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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
267
Rank: 43rd
out of 120 providers in this state & specialty
Services
Performed
1,061
Rank: 42nd
out of 120 providers in this state & specialty
Avg Services
Per Patient
4 This Provider
Avg 4.4
Total Paid
by Medicare
$32K
Rank: 80th
out of 120 providers in this state & specialty
Avg Paid
Per Patient
$120 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.

John Q. Smith
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

CRAIG JAMISON

STEVEN KOGA

HODAKA ABE

THOMAS TRYON

SHANE MCGONEGLE

Organizations

ST LUKES REGIONAL MEDIC...

WEST VALLEY MEDICAL CEN...

Patients saw before

John Q. Smith

Patients saw after

Individuals

CRAIG JAMISON

HODAKA ABE

STEVEN KOGA

THOMAS TRYON

GLORIA HENAO

Organizations

WEST VALLEY MEDICAL CEN...

ST LUKES REGIONAL MEDIC...

This Provider's Services

This provider performed 10 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

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

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

Service Code: J3301
Performed in an office
424
times performed,
40% of his services

1st 2nd

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

75
patients got this service, 28% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$848an average of $2 per time performed $424
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
304
times performed,
29% of his services

2nd 3rd

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

178
patients got this service, 67% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.5)
$21,280an average of $70 per time performed $14,896
an average of $49 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
110
times performed,
10% of his services

3rd 6th

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

110
patients got this service, 41% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,990an average of $109 per time performed $7,810
an average of $71 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
87
times performed,
8% of his services

4th 4th

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

72
patients got this service, 27% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$7,482an average of $86 per time performed $4,524
an average of $52 per time performed
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
41
times performed,
4% of his services

5th 13th

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

33
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,517an average of $37 per time performed $1,107
an average of $27 per time performed
RADIOLOGY

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

Service Code: 73510
Performed in an office
28
times performed,
3% of his services

6th 11th

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

25
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,036an average of $37 per time performed $672
an average of $24 per time performed
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
21
times performed,
2% of his services

7th 8th

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

17
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$693an average of $33 per time performed $462
an average of $22 per time performed
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
20
times performed,
2% of his services

8th 10th

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

16
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$720an average of $36 per time performed $440
an average of $22 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
15
times performed,
1% of his services

9th 66th

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

15
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,235an average of $149 per time performed $1,500
an average of $100 per time performed
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
11
times performed,
1% of his services

10th 22nd

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

11
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$418an average of $38 per time performed $187
an average of $17 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.


Read our methodology.


Credits: Warning icon designed by Stefan Parnarov from the Noun Project.