Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $181 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
578
Rank: 31st
out of 174 providers in this state & specialty
Services
Performed
1,607
Rank: 50th
out of 174 providers in this state & specialty
Avg Services
Per Patient
2.8 This Provider
Avg 4.3
Total Paid
by Medicare
$80.8K
Rank: 61st
out of 174 providers in this state & specialty
Avg Paid
Per Patient
$140 This Provider
Avg $181

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.

This Provider's Services

This provider performed 57 different services in 2015
(40 were redacted as they were performed on less than 11 patients)

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

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
526
times performed,
33% of his services

1st 6th

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

285
patients got this service, 49% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.6)
$27,909.56an average of $53.06 per time performed $18,688.78
an average of $35.53 per time performed
medical
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in a facility
220
times performed,
14% of his services

2nd 20th

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

220
patients got this service, 38% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$49,550.60an average of $225.23 per time performed $25,273.60
an average of $114.88 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 a facility
109
times performed,
7% of his services

3rd 3rd

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

87
patients got this service, 15% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.8)
$8,854.07an average of $81.23 per time performed $5,798.80
an average of $53.20 per time performed
medical
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
97
times performed,
6% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

28
patients got this service, 5% of his patients
3.5
average number of visits a patient made for this service
$970.00an average of $10.00 per time performed $517.98
an average of $5.34 per time performed
medical
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
92
times performed,
6% of his services

5th 34th

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

86
patients got this service, 15% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,467.44an average of $26.82 per time performed $1,357.00
an average of $14.75 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of 2-14 skin growths

Service Code: 17003
Performed in a facility
73
times performed,
5% of his services

6th 24th

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

20
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$238.71an average of $3.27 per time performed $128.48
an average of $1.76 per time performed
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
55
times performed,
3% of his services

7th 5th

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

34
patients got this service, 6% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.2)
$7,746.75an average of $140.85 per time performed $3,124.00
an average of $56.80 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in a facility
50
times performed,
3% of his services

8th 46th

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

42
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$6,194.50an average of $123.89 per time performed $1,478.50
an average of $29.57 per time performed
medical
PROCEDURES

Annual wellness visit; includes a personalized prevention... +

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ×

Service Code: G0438
Performed in a facility
34
times performed,
2% of his services

9th 54th

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

34
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,731.36an average of $345.04 per time performed $5,775.58
an average of $169.87 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in a facility
33
times performed,
2% of his services

10th 49th

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

32
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,839.09an average of $55.73 per time performed $990.00
an average of $30.00 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
32
times performed,
2% of his services

11th 26th

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

30
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$8,558.08an average of $267.44 per time performed $3,261.76
an average of $101.93 per time performed
medical
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
31
times performed,
2% of his services

12th 8th

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

29
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$527.00an average of $17.00 per time performed $155.00
an average of $5.00 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in a facility
27
times performed,
2% of his services

13th 99th

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

27
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$567.00an average of $21.00 per time performed $274.59
an average of $10.17 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
22
times performed,
1% of his services

14th 13th

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

22
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,548.06an average of $206.73 per time performed $1,870.00
an average of $85.00 per time performed
medical
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
18
times performed,
1% of his services

15th 66th

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

18
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,416.06an average of $78.67 per time performed $1,014.48
an average of $56.36 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 35 minutes per day +

Initial nursing facility visit, typically 35 minutes per day ×

Service Code: 99305
Performed in a facility
17
times performed,
1% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

17
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$4,012.00an average of $236.00 per time performed $1,309.68
an average of $77.04 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
16
times performed,
1% of his services

17th 12th

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

16
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,266.08an average of $391.63 per time performed $2,256.16
an average of $141.01 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.

Douglas Nelson
Average for Internal Medicine 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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. 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 2015 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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