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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, $426 per patient in 2014.
They performed about 13 services per patient. Here’s how this provider compares.
Number of
Patients
726
Rank: 1st
out of 18 providers in this state & specialty
Services
Performed
3,951
Rank: 7th
out of 18 providers in this state & specialty
Avg Services
Per Patient
5.4 This Provider
Avg 12.7
Total Paid
by Medicare
$320K
Rank: 2nd
out of 18 providers in this state & specialty
Avg Paid
Per Patient
$441 This Provider
Avg $426

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of her Part B patients.

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 in 2014.

Individuals

KENDRICK TROSTEL

JEFFRY LINDENBAUM

DEAN BRUSCHWEIN

RONALD DARBY

BRUCE PINKERTON

Organizations

BILLINGS CLINIC

BILLINGS CLINIC DIALYSI...

Patients saw before

HEATHER MCGUIRE MD

Patients saw after

Individuals

KENDRICK TROSTEL

JEFFRY LINDENBAUM

DEAN BRUSCHWEIN

BRUCE PINKERTON

RONALD DARBY

Organizations

BILLINGS CLINIC

BILLINGS CLINIC DIALYSI...

This Provider's Services

This provider performed 59 different services in 2014
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

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
612
times performed,
15% of her services

1st 4th

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

181
patients got this service, 25% of her patients
3.2
average number of visits a patient made for this service
(Peers: 2.8)
$87,100an average of $142 per time performed $34,884
an average of $57 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 a facility
548
times performed,
14% of her services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

237
patients got this service, 33% of her patients
2.3
average number of visits a patient made for this service
$51,474an average of $94 per time performed $31,916
an average of $58 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
503
times performed,
13% of her services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

84
patients got this service, 12% of her patients
6
average number of visits a patient made for this service
$314,375an average of $625 per time performed $112,023
an average of $223 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
263
times performed,
7% of her services

4th 6th

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

106
patients got this service, 15% of her patients
2.4
average number of visits a patient made for this service
(Peers: 2.7)
$54,438an average of $207 per time performed $21,600
an average of $82 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
211
times performed,
5% of her services

5th 12th

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

164
patients got this service, 23% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$11,928an average of $57 per time performed $7,284
an average of $35 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
171
times performed,
4% of her services

6th 8th

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

31
patients got this service, 4% of her patients
5.5
average number of visits a patient made for this service
(Peers: 3.2)
$86,184an average of $504 per time performed $31,780
an average of $186 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
145
times performed,
4% of her services

7th 3rd

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

89
patients got this service, 12% of her patients
1.6
average number of visits a patient made for this service
(Peers: 2)
$28,561an average of $197 per time performed $11,633
an average of $80 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
88
times performed,
2% of her services

8th 14th

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

48
patients got this service, 7% of her patients
1.8
average number of visits a patient made for this service
(Peers: 3)
$32,032an average of $364 per time performed $12,467
an average of $142 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
77
times performed,
2% of her services

9th 16th

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

73
patients got this service, 10% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$28,782an average of $374 per time performed $12,426
an average of $161 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
64
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

43
patients got this service, 6% of her patients
1.5
average number of visits a patient made for this service
$832an average of $13 per time performed $188
an average of $3 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
60
times performed,
2% of her services

11th 13th

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

50
patients got this service, 7% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$7,905an average of $132 per time performed $3,015
an average of $50 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
55
times performed,
1% of her services

12th 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
$1,925an average of $35 per time performed $476
an average of $9 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
47
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

29
patients got this service, 4% of her patients
1.6
average number of visits a patient made for this service
$23,688an average of $504 per time performed $8,951
an average of $190 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
45
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

45
patients got this service, 6% of her patients
1
average number of visits a patient made for this service
$7,304an average of $162 per time performed $4,319
an average of $96 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
40
times performed,
1% of her services

15th 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
$3,494an average of $87 per time performed $1,214
an average of $30 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
34
times performed,
0.86% of her services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

23
patients got this service, 3% of her patients
1.5
average number of visits a patient made for this service
$1,700an average of $50 per time performed $352
an average of $10 per time performed
medical
PATHOLOGY AND LABORATORY

Kidney function blood test panel

Service Code: 80069
Performed in an office
27
times performed,
0.68% of her services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

26
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
$1,161an average of $43 per time performed $306
an average of $11 per time performed
medical
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
24
times performed,
0.61% of her services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 2% of her patients
1.6
average number of visits a patient made for this service
$792an average of $33 per time performed $215
an average of $9 per time performed
medical
MEDICINE

Home dialysis services per month, patient 20 years of age... +

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

Service Code: 90966
Performed in a facility
24
times performed,
0.61% of her services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 2% of her patients
2.2
average number of visits a patient made for this service
$11,976an average of $499 per time performed $4,334
an average of $181 per time performed
medical
PATHOLOGY AND LABORATORY

Phosphate level

Service Code: 84100
Performed in an office
22
times performed,
0.56% of her services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 2% of her patients
1.7
average number of visits a patient made for this service
$528an average of $24 per time performed $101
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
19
times performed,
0.48% of her services

21st 29th

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: 1.1)
$5,264an average of $277 per time performed $2,084
an average of $110 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
17
times performed,
0.43% of her services

22nd 19th

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

17
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,176an average of $304 per time performed $2,214
an average of $130 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 30 minutes per... +

Initial hospital inpatient care, typically 30 minutes per day ×

Service Code: 99221
Performed in a facility
13
times performed,
0.33% 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
1.1
average number of visits a patient made for this service
$2,626an average of $202 per time performed $1,051
an average of $81 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
12
times performed,
0.3% of her services

24th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 2% of her patients
1.1
average number of visits a patient made for this service
$792an average of $66 per time performed $149
an average of $12 per time performed

Office Visits

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

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.

Read our methodology.