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, $138 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
454
Rank: 24th
out of 360 providers in this state & specialty
Services
Performed
2,504
Rank: 14th
out of 360 providers in this state & specialty
Avg Services
Per Patient
5.5 This Provider
Avg 3.5
Total Paid
by Medicare
$74.6K
Rank: 27th
out of 360 providers in this state & specialty
Avg Paid
Per Patient
$164 This Provider
Avg $138

Office Visits

Story image rib 8a2c1e812d78fea39cf7fb4926cf598dbc8604e0a950a7f60c1e192c8c412b43

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.

James H. Asthalter
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

JEFFREY KESSLER

LESLIE RUSSELL

TERRANCE SWEENEY

GEORGE RO

TYLER WILL

Organizations

BENEFIS HOSPITALS, INC.

CENTRAL MONTANA SURGERY...

Patients saw before

James H. Asthalter

Patients saw after

Individuals

JEFFREY KESSLER

TYLER WILL

GEORGE RO

LESLIE RUSSELL

JAMES HARRIS

Organizations

BENEFIS HOSPITALS, INC.

CENTRAL MONTANA SURGERY...

This Provider's Services

This provider performed 26 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
539
times performed,
22% of his services

1st 3rd

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

296
patients got this service, 65% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.9)
$59,829an average of $111 per time performed $37,191
an average of $69 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
393
times performed,
16% of his services

2nd 4th

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

193
patients got this service, 43% of his patients
2
average number of visits a patient made for this service
(Peers: 1.9)
$1,179an average of $3 per time performed $1,179
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
340
times performed,
14% of his services

3rd 1st

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

225
patients got this service, 50% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2)
$25,500an average of $75 per time performed $15,640
an average of $46 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
175
times performed,
7% of his services

4th 12th

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

147
patients got this service, 32% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$2,625an average of $15 per time performed $2,275
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
131
times performed,
5% of his services

5th 17th

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

57
patients got this service, 13% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.6)
$1,834an average of $14 per time performed $1,834
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
113
times performed,
5% of his services

6th 16th

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

95
patients got this service, 21% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$2,147an average of $19 per time performed $1,695
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
105
times performed,
4% of his services

7th 7th

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

12
patients got this service, 3% of his patients
8.8
average number of visits a patient made for this service
(Peers: 5.6)
$630an average of $6 per time performed $630
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
96
times performed,
4% of his services

8th 25th

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

77
patients got this service, 17% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$2,400an average of $25 per time performed $2,304
an average of $24 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
92
times performed,
4% of his services

9th 9th

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

84
patients got this service, 19% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$1,104an average of $12 per time performed $1,012
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
75
times performed,
3% of his services

10th 36th

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

46
patients got this service, 10% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$900an average of $12 per time performed $900
an average of $12 per time performed
DRUGS

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

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

Service Code: J3301
Performed in an office
53
times performed,
2% of his services

11th 14th

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

14
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$106an average of $2 per time performed $53
an average of $1 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
49
times performed,
2% of his services

12th 27th

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

42
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$245an average of $5 per time performed $196
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
43
times performed,
2% of his services

13th 83rd

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

34
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$387an average of $9 per time performed $344
an average of $8 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
37
times performed,
1% of his services

14th 73rd

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

31
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$296an average of $8 per time performed $259
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Bacterial colony count, urine

Service Code: 87086
Performed in an office
33
times performed,
1% of his services

15th 79th

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

27
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$396an average of $12 per time performed $363
an average of $11 per time performed
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
32
times performed,
1% of his services

16th 63rd

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

32
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$832an average of $26 per time performed $832
an average of $26 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
30
times performed,
1% of his services

17th 38th

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

30
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,510an average of $117 per time performed $3,510
an average of $117 per time performed
PATHOLOGY AND LABORATORY

Evaluation of antimicrobial drug (antibiotic, antifungal,... +

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) ×

Service Code: 87186
Performed in an office
22
times performed,
0.88% of his services

18th 99th

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

17
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$264an average of $12 per time performed $264
an average of $12 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
22
times performed,
0.88% of his services

19th 10th

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

20
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$528an average of $24 per time performed $528
an average of $24 per time performed
PATHOLOGY AND LABORATORY

Kidney function blood test panel

Service Code: 80069
Performed in an office
21
times performed,
0.84% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
$294an average of $14 per time performed $252
an average of $12 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
19
times performed,
0.76% of his services

21st 37th

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

19
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$285an average of $15 per time performed $228
an average of $12 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
19
times performed,
0.76% of his services

22nd 15th

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

17
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$836an average of $44 per time performed $494
an average of $26 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
18
times performed,
0.72% of his services

23rd 47th

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

14
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$1,476an average of $82 per time performed $882
an average of $49 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
18
times performed,
0.72% of his services

24th 86th

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

16
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$234an average of $13 per time performed $234
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
17
times performed,
0.68% of his services

25th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$714an average of $42 per time performed $714
an average of $42 per time performed
SKIN, HAIR AND NAILS

Biopsy of single growth of skin and/or tissue

Service Code: 11100
Performed in an office
12
times performed,
0.48% of his services

26th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$1,452an average of $121 per time performed $912
an average of $76 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.


Read our methodology.


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