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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, $260 per patient in 2012.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
101
Rank: 98th
out of 120 providers in this state & specialty
Services
Performed
770
Rank: 69th
out of 120 providers in this state & specialty
Avg Services
Per Patient
7.6 This Provider is in the top 10%
Avg 4.4
Total Paid
by Medicare
$14.7K
Rank: 100th
out of 120 providers in this state & specialty
Avg Paid
Per Patient
$146 This Provider
Avg $260

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.

Michael J. Gustavel
Average for Orthopedic Surgery 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

SCOT SCHEFFEL

Organizations

ST LUKES REGIONAL MEDIC...

SAINT ALPHONSUS REGIONA...

Patients saw before

Michael J. Gustavel

Patients saw after

Individuals

BRADFORD PAGE

LINDA HAMMANN

MARY ANN OZIER

SHANE MCGONEGLE

Organizations

ST LUKES REGIONAL MEDIC...

TREASURE VALLEY HOSPITA...

This Provider's Services

This provider performed 9 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, triamcinolone acetonide, not otherwise specif... +

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

Service Code: J3301
Performed in an office
464
times performed,
60% of his services

1st 2nd

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

39
patients got this service, 39% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$2,320an average of $5 per time performed $464
an average of $1 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
110
times performed,
14% of his services

2nd 3rd

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

72
patients got this service, 71% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$11,110an average of $101 per time performed $5,500
an average of $50 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
59
times performed,
8% of his services

3rd 4th

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

36
patients got this service, 36% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$8,850an average of $150 per time performed $2,773
an average of $47 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
39
times performed,
5% of his services

4th 5th

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

25
patients got this service, 25% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$2,379an average of $61 per time performed $1,248
an average of $32 per time performed
RADIOLOGY

X-ray of knee, 4 or more views

Service Code: 73564
Performed in an office
37
times performed,
5% of his services

5th 14th

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

33
patients got this service, 33% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$3,219an average of $87 per time performed $1,110
an average of $30 per time performed
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
19
times performed,
2% of his services

6th 6th

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

19
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,641an average of $139 per time performed $1,273
an average of $67 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
18
times performed,
2% of his services

7th 7th

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

17
patients got this service, 17% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$3,222an average of $179 per time performed $1,260
an average of $70 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
13
times performed,
2% of his services

8th 25th

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

13
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,781an average of $137 per time performed $650
an average of $50 per time performed
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
11
times performed,
1% of his services

9th 11th

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

11
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$759an average of $69 per time performed $308
an average of $28 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 "Sports 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.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.