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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, $89 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
641
Rank: 6th
out of 373 providers in this state & specialty
Services
Performed
3,055
Rank: 12th
out of 373 providers in this state & specialty
Avg Services
Per Patient
4.8 This Provider
Avg 2.6
Total Paid
by Medicare
$100K
Rank: 7th
out of 373 providers in this state & specialty
Avg Paid
Per Patient
$156 This Provider
Avg $89

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.

Matthew J. Merzlock
Average for Physician Assistant 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

TONY ROISUM

PETER VANCE

CHRISTOPHER HARKER

JAMES TAYLOR

JOHN STROBEL

Organizations

EASTERN IDAHO HEALTH SE...

MOUNTAIN VIEW HOSPITAL LLC

Patients saw before

Matthew J. Merzlock

Patients saw after

This Provider's Services

This provider performed 22 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

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

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in an office
692
times performed,
23% of his services

1st Alert

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

180
patients got this service, 28% of his patients
3.8
average number of visits a patient made for this service
$48,440an average of $70 per time performed $27,680
an average of $40 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
379
times performed,
12% of his services

2nd 3rd

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

288
patients got this service, 45% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$41,690an average of $110 per time performed $21,982
an average of $58 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
351
times performed,
11% of his services

3rd 5th

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

272
patients got this service, 42% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$1,404an average of $4 per time performed $1,053
an average of $3 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
236
times performed,
8% of his services

4th Alert

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

110
patients got this service, 17% of his patients
2.1
average number of visits a patient made for this service
$21,476an average of $91 per time performed $12,980
an average of $55 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 10 minutes p... +

Subsequent nursing facility visit, typically 10 minutes per day ×

Service Code: 99307
Performed in an office
218
times performed,
7% of his services

5th Alert

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

68
patients got this service, 11% of his patients
3.2
average number of visits a patient made for this service
$10,028an average of $46 per time performed $5,450
an average of $25 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
198
times performed,
6% of his services

6th 1st

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

154
patients got this service, 24% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$14,652an average of $74 per time performed $8,118
an average of $41 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81000
Performed in an office
193
times performed,
6% of his services

7th 62nd

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

178
patients got this service, 28% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,351an average of $7 per time performed $772
an average of $4 per time performed
RADIOLOGY

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

Service Code: 71020
Performed in an office
160
times performed,
5% of his services

8th 36th

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

151
patients got this service, 24% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$6,080an average of $38 per time performed $2,720
an average of $17 per time performed
EVALUATION AND MANAGEMENT

Nursing facility discharge management, more than 30 minutes +

Nursing facility discharge management, more than 30 minutes ×

Service Code: 99316
Performed in an office
157
times performed,
5% of his services

9th Alert

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

146
patients got this service, 23% of his patients
1.1
average number of visits a patient made for this service
$13,345an average of $85 per time performed $10,048
an average of $64 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
112
times performed,
4% of his services

10th 12th

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

13
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$336an average of $3 per time performed $112
an average of $1 per time performed
MEDICINE

Routine electrocardiogram (ekg) with tracing using at lea... +

Routine electrocardiogram (ekg) with tracing using at least 12 leads ×

Service Code: 93005
Performed in an office
94
times performed,
3% of his services

11th 107th

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

92
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,034an average of $11 per time performed $564
an average of $6 per time performed
RADIOLOGY

X-ray of paranasal sinus, less than 3 views

Service Code: 70210
Performed in an office
43
times performed,
1% of his services

12th Alert

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

43
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$1,634an average of $38 per time performed $774
an average of $18 per time performed
RADIOLOGY

Imaging of abdomen

Service Code: 74020
Performed in an office
33
times performed,
1% of his services

13th Alert

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

30
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$1,353an average of $41 per time performed $792
an average of $24 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 35 minutes p... +

Subsequent nursing facility visit, typically 35 minutes per day ×

Service Code: 99310
Performed in an office
29
times performed,
0.95% of his services

14th Alert

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

26
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$3,335an average of $115 per time performed $2,349
an average of $81 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
27
times performed,
0.88% of his services

15th 15th

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

15
patients got this service, 2% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$729an average of $27 per time performed $351
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Strep test (streptococcus, group a)

Service Code: 87880
Performed in an office
26
times performed,
0.85% of his services

16th Alert

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

25
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$572an average of $22 per time performed $442
an average of $17 per time performed
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
22
times performed,
0.72% of his services

17th 118th

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

18
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$902an average of $41 per time performed $440
an average of $20 per time performed
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
21
times performed,
0.69% of his services

18th 70th

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

16
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$630an average of $30 per time performed $378
an average of $18 per time performed
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
21
times performed,
0.69% of his services

19th 39th

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

21
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,717an average of $177 per time performed $1,827
an average of $87 per time performed
RADIOLOGY

X-ray lower and sacral spine including bending views mini... +

X-ray lower and sacral spine including bending views minimum 6 views ×

Service Code: 72114
Performed in an office
16
times performed,
0.52% of his services

20th Alert

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$1,440an average of $90 per time performed $592
an average of $37 per time performed
RADIOLOGY

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

Service Code: 73510
Performed in an office
14
times performed,
0.46% of his services

21st 80th

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$560an average of $40 per time performed $350
an average of $25 per time performed
RADIOLOGY

X-ray of foot, minimum of 3 views

Service Code: 73630
Performed in an office
13
times performed,
0.43% of his services

22nd Alert

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

12
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$559an average of $43 per time performed $221
an average of $17 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 "Physician Assistant." 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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