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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, $168 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
747
Rank: 17th
out of 201 providers in this state & specialty
Services
Performed
8,623
Rank: 1st
out of 201 providers in this state & specialty
Avg Services
Per Patient
11.5 This Provider is in the top 10%
Avg 3.3
Total Paid
by Medicare
$169K
Rank: 9th
out of 201 providers in this state & specialty
Avg Paid
Per Patient
$227 This Provider
Avg $168

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.

Tony J. Lenz
Average for Internal Medicine 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.

Patients saw before

Tony J. Lenz

Patients saw after

This Provider's Services

This provider performed 32 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
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
1,914
times performed,
22% of his services

1st 6th

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

636
patients got this service, 85% of his patients
3
average number of visits a patient made for this service
(Peers: 2.6)
$5,742an average of $3 per time performed $5,742
an average of $3 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
929
times performed,
11% of his services

2nd 2nd

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

523
patients got this service, 70% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2)
$68,746an average of $74 per time performed $41,805
an average of $45 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
920
times performed,
11% of his services

3rd 4th

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

533
patients got this service, 71% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.9)
$102,120an average of $111 per time performed $57,960
an average of $63 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
871
times performed,
10% of his services

4th 9th

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

76
patients got this service, 10% of his patients
11.5
average number of visits a patient made for this service
(Peers: 7.8)
$5,226an average of $6 per time performed $5,226
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
835
times performed,
10% of his services

5th 15th

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

603
patients got this service, 81% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$12,525an average of $15 per time performed $10,855
an average of $13 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
805
times performed,
9% of his services

6th 12th

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

601
patients got this service, 80% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$8,855an average of $11 per time performed $8,855
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
599
times performed,
7% of his services

7th 17th

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

522
patients got this service, 70% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$11,980an average of $20 per time performed $8,985
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
313
times performed,
4% of his services

8th 26th

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

148
patients got this service, 20% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.8)
$4,382an average of $14 per time performed $4,382
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
283
times performed,
3% of his services

9th 22nd

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

232
patients got this service, 31% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$6,792an average of $24 per time performed $6,792
an average of $24 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
182
times performed,
2% of his services

10th 18th

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

179
patients got this service, 24% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,550an average of $25 per time performed $4,368
an average of $24 per time performed
PATHOLOGY AND LABORATORY

Blood glucose (sugar) level

Service Code: 82947
Performed in an office
153
times performed,
2% of his services

11th Alert

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

103
patients got this service, 14% of his patients
1.5
average number of visits a patient made for this service
$918an average of $6 per time performed $918
an average of $6 per time performed
MEDICINE

Vaccine for influenza for injection into muscle, patient ... +

Vaccine for influenza for injection into muscle, patient 3 years and older ×

Service Code: 90656
Performed in an office
142
times performed,
2% of his services

12th 39th

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

142
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,988an average of $14 per time performed $1,704
an average of $12 per time performed
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
137
times performed,
2% of his services

13th 68th

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

137
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,699an average of $27 per time performed $3,562
an average of $26 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
85
times performed,
0.99% of his services

14th 40th

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

79
patients got this service, 11% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,785an average of $21 per time performed $1,190
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
52
times performed,
0.6% of his services

15th 33rd

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

44
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$260an average of $5 per time performed $208
an average of $4 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (not otherwise specified) ×

Service Code: Q2039
Performed in an office
41
times performed,
0.48% of his services

16th Alert

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

41
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$861an average of $21 per time performed $492
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
39
times performed,
0.45% of his services

17th 43rd

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

38
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$156an average of $4 per time performed $117
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Bacterial colony count, urine

Service Code: 87086
Performed in an office
34
times performed,
0.39% of his services

18th Alert

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

26
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
$408an average of $12 per time performed $374
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
32
times performed,
0.37% of his services

19th Alert

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

16
patients got this service, 2% of his patients
2
average number of visits a patient made for this service
$160an average of $5 per time performed $160
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Liver enzyme (sgpt), level

Service Code: 84460
Performed in an office
28
times performed,
0.32% of his services

20th Alert

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

25
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$252an average of $9 per time performed $168
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
26
times performed,
0.3% of his services

21st Alert

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

16
patients got this service, 2% of his patients
1.6
average number of visits a patient made for this service
$182an average of $7 per time performed $130
an average of $5 per time performed
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
26
times performed,
0.3% of his services

22nd 57th

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

26
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,300an average of $50 per time performed $1,248
an average of $48 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
23
times performed,
0.27% of his services

23rd 58th

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

23
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$621an average of $27 per time performed $552
an average of $24 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
23
times performed,
0.27% of his services

24th 60th

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

20
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$299an average of $13 per time performed $299
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
22
times performed,
0.26% of his services

25th 36th

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

16
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$264an average of $12 per time performed $264
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Cyanocobalamin (vitamin b-12) level

Service Code: 82607
Performed in an office
22
times performed,
0.26% of his services

26th Alert

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

22
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$484an average of $22 per time performed $462
an average of $21 per time performed
PATHOLOGY AND LABORATORY

Evaluation of antimicrobial drug (antibiotic, antifungal,... +

Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral) ×

Service Code: 87186
Performed in an office
18
times performed,
0.21% of his services

27th Alert

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 his patients
1.4
average number of visits a patient made for this service
$216an average of $12 per time performed $216
an average of $12 per time performed
PROCEDURES

Annual wellness visit; includes a personalized prevention... +

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ×

Service Code: G0438
Performed in an office
17
times performed,
0.2% of his services

28th 30th

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

17
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,989an average of $117 per time performed $1,989
an average of $117 per time performed
PATHOLOGY AND LABORATORY

Bacterial culture for aerobic isolates

Service Code: 87077
Performed in an office
16
times performed,
0.19% of his services

29th Alert

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

11
patients got this service, 1% of his patients
1.4
average number of visits a patient made for this service
$192an average of $12 per time performed $176
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
13
times performed,
0.15% of his services

30th 102nd

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

12
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$338an average of $26 per time performed $338
an average of $26 per time performed
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
12
times performed,
0.14% of his services

31st 114th

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$636an average of $53 per time performed $492
an average of $41 per time performed
PATHOLOGY AND LABORATORY

Iron level

Service Code: 83540
Performed in an office
11
times performed,
0.13% of his services

32nd Alert

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$77an average of $7 per time performed $66
an average of $6 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 "Internal Medicine." 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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Credits: Warning icon designed by Stefan Parnarov from the Noun Project.