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Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $138 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
279
Rank: 96th
out of 360 providers in this state & specialty
Services
Performed
1,926
Rank: 27th
out of 360 providers in this state & specialty
Avg Services
Per Patient
6.9 This Provider is in the top 10%
Avg 3.5
Total Paid
by Medicare
$53.5K
Rank: 60th
out of 360 providers in this state & specialty
Avg Paid
Per Patient
$192 This Provider
Avg $138

Office Visits

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Top Billing

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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.

Patricia A. Grantham
Average for Family Practice Providers in Montana

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.

Individuals

STEPHEN BASE

BRADY BANTA

SHANTELL TWOBEARS

SUSAN GALLO

DAVID SMITH

Organizations

BILLINGS CLINIC

HOLY ROSARY HEALTHCARE

Patients saw before

Patricia A. Grantham

Patients saw after

Individuals

STEPHEN BASE

BRADY BANTA

SHANTELL TWOBEARS

DAVID SMITH

SUSAN GALLO

Organizations

BILLINGS CLINIC

HOLY ROSARY HEALTHCARE

This Provider's Services

This provider performed 23 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 25 minutes ×

Service Code: 99214
Performed in an office
245
times performed,
13% of her services

1st 3rd

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

114
patients got this service, 41% of her patients
2.1
average number of visits a patient made for this service
(Peers: 1.9)
$42,385an average of $173 per time performed $17,150
an average of $70 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
217
times performed,
11% of her services

2nd 4th

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

106
patients got this service, 38% of her patients
2
average number of visits a patient made for this service
(Peers: 1.9)
$2,821an average of $13 per time performed $651
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 15 minutes ×

Service Code: 99213
Performed in an office
185
times performed,
10% of her services

3rd 1st

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

111
patients got this service, 40% of her patients
1.7
average number of visits a patient made for this service
(Peers: 2)
$21,460an average of $116 per time performed $8,880
an average of $48 per time performed
MEDICINE

Therapeutic exercise to develop strength, endurance, rang... +

Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes ×

Service Code: 97110
Performed in an office
150
times performed,
8% of her services

4th Alert

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

31
patients got this service, 11% of her patients
3.6
average number of visits a patient made for this service
$8,850an average of $59 per time performed $3,450
an average of $23 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
134
times performed,
7% of her services

5th 12th

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

83
patients got this service, 30% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.3)
$6,700an average of $50 per time performed $1,742
an average of $13 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
128
times performed,
7% of her services

6th 9th

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

82
patients got this service, 29% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$5,248an average of $41 per time performed $1,408
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
114
times performed,
6% of her services

7th 16th

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

76
patients got this service, 27% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$7,524an average of $66 per time performed $1,710
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
93
times performed,
5% of her services

8th 17th

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

39
patients got this service, 14% of her patients
2.4
average number of visits a patient made for this service
(Peers: 1.6)
$4,371an average of $47 per time performed $1,302
an average of $14 per time performed
MEDICINE

Manual (physical) therapy techniques to 1 or more regions... +

Manual (physical) therapy techniques to 1 or more regions, each 15 minutes ×

Service Code: 97140
Performed in an office
91
times performed,
5% of her services

9th Alert

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

22
patients got this service, 8% of her patients
3.5
average number of visits a patient made for this service
$5,642an average of $62 per time performed $1,911
an average of $21 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
81
times performed,
4% of her services

10th 18th

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

26
patients got this service, 9% of her patients
3.1
average number of visits a patient made for this service
(Peers: 2.9)
$4,050an average of $50 per time performed $1,458
an average of $18 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
77
times performed,
4% of her services

11th 25th

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

52
patients got this service, 19% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$6,314an average of $82 per time performed $1,848
an average of $24 per time performed
MEDICINE

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

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

Service Code: 96375
Performed in an office
59
times performed,
3% of her services

12th Alert

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

13
patients got this service, 5% of her patients
2.5
average number of visits a patient made for this service
$4,366an average of $74 per time performed $1,062
an average of $18 per time performed
PROCEDURES

Diabetes outpatient self-management training services, in... +

Diabetes outpatient self-management training services, individual, per 30 minutes ×

Service Code: G0108
Performed in an office
56
times performed,
3% of her services

13th Alert

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

20
patients got this service, 7% of her patients
2.2
average number of visits a patient made for this service
$2,912an average of $52 per time performed $1,960
an average of $35 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
51
times performed,
3% of her services

14th 7th

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

12
patients got this service, 4% of her patients
4.3
average number of visits a patient made for this service
(Peers: 5.6)
$1,122an average of $22 per time performed $306
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
48
times performed,
2% of her services

15th 27th

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

34
patients got this service, 12% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$768an average of $16 per time performed $192
an average of $4 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
41
times performed,
2% of her services

16th 37th

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

41
patients got this service, 15% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$615an average of $15 per time performed $492
an average of $12 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
41
times performed,
2% of her services

17th 10th

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

41
patients got this service, 15% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,066an average of $26 per time performed $984
an average of $24 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
29
times performed,
2% of her services

18th Alert

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

14
patients got this service, 5% of her patients
2.1
average number of visits a patient made for this service
$10,266an average of $354 per time performed $3,190
an average of $110 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
25
times performed,
1% of her services

19th 36th

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

20
patients got this service, 7% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$1,050an average of $42 per time performed $300
an average of $12 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
25
times performed,
1% of her services

20th 6th

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

13
patients got this service, 5% of her patients
1.9
average number of visits a patient made for this service
(Peers: 2)
$3,525an average of $141 per time performed $1,325
an average of $53 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
13
times performed,
0.67% of her services

21st 61st

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

13
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,236an average of $172 per time performed $754
an average of $58 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
12
times performed,
0.62% of her services

22nd 20th

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

11
patients got this service, 4% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,544an average of $212 per time performed $984
an average of $82 per time performed
MEDICINE

Physical therapy evaluation

Service Code: 97001
Performed in an office
11
times performed,
0.57% of her services

23rd Alert

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

11
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
$1,507an average of $137 per time performed $638
an average of $58 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 "Family 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.


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