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Treatment Tracker

This Provider: At A Glance

We aren’t showing our typical comparisons because this provider had an address in a different state in 2014.

Number of
Patients
699
Services
Performed
3,152
Avg Services
Per Patient
4.5
Total Paid
by Medicare
$327K
Avg Paid
Per Patient
$467

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

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 in 2014.

Individuals

DAVID ENGBRECHT

TYLER WILL

JEFFREY KESSLER

JAMES HARRIS

RUSLAN SOLDYSHEV

Organizations

BENEFIS HOSPITALS, INC.

CMSC, LLC

Patients saw before

Varghese Parambi MD

Patients saw after

Individuals

JEFFREY KESSLER

TYLER WILL

RUSLAN SOLDYSHEV

GEORGE RO

JAMES DANIEL

Organizations

BENEFIS HOSPITALS, INC.

CMSC, LLC

This Provider's Services

This provider performed 24 different services in 2014
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
754
times performed,
24% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

188
patients got this service, 27% of his patients
4
average number of visits a patient made for this service
$115,362an average of $153 per time performed $42,910
an average of $57 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
739
times performed,
23% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

370
patients got this service, 53% of his patients
2
average number of visits a patient made for this service
$165,277an average of $224 per time performed $56,637
an average of $77 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
367
times performed,
12% 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
6.8
average number of visits a patient made for this service
$173,224an average of $472 per time performed $52,180
an average of $142 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
243
times performed,
8% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

42
patients got this service, 6% of his patients
5.8
average number of visits a patient made for this service
$197,559an average of $813 per time performed $54,281
an average of $223 per time performed
medical
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
204
times performed,
6% of his services

5th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

24
patients got this service, 3% of his patients
8.5
average number of visits a patient made for this service
$116,280an average of $570 per time performed $36,498
an average of $179 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
165
times performed,
5% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

74
patients got this service, 11% of his patients
2.2
average number of visits a patient made for this service
$26,070an average of $158 per time performed $6,605
an average of $40 per time performed
medical
MEDICINE

Hemodialysis procedure with one physician evaluation

Service Code: 90935
Performed in a facility
147
times performed,
5% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

67
patients got this service, 10% of his patients
2.2
average number of visits a patient made for this service
$47,922an average of $326 per time performed $8,519
an average of $58 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
127
times performed,
4% of his services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

47
patients got this service, 7% of his patients
2.7
average number of visits a patient made for this service
$82,677an average of $651 per time performed $23,957
an average of $189 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
114
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

111
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
$43,093an average of $378 per time performed $18,173
an average of $159 per time performed
medical
MEDICINE

Dialysis procedure including one evaluation

Service Code: 90945
Performed in a facility
96
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

27
patients got this service, 4% of his patients
3.6
average number of visits a patient made for this service
$32,832an average of $342 per time performed $6,561
an average of $68 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
62
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

62
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
$22,382an average of $361 per time performed $9,119
an average of $147 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
31
times performed,
0.98% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

25
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
$3,348an average of $108 per time performed $965
an average of $31 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
21
times performed,
0.67% of his services

13th 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
1.1
average number of visits a patient made for this service
$4,368an average of $208 per time performed $1,727
an average of $82 per time performed
medical
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
15
times performed,
0.48% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$4,050an average of $270 per time performed $1,970
an average of $131 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
12
times performed,
0.38% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$3,720an average of $310 per time performed $1,316
an average of $110 per time performed

Office Visits

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

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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