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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
338
Rank: 34th
out of 40 providers in this state & specialty
Services
Performed
1,006
Rank: 34th
out of 40 providers in this state & specialty
Avg Services
Per Patient
3 This Provider
Avg 2.9
Total Paid
by Medicare
$66.7K
Rank: 31st
out of 40 providers in this state & specialty
Avg Paid
Per Patient
$197 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.

William T. Highfill
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

GLENNE GUNTHER

STEPHEN BECKER

CHARLES LAGOY

HUGH CECIL

WILLIAM BENEDETTO

Organizations

ST. JOHN'S LUTHERAN HOS...

KALISPELL REGIONAL MEDI...

Patients saw before

William T. Highfill

Patients saw after

Individuals

STEPHEN BECKER

GLENNE GUNTHER

CHARLES LAGOY

HUGH CECIL

EVE GILLESPIE

Organizations

ST. JOHN'S LUTHERAN HOS...

KALISPELL REGIONAL MEDI...

This Provider's Services

This provider performed 11 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 an office
479
times performed,
48% of his services

1st 2nd

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

217
patients got this service, 64% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.4)
$93,405an average of $195 per time performed $36,404
an average of $76 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
130
times performed,
13% of his services

2nd 3rd

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

125
patients got this service, 37% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$30,680an average of $236 per time performed $6,240
an average of $48 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 an office
93
times performed,
9% of his services

3rd 22nd

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

93
patients got this service, 28% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$28,179an average of $303 per time performed $10,695
an average of $115 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 an office
74
times performed,
7% of his services

4th Alert

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

66
patients got this service, 20% of his patients
1.1
average number of visits a patient made for this service
$814an average of $11 per time performed $518
an average of $7 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
54
times performed,
5% of his services

5th 19th

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

46
patients got this service, 14% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$14,202an average of $263 per time performed $5,616
an average of $104 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
42
times performed,
4% of his services

6th 10th

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

35
patients got this service, 10% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$5,544an average of $132 per time performed $2,184
an average of $52 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
34
times performed,
3% of his services

7th 52nd

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

33
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,530an average of $45 per time performed $578
an average of $17 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
34
times performed,
3% of his services

8th 17th

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

33
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,020an average of $30 per time performed $374
an average of $11 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 an office
27
times performed,
3% of his services

9th 6th

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

27
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$6,453an average of $239 per time performed $1,296
an average of $48 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 an office
15
times performed,
1% of his services

10th 16th

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

11
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$1,950an average of $130 per time performed $690
an average of $46 per time performed
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
13
times performed,
1% of his services

11th 9th

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

13
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$689an average of $53 per time performed $195
an average of $15 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
11
times performed,
1% of his services

12th 50th

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)
$4,147an average of $377 per time performed $1,760
an average of $160 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 "Interventional Cardiology." 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.