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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, $184 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
874
Rank: 21st
out of 40 providers in this state & specialty
Services
Performed
1,689
Rank: 24th
out of 40 providers in this state & specialty
Avg Services
Per Patient
1.9 This Provider
Avg 2.9
Total Paid
by Medicare
$91.3K
Rank: 30th
out of 40 providers in this state & specialty
Avg Paid
Per Patient
$104 This Provider
Avg $184

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.

Niall P. Madigan
Average for Cardiology 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

HUGH CECIL

MICHAEL HENSON

MARK WELCH

RICHARD FRIEDMAN

JON JOHNSON

Organizations

KALISPELL REGIONAL MEDI...

NORTH VALLEY HOSPITAL, INC

Patients saw before

Niall P. Madigan

Patients saw after

Individuals

HUGH CECIL

WILLIAM BENEDETTO

PATRICK MCDONNELL

ANDERS ENGDAHL

JON JOHNSON

Organizations

KALISPELL REGIONAL MEDI...

NORTH VALLEY HOSPITAL, INC

This Provider's Services

This provider performed 17 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
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in a facility
542
times performed,
32% of his services

1st 3rd

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

526
patients got this service, 60% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$108,400an average of $200 per time performed $26,558
an average of $49 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 a facility
167
times performed,
10% of his services

2nd 13th

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

144
patients got this service, 16% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$13,026an average of $78 per time performed $9,018
an average of $54 per time performed
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
165
times performed,
10% of his services

3rd 47th

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

83
patients got this service, 9% of his patients
2
average number of visits a patient made for this service
(Peers: 1.6)
$31,515an average of $191 per time performed $13,200
an average of $80 per time performed
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
113
times performed,
7% of his services

4th 1st

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

106
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,017an average of $9 per time performed $678
an average of $6 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
96
times performed,
6% of his services

5th 2nd

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

85
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$18,528an average of $193 per time performed $7,392
an average of $77 per time performed
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
67
times performed,
4% of his services

6th 9th

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

62
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$3,484an average of $52 per time performed $1,005
an average of $15 per time performed
MEDICINE

Ultrasound examination of the heart performed during rest... +

Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report ×

Service Code: 93350
Performed in a facility
54
times performed,
3% of his services

7th 36th

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

54
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,016an average of $204 per time performed $3,024
an average of $56 per time performed
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in an office
48
times performed,
3% of his services

8th 6th

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

46
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$18,720an average of $390 per time performed $4,080
an average of $85 per time performed
MEDICINE

Evaluation, testing, and programming adjustment of perman... +

Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report ×

Service Code: 93280
Performed in a facility
47
times performed,
3% of his services

9th 27th

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

28
patients got this service, 3% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$2,961an average of $63 per time performed $1,222
an average of $26 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
40
times performed,
2% of his services

10th 50th

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

40
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,080an average of $377 per time performed $5,600
an average of $140 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in a facility
38
times performed,
2% of his services

11th 55th

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

35
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$4,408an average of $116 per time performed $3,268
an average of $86 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 a facility
37
times performed,
2% of his services

12th 4th

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

36
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$1,850an average of $50 per time performed $1,480
an average of $40 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
35
times performed,
2% of his services

13th 30th

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

35
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$13,055an average of $373 per time performed $5,390
an average of $154 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 a facility
31
times performed,
2% of his services

14th Alert

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

31
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$5,053an average of $163 per time performed $3,658
an average of $118 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
31
times performed,
2% of his services

15th 10th

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

30
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$4,092an average of $132 per time performed $1,550
an average of $50 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in a facility
30
times performed,
2% of his services

16th Alert

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

11
patients got this service, 1% of his patients
2.7
average number of visits a patient made for this service
$300an average of $10 per time performed $150
an average of $5 per time performed
MEDICINE

Doppler ultrasound study of heart blood flow, valves, and... +

Doppler ultrasound study of heart blood flow, valves, and chambers ×

Service Code: 93320
Performed in a facility
29
times performed,
2% of his services

17th 25th

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

29
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,885an average of $65 per time performed $435
an average of $15 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
27
times performed,
2% of his services

18th 19th

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

26
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$7,101an average of $263 per time performed $2,673
an average of $99 per time performed
MEDICINE

Heart rhythm tracing, analysis, and interpretation of 48-... +

Heart rhythm tracing, analysis, and interpretation of 48-hour ekg ×

Service Code: 93227
Performed in a facility
26
times performed,
2% of his services

19th 33rd

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

26
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$728an average of $28 per time performed $442
an average of $17 per time performed
MEDICINE

Doppler ultrasound study of color-directed heart blood fl... +

Doppler ultrasound study of color-directed heart blood flow, rate, and valve function ×

Service Code: 93325
Performed in a facility
25
times performed,
1% of his services

20th 23rd

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

25
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$300an average of $12 per time performed $75
an average of $3 per time performed
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in an office
17
times performed,
1% of his services

21st Alert

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

16
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$221an average of $13 per time performed $102
an average of $6 per time performed
MEDICINE

Follow-up or limited ultrasound examination of heart

Service Code: 93308
Performed in a facility
12
times performed,
0.71% of his services

22nd 84th

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

11
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,092an average of $91 per time performed $216
an average of $18 per time performed
MEDICINE

Follow-up or limited heart doppler ultrasound study of he... +

Follow-up or limited heart doppler ultrasound study of heart blood flow, valves, and chambers ×

Service Code: 93321
Performed in a facility
12
times performed,
0.71% of his services

23rd Alert

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

11
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
$312an average of $26 per time performed $60
an average of $5 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 "Cardiovascular Disease." 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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