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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, $256 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
631
Rank: 16th
out of 44 providers in this state & specialty
Services
Performed
7,532
Rank: 3rd
out of 44 providers in this state & specialty
Avg Services
Per Patient
11.9 This Provider is in the top 10%
Avg 5.4
Total Paid
by Medicare
$155K
Rank: 18th
out of 44 providers in this state & specialty
Avg Paid
Per Patient
$245 This Provider
Avg $256

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.

Gerald G. Overly
Average for Dermatology Providers in Idaho

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

JOHN PHILLIPS

MORRIS SMITH

MARK CHRISTENSON

FRED STARK

RANDOLPH PETERSON

Organizations

IDX PATHOLOGY INC

SAINT ALPHONSUS MEDICAL...

Patients saw before

Gerald G. Overly

Patients saw after

Individuals

MORRIS SMITH

JOHN PHILLIPS

MARK CHRISTENSON

BROCK ANDERSEN

BRYAN DRAKE

Organizations

IDX PATHOLOGY INC

SAINT ALPHONSUS MEDICAL...

This Provider's Services

This provider performed 24 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
SKIN, HAIR AND NAILS

Destruction of 2-14 skin growths

Service Code: 17003
Performed in an office
3,436
times performed,
46% of his services

1st 1st

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

481
patients got this service, 76% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$24,052an average of $7 per time performed $17,180
an average of $5 per time performed
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
1,243
times performed,
17% of his services

2nd 7th

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

87
patients got this service, 14% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$2,486an average of $2 per time performed $1,243
an average of $1 per time performed
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in an office
846
times performed,
11% of his services

3rd 2nd

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

569
patients got this service, 90% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$64,296an average of $76 per time performed $30,456
an average of $36 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99212
Performed in an office
453
times performed,
6% of his services

4th 4th

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

375
patients got this service, 59% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$18,120an average of $40 per time performed $9,966
an average of $22 per time performed
SKIN, HAIR AND NAILS

Destruction of up to 14 skin growths

Service Code: 17110
Performed in an office
310
times performed,
4% of his services

5th 9th

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

278
patients got this service, 44% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$32,240an average of $104 per time performed $18,290
an average of $59 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
304
times performed,
4% of his services

6th 3rd

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

217
patients got this service, 34% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$20,368an average of $67 per time performed $12,160
an average of $40 per time performed
SKIN, HAIR AND NAILS

Biopsy of single growth of skin and/or tissue

Service Code: 11100
Performed in an office
181
times performed,
2% of his services

7th 6th

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

168
patients got this service, 27% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$17,738an average of $98 per time performed $8,869
an average of $49 per time performed
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
123
times performed,
2% of his services

8th Alert

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

85
patients got this service, 13% of his patients
1.4
average number of visits a patient made for this service
$2,706an average of $22 per time performed $1,722
an average of $14 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
105
times performed,
1% of his services

9th 15th

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

105
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,605an average of $101 per time performed $5,880
an average of $56 per time performed
SKIN, HAIR AND NAILS

Shaving of 1.1 to 2.0 centimeters skin growth of the trun... +

Shaving of 1.1 to 2.0 centimeters skin growth of the trunk, arms, or legs ×

Service Code: 11302
Performed in an office
75
times performed,
1% of his services

10th Alert

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

64
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
$8,025an average of $107 per time performed $4,350
an average of $58 per time performed
SKIN, HAIR AND NAILS

Shaving of 1.1 to 2.0 centimeters skin growth of face, ea... +

Shaving of 1.1 to 2.0 centimeters skin growth of face, ears, eyelids, nose, lips, or mouth ×

Service Code: 11312
Performed in an office
70
times performed,
0.93% of his services

11th Alert

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

61
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
$8,260an average of $118 per time performed $4,620
an average of $66 per time performed
PATHOLOGY AND LABORATORY

Fungal culture (mold or yeast) of skin, hair, or nail

Service Code: 87101
Performed in an office
63
times performed,
0.84% of his services

12th Alert

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

57
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
$693an average of $11 per time performed $693
an average of $11 per time performed
SKIN, HAIR AND NAILS

Biopsy of each additional growth of skin and/or tissue

Service Code: 11101
Performed in an office
62
times performed,
0.82% of his services

13th 11th

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

45
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,922an average of $31 per time performed $1,364
an average of $22 per time performed
SKIN, HAIR AND NAILS

Shaving of 1.1 to 2.0 centimeters skin growth of scalp, n... +

Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals ×

Service Code: 11307
Performed in an office
45
times performed,
0.6% of his services

14th Alert

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

30
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$4,725an average of $105 per time performed $2,385
an average of $53 per time performed
SKIN, HAIR AND NAILS

Repair of wound (2.6 to 7.5 centimeters) of forehead, che... +

Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet ×

Service Code: 13132
Performed in an office
41
times performed,
0.54% of his services

15th 18th

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

38
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$23,083an average of $563 per time performed $16,318
an average of $398 per time performed
SKIN, HAIR AND NAILS

Destruction of malignant growth (1.1 to 2.0 centimeters) ... +

Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth ×

Service Code: 17282
Performed in an office
40
times performed,
0.53% of his services

16th Alert

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

35
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
$7,680an average of $192 per time performed $5,000
an average of $125 per time performed
AUDITORY SYSTEM

Biopsy of ear

Service Code: 69100
Performed in an office
24
times performed,
0.32% of his services

17th 45th

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

23
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,328an average of $97 per time performed $1,032
an average of $43 per time performed
SKIN, HAIR AND NAILS

Destruction of 15 or more skin growths

Service Code: 17004
Performed in an office
23
times performed,
0.31% of his services

18th 13th

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

19
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$3,726an average of $162 per time performed $2,484
an average of $108 per time performed
SKIN, HAIR AND NAILS

Removal of malignant growth (2.1 to 3.0 centimeters) of t... +

Removal of malignant growth (2.1 to 3.0 centimeters) of the face, ears, eyelids, nose, or lips ×

Service Code: 11643
Performed in an office
20
times performed,
0.27% of his services

19th 49th

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

18
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$6,360an average of $318 per time performed $2,100
an average of $105 per time performed
SKIN, HAIR AND NAILS

Repair of wound (2.6 to 7.5 centimeters) of trunk

Service Code: 13101
Performed in an office
14
times performed,
0.19% of his services

20th Alert

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$5,740an average of $410 per time performed $3,290
an average of $235 per time performed
SKIN, HAIR AND NAILS

Destruction of malignant growth (2.1 to 3.0 centimeters) ... +

Destruction of malignant growth (2.1 to 3.0 centimeters) of face, ears, eyelids, nose, lips, or mouth ×

Service Code: 17283
Performed in an office
14
times performed,
0.19% of his services

21st Alert

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$3,234an average of $231 per time performed $2,352
an average of $168 per time performed
SKIN, HAIR AND NAILS

Shaving of over 2.0 centimeters skin growth of scalp, nec... +

Shaving of over 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals ×

Service Code: 11308
Performed in an office
14
times performed,
0.19% of his services

22nd Alert

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$1,722an average of $123 per time performed $1,134
an average of $81 per time performed
SKIN, HAIR AND NAILS

Removal of malignant growth (3.1 to 4 centimeters) of the... +

Removal of malignant growth (3.1 to 4 centimeters) of the trunk, arms, or legs ×

Service Code: 11604
Performed in an office
13
times performed,
0.17% of his services

23rd Alert

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$3,939an average of $303 per time performed $1,404
an average of $108 per time performed
SKIN, HAIR AND NAILS

Injection of up to 7 skin growths

Service Code: 11900
Performed in an office
13
times performed,
0.17% of his services

24th 31st

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$702an average of $54 per time performed $221
an average of $17 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 "Dermatology." 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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