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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, $102 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
289
Rank: 33rd
out of 279 providers in this state & specialty
Services
Performed
2,656
Rank: 1st
out of 279 providers in this state & specialty
Avg Services
Per Patient
9.2 This Provider is in the top 10%
Avg 2.9
Total Paid
by Medicare
$64.9K
Rank: 5th
out of 279 providers in this state & specialty
Avg Paid
Per Patient
$225 This Provider is in the top 10%
Avg $102

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.

David A. Smith
Average for Nurse Practitioner 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

STEPHEN BASE

BRADY BANTA

SUSAN GALLO

LEOPOLDO ABIS

SHANTELL TWOBEARS

Organizations

BILLINGS CLINIC

HOLY ROSARY HEALTHCARE

Patients saw before

David A. Smith

Patients saw after

Individuals

LEOPOLDO ABIS

BRADY BANTA

STEPHEN BASE

SUSAN GALLO

SHANTELL TWOBEARS

Organizations

BILLINGS CLINIC

HOLY ROSARY HEALTHCARE

This Provider's Services

This provider performed 23 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
464
times performed,
17% of his services

1st 1st

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

178
patients got this service, 62% of his patients
2.6
average number of visits a patient made for this service
(Peers: 1.9)
$53,824an average of $116 per time performed $19,024
an average of $41 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
391
times performed,
15% of his services

2nd 6th

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

141
patients got this service, 49% of his patients
2.8
average number of visits a patient made for this service
(Peers: 1.8)
$5,083an average of $13 per time performed $1,173
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
305
times performed,
11% of his services

3rd 4th

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

140
patients got this service, 48% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2)
$52,765an average of $173 per time performed $19,215
an average of $63 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
216
times performed,
8% of his services

4th 23rd

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

121
patients got this service, 42% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.4)
$10,800an average of $50 per time performed $3,024
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
181
times performed,
7% of his services

5th 21st

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

104
patients got this service, 36% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$7,421an average of $41 per time performed $1,991
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Kidney function blood test panel

Service Code: 80069
Performed in an office
137
times performed,
5% of his services

6th Alert

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

57
patients got this service, 20% of his patients
2.4
average number of visits a patient made for this service
$5,891an average of $43 per time performed $1,644
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
124
times performed,
5% of his services

7th 14th

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

19
patients got this service, 7% of his patients
6.5
average number of visits a patient made for this service
(Peers: 4.4)
$2,728an average of $22 per time performed $744
an average of $6 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
100
times performed,
4% of his services

8th 9th

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

14
patients got this service, 5% of his patients
7.1
average number of visits a patient made for this service
(Peers: 3.6)
$5,200an average of $52 per time performed $1,200
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
91
times performed,
3% of his services

9th 42nd

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

61
patients got this service, 21% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$6,006an average of $66 per time performed $1,365
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
87
times performed,
3% of his services

10th 44th

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

48
patients got this service, 17% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.3)
$7,134an average of $82 per time performed $2,088
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
78
times performed,
3% of his services

11th Alert

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

51
patients got this service, 18% of his patients
1.5
average number of visits a patient made for this service
$1,248an average of $16 per time performed $312
an average of $4 per time performed
MEDICINE

Manual (physical) therapy techniques to 1 or more regions... +

Manual (physical) therapy techniques to 1 or more regions, each 15 minutes ×

Service Code: 97140
Performed in an office
77
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

11
patients got this service, 4% of his patients
3.7
average number of visits a patient made for this service
$4,774an average of $62 per time performed $1,386
an average of $18 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in an office
70
times performed,
3% of his services

13th 17th

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

27
patients got this service, 9% of his patients
2.6
average number of visits a patient made for this service
(Peers: 2)
$10,430an average of $149 per time performed $3,290
an average of $47 per time performed
MEDICINE

Therapeutic exercise to develop strength, endurance, rang... +

Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes ×

Service Code: 97110
Performed in an office
58
times performed,
2% of his services

14th Alert

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

22
patients got this service, 8% of his patients
2.3
average number of visits a patient made for this service
$3,422an average of $59 per time performed $1,102
an average of $19 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in an office
57
times performed,
2% of his services

15th 12th

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

27
patients got this service, 9% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.1)
$6,270an average of $110 per time performed $2,280
an average of $40 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
51
times performed,
2% of his services

16th 26th

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

30
patients got this service, 10% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$2,397an average of $47 per time performed $714
an average of $14 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
35
times performed,
1% of his services

17th 31st

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

23
patients got this service, 8% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.5)
$1,750an average of $50 per time performed $560
an average of $16 per time performed
PROCEDURES

Diabetes outpatient self-management training services, in... +

Diabetes outpatient self-management training services, individual, per 30 minutes ×

Service Code: G0108
Performed in an office
35
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

14
patients got this service, 5% of his patients
1.9
average number of visits a patient made for this service
$1,820an average of $52 per time performed $1,400
an average of $40 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
34
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

20
patients got this service, 7% of his patients
1.7
average number of visits a patient made for this service
$680an average of $20 per time performed $170
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 10 minutes ×

Service Code: 99212
Performed in an office
20
times performed,
0.75% of his services

20th 8th

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

15
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$1,560an average of $78 per time performed $520
an average of $26 per time performed
MEDICINE

Physical therapy evaluation

Service Code: 97001
Performed in an office
19
times performed,
0.72% of his services

21st Alert

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

18
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
$2,603an average of $137 per time performed $950
an average of $50 per time performed
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
14
times performed,
0.53% of his services

22nd 78th

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: 1.1)
$2,464an average of $176 per time performed $182
an average of $13 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
12
times performed,
0.45% of his services

23rd 43rd

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)
$1,500an average of $125 per time performed $456
an average of $38 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 "Nurse Practitioner." 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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Credits: Warning icon designed by Stefan Parnarov from the Noun Project.