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, $169 per patient in 2015.
They performed about 6 services per patient. Here’s how this provider compares.

Number of
Patients
474
Rank: 24th
out of 391 providers in this state & specialty
Services
Performed
5,794
Rank: 18th
out of 391 providers in this state & specialty
Avg Services
Per Patient
12.2 This Provider is in the top 10%
Avg 5.7
Total Paid
by Medicare
$116K
Rank: 16th
out of 391 providers in this state & specialty
Avg Paid
Per Patient
$244 This Provider
Avg $169

Note: About 21% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

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 his Part B patients.

This Provider's Services

This provider performed 70 different services in 2015
(52 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

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
330
times performed,
6% of his services

1st 2nd

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

206
patients got this service, 43% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.8)
$71,557.20an average of $216.84 per time performed $25,416.60
an average of $77.02 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
304
times performed,
5% of his services

2nd 7th

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

44
patients got this service, 9% of his patients
6.9
average number of visits a patient made for this service
(Peers: 5.9)
$4,924.80an average of $16.20 per time performed $1,583.84
an average of $5.21 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
275
times performed,
5% of his services

3rd 6th

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

231
patients got this service, 49% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$2,488.75an average of $9.05 per time performed $797.50
an average of $2.90 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
264
times performed,
5% of his services

4th 4th

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

175
patients got this service, 37% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.6)
$57,245.76an average of $216.84 per time performed $14,828.88
an average of $56.17 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
251
times performed,
4% of his services

5th 1st

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

175
patients got this service, 37% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.9)
$36,891.98an average of $146.98 per time performed $13,054.51
an average of $52.01 per time performed
medical
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
232
times performed,
4% of his services

6th 12th

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

45
patients got this service, 9% of his patients
5.2
average number of visits a patient made for this service
(Peers: 3.8)
$9,335.68an average of $40.24 per time performed $3,463.76
an average of $14.93 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
155
times performed,
3% of his services

7th 3rd

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

123
patients got this service, 26% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.7)
$22,781.90an average of $146.98 per time performed $5,328.90
an average of $34.38 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
139
times performed,
2% of his services

8th 13th

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

138
patients got this service, 29% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,270.50an average of $59.50 per time performed $3,459.71
an average of $24.89 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
133
times performed,
2% of his services

9th 15th

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

132
patients got this service, 28% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$24,605.00an average of $185.00 per time performed $21,346.50
an average of $160.50 per time performed
drug

Vaccine for influenza administered into muscle to individ... +

Vaccine for influenza administered into muscle to individuals 3 years of age and older ×

Service Code: 90688
Performed in an office
120
times performed,
2% of his services

10th 42nd

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

120
patients got this service, 25% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,000.00an average of $25.00 per time performed $2,029.20
an average of $16.91 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
119
times performed,
2% of his services

11th 11th

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

119
patients got this service, 25% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,570.00an average of $30.00 per time performed $2,984.52
an average of $25.08 per time performed
drug
DRUGS

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

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

Service Code: J3301
Performed in an office
65
times performed,
1% of his services

12th 16th

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

12
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$1,560.00an average of $24.00 per time performed $86.45
an average of $1.33 per time performed
medical
PROCEDURES

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

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

Service Code: G0439
Performed in an office
53
times performed,
0.91% of his services

13th 9th

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

53
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,056.44an average of $227.48 per time performed $5,754.74
an average of $108.58 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
41
times performed,
0.71% of his services

14th 49th

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

34
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$380.48an average of $9.28 per time performed $123.00
an average of $3.00 per time performed
medical
PROCEDURES

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

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

Service Code: G0439
Performed in a facility
24
times performed,
0.41% of his services

15th 17th

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

24
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,459.52an average of $227.48 per time performed $2,638.56
an average of $109.94 per time performed
medical
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
14
times performed,
0.24% of his services

16th 57th

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

14
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$474.60an average of $33.90 per time performed $170.52
an average of $12.18 per time performed
medical
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
13
times performed,
0.22% of his services

17th 47th

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

12
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$225.16an average of $17.32 per time performed $83.85
an average of $6.45 per time performed
medical
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
12
times performed,
0.21% of his services

18th 69th

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

12
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,099.44an average of $341.62 per time performed $1,970.16
an average of $164.18 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.

Robert James Nichols
Average for Family Medicine 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.