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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, $168 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
742
Rank: 18th
out of 201 providers in this state & specialty
Services
Performed
6,461
Rank: 5th
out of 201 providers in this state & specialty
Avg Services
Per Patient
8.7 This Provider is in the top 10%
Avg 3.3
Total Paid
by Medicare
$322K
Rank: 1st
out of 201 providers in this state & specialty
Avg Paid
Per Patient
$435 This Provider is in the top 10%
Avg $168

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.

Rajohn Karanjai
Average for Internal Medicine 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

GREGORY FAUL

JACQUELYN FREE

ORIN COUNCIL

EDWARD PIERCE

EDWARD BERGIN

Organizations

SIDNEY HEALTH CENTER

BILLINGS CLINIC

Patients saw before

Rajohn Karanjai

Patients saw after

Individuals

GREGORY FAUL

JACQUELYN FREE

EDWARD PIERCE

EDWARD BERGIN

LESZEK JASZCZAK

Organizations

SIDNEY HEALTH CENTER

BILLINGS CLINIC

This Provider's Services

This provider performed 46 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
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
1,222
times performed,
19% of his services

1st 2nd

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

486
patients got this service, 65% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2)
$180,856an average of $148 per time performed $59,878
an average of $49 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
760
times performed,
12% of his services

2nd 9th

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

81
patients got this service, 11% of his patients
9.4
average number of visits a patient made for this service
(Peers: 7.8)
$28,120an average of $37 per time performed $4,560
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
750
times performed,
12% of his services

3rd 4th

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

349
patients got this service, 47% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.9)
$161,250an average of $215 per time performed $53,250
an average of $71 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
374
times performed,
6% of his services

4th 7th

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

136
patients got this service, 18% of his patients
2.8
average number of visits a patient made for this service
(Peers: 1.9)
$92,004an average of $246 per time performed $29,920
an average of $80 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83037
Performed in an office
351
times performed,
5% of his services

5th Alert

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

146
patients got this service, 20% of his patients
2.4
average number of visits a patient made for this service
$20,007an average of $57 per time performed $4,914
an average of $14 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
266
times performed,
4% of his services

6th 24th

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

184
patients got this service, 25% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.2)
$91,504an average of $344 per time performed $23,408
an average of $88 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 35 minutes p... +

Subsequent nursing facility visit, typically 35 minutes per day ×

Service Code: 99310
Performed in a facility
252
times performed,
4% of his services

7th Alert

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

44
patients got this service, 6% of his patients
5.7
average number of visits a patient made for this service
$70,560an average of $280 per time performed $25,956
an average of $103 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
213
times performed,
3% of his services

8th 29th

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

124
patients got this service, 17% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.4)
$24,708an average of $116 per time performed $6,390
an average of $30 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 a facility
167
times performed,
3% of his services

9th 37th

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

162
patients got this service, 22% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$52,271an average of $313 per time performed $8,183
an average of $49 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
140
times performed,
2% of his services

10th 11th

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

121
patients got this service, 16% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$33,740an average of $241 per time performed $11,480
an average of $82 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
125
times performed,
2% of his services

11th 40th

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

117
patients got this service, 16% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$12,625an average of $101 per time performed $1,500
an average of $12 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
125
times performed,
2% of his services

12th 27th

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

31
patients got this service, 4% of his patients
4
average number of visits a patient made for this service
(Peers: 3.4)
$8,875an average of $71 per time performed $2,125
an average of $17 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
109
times performed,
2% of his services

13th 8th

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

86
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$5,232an average of $48 per time performed $654
an average of $6 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
100
times performed,
2% of his services

14th 49th

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

100
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,700an average of $27 per time performed $1,400
an average of $14 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
100
times performed,
2% of his services

15th 18th

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

100
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,200an average of $42 per time performed $2,400
an average of $24 per time performed
EVALUATION AND MANAGEMENT

Prolonged office or other outpatient service first hour

Service Code: 99354
Performed in an office
86
times performed,
1% of his services

16th Alert

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

77
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
$26,832an average of $312 per time performed $6,450
an average of $75 per time performed
EVALUATION AND MANAGEMENT

Prolonged inpatient or observation hospital service first... +

Prolonged inpatient or observation hospital service first hour ×

Service Code: 99356
Performed in a facility
82
times performed,
1% of his services

17th 111th

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

40
patients got this service, 5% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.4)
$33,374an average of $407 per time performed $5,740
an average of $70 per time performed
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
80
times performed,
1% of his services

18th Alert

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

50
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
$2,880an average of $36 per time performed $400
an average of $5 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
78
times performed,
1% of his services

19th 32nd

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

66
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$13,416an average of $172 per time performed $4,290
an average of $55 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
74
times performed,
1% of his services

20th 1st

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

46
patients got this service, 6% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.1)
$13,320an average of $180 per time performed $4,070
an average of $55 per time performed
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient,... +

Critical care delivery critically ill or injured patient, first 30-74 minutes ×

Service Code: 99291
Performed in a facility
67
times performed,
1% of his services

21st 42nd

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

39
patients got this service, 5% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.7)
$40,267an average of $601 per time performed $11,457
an average of $171 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 an office
65
times performed,
1% of his services

22nd 21st

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

36
patients got this service, 5% of his patients
1.8
average number of visits a patient made for this service
(Peers: 4.3)
$5,330an average of $82 per time performed $910
an average of $14 per time performed
SKIN, HAIR AND NAILS

Destruction of 2-14 skin growths

Service Code: 17003
Performed in an office
58
times performed,
0.9% of his services

23rd Alert

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

22
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
$2,088an average of $36 per time performed $348
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
57
times performed,
0.88% of his services

24th 64th

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

48
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$1,539an average of $27 per time performed $228
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) analysis

Service Code: 82044
Performed in an office
49
times performed,
0.76% of his services

25th Alert

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

48
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$1,666an average of $34 per time performed $294
an average of $6 per time performed
EVALUATION AND MANAGEMENT

Nursing facility discharge day management, 30 minutes or ... +

Nursing facility discharge day management, 30 minutes or less ×

Service Code: 99315
Performed in a facility
49
times performed,
0.76% of his services

26th 87th

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

41
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$9,506an average of $194 per time performed $2,695
an average of $55 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
49
times performed,
0.76% of his services

27th 17th

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

42
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$4,459an average of $91 per time performed $882
an average of $18 per time performed
EVALUATION AND MANAGEMENT

Subsequent observation care, typically 35 minutes per day +

Subsequent observation care, typically 35 minutes per day ×

Service Code: 99226
Performed in a facility
48
times performed,
0.74% of his services

28th Alert

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

44
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
$10,608an average of $221 per time performed $3,840
an average of $80 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
47
times performed,
0.73% of his services

29th 10th

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

42
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$21,385an average of $455 per time performed $7,238
an average of $154 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in an office
46
times performed,
0.71% of his services

30th 56th

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

29
patients got this service, 4% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.7)
$9,430an average of $205 per time performed $2,576
an average of $56 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in a facility
45
times performed,
0.7% of his services

31st 51st

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

11
patients got this service, 1% of his patients
4.1
average number of visits a patient made for this service
(Peers: 2.1)
$9,225an average of $205 per time performed $3,105
an average of $69 per time performed
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in a facility
44
times performed,
0.68% of his services

32nd 100th

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

38
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$13,948an average of $317 per time performed $5,632
an average of $128 per time performed
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in an office
43
times performed,
0.67% of his services

33rd 61st

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

36
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$6,923an average of $161 per time performed $2,623
an average of $61 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
43
times performed,
0.67% of his services

34th 89th

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

31
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$11,782an average of $274 per time performed $2,279
an average of $53 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep l... +

Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube ×

Service Code: 95811
Performed in a facility
41
times performed,
0.63% of his services

35th Alert

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

40
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$18,204an average of $444 per time performed $4,059
an average of $99 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
39
times performed,
0.6% of his services

36th 44th

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

37
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$12,363an average of $317 per time performed $5,421
an average of $139 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
34
times performed,
0.53% of his services

37th 73rd

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

34
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,548an average of $222 per time performed $2,482
an average of $73 per time performed
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring and physician supervision ×

Service Code: 93016
Performed in a facility
25
times performed,
0.39% of his services

38th 88th

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)
$2,725an average of $109 per time performed $450
an average of $18 per time performed
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report ×

Service Code: 93018
Performed in a facility
25
times performed,
0.39% of his services

39th 66th

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)
$3,000an average of $120 per time performed $300
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Liver enzyme (sgpt), level

Service Code: 84460
Performed in an office
23
times performed,
0.36% of his services

40th Alert

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
1.2
average number of visits a patient made for this service
$713an average of $31 per time performed $138
an average of $6 per time performed
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient +

Critical care delivery critically ill or injured patient ×

Service Code: 99292
Performed in a facility
22
times performed,
0.34% of his services

41st Alert

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
1.3
average number of visits a patient made for this service
$6,666an average of $303 per time performed $1,914
an average of $87 per time performed
SKIN, HAIR AND NAILS

Biopsy of single growth of skin and/or tissue

Service Code: 11100
Performed in an office
18
times performed,
0.28% of his services

42nd Alert

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

17
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$3,384an average of $188 per time performed $1,422
an average of $79 per time performed
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
18
times performed,
0.28% of his services

43rd 114th

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,016an average of $112 per time performed $630
an average of $35 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
14
times performed,
0.22% of his services

44th 47th

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)
$4,438an average of $317 per time performed $1,680
an average of $120 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
14
times performed,
0.22% of his services

45th 107th

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)
$5,992an average of $428 per time performed $1,778
an average of $127 per time performed
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 1 or 2 muscles

Service Code: 20552
Performed in an office
13
times performed,
0.2% of his services

46th 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
1.2
average number of visits a patient made for this service
$2,535an average of $195 per time performed $507
an average of $39 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep lab +

Sleep monitoring of patient (6 years or older) in sleep lab ×

Service Code: 95810
Performed in a facility
11
times performed,
0.17% of his services

47th 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
average number of visits a patient made for this service
$4,323an average of $393 per time performed $1,067
an average of $97 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 "Internal Medicine." 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.