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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
599
Rank: 3rd
out of 17 providers in this state & specialty
Services
Performed
2,635
Rank: 9th
out of 17 providers in this state & specialty
Avg Services
Per Patient
4.4 This Provider
Avg 30.3
Total Paid
by Medicare
$137K
Rank: 9th
out of 17 providers in this state & specialty
Avg Paid
Per Patient
$229 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.

Jorge J. Nieva
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

KATHRYN WAITMAN

GEORGE KNIGHT

JEFFRY LINDENBAUM

RONALD DARBY

DEAN BRUSCHWEIN

Organizations

BILLINGS CLINIC

SIDNEY HEALTH CENTER

Patients saw before

Jorge J. Nieva

Patients saw after

Individuals

KATHRYN WAITMAN

JEFFRY LINDENBAUM

GEORGE KNIGHT

JONATHAN GRAEVE

RONALD DARBY

Organizations

BILLINGS CLINIC

SIDNEY HEALTH CENTER

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
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
583
times performed,
22% of his services

1st 9th

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

224
patients got this service, 37% of his patients
2.6
average number of visits a patient made for this service
(Peers: 3)
$50,138an average of $86 per time performed $34,397
an average of $59 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
427
times performed,
16% of his services

2nd 8th

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

167
patients got this service, 28% of his patients
2.6
average number of visits a patient made for this service
(Peers: 3.4)
$73,871an average of $173 per time performed $33,733
an average of $79 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
286
times performed,
11% of his services

3rd 16th

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

62
patients got this service, 10% of his patients
4.6
average number of visits a patient made for this service
(Peers: 3.7)
$11,726an average of $41 per time performed $3,146
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 15 minutes ×

Service Code: 99213
Performed in an office
250
times performed,
9% of his services

4th 11th

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

161
patients got this service, 27% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.1)
$29,000an average of $116 per time performed $12,500
an average of $50 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
232
times performed,
9% of his services

5th 12th

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

64
patients got this service, 11% of his patients
3.6
average number of visits a patient made for this service
(Peers: 3.6)
$11,600an average of $50 per time performed $3,480
an average of $15 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 a facility
175
times performed,
7% of his services

6th 13th

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

126
patients got this service, 21% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.8)
$9,975an average of $57 per time performed $6,475
an average of $37 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
143
times performed,
5% of his services

7th 14th

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

49
patients got this service, 8% of his patients
2.9
average number of visits a patient made for this service
(Peers: 3.2)
$1,859an average of $13 per time performed $429
an average of $3 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
98
times performed,
4% of his services

8th 25th

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

43
patients got this service, 7% of his patients
2.2
average number of visits a patient made for this service
(Peers: 3)
$20,384an average of $208 per time performed $7,840
an average of $80 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
71
times performed,
3% of his services

9th 28th

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

43
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2)
$10,011an average of $141 per time performed $3,905
an average of $55 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in a facility
54
times performed,
2% of his services

10th 39th

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

54
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,096an average of $224 per time performed $6,966
an average of $129 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
49
times performed,
2% of his services

11th 43rd

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

45
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$16,317an average of $333 per time performed $7,595
an average of $155 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in a facility
47
times performed,
2% of his services

12th 41st

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

45
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$6,204an average of $132 per time performed $3,854
an average of $82 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
43
times performed,
2% of his services

13th 46th

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

43
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,362an average of $334 per time performed $6,579
an average of $153 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
40
times performed,
2% of his services

14th 37th

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

27
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$4,000an average of $100 per time performed $1,240
an average of $31 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
32
times performed,
1% of his services

15th 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
$4,768an average of $149 per time performed $1,792
an average of $56 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85027
Performed in an office
28
times performed,
1% of his services

16th 18th

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

19
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 3.1)
$980an average of $35 per time performed $252
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Microscopic examination for white blood cells with manual... +

Microscopic examination for white blood cells with manual cell count ×

Service Code: 85007
Performed in an office
24
times performed,
0.91% of his services

17th 20th

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

16
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 3.1)
$456an average of $19 per time performed $96
an average of $4 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
19
times performed,
0.72% of his services

18th 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
$4,427an average of $233 per time performed $2,128
an average of $112 per time performed
PROCEDURES

Bone marrow aspiration performed with bone marrow biopsy ... +

Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ×

Service Code: G0364
Performed in a facility
17
times performed,
0.65% of his services

19th Alert

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
$238an average of $14 per time performed $119
an average of $7 per time performed
HEMIC AND LYMPHATIC SYSTEMS

Needle or trocar bone marrow biopsy

Service Code: 38221
Performed in a facility
17
times performed,
0.65% of his services

20th Alert

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
$3,213an average of $189 per time performed $1,020
an average of $60 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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