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, $290 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
343
Rank: 25th
out of 91 providers in this state & specialty
Services
Performed
1,220
Rank: 36th
out of 91 providers in this state & specialty
Avg Services
Per Patient
3.6 This Provider
Avg 4.6
Total Paid
by Medicare
$135K
Rank: 16th
out of 91 providers in this state & specialty
Avg Paid
Per Patient
$392 This Provider
Avg $290

Office Visits

Story image rib

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.

Gregg D. Pike
Average for Orthopedic Surgery 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

LESLIE RUSSELL

JEFFREY KESSLER

WILLIAM ROWE

TYLER WILL

GEORGE RO

Organizations

BENEFIS HOSPITALS, INC.

CENTRAL MONTANA SURGERY...

Patients saw before

Gregg D. Pike

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 20 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 10 minutes ×

Service Code: 99212
Performed in an office
216
times performed,
18% of his services

1st 4th

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

148
patients got this service, 43% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$9,720an average of $45 per time performed $6,696
an average of $31 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
130
times performed,
11% of his services

2nd 2nd

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

115
patients got this service, 34% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$9,620an average of $74 per time performed $6,240
an average of $48 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
116
times performed,
10% of his services

3rd 7th

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

106
patients got this service, 31% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$13,340an average of $115 per time performed $8,932
an average of $77 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
92
times performed,
8% of his services

4th Alert

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

71
patients got this service, 21% of his patients
1.3
average number of visits a patient made for this service
$276an average of $3 per time performed $276
an average of $3 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
87
times performed,
7% of his services

5th Alert

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

68
patients got this service, 20% of his patients
1.3
average number of visits a patient made for this service
$1,044an average of $12 per time performed $957
an average of $11 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
82
times performed,
7% of his services

6th 8th

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

82
patients got this service, 24% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,348an average of $114 per time performed $6,314
an average of $77 per time performed
PATHOLOGY AND LABORATORY

Screening test for pathogenic organisms

Service Code: 87081
Performed in an office
80
times performed,
7% of his services

7th Alert

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

72
patients got this service, 21% of his patients
1.1
average number of visits a patient made for this service
$720an average of $9 per time performed $640
an average of $8 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
77
times performed,
6% of his services

8th 3rd

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

60
patients got this service, 17% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$6,622an average of $86 per time performed $3,696
an average of $48 per time performed
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
72
times performed,
6% of his services

9th 12th

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

58
patients got this service, 17% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$720an average of $10 per time performed $360
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
66
times performed,
5% of his services

10th Alert

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

62
patients got this service, 18% of his patients
1.1
average number of visits a patient made for this service
$990an average of $15 per time performed $990
an average of $15 per time performed
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
33
times performed,
3% of his services

11th 20th

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

31
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$57,552an average of $1,744 per time performed $39,435
an average of $1,195 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
32
times performed,
3% of his services

12th Alert

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

28
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
$160an average of $5 per time performed $128
an average of $4 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
23
times performed,
2% of his services

13th Alert

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

23
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$529an average of $23 per time performed $345
an average of $15 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
21
times performed,
2% of his services

14th 40th

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

20
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$2,898an average of $138 per time performed $2,226
an average of $106 per time performed
MUSCULOSKELETAL SYSTEM

Removal of one knee cartilage using an endoscope

Service Code: 29881
Performed in a facility
19
times performed,
2% of his services

15th 62nd

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

19
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,604an average of $716 per time performed $8,341
an average of $439 per time performed
MUSCULOSKELETAL SYSTEM

Repair of shoulder rotator cuff using an endoscope

Service Code: 29827
Performed in a facility
17
times performed,
1% of his services

16th 60th

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

17
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$23,324an average of $1,372 per time performed $14,688
an average of $864 per time performed
MUSCULOSKELETAL SYSTEM

Replacement of thigh bone and hip joint prosthesis

Service Code: 27130
Performed in a facility
16
times performed,
1% of his services

17th 31st

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

15
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$27,072an average of $1,692 per time performed $18,512
an average of $1,157 per time performed
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27446
Performed in a facility
16
times performed,
1% of his services

18th Alert

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

16
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$20,560an average of $1,285 per time performed $14,112
an average of $882 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
13
times performed,
1% of his services

19th Alert

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

13
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$78an average of $6 per time performed $78
an average of $6 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,
0.98% of his services

20th 29th

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

12
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,004an average of $167 per time performed $1,476
an average of $123 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 "Orthopaedic Surgery." 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.