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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, $367 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
1,223
Rank: 1st
out of 14 providers in this state & specialty
Services
Performed
15,566
Rank: 1st
out of 14 providers in this state & specialty
Avg Services
Per Patient
12.7 This Provider is in the top 10%
Avg 5.1
Total Paid
by Medicare
$367K
Rank: 1st
out of 14 providers in this state & specialty
Avg Paid
Per Patient
$300 This Provider
Avg $367

Office Visits

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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.

Varghese Parambi
Average for Nephrology 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

DAVID ENGBRECHT

JEFFREY KESSLER

GEORGE RO

TYLER WILL

JAMES HARRIS

Organizations

BENEFIS HOSPITALS, INC.

BENEFIS HOSPITALS, INC

Patients saw before

Varghese Parambi

Patients saw after

This Provider's Services

This provider performed 53 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, darbepoetin alfa, 1 microgram (non-end-stage r... +

Injection, darbepoetin alfa, 1 microgram (non-end-stage renal disease use) ×

Service Code: J0881
Performed in an office
7,585
times performed,
49% of his services

1st Alert

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

27
patients got this service, 2% of his patients
3.5
average number of visits a patient made for this service
$30,340an average of $4 per time performed $22,755
an average of $3 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
1,344
times performed,
9% of his services

2nd Alert

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

783
patients got this service, 64% of his patients
1.7
average number of visits a patient made for this service
$4,032an average of $3 per time performed $4,032
an average of $3 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
644
times performed,
4% of his services

3rd Alert

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

461
patients got this service, 38% of his patients
1.4
average number of visits a patient made for this service
$7,084an average of $11 per time performed $7,084
an average of $11 per time performed
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
616
times performed,
4% of his services

4th 3rd

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

145
patients got this service, 12% of his patients
3.5
average number of visits a patient made for this service
(Peers: 2.5)
$72,688an average of $118 per time performed $34,496
an average of $56 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
567
times performed,
4% of his services

5th 2nd

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

278
patients got this service, 23% of his patients
2
average number of visits a patient made for this service
(Peers: 2.2)
$80,514an average of $142 per time performed $41,958
an average of $74 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
436
times performed,
3% of his services

6th Alert

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

362
patients got this service, 30% of his patients
1.2
average number of visits a patient made for this service
$6,976an average of $16 per time performed $5,668
an average of $13 per time performed
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
320
times performed,
2% of his services

7th Alert

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

48
patients got this service, 4% of his patients
6.7
average number of visits a patient made for this service
$191,360an average of $598 per time performed $72,000
an average of $225 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
306
times performed,
2% of his services

8th Alert

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

280
patients got this service, 23% of his patients
1.1
average number of visits a patient made for this service
$6,120an average of $20 per time performed $4,590
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
286
times performed,
2% of his services

9th Alert

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

81
patients got this service, 7% of his patients
3.5
average number of visits a patient made for this service
$2,002an average of $7 per time performed $1,430
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Kidney function blood test panel

Service Code: 80069
Performed in an office
267
times performed,
2% of his services

10th Alert

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

178
patients got this service, 15% of his patients
1.5
average number of visits a patient made for this service
$3,471an average of $13 per time performed $3,204
an average of $12 per time performed
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
266
times performed,
2% of his services

11th Alert

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

62
patients got this service, 5% of his patients
4.3
average number of visits a patient made for this service
$96,026an average of $361 per time performed $36,974
an average of $139 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
238
times performed,
2% of his services

12th Alert

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

216
patients got this service, 18% of his patients
1.1
average number of visits a patient made for this service
$5,712an average of $24 per time performed $5,712
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
218
times performed,
1% of his services

13th Alert

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

151
patients got this service, 12% of his patients
1.4
average number of visits a patient made for this service
$1,090an average of $5 per time performed $872
an average of $4 per time performed
MEDICINE

Home dialysis services per month, patient 20 years of age... +

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

Service Code: 90966
Performed in an office
205
times performed,
1% of his services

14th Alert

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

26
patients got this service, 2% of his patients
7.9
average number of visits a patient made for this service
$93,480an average of $456 per time performed $38,130
an average of $186 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
165
times performed,
1% of his services

15th Alert

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

131
patients got this service, 11% of his patients
1.3
average number of visits a patient made for this service
$2,310an average of $14 per time performed $2,310
an average of $14 per time performed
MEDICINE

Hemodialysis procedure with one physician evaluation

Service Code: 90935
Performed in a facility
149
times performed,
0.96% of his services

16th 10th

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

52
patients got this service, 4% of his patients
2.9
average number of visits a patient made for this service
(Peers: 2.3)
$29,502an average of $198 per time performed $8,642
an average of $58 per time performed
PATHOLOGY AND LABORATORY

Parathormone (parathyroid hormone) level

Service Code: 83970
Performed in an office
140
times performed,
0.9% of his services

17th Alert

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

114
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
$8,120an average of $58 per time performed $8,120
an average of $58 per time performed
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
128
times performed,
0.82% of his services

18th Alert

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

117
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
$1,024an average of $8 per time performed $896
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Total protein level, urine

Service Code: 84156
Performed in an office
110
times performed,
0.71% of his services

19th Alert

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

100
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
$660an average of $6 per time performed $550
an average of $5 per time performed
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
105
times performed,
0.67% of his services

20th Alert

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

48
patients got this service, 4% of his patients
2.2
average number of visits a patient made for this service
$50,505an average of $481 per time performed $19,740
an average of $188 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
95
times performed,
0.61% of his services

21st Alert

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

27
patients got this service, 2% of his patients
3.5
average number of visits a patient made for this service
$2,375an average of $25 per time performed $1,615
an average of $17 per time performed
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
87
times performed,
0.56% of his services

22nd Alert

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

53
patients got this service, 4% of his patients
1.6
average number of visits a patient made for this service
$1,044an average of $12 per time performed $609
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
80
times performed,
0.51% of his services

23rd Alert

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

70
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
$1,040an average of $13 per time performed $880
an average of $11 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
80
times performed,
0.51% of his services

24th 19th

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

68
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$24,800an average of $310 per time performed $12,400
an average of $155 per time performed
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
79
times performed,
0.51% of his services

25th Alert

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

69
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
$2,054an average of $26 per time performed $2,054
an average of $26 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
71
times performed,
0.46% of his services

26th 24th

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

71
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,815an average of $265 per time performed $9,017
an average of $127 per time performed
PATHOLOGY AND LABORATORY

Bacterial colony count, urine

Service Code: 87086
Performed in an office
69
times performed,
0.44% of his services

27th Alert

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

57
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
$828an average of $12 per time performed $759
an average of $11 per time performed
MEDICINE

Dialysis procedure including one evaluation

Service Code: 90945
Performed in a facility
62
times performed,
0.4% of his services

28th Alert

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

14
patients got this service, 1% of his patients
4.4
average number of visits a patient made for this service
$16,244an average of $262 per time performed $4,092
an average of $66 per time performed
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
62
times performed,
0.4% of his services

29th Alert

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

62
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$19,220an average of $310 per time performed $9,424
an average of $152 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: 85027
Performed in an office
61
times performed,
0.39% of his services

30th Alert

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

21
patients got this service, 2% of his patients
2.9
average number of visits a patient made for this service
$610an average of $10 per time performed $549
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
59
times performed,
0.38% of his services

31st Alert

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

26
patients got this service, 2% of his patients
2.3
average number of visits a patient made for this service
$590an average of $10 per time performed $531
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
57
times performed,
0.37% of his services

32nd Alert

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

56
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$2,394an average of $42 per time performed $2,394
an average of $42 per time performed
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
57
times performed,
0.37% of his services

33rd Alert

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

57
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$1,482an average of $26 per time performed $1,482
an average of $26 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
42
times performed,
0.27% of his services

34th Alert

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

34
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
$210an average of $5 per time performed $210
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Measurement of complement (immune system proteins)

Service Code: 86160
Performed in an office
41
times performed,
0.26% of his services

35th Alert

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

21
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$697an average of $17 per time performed $697
an average of $17 per time performed
PATHOLOGY AND LABORATORY

Iron binding capacity

Service Code: 83550
Performed in an office
41
times performed,
0.26% of his services

36th Alert

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

34
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
$328an average of $8 per time performed $328
an average of $8 per time performed
PATHOLOGY AND LABORATORY

Evaluation of antimicrobial drug (antibiotic, antifungal,... +

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) ×

Service Code: 87186
Performed in an office
40
times performed,
0.26% of his services

37th Alert

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

27
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$480an average of $12 per time performed $480
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Iron level

Service Code: 83540
Performed in an office
40
times performed,
0.26% of his services

38th Alert

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

33
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
$280an average of $7 per time performed $240
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
37
times performed,
0.24% of his services

39th Alert

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

30
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
$259an average of $7 per time performed $185
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
35
times performed,
0.22% of his services

40th Alert

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

33
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$455an average of $13 per time performed $455
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
31
times performed,
0.2% of his services

41st Alert

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

28
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$682an average of $22 per time performed $651
an average of $21 per time performed
PATHOLOGY AND LABORATORY

Measurement c-reactive protein for detection of infection... +

Measurement c-reactive protein for detection of infection or inflammation ×

Service Code: 86140
Performed in an office
30
times performed,
0.19% of his services

42nd Alert

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

23
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
$240an average of $8 per time performed $210
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
29
times performed,
0.19% of his services

43rd Alert

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

28
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$261an average of $9 per time performed $232
an average of $8 per time performed
PATHOLOGY AND LABORATORY

Phosphate level

Service Code: 84100
Performed in an office
28
times performed,
0.18% of his services

44th Alert

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

15
patients got this service, 1% of his patients
1.9
average number of visits a patient made for this service
$196an average of $7 per time performed $112
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Bacterial culture for aerobic isolates

Service Code: 87077
Performed in an office
25
times performed,
0.16% of his services

45th Alert

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

22
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$300an average of $12 per time performed $275
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Protein measurement, serum

Service Code: 84165
Performed in an office
23
times performed,
0.15% of his services

46th Alert

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

23
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$368an average of $16 per time performed $345
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Hepatitis c antibody measurement

Service Code: 86803
Performed in an office
18
times performed,
0.12% of his services

47th Alert

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

18
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$450an average of $25 per time performed $360
an average of $20 per time performed
PATHOLOGY AND LABORATORY

Blood creatinine level

Service Code: 82565
Performed in an office
17
times performed,
0.11% of his services

48th Alert

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

17
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$136an average of $8 per time performed $102
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Measurement of dna antibody

Service Code: 86225
Performed in an office
16
times performed,
0.1% of his services

49th Alert

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$320an average of $20 per time performed $304
an average of $19 per time performed
PATHOLOGY AND LABORATORY

Protein measurement, body fluid

Service Code: 84166
Performed in an office
16
times performed,
0.1% of his services

50th Alert

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$400an average of $25 per time performed $400
an average of $25 per time performed
PATHOLOGY AND LABORATORY

Bacterial urine culture

Service Code: 87088
Performed in an office
15
times performed,
0.1% of his services

51st Alert

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

13
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
$120an average of $8 per time performed $120
an average of $8 per time performed
PATHOLOGY AND LABORATORY

Detection test for hepatitis b surface antigen

Service Code: 87340
Performed in an office
15
times performed,
0.1% of his services

52nd Alert

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$210an average of $14 per time performed $210
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
13
times performed,
0.08% of his services

53rd Alert

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

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$52an average of $4 per time performed $39
an average of $3 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 "Nephrology." 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.