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Treatment Tracker

Treatment Tracker » Montana » Miles city

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $93 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
210
Rank: 96th
out of 286 providers in this state & specialty
Services
Performed
459
Rank: 98th
out of 286 providers in this state & specialty
Avg Services
Per Patient
2.2 This Provider
Avg 2.7
Total Paid
by Medicare
$12K
Rank: 127th
out of 286 providers in this state & specialty
Avg Paid
Per Patient
$57 This Provider
Avg $93

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.

Douglas Dalton
Average for Physician Assistant 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

BRADY BANTA

CHRISTOPHER LIEB

STEPHEN BASE

KARA ERICKSON

MARTA KING

Organizations

HOLY ROSARY HEALTHCARE

BILLINGS CLINIC

Patients saw before

Douglas Dalton

Patients saw after

Individuals

BRADY BANTA

STEPHEN BASE

CHRISTOPHER LIEB

KARA ERICKSON

JOY HUBER

Organizations

HOLY ROSARY HEALTHCARE

BILLINGS CLINIC

This Provider's Services

This provider performed 8 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
166
times performed,
36% of his services

1st 1st

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

138
patients got this service, 66% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$19,256an average of $116 per time performed $5,644
an average of $34 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
77
times performed,
17% of his services

2nd 7th

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

71
patients got this service, 34% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$13,321an average of $173 per time performed $3,927
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
56
times performed,
12% of his services

3rd 9th

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

40
patients got this service, 19% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$728an average of $13 per time performed $168
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 10 minutes ×

Service Code: 99212
Performed in an office
43
times performed,
9% of his services

4th 8th

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

32
patients got this service, 15% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$3,354an average of $78 per time performed $903
an average of $21 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
42
times performed,
9% of his services

5th 22nd

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

32
patients got this service, 15% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$1,722an average of $41 per time performed $462
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
37
times performed,
8% of his services

6th 28th

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

31
patients got this service, 15% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$1,850an average of $50 per time performed $518
an average of $14 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
23
times performed,
5% of his services

7th 26th

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

22
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$368an average of $16 per time performed $92
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
15
times performed,
3% of his services

8th 71st

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

12
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$990an average of $66 per time performed $225
an average of $15 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 "Physician Assistant." 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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