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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, $759 per patient in 2012.
They performed about 49 services per patient. Here’s how this provider compares.
Number of
Patients
346
Rank: 8th
out of 13 providers in this state & specialty
Services
Performed
2,949
Rank: 7th
out of 13 providers in this state & specialty
Avg Services
Per Patient
8.5 This Provider
Avg 48.6
Total Paid
by Medicare
$68.9K
Rank: 6th
out of 13 providers in this state & specialty
Avg Paid
Per Patient
$199 This Provider
Avg $759

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.

Craig D. Scoville
Average for Rheumatology 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

ALAN WRAY

CARL VANCE

PATRICK GORMAN

DAVID LILJENQUIST

STEVEN SMITH

Organizations

LABORATORY CORPORTION O...

MOUNTAIN VIEW HOSPITAL LLC

Patients saw before

Craig D. Scoville

Patients saw after

Individuals

DAVID LILJENQUIST

ALAN WRAY

CARL VANCE

JOHN STROBEL

PETER VANCE

Organizations

LABORATORY CORPORTION O...

EASTERN IDAHO HEALTH SE...

This Provider's Services

This provider performed 13 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, denosumab (prolia, xgeva), 1 mg

Service Code: J0897
Performed in an office
1,320
times performed,
45% of his services

1st Alert

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

13
patients got this service, 4% of his patients
1.7
average number of visits a patient made for this service
$48,840an average of $37 per time performed $14,520
an average of $11 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
448
times performed,
15% of his services

2nd 5th

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

240
patients got this service, 69% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.2)
$77,952an average of $174 per time performed $29,568
an average of $66 per time performed
DRUGS

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

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

Service Code: J3301
Performed in an office
379
times performed,
13% of his services

3rd 9th

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

35
patients got this service, 10% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$3,790an average of $10 per time performed $379
an average of $1 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
259
times performed,
9% of his services

4th 6th

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

164
patients got this service, 47% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.8)
$5,180an average of $20 per time performed $777
an average of $3 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
254
times performed,
9% of his services

5th 13th

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

180
patients got this service, 52% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$29,972an average of $118 per time performed $10,414
an average of $41 per time performed
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
53
times performed,
2% of his services

6th Alert

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

46
patients got this service, 13% of his patients
1.2
average number of visits a patient made for this service
$1,590an average of $30 per time performed $265
an average of $5 per time performed
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
53
times performed,
2% of his services

7th Alert

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

34
patients got this service, 10% of his patients
1.6
average number of visits a patient made for this service
$12,349an average of $233 per time performed $4,611
an average of $87 per time performed
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
52
times performed,
2% of his services

8th Alert

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

33
patients got this service, 10% of his patients
1.5
average number of visits a patient made for this service
$2,600an average of $50 per time performed $832
an average of $16 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
44
times performed,
1% of his services

9th 28th

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

28
patients got this service, 8% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$7,524an average of $171 per time performed $2,068
an average of $47 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
29
times performed,
0.98% of his services

10th Alert

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

29
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
$9,512an average of $328 per time performed $3,248
an average of $112 per time performed
RADIOLOGY

Ultrasound of arm or leg

Service Code: 76882
Performed in an office
27
times performed,
0.92% of his services

11th Alert

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

23
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
$1,809an average of $67 per time performed $702
an average of $26 per time performed
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of medium joint or joint capsule +

Aspiration and/or injection of medium joint or joint capsule ×

Service Code: 20605
Performed in an office
16
times performed,
0.54% of his services

12th Alert

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

13
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
$2,192an average of $137 per time performed $656
an average of $41 per time performed
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
15
times performed,
0.51% of his services

13th Alert

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

13
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
$45an average of $3 per time performed $0
an average of $0 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 "Rheumatology." 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.