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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, $184 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
601
Rank: 29th
out of 40 providers in this state & specialty
Services
Performed
1,617
Rank: 26th
out of 40 providers in this state & specialty
Avg Services
Per Patient
2.7 This Provider
Avg 2.9
Total Paid
by Medicare
$93.7K
Rank: 27th
out of 40 providers in this state & specialty
Avg Paid
Per Patient
$156 This Provider
Avg $184

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.

David L. Roth
Average for Cardiology 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

HUGH CECIL

JON JOHNSON

ROBERT MITCHELL

MICHAEL HENSON

ANDERS ENGDAHL

Organizations

KALISPELL REGIONAL MEDI...

HEALTHCENTER NORTHWEST LLC

Patients saw before

David L. Roth

Patients saw after

Individuals

HUGH CECIL

JON JOHNSON

ILYAS COLOMBOWALA

WILLIAM BENEDETTO

ANDERS ENGDAHL

Organizations

KALISPELL REGIONAL MEDI...

HEALTHCENTER NORTHWEST LLC

This Provider's Services

This provider performed 23 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
467
times performed,
29% of his services

1st 4th

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

310
patients got this service, 52% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$23,817an average of $51 per time performed $16,345
an average of $35 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 a facility
178
times performed,
11% of his services

2nd Alert

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

37
patients got this service, 6% of his patients
4.8
average number of visits a patient made for this service
$1,958an average of $11 per time performed $1,068
an average of $6 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
156
times performed,
10% of his services

3rd 1st

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

114
patients got this service, 19% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$1,404an average of $9 per time performed $936
an average of $6 per time performed
RADIOLOGY

Nuclear medicine study of vessels of heart using drugs or... +

Nuclear medicine study of vessels of heart using drugs or exercise multiple studies ×

Service Code: 78452
Performed in a facility
138
times performed,
9% of his services

4th 24th

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

138
patients got this service, 23% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$37,950an average of $275 per time performed $8,142
an average of $59 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
123
times performed,
8% of his services

5th 3rd

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

115
patients got this service, 19% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$24,969an average of $203 per time performed $5,658
an average of $46 per time performed
MEDICINE

Insertion of catheter in left heart for imaging of blood ... +

Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart ×

Service Code: 93458
Performed in a facility
85
times performed,
5% of his services

6th 18th

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

84
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$51,255an average of $603 per time performed $18,955
an average of $223 per time performed
MEDICINE

Evaluation, testing, and programming adjustment of perman... +

Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report ×

Service Code: 93280
Performed in a facility
55
times performed,
3% of his services

7th 27th

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

30
patients got this service, 5% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.4)
$3,520an average of $64 per time performed $1,540
an average of $28 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
48
times performed,
3% of his services

8th 10th

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

36
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$6,336an average of $132 per time performed $2,064
an average of $43 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
40
times performed,
2% of his services

9th 37th

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

40
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,480an average of $137 per time performed $3,720
an average of $93 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
35
times performed,
2% of his services

10th 52nd

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

35
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,575an average of $45 per time performed $560
an average of $16 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
35
times performed,
2% of his services

11th 17th

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

35
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,050an average of $30 per time performed $385
an average of $11 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
33
times performed,
2% of his services

12th Alert

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

29
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$1,122an average of $34 per time performed $594
an average of $18 per time performed
MEDICINE

Evaluation, testing, and programming adjustment of perman... +

Evaluation, testing, and programming adjustment of permanent single lead cardioverter-defibrillator including physician analysis, review, and report ×

Service Code: 93282
Performed in a facility
29
times performed,
2% of his services

13th 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
2.4
average number of visits a patient made for this service
$1,943an average of $67 per time performed $870
an average of $30 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
28
times performed,
2% of his services

14th 13th

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

26
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$2,856an average of $102 per time performed $1,428
an average of $51 per time performed
MEDICINE

Insertion of heart artery stent via catheter

Service Code: 92980
Performed in a facility
27
times performed,
2% of his services

15th 29th

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

27
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$44,469an average of $1,647 per time performed $18,333
an average of $679 per time performed
MEDICINE

Doppler ultrasound study of heart blood flow, valves, and... +

Doppler ultrasound study of heart blood flow, valves, and chambers ×

Service Code: 93320
Performed in a facility
21
times performed,
1% of his services

16th 25th

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

21
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,365an average of $65 per time performed $294
an average of $14 per time performed
MEDICINE

Heart rhythm tracing, analysis, and interpretation of 48-... +

Heart rhythm tracing, analysis, and interpretation of 48-hour ekg ×

Service Code: 93227
Performed in a facility
18
times performed,
1% of his services

17th 33rd

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

15
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$504an average of $28 per time performed $378
an average of $21 per time performed
MEDICINE

Doppler ultrasound study of color-directed heart blood fl... +

Doppler ultrasound study of color-directed heart blood flow, rate, and valve function ×

Service Code: 93325
Performed in a facility
18
times performed,
1% of his services

18th 23rd

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)
$216an average of $12 per time performed $54
an average of $3 per time performed
MEDICINE

Insertion of catheter in left heart for imaging of blood ... +

Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart ×

Service Code: 93459
Performed in a facility
16
times performed,
0.99% of his services

19th 58th

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)
$10,864an average of $679 per time performed $3,888
an average of $243 per time performed
MEDICINE

Ultrasound examination and continuous monitoring of the h... +

Ultrasound examination and continuous monitoring of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report ×

Service Code: 93351
Performed in a facility
15
times performed,
0.93% of his services

20th 32nd

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,565an average of $371 per time performed $915
an average of $61 per time performed
MEDICINE

Insertion of catheter in right and left heart for imaging... +

Insertion of catheter in right and left heart for imaging of blood vessels or grafts and left lower heart ×

Service Code: 93460
Performed in a facility
15
times performed,
0.93% of his services

21st 89th

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

15
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,340an average of $756 per time performed $4,815
an average of $321 per time performed
MEDICINE

Remote evaluations of single, dual, or multiple lead pace... +

Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days ×

Service Code: 93296
Performed in an office
14
times performed,
0.87% of his services

22nd 12th

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

12
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.2)
$882an average of $63 per time performed $266
an average of $19 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
12
times performed,
0.74% of his services

23rd 30th

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,476an average of $373 per time performed $1,884
an average of $157 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
11
times performed,
0.68% of his services

24th 51st

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,463an average of $133 per time performed $616
an average of $56 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 "Cardiovascular Disease." 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.