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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, $260 per patient in 2012.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
364
Rank: 15th
out of 120 providers in this state & specialty
Services
Performed
2,818
Rank: 8th
out of 120 providers in this state & specialty
Avg Services
Per Patient
7.7 This Provider is in the top 10%
Avg 4.4
Total Paid
by Medicare
$114K
Rank: 15th
out of 120 providers in this state & specialty
Avg Paid
Per Patient
$313 This Provider
Avg $260

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.

George A. Nicola
Average for Orthopedic Surgery Providers in Idaho

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

THOMAS TRYON

STEVEN KOGA

HODAKA ABE

CRAIG JAMISON

SHANE MCGONEGLE

Organizations

ST LUKES REGIONAL MEDIC...

WEST VALLEY MEDICAL CEN...

Patients saw before

George A. Nicola

Patients saw after

Individuals

CRAIG JAMISON

THOMAS TRYON

HODAKA ABE

STEVEN KOGA

MICHAEL FUCHS

Organizations

ST LUKES REGIONAL MEDIC...

WEST VALLEY MEDICAL CEN...

This Provider's Services

This provider performed 16 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

Hyaluronan or derivative (synvisc or synvisc-one), for in... +

Hyaluronan or derivative (synvisc or synvisc-one), for intra-articular injection, 1 mg ×

Service Code: J7325
Performed in an office
1,316
times performed,
47% of his services

1st 1st

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

31
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$21,056an average of $16 per time performed $13,160
an average of $10 per time performed
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
518
times performed,
18% of his services

2nd 2nd

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

113
patients got this service, 31% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,036an average of $2 per time performed $518
an average of $1 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
330
times performed,
12% of his services

3rd 3rd

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

236
patients got this service, 65% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$23,100an average of $70 per time performed $15,840
an average of $48 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
172
times performed,
6% of his services

4th 4th

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

140
patients got this service, 38% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$14,104an average of $82 per time performed $8,944
an average of $52 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
156
times performed,
6% of his services

5th 6th

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

156
patients got this service, 43% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,004an average of $109 per time performed $10,764
an average of $69 per time performed
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
87
times performed,
3% of his services

6th 13th

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

77
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$3,393an average of $39 per time performed $2,262
an average of $26 per time performed
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
40
times performed,
1% of his services

7th 15th

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

38
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$70,400an average of $1,760 per time performed $45,520
an average of $1,138 per time performed
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
38
times performed,
1% of his services

8th 10th

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

32
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,634an average of $43 per time performed $798
an average of $21 per time performed
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
35
times performed,
1% of his services

9th 8th

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

32
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,155an average of $33 per time performed $805
an average of $23 per time performed
DRUGS

Hyaluronan or derivative (orthovisc), for intra-articular... +

Hyaluronan or derivative (orthovisc), for intra-articular injection, per dose ×

Service Code: J7324
Performed in an office
30
times performed,
1% of his services

10th Alert

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

13
patients got this service, 4% of his patients
1.8
average number of visits a patient made for this service
$7,080an average of $236 per time performed $3,750
an average of $125 per time performed
MUSCULOSKELETAL SYSTEM

Partial removal of collar bone

Service Code: 23120
Performed in a facility
21
times performed,
0.75% of his services

11th Alert

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

19
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$7,581an average of $361 per time performed $5,628
an average of $268 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
20
times performed,
0.71% of his services

12th 5th

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

19
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$820an average of $41 per time performed $620
an average of $31 per time performed
RADIOLOGY

X-ray of ankle, minimum of 3 views

Service Code: 73610
Performed in an office
18
times performed,
0.64% of his services

13th 33rd

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

11
patients got this service, 3% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$576an average of $32 per time performed $396
an average of $22 per time performed
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
15
times performed,
0.53% of his services

14th 11th

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

12
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$555an average of $37 per time performed $435
an average of $29 per time performed
RADIOLOGY

Mri scan of arm joint

Service Code: 73221
Performed in an office
11
times performed,
0.39% of his services

15th 81st

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

11
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,553an average of $323 per time performed $2,376
an average of $216 per time performed
RADIOLOGY

Mri scan of leg joint

Service Code: 73721
Performed in an office
11
times performed,
0.39% of his services

16th 55th

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

11
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,553an average of $323 per time performed $2,486
an average of $226 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 "Orthopaedic Surgery." 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.