Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $431 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
521
Rank: 3rd
out of 65 providers in this state & specialty
Services
Performed
1,801
Rank: 21st
out of 65 providers in this state & specialty
Avg Services
Per Patient
3.5 This Provider
Avg 4.4
Total Paid
by Medicare
$240K
Rank: 5th
out of 65 providers in this state & specialty
Avg Paid
Per Patient
$460 This Provider
Avg $431

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 92 different services in 2015
(74 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
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
287
times performed,
16% of his services

1st 5th

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

188
patients got this service, 36% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$28,527.80an average of $99.40 per time performed $8,638.70
an average of $30.10 per time performed
medical
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
174
times performed,
10% of his services

2nd 2nd

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

149
patients got this service, 29% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$28,710.00an average of $165.00 per time performed $8,773.08
an average of $50.42 per time performed
medical
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
135
times performed,
7% of his services

3rd 8th

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

135
patients got this service, 26% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$33,322.05an average of $246.83 per time performed $10,363.95
an average of $76.77 per time performed
medical
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
114
times performed,
6% of his services

4th 7th

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

106
patients got this service, 20% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$27,961.92an average of $245.28 per time performed $8,765.46
an average of $76.89 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
113
times performed,
6% of his services

5th 15th

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

77
patients got this service, 15% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$2,889.41an average of $25.57 per time performed $551.44
an average of $4.88 per time performed
medical
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
100
times performed,
6% of his services

6th 4th

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

80
patients got this service, 15% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$24,748.00an average of $247.48 per time performed $4,882.00
an average of $48.82 per time performed
medical
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
46
times performed,
3% of his services

7th 16th

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

40
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$166,859.94an average of $3,627.39 per time performed $49,287.62
an average of $1,071.47 per time performed
medical
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
37
times performed,
2% of his services

8th 41st

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

37
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,659.44an average of $315.12 per time performed $4,066.67
an average of $109.91 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
28
times performed,
2% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 3% of his patients
1.6
average number of visits a patient made for this service
$4,657.24an average of $166.33 per time performed $1,624.84
an average of $58.03 per time performed
medical
MUSCULOSKELETAL SYSTEM

Repair of shoulder rotator cuff using an endoscope

Service Code: 29827
Performed in a facility
23
times performed,
1% of his services

10th 47th

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

23
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$67,173.80an average of $2,920.60 per time performed $19,817.03
an average of $861.61 per time performed
medical
MUSCULOSKELETAL SYSTEM

Replacement of thigh bone and hip joint prosthesis

Service Code: 27130
Performed in a facility
22
times performed,
1% of his services

11th 23rd

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

20
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$75,394.00an average of $3,427.00 per time performed $24,784.32
an average of $1,126.56 per time performed
medical
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
18
times performed,
1% of his services

12th 28th

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

18
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,799.14an average of $377.73 per time performed $2,339.82
an average of $129.99 per time performed
medical
MUSCULOSKELETAL SYSTEM

Removal of one knee cartilage using an endoscope

Service Code: 29881
Performed in a facility
16
times performed,
0.89% of his services

13th 55th

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

16
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$24,651.36an average of $1,540.71 per time performed $6,793.60
an average of $424.60 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
13
times performed,
0.72% of his services

14th 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, 2% of his patients
1
average number of visits a patient made for this service
$5,993.00an average of $461.00 per time performed $2,115.23
an average of $162.71 per time performed
medical
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27446
Performed in a facility
13
times performed,
0.72% of his services

15th 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, 2% of his patients
1
average number of visits a patient made for this service
$35,285.51an average of $2,714.27 per time performed $12,519.00
an average of $963.00 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 2... +

New patient office or other outpatient visit, typically 20 minutes ×

Service Code: 99202
Performed in an office
11
times performed,
0.61% of his services

16th 17th

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)
$1,866.37an average of $169.67 per time performed $593.67
an average of $53.97 per time performed
medical
MUSCULOSKELETAL SYSTEM

Anchoring of biceps tendon

Service Code: 23430
Performed in a facility
11
times performed,
0.61% of his services

17th 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, 2% of his patients
1
average number of visits a patient made for this service
$19,346.03an average of $1,758.73 per time performed $3,389.10
an average of $308.10 per time performed
medical
MUSCULOSKELETAL SYSTEM

Shaving of shoulder bone using an endoscope

Service Code: 29826
Performed in a facility
11
times performed,
0.61% of his services

18th 39th

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)
$16,172.53an average of $1,470.23 per time performed $1,617.44
an average of $147.04 per time performed

Office Visits

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 Orthopaedic Surgery Providers in Montana

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

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.

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 2015 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.

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