performed,
0.06% of his services

97th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
$440an average of $34 per time performed $234
an average of $18 per time performed
medical
PATHOLOGY AND LABORATORY

Skin test for tuberculosis

Service Code: 86580
Performed in an office
13
times performed,
0.06% of his services

98th 249th

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

12
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$134an average of $10 per time performed $48
an average of $4 per time performed
medical
AUDITORY SYSTEM

Removal of foreign body from ear canal

Service Code: 69200
Performed in an office
12
times performed,
0.05% of his services

99th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
$1,517an average of $126 per time performed $1,095
an average of $91 per time performed
medical
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
11
times performed,
0.05% of his services

100th 53rd

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)
$1,799an average of $164 per time performed $623
an average of $57 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.

Larry Francis Smith
Average for Internal Medicine Providers in Virginia

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 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.

Read our methodology.