Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $359 per patient in 2015.
They performed about 10 services per patient. Here’s how this provider compares.

Number of
Patients
754
Rank: 1st
out of 17 providers in this state & specialty
Services
Performed
3,206
Rank: 8th
out of 17 providers in this state & specialty
Avg Services
Per Patient
4.3 This Provider
Avg 9.6
Total Paid
by Medicare
$303K
Rank: 2nd
out of 17 providers in this state & specialty
Avg Paid
Per Patient
$402 This Provider
Avg $359

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.

This Provider's Services

This provider performed 35 different services in 2015
(17 were redacted as they were performed on less than 11 patients)

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
726
times performed,
23% of her services

1st 2nd

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

208
patients got this service, 28% of her patients
3.5
average number of visits a patient made for this service
(Peers: 2.8)
$104,130.18an average of $143.43 per time performed $41,853.90
an average of $57.65 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
711
times performed,
22% of her services

2nd 5th

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

302
patients got this service, 40% of her patients
2.4
average number of visits a patient made for this service
(Peers: 1.9)
$68,362.65an average of $96.15 per time performed $40,064.85
an average of $56.35 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
410
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

90
patients got this service, 12% of her patients
4.6
average number of visits a patient made for this service
$256,250.00an average of $625.00 per time performed $90,642.80
an average of $221.08 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
191
times performed,
6% of her services

4th 3rd

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

108
patients got this service, 14% of her patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$38,559.08an average of $201.88 per time performed $15,243.71
an average of $79.81 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
142
times performed,
4% of her services

5th 7th

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

64
patients got this service, 8% of her patients
2.2
average number of visits a patient made for this service
(Peers: 2.3)
$29,252.00an average of $206.00 per time performed $11,770.38
an average of $82.89 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
119
times performed,
4% of her services

6th 13th

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

44
patients got this service, 6% of her patients
2.7
average number of visits a patient made for this service
(Peers: 3.1)
$43,316.00an average of $364.00 per time performed $17,168.13
an average of $144.27 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
88
times performed,
3% of her services

7th 15th

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

83
patients got this service, 11% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$35,552.00an average of $404.00 per time performed $14,071.20
an average of $159.90 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 an office
74
times performed,
2% of her services

8th 10th

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

16
patients got this service, 2% of her patients
4.6
average number of visits a patient made for this service
(Peers: 5.1)
$36,926.00an average of $499.00 per time performed $13,637.46
an average of $184.29 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
66
times performed,
2% of her services

9th 11th

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

52
patients got this service, 7% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$3,894.00an average of $59.00 per time performed $2,366.76
an average of $35.86 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
62
times performed,
2% of her services

10th 19th

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

62
patients got this service, 8% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,411.04an average of $167.92 per time performed $5,879.46
an average of $94.83 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
52
times performed,
2% of her services

11th 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
3.5
average number of visits a patient made for this service
$25,948.00an average of $499.00 per time performed $9,901.32
an average of $190.41 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
50
times performed,
2% of her services

12th 9th

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

23
patients got this service, 3% of her patients
2.2
average number of visits a patient made for this service
(Peers: 2.5)
$25,200.00an average of $504.00 per time performed $9,343.50
an average of $186.87 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
43
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
1.5
average number of visits a patient made for this service
$21,672.00an average of $504.00 per time performed $7,986.39
an average of $185.73 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
34
times performed,
1% of her services

14th 16th

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

23
patients got this service, 3% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$2,779.84an average of $81.76 per time performed $1,060.46
an average of $31.19 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
24
times performed,
0.75% of her services

15th 24th

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

24
patients got this service, 3% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,488.00an average of $312.00 per time performed $3,030.72
an average of $126.28 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 a facility
14
times performed,
0.44% of her services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
$5,096.00an average of $364.00 per time performed $2,054.22
an average of $146.73 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
13
times performed,
0.41% of her services

17th 18th

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

13
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,692.00an average of $284.00 per time performed $1,430.39
an average of $110.03 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
13
times performed,
0.41% of her services

18th 12th

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

11
patients got this service, 1% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$1,781.00an average of $137.00 per time performed $633.88
an average of $48.76 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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. 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 2015 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.