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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, $138 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
287
Rank: 90th
out of 360 providers in this state & specialty
Services
Performed
1,045
Rank: 88th
out of 360 providers in this state & specialty
Avg Services
Per Patient
3.6 This Provider
Avg 3.5
Total Paid
by Medicare
$32.4K
Rank: 128th
out of 360 providers in this state & specialty
Avg Paid
Per Patient
$113 This Provider
Avg $138

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.

Bayne A. French
Average for Family 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

TODD BERGLAND

JOHN KALBFLEISCH

MICHAEL HENSON

SUZANNE DANIELL

JON MILLER

Organizations

NORTH VALLEY HOSPITAL, INC

KALISPELL REGIONAL MEDI...

Patients saw before

Bayne A. French

Patients saw after

Individuals

PATRICK MCDONNELL

SUZANNE DANIELL

JOHN KALBFLEISCH

MICHAEL HENSON

WILLIAM BENEDETTO

Organizations

NORTH VALLEY HOSPITAL, INC

KALISPELL REGIONAL MEDI...

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 15 minutes ×

Service Code: 99213
Performed in an office
268
times performed,
26% of his services

1st 1st

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

190
patients got this service, 66% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2)
$29,212an average of $109 per time performed $12,328
an average of $46 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
128
times performed,
12% of his services

2nd 4th

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

88
patients got this service, 31% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.9)
$1,536an average of $12 per time performed $384
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 25 minutes ×

Service Code: 99214
Performed in an office
116
times performed,
11% of his services

3rd 3rd

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

82
patients got this service, 29% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.9)
$18,908an average of $163 per time performed $8,120
an average of $70 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
77
times performed,
7% of his services

4th 7th

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

11
patients got this service, 4% of his patients
7
average number of visits a patient made for this service
(Peers: 5.6)
$770an average of $10 per time performed $462
an average of $6 per time performed
DRUGS

Injection, midazolam hydrochloride, per 1 mg

Service Code: J2250
Performed in an office
63
times performed,
6% of his services

5th Alert

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

17
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
$630an average of $10 per time performed $0
an average of $0 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
61
times performed,
6% of his services

6th 12th

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

57
patients got this service, 20% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$2,928an average of $48 per time performed $854
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
43
times performed,
4% of his services

7th 16th

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

41
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,236an average of $52 per time performed $602
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
34
times performed,
3% of his services

8th 9th

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

32
patients got this service, 11% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$1,258an average of $37 per time performed $374
an average of $11 per time performed
SKIN, HAIR AND NAILS

Destruction of 2-14 skin growths

Service Code: 17003
Performed in an office
30
times performed,
3% of his services

9th 46th

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

11
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,440an average of $48 per time performed $120
an average of $4 per time performed
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
30
times performed,
3% of his services

10th 60th

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

30
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,390an average of $113 per time performed $1,350
an average of $45 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
29
times performed,
3% of his services

11th 25th

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

25
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$1,624an average of $56 per time performed $696
an average of $24 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
26
times performed,
2% of his services

12th 27th

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

23
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$598an average of $23 per time performed $104
an average of $4 per time performed
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in an office
22
times performed,
2% of his services

13th 24th

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

22
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,016an average of $228 per time performed $2,442
an average of $111 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
21
times performed,
2% of his services

14th 10th

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

21
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$588an average of $28 per time performed $504
an average of $24 per time performed
DRUGS

Injection, fentanyl citrate, 0.1 mg

Service Code: J3010
Performed in an office
21
times performed,
2% of his services

15th Alert

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

17
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
$546an average of $26 per time performed $0
an average of $0 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
19
times performed,
2% of his services

16th 17th

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

12
patients got this service, 4% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$798an average of $42 per time performed $266
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
16
times performed,
2% of his services

17th 87th

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

13
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$1,024an average of $64 per time performed $416
an average of $26 per time performed
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in an office
15
times performed,
1% of his services

18th 56th

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

14
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,635an average of $109 per time performed $765
an average of $51 per time performed
PROCEDURES

Annual wellness visit; includes a personalized prevention... +

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ×

Service Code: G0438
Performed in an office
14
times performed,
1% of his services

19th 38th

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

14
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,424an average of $316 per time performed $2,338
an average of $167 per time performed
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
12
times performed,
1% of his services

20th 74th

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

12
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$348an average of $29 per time performed $348
an average of $29 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 "Family Medicine." 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.


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