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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
54
Rank: 13th
out of 17 providers in this state & specialty
Services
Performed
651
Rank: 7th
out of 17 providers in this state & specialty
Avg Services
Per Patient
12.1 This Provider is in the top 10%
Avg 4.1
Total Paid
by Medicare
$14.3K
Rank: 10th
out of 17 providers in this state & specialty
Avg Paid
Per Patient
$265 This Provider is in the top 10%
Avg $142

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.

Ray R. Laboy Espada
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

WALTER SMITH

CONNIE SHERER

JUDITH LAURIDSEN

KELLY DALTON

PETER AROSEMENA

Organizations

NORTHEAST MONTANA HEALT...

BILLINGS CLINIC

Patients saw before

Ray R. Laboy Espada

Patients saw after

Individuals

KELLY DALTON

WALTER SMITH

PETER AROSEMENA

MARY MCCORMICK

CONNIE SHERER

Organizations

NORTHEAST MONTANA HEALT...

BILLINGS CLINIC

This Provider's Services

This provider performed 12 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
167
times performed,
26% of his services

1st 1st

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

52
patients got this service, 96% of his patients
3.2
average number of visits a patient made for this service
(Peers: 1.7)
$18,537an average of $111 per time performed $8,517
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
98
times performed,
15% of his services

2nd 2nd

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

36
patients got this service, 67% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2)
$1,960an average of $20 per time performed $294
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
78
times performed,
12% of his services

3rd Alert

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

32
patients got this service, 59% of his patients
2.4
average number of visits a patient made for this service
$5,226an average of $67 per time performed $1,092
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
76
times performed,
12% of his services

4th Alert

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

35
patients got this service, 65% of his patients
2.2
average number of visits a patient made for this service
$1,444an average of $19 per time performed $228
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
63
times performed,
10% of his services

5th Alert

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

26
patients got this service, 48% of his patients
2.4
average number of visits a patient made for this service
$2,961an average of $47 per time performed $882
an average of $14 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
50
times performed,
8% of his services

6th Alert

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

30
patients got this service, 56% of his patients
1.7
average number of visits a patient made for this service
$2,000an average of $40 per time performed $550
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
39
times performed,
6% of his services

7th Alert

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

25
patients got this service, 46% of his patients
1.6
average number of visits a patient made for this service
$2,925an average of $75 per time performed $585
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
19
times performed,
3% of his services

8th Alert

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

17
patients got this service, 31% of his patients
1.1
average number of visits a patient made for this service
$1,710an average of $90 per time performed $456
an average of $24 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
17
times performed,
3% of his services

9th 4th

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

14
patients got this service, 26% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.8)
$2,737an average of $161 per time performed $1,394
an average of $82 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
16
times performed,
2% of his services

10th Alert

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

15
patients got this service, 28% of his patients
1.1
average number of visits a patient made for this service
$1,008an average of $63 per time performed $128
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
16
times performed,
2% of his services

11th Alert

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

15
patients got this service, 28% of his patients
1.1
average number of visits a patient made for this service
$656an average of $41 per time performed $112
an average of $7 per time performed
PATHOLOGY AND LABORATORY

General health panel

Service Code: 80050
Performed in an office
12
times performed,
2% of his services

12th Alert

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

12
patients got this service, 22% of his patients
1
average number of visits a patient made for this service
$1,632an average of $136 per time performed $12
an average of $1 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.


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