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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, $452 per patient in 2013.
They performed about 14 services per patient. Here’s how this provider compares.
Number of
Patients
694
Rank: 1st
out of 15 providers in this state & specialty
Services
Performed
4,750
Rank: 4th
out of 15 providers in this state & specialty
Avg Services
Per Patient
6.8 This Provider
Avg 14.5
Total Paid
by Medicare
$313K
Rank: 3rd
out of 15 providers in this state & specialty
Avg Paid
Per Patient
$451 This Provider
Avg $452

Office Visits

Story image rib 8a2c1e812d78fea39cf7fb4926cf598dbc8604e0a950a7f60c1e192c8c412b43

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.

Heather Mcguire
Average for Nephrology Providers in Montana

This Provider's Services

This provider performed 56 different services in 2013
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 25 minutes ×

Service Code: 99214
Performed in a facility
541
times performed,
11% of her services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

210
patients got this service, 30% of her patients
2.6
average number of visits a patient made for this service
$48,690an average of $90 per time performed $29,522
an average of $55 per time performed
medical
MEDICINE

Dialysis services (4 or more physician visits per month),... +

Dialysis services (4 or more physician visits per month), patient 20 years of age and older ×

Service Code: 90960
Performed in a facility
452
times performed,
10% of her services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

61
patients got this service, 9% of her patients
7.4
average number of visits a patient made for this service
$282,500an average of $625 per time performed $97,840
an average of $216 per time performed
medical
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
430
times performed,
9% of her services

3rd 9th

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

157
patients got this service, 23% of her patients
2.6
average number of visits a patient made for this service
(Peers: 2.2)
$89,440an average of $208 per time performed $34,254
an average of $80 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
397
times performed,
8% of her services

4th 4th

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

145
patients got this service, 21% of her patients
2.6
average number of visits a patient made for this service
(Peers: 2.7)
$55,977an average of $141 per time performed $21,847
an average of $55 per time performed
medical
MEDICINE

Dialysis services (1 physician visit per month), patient ... +

Dialysis services (1 physician visit per month), patient 20 years of age and older ×

Service Code: 90962
Performed in an office
240
times performed,
5% of her services

5th 8th

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

82
patients got this service, 12% of her patients
2.9
average number of visits a patient made for this service
(Peers: 3.6)
$87,360an average of $364 per time performed $33,372
an average of $139 per time performed
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
237
times performed,
5% of her services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

148
patients got this service, 21% of her patients
1.6
average number of visits a patient made for this service
$13,035an average of $55 per time performed $8,544
an average of $36 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 an office
153
times performed,
3% of her services

7th 3rd

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

75
patients got this service, 11% of her patients
2
average number of visits a patient made for this service
(Peers: 2.1)
$29,223an average of $191 per time performed $11,695
an average of $76 per time performed
medical
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
106
times performed,
2% of her services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

56
patients got this service, 8% of her patients
1.9
average number of visits a patient made for this service
$1,378an average of $13 per time performed $314
an average of $3 per time performed
medical
MEDICINE

Dialysis services (2-3 physician visits per month), patie... +

Dialysis services (2-3 physician visits per month), patient 20 years of age and older ×

Service Code: 90961
Performed in a facility
94
times performed,
2% of her services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

52
patients got this service, 7% of her patients
1.8
average number of visits a patient made for this service
$47,376an average of $504 per time performed $17,492
an average of $186 per time performed
medical
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
88
times performed,
2% of her services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

56
patients got this service, 8% of her patients
1.6
average number of visits a patient made for this service
$3,080an average of $35 per time performed $771
an average of $9 per time performed
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 an office
85
times performed,
2% of her services

11th 6th

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

63
patients got this service, 9% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$11,050an average of $130 per time performed $3,932
an average of $46 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
76
times performed,
2% of her services

12th 19th

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

72
patients got this service, 10% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$25,308an average of $333 per time performed $11,706
an average of $154 per time performed
medical
MEDICINE

Home dialysis services, patient 20 years of age or older +

Home dialysis services, patient 20 years of age or older ×

Service Code: 90966
Performed in a facility
54
times performed,
1% of her services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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 her patients
4.5
average number of visits a patient made for this service
$26,946an average of $499 per time performed $9,876
an average of $183 per time performed
medical
PATHOLOGY AND LABORATORY

Kidney function blood test panel

Service Code: 80069
Performed in an office
52
times performed,
1% of her services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

38
patients got this service, 5% of her patients
1.4
average number of visits a patient made for this service
$2,236an average of $43 per time performed $613
an average of $12 per time performed
medical
MEDICINE

Dialysis services (2-3 physician visits per month), patie... +

Dialysis services (2-3 physician visits per month), patient 20 years of age and older ×

Service Code: 90961
Performed in an office
44
times performed,
0.93% of her services

15th 15th

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

34
patients got this service, 5% of her patients
1.3
average number of visits a patient made for this service
(Peers: 2.2)
$22,176an average of $504 per time performed $8,053
an average of $183 per time performed
medical
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
42
times performed,
0.88% of her services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

33
patients got this service, 5% of her patients
1.2
average number of visits a patient made for this service
$4,200an average of $100 per time performed $1,238
an average of $29 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
41
times performed,
0.86% of her services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

20
patients got this service, 3% of her patients
2.1
average number of visits a patient made for this service
$2,050an average of $50 per time performed $436
an average of $11 per time performed
medical
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
41
times performed,
0.86% of her services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

41
patients got this service, 6% of her patients
1
average number of visits a patient made for this service
$6,560an average of $160 per time performed $3,657
an average of $89 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
25
times performed,
0.53% of her services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

21
patients got this service, 3% of her patients
1.2
average number of visits a patient made for this service
$3,725an average of $149 per time performed $1,344
an average of $54 per time performed
medical
PATHOLOGY AND LABORATORY

Phosphate level

Service Code: 84100
Performed in an office
22
times performed,
0.46% of her services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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 her patients
1.8
average number of visits a patient made for this service
$528an average of $24 per time performed $108
an average of $5 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
22
times performed,
0.46% of her services

21st 31st

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

22
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,984an average of $272 per time performed $2,341
an average of $106 per time performed
medical
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
19
times performed,
0.4% of her services

22nd 26th

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

19
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,624an average of $296 per time performed $2,123
an average of $112 per time performed
medical
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
16
times performed,
0.34% of her services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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 her patients
1.3
average number of visits a patient made for this service
$656an average of $41 per time performed $169
an average of $11 per time performed

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 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.

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.

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