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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, $532 per patient in 2012.
They performed about 30 services per patient. Here’s how this provider compares.
Number of
Patients
613
Rank: 2nd
out of 17 providers in this state & specialty
Services
Performed
1,677
Rank: 12th
out of 17 providers in this state & specialty
Avg Services
Per Patient
2.7 This Provider
Avg 30.3
Total Paid
by Medicare
$65.8K
Rank: 12th
out of 17 providers in this state & specialty
Avg Paid
Per Patient
$107 This Provider
Avg $532

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.

Roy R. Hall
Average for Hematology/Oncology 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

JOSEPH DILLARD

JOHN HANSON

ROBERT DIETZ

KATHLEEN RYAN

MITCHELL GALLAGHER

Organizations

ST. VINCENT HEALTHCARE

ST. VINCENT HEALTHCARE

Patients saw before

Roy R. Hall

Patients saw after

Individuals

JOHN HANSON

KATHLEEN RYAN

MITCHELL GALLAGHER

JOSEPH DILLARD

ROBERT STEARS

Organizations

ST. VINCENT HEALTHCARE

ST. VINCENT HEALTHCARE

This Provider's Services

This provider performed 13 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 a facility
759
times performed,
45% of his services

1st 13th

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

364
patients got this service, 59% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.8)
$40,227an average of $53 per time performed $27,324
an average of $36 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
158
times performed,
9% of his services

2nd 28th

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

65
patients got this service, 11% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2)
$21,014an average of $133 per time performed $8,848
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 a facility
114
times performed,
7% of his services

3rd 9th

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

91
patients got this service, 15% of his patients
1.3
average number of visits a patient made for this service
(Peers: 3)
$8,778an average of $77 per time performed $6,726
an average of $59 per time performed
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
113
times performed,
7% of his services

4th 37th

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

70
patients got this service, 11% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$9,605an average of $85 per time performed $3,503
an average of $31 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 a facility
112
times performed,
7% of his services

5th Alert

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

85
patients got this service, 14% of his patients
1.3
average number of visits a patient made for this service
$2,800an average of $25 per time performed $1,904
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
99
times performed,
6% of his services

6th Alert

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

96
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
$3,663an average of $37 per time performed $693
an average of $7 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
61
times performed,
4% of his services

7th 14th

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

48
patients got this service, 8% of his patients
1.3
average number of visits a patient made for this service
(Peers: 3.2)
$427an average of $7 per time performed $183
an average of $3 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 a facility
56
times performed,
3% of his services

8th Alert

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

56
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
$4,424an average of $79 per time performed $3,080
an average of $55 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
45
times performed,
3% of his services

9th Alert

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

36
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
$6,795an average of $151 per time performed $2,475
an average of $55 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
42
times performed,
3% of his services

10th 11th

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

39
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.1)
$6,972an average of $166 per time performed $1,680
an average of $40 per time performed
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
30
times performed,
2% of his services

11th 64th

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

30
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,550an average of $285 per time performed $3,120
an average of $104 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
22
times performed,
1% of his services

12th 8th

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

15
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
(Peers: 3.4)
$5,412an average of $246 per time performed $1,760
an average of $80 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 a facility
19
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

19
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$2,679an average of $141 per time performed $1,729
an average of $91 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
19
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

18
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$2,033an average of $107 per time performed $475
an average of $25 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
14
times performed,
0.83% of his services

15th Alert

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$1,904an average of $136 per time performed $784
an average of $56 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care typically 50 minutes

Service Code: 99219
Performed in a facility
14
times performed,
0.83% of his services

16th Alert

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$3,136an average of $224 per time performed $1,456
an average of $104 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 "Hematology & Oncology." 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.