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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, $452 per patient in 2013.
They performed about 14 services per patient. Here’s how this provider compares.
Number of
Patients
673
Rank: 2nd
out of 15 providers in this state & specialty
Services
Performed
3,391
Rank: 7th
out of 15 providers in this state & specialty
Avg Services
Per Patient
5 This Provider
Avg 14.5
Total Paid
by Medicare
$360K
Rank: 1st
out of 15 providers in this state & specialty
Avg Paid
Per Patient
$535 This Provider
Avg $452

Office Visits

Story image rib 8a2c1e812d78fea39cf7fb4926cf598dbc8604e0a950a7f60c1e192c8c412b43

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.

Varghese Parambi
Average for Nephrology Providers in Montana

This Provider's Services

This provider performed 41 different services in 2013
All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
857
times performed,
25% of his services

1st 4th

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

199
patients got this service, 30% of his patients
4.3
average number of visits a patient made for this service
(Peers: 2.7)
$131,121an average of $153 per time performed $47,392
an average of $55 per time performed
medical
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
780
times performed,
23% of his services

2nd 3rd

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

364
patients got this service, 54% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.1)
$134,246an average of $172 per time performed $61,862
an average of $79 per time performed
medical
MEDICINE

Dialysis services (1 physician visit per month), patient ... +

Dialysis services (1 physician visit per month), patient 20 years of age and older ×

Service Code: 90962
Performed in a facility
328
times performed,
10% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

54
patients got this service, 8% of his patients
6.1
average number of visits a patient made for this service
$154,816an average of $472 per time performed $45,959
an average of $140 per time performed
medical
MEDICINE

Dialysis services (4 or more physician visits per month),... +

Dialysis services (4 or more physician visits per month), patient 20 years of age and older ×

Service Code: 90960
Performed in a facility
289
times performed,
9% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

53
patients got this service, 8% of his patients
5.5
average number of visits a patient made for this service
$234,957an average of $813 per time performed $64,389
an average of $223 per time performed
medical
MEDICINE

Home dialysis services, patient 20 years of age or older +

Home dialysis services, patient 20 years of age or older ×

Service Code: 90966
Performed in an office
242
times performed,
7% of his services

5th 16th

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

27
patients got this service, 4% of his patients
9
average number of visits a patient made for this service
(Peers: 6.3)
$137,940an average of $570 per time performed $45,024
an average of $186 per time performed
medical
MEDICINE

Dialysis services (2-3 physician visits per month), patie... +

Dialysis services (2-3 physician visits per month), patient 20 years of age and older ×

Service Code: 90961
Performed in a facility
190
times performed,
6% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

68
patients got this service, 10% of his patients
2.8
average number of visits a patient made for this service
$123,690an average of $651 per time performed $35,215
an average of $185 per time performed
medical
MEDICINE

Hemodialysis procedure with one physician evaluation

Service Code: 90935
Performed in a facility
160
times performed,
5% of his services

7th 12th

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

64
patients got this service, 10% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2.2)
$52,160an average of $326 per time performed $8,934
an average of $56 per time performed
medical
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
122
times performed,
4% of his services

8th 19th

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

109
patients got this service, 16% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$46,360an average of $380 per time performed $19,110
an average of $157 per time performed
medical
MEDICINE

Dialysis procedure (other than hemodialysis) including on... +

Dialysis procedure (other than hemodialysis) including one evaluation ×

Service Code: 90945
Performed in a facility
119
times performed,
4% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

20
patients got this service, 3% of his patients
6
average number of visits a patient made for this service
$40,698an average of $342 per time performed $7,952
an average of $67 per time performed
medical
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 a facility
88
times performed,
3% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

56
patients got this service, 8% of his patients
1.6
average number of visits a patient made for this service
$13,904an average of $158 per time performed $3,444
an average of $39 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
82
times performed,
2% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

82
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
$29,639an average of $361 per time performed $12,726
an average of $155 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
24
times performed,
0.71% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
$2,592an average of $108 per time performed $721
an average of $30 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
14
times performed,
0.41% of his services

13th 31st

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,340an average of $310 per time performed $1,492
an average of $107 per time performed
medical
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
13
times performed,
0.38% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$39an average of $3 per time performed $38
an average of $3 per time performed

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

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.

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.

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