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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, $459 per patient in 2014.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
466
Rank: 6th
out of 62 providers in this state & specialty
Services
Performed
1,347
Rank: 24th
out of 62 providers in this state & specialty
Avg Services
Per Patient
2.9 This Provider
Avg 4.6
Total Paid
by Medicare
$245K
Rank: 6th
out of 62 providers in this state & specialty
Avg Paid
Per Patient
$525 This Provider
Avg $459

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.

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 in 2014.

Individuals

TYLER WILL

JEFFREY KESSLER

JAMES DANIEL

STACY HERMILLER

JAMES HARRIS

Organizations

CMSC, LLC

BENEFIS HOSPITALS, INC.

Patients saw before

GREGG PIKE MD

Patients saw after

Individuals

JAMES DANIEL

JEFFREY KESSLER

TYLER WILL

GEORGE RO

STACY HERMILLER

Organizations

CMSC, LLC

BENEFIS HOSPITALS, INC.

This Provider's Services

This provider performed 82 different services in 2014
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
270
times performed,
20% of his services

1st 5th

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

188
patients got this service, 40% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$12,625an average of $47 per time performed $8,689
an average of $32 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
143
times performed,
11% of his services

2nd 7th

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

130
patients got this service, 28% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$16,132an average of $113 per time performed $11,597
an average of $81 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
126
times performed,
9% of his services

3rd 2nd

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

119
patients got this service, 26% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$10,074an average of $80 per time performed $6,518
an average of $52 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
108
times performed,
8% of his services

4th 8th

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

108
patients got this service, 23% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,431an average of $115 per time performed $8,637
an average of $80 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
63
times performed,
5% of his services

5th 4th

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

42
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$6,284an average of $100 per time performed $2,592
an average of $41 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
58
times performed,
4% of his services

6th 15th

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

40
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,308an average of $23 per time performed $256
an average of $4 per time performed
medical
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
43
times performed,
3% of his services

7th 17th

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

42
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$75,765an average of $1,762 per time performed $46,895
an average of $1,091 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
39
times performed,
3% of his services

8th 42nd

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

36
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$6,245an average of $160 per time performed $4,143
an average of $106 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
38
times performed,
3% of his services

9th 55th

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

16
patients got this service, 3% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.3)
$2,758an average of $73 per time performed $2,163
an average of $57 per time performed
medical
MUSCULOSKELETAL SYSTEM

Repair of shoulder rotator cuff using an endoscope

Service Code: 29827
Performed in a facility
28
times performed,
2% of his services

10th 50th

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

28
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$41,324an average of $1,476 per time performed $24,486
an average of $874 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
22
times performed,
2% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

22
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$4,961an average of $225 per time performed $3,489
an average of $159 per time performed
medical
MUSCULOSKELETAL SYSTEM

Replacement of thigh bone and hip joint prosthesis

Service Code: 27130
Performed in a facility
22
times performed,
2% of his services

12th 26th

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

21
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$35,045an average of $1,593 per time performed $24,227
an average of $1,101 per time performed
medical
MUSCULOSKELETAL SYSTEM

Shaving of shoulder bone using an endoscope

Service Code: 29826
Performed in a facility
19
times performed,
1% of his services

13th 49th

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

19
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,954an average of $787 per time performed $2,755
an average of $145 per time performed
medical
MUSCULOSKELETAL SYSTEM

Repair of knee joint

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

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

16
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$22,928an average of $1,433 per time performed $14,447
an average of $903 per time performed
medical
MUSCULOSKELETAL SYSTEM

Anchoring of biceps tendon

Service Code: 23430
Performed in a facility
14
times performed,
1% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$10,788an average of $771 per time performed $4,370
an average of $312 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
11
times performed,
0.82% of his services

16th 28th

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)
$2,043an average of $186 per time performed $1,322
an average of $120 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 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.

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