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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, $142 per patient in 2012.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
86
Rank: 10th
out of 17 providers in this state & specialty
Services
Performed
513
Rank: 9th
out of 17 providers in this state & specialty
Avg Services
Per Patient
6 This Provider is in the top 10%
Avg 4.1
Total Paid
by Medicare
$16.1K
Rank: 8th
out of 17 providers in this state & specialty
Avg Paid
Per Patient
$187 This Provider
Avg $142

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.

William Hernandez-alicea
Average for General 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

TARA SALLEY

ROSALINE BEGAY

EDWIN RODRIGUEZ

STEVEN SONNTAG

JUNE PERSONS

Organizations

ST. VINCENT HEALTHCARE

BILLINGS CLINIC

Patients saw before

William Hernandez-alicea

Patients saw after

Individuals

TARA SALLEY

ROSALINE BEGAY

EDWIN RODRIGUEZ

JUNE PERSONS

MARTHA BURTON

Organizations

ST. VINCENT HEALTHCARE

BILLINGS CLINIC

This Provider's Services

This provider performed 10 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
140
times performed,
27% of his services

1st 1st

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

61
patients got this service, 71% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.7)
$15,540an average of $111 per time performed $7,280
an average of $52 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
76
times performed,
15% of his services

2nd 2nd

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

45
patients got this service, 52% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2)
$1,444an average of $19 per time performed $228
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 25 minutes ×

Service Code: 99214
Performed in an office
64
times performed,
12% of his services

3rd 4th

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

41
patients got this service, 48% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.8)
$10,304an average of $161 per time performed $5,184
an average of $81 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
52
times performed,
10% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

40
patients got this service, 47% of his patients
1.3
average number of visits a patient made for this service
$2,080an average of $40 per time performed $572
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
50
times performed,
10% of his services

5th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

40
patients got this service, 47% of his patients
1.3
average number of visits a patient made for this service
$3,400an average of $68 per time performed $700
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
45
times performed,
9% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

32
patients got this service, 37% of his patients
1.4
average number of visits a patient made for this service
$855an average of $19 per time performed $135
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
37
times performed,
7% of his services

7th 3rd

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

31
patients got this service, 36% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.7)
$3,219an average of $87 per time performed $1,147
an average of $31 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
19
times performed,
4% of his services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 13% of his patients
1.5
average number of visits a patient made for this service
$1,216an average of $64 per time performed $361
an average of $19 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
16
times performed,
3% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 13% of his patients
1.5
average number of visits a patient made for this service
$752an average of $47 per time performed $224
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
14
times performed,
3% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 15% of his patients
1.1
average number of visits a patient made for this service
$924an average of $66 per time performed $112
an average of $8 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 "General Practice." 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.


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