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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, $140 per patient in 2012.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
534
Rank: 19th
out of 548 providers in this state & specialty
Services
Performed
3,237
Rank: 21st
out of 548 providers in this state & specialty
Avg Services
Per Patient
6.1 This Provider
Avg 3.8
Total Paid
by Medicare
$103K
Rank: 19th
out of 548 providers in this state & specialty
Avg Paid
Per Patient
$193 This Provider
Avg $140

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.

Mark S. Williams
Average for Family Practice Providers in Idaho

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

RICHARD MOORE

STEFANI WESTERBERG

KAE LEINBERGER

KATHERINE REED

SHANE MCGONEGLE

Organizations

SAINT ALPHONSUS REGIONA...

ST LUKES REGIONAL MEDIC...

Patients saw before

Mark S. Williams

Patients saw after

Individuals

RICHARD MOORE

KATHERINE REED

STEFANI WESTERBERG

KAE LEINBERGER

SHANE MCGONEGLE

Organizations

SAINT ALPHONSUS REGIONA...

ST LUKES REGIONAL MEDIC...

This Provider's Services

This provider performed 19 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
DRUGS

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

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

Service Code: J3301
Performed in an office
1,117
times performed,
35% of his services

1st 8th

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

144
patients got this service, 27% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$5,585an average of $5 per time performed $1,117
an average of $1 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
728
times performed,
22% of his services

2nd 1st

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

438
patients got this service, 82% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2)
$86,632an average of $119 per time performed $34,944
an average of $48 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
410
times performed,
13% of his services

3rd 35th

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

156
patients got this service, 29% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.6)
$76,260an average of $186 per time performed $19,270
an average of $47 per time performed
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
241
times performed,
7% of his services

4th Alert

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

164
patients got this service, 31% of his patients
1.2
average number of visits a patient made for this service
$24,823an average of $103 per time performed $6,266
an average of $26 per time performed
RADIOLOGY

X-ray of knee, 4 or more views

Service Code: 73564
Performed in an office
192
times performed,
6% of his services

5th Alert

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

139
patients got this service, 26% of his patients
1
average number of visits a patient made for this service
$18,816an average of $98 per time performed $5,952
an average of $31 per time performed
RADIOLOGY

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

Service Code: 73510
Performed in an office
145
times performed,
4% of his services

6th 111th

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

124
patients got this service, 23% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$12,035an average of $83 per time performed $4,060
an average of $28 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
54
times performed,
2% of his services

7th 27th

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

54
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,154an average of $151 per time performed $3,834
an average of $71 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
54
times performed,
2% of his services

8th 2nd

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

48
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.9)
$7,128an average of $132 per time performed $4,212
an average of $78 per time performed
DRUGS

Hyaluronan or derivative (euflexxa), for intra-articular ... +

Hyaluronan or derivative (euflexxa), for intra-articular injection, per dose ×

Service Code: J7323
Performed in an office
49
times performed,
2% of his services

9th Alert

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

14
patients got this service, 3% of his patients
3
average number of visits a patient made for this service
$9,457an average of $193 per time performed $5,537
an average of $113 per time performed
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
43
times performed,
1% of his services

10th Alert

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

43
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
$131,494an average of $3,058 per time performed $7,740
an average of $180 per time performed
RADIOLOGY

X-ray of both hips minimum 2 views

Service Code: 73520
Performed in an office
36
times performed,
1% of his services

11th Alert

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

36
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$3,744an average of $104 per time performed $1,080
an average of $30 per time performed
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
31
times performed,
0.96% of his services

12th 108th

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

25
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,232an average of $72 per time performed $713
an average of $23 per time performed
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
30
times performed,
0.93% of his services

13th 150th

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

28
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,100an average of $70 per time performed $630
an average of $21 per time performed
MUSCULOSKELETAL SYSTEM

Replacement of thigh bone and hip joint prosthesis

Service Code: 27130
Performed in a facility
28
times performed,
0.86% of his services

14th Alert

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

27
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$93,352an average of $3,334 per time performed $4,760
an average of $170 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
23
times performed,
0.71% of his services

15th 10th

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

21
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$1,426an average of $62 per time performed $713
an average of $31 per time performed
RADIOLOGY

Imaging of 2 or more joints, single view

Service Code: 77077
Performed in an office
18
times performed,
0.56% of his services

16th Alert

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

18
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$2,124an average of $118 per time performed $558
an average of $31 per time performed
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
15
times performed,
0.46% of his services

17th Alert

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

15
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$825an average of $55 per time performed $270
an average of $18 per time performed
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
12
times performed,
0.37% of his services

18th 63rd

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,748an average of $229 per time performed $1,092
an average of $91 per time performed
RADIOLOGY

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

Service Code: 72100
Performed in an office
11
times performed,
0.34% of his services

19th 118th

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,078an average of $98 per time performed $297
an average of $27 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 "Sports 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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