ProPublica

Journalism in the Public Interest

Cancel

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
486
Rank: 5th
out of 120 providers in this state & specialty
Services
Performed
2,877
Rank: 7th
out of 120 providers in this state & specialty
Avg Services
Per Patient
5.9 This Provider
Avg 4.4
Total Paid
by Medicare
$230K
Rank: 6th
out of 120 providers in this state & specialty
Avg Paid
Per Patient
$474 This Provider is in the top 10%
Avg $260

Office Visits

Story image rib

Top Billing

Related story »

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.

Douglas P. Mcinnis
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.

Patients saw before

Douglas P. Mcinnis

Patients saw after

This Provider's Services

This provider performed 21 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

Hyaluronan or derivative (synvisc or synvisc-one), for in... +

Hyaluronan or derivative (synvisc or synvisc-one), for intra-articular injection, 1 mg ×

Service Code: J7325
Performed in an office
816
times performed,
28% of his services

1st 1st

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

15
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$13,056an average of $16 per time performed $8,160
an average of $10 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
370
times performed,
13% of his services

2nd 3rd

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

276
patients got this service, 57% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$58,090an average of $157 per time performed $17,760
an average of $48 per time performed
RADIOLOGY

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

Service Code: 73510
Performed in an office
241
times performed,
8% of his services

3rd 11th

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

165
patients got this service, 34% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$24,100an average of $100 per time performed $6,266
an average of $26 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
209
times performed,
7% of his services

4th Alert

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

20
patients got this service, 4% of his patients
5
average number of visits a patient made for this service
$8,360an average of $40 per time performed $4,598
an average of $22 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
191
times performed,
7% of his services

5th 4th

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

137
patients got this service, 28% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$38,200an average of $200 per time performed $8,786
an average of $46 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
169
times performed,
6% of his services

6th 6th

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

169
patients got this service, 35% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$39,715an average of $235 per time performed $12,337
an average of $73 per time performed
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
169
times performed,
6% of his services

7th 10th

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

119
patients got this service, 24% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$15,210an average of $90 per time performed $3,549
an average of $21 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
164
times performed,
6% of his services

8th 2nd

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

123
patients got this service, 25% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$1,640an average of $10 per time performed $164
an average of $1 per time performed
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
108
times performed,
4% of his services

9th 13th

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

98
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$11,340an average of $105 per time performed $2,808
an average of $26 per time performed
MUSCULOSKELETAL SYSTEM

Replacement of thigh bone and hip joint prosthesis

Service Code: 27130
Performed in a facility
71
times performed,
2% of his services

10th 27th

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

70
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$428,698an average of $6,038 per time performed $75,047
an average of $1,057 per time performed
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
71
times performed,
2% of his services

11th 15th

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

68
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$387,447an average of $5,457 per time performed $79,378
an average of $1,118 per time performed
MEDICINE

Therapeutic activities to improve function, with one-on-o... +

Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes ×

Service Code: 97530
Performed in an office
70
times performed,
2% of his services

12th Alert

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

20
patients got this service, 4% of his patients
2.4
average number of visits a patient made for this service
$2,800an average of $40 per time performed $1,680
an average of $24 per time performed
PROCEDURES

Electrical stimulation (unattended), to one or more areas... +

Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care ×

Service Code: G0283
Performed in an office
51
times performed,
2% 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, 3% of his patients
3.9
average number of visits a patient made for this service
$2,040an average of $40 per time performed $459
an average of $9 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
43
times performed,
1% of his services

14th 5th

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

41
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$4,085an average of $95 per time performed $1,161
an average of $27 per time performed
MEDICINE

Physical therapy evaluation

Service Code: 97001
Performed in an office
28
times performed,
0.97% of his services

15th Alert

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

24
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
$3,640an average of $130 per time performed $1,568
an average of $56 per time performed
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
26
times performed,
0.9% of his services

16th 22nd

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

25
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$2,600an average of $100 per time performed $468
an average of $18 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
22
times performed,
0.76% of his services

17th 25th

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

22
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,564an average of $162 per time performed $924
an average of $42 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
19
times performed,
0.66% of his services

18th 7th

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

17
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$4,731an average of $249 per time performed $1,444
an average of $76 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
14
times performed,
0.49% of his services

19th 45th

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

14
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,230an average of $445 per time performed $2,086
an average of $149 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
13
times performed,
0.45% of his services

20th 20th

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

13
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,706an average of $362 per time performed $1,430
an average of $110 per time performed
RADIOLOGY

X-ray of both hips minimum 2 views

Service Code: 73520
Performed in an office
12
times performed,
0.42% 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)
$1,560an average of $130 per time performed $336
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 "Orthopaedic Surgery." 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.