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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, $247 per patient in 2012.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
445
Rank: 8th
out of 33 providers in this state & specialty
Services
Performed
2,252
Rank: 5th
out of 33 providers in this state & specialty
Avg Services
Per Patient
5.1 This Provider is in the top 10%
Avg 3.7
Total Paid
by Medicare
$145K
Rank: 4th
out of 33 providers in this state & specialty
Avg Paid
Per Patient
$326 This Provider is in the top 10%
Avg $247

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.

David P. York
Average for Pulmonary Disease 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.

Patients saw before

David P. York

Patients saw after

Individuals

KEVIN CHANG

KEVIN STRAIT

RANDON OPP

CASEY FATZ

TAYLOR REICHEL

Organizations

KOOTENAI MEDICAL CENTER

PATHOLOGY ASSOCIATES ME...

This Provider's Services

This provider performed 20 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
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient,... +

Critical care delivery critically ill or injured patient, first 30-74 minutes ×

Service Code: 99291
Performed in a facility
407
times performed,
18% of his services

1st 2nd

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

126
patients got this service, 28% of his patients
3.2
average number of visits a patient made for this service
(Peers: 2.3)
$153,439an average of $377 per time performed $67,155
an average of $165 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
392
times performed,
17% of his services

2nd Alert

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

69
patients got this service, 16% of his patients
1.4
average number of visits a patient made for this service
$784an average of $2 per time performed $392
an average of $1 per time performed
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
221
times performed,
10% of his services

3rd 1st

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

98
patients got this service, 22% of his patients
2.3
average number of visits a patient made for this service
(Peers: 3.6)
$26,078an average of $118 per time performed $11,713
an average of $53 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
178
times performed,
8% of his services

4th 4th

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

116
patients got this service, 26% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$19,936an average of $112 per time performed $8,366
an average of $47 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
176
times performed,
8% of his services

5th 5th

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

107
patients got this service, 24% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.7)
$29,568an average of $168 per time performed $12,848
an average of $73 per time performed
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
174
times performed,
8% of his services

6th 3rd

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

92
patients got this service, 21% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.2)
$29,754an average of $171 per time performed $13,224
an average of $76 per time performed
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
85
times performed,
4% of his services

7th 11th

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

54
patients got this service, 12% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.7)
$5,525an average of $65 per time performed $2,465
an average of $29 per time performed
MEDICINE

Determination of lung volumes using plethysmography

Service Code: 94726
Performed in an office
80
times performed,
4% of his services

8th 18th

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

78
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,320an average of $104 per time performed $3,040
an average of $38 per time performed
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in an office
80
times performed,
4% of his services

9th 16th

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

78
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,480an average of $81 per time performed $3,040
an average of $38 per time performed
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient +

Critical care delivery critically ill or injured patient ×

Service Code: 99292
Performed in a facility
77
times performed,
3% of his services

10th 12th

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

53
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$14,553an average of $189 per time performed $6,391
an average of $83 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
75
times performed,
3% of his services

11th Alert

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

56
patients got this service, 13% of his patients
1.3
average number of visits a patient made for this service
$2,625an average of $35 per time performed $1,275
an average of $17 per time performed
MEDICINE

Measurement and graphic recording of the amount and speed... +

Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94060
Performed in an office
74
times performed,
3% of his services

12th 19th

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

72
patients got this service, 16% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$8,140an average of $110 per time performed $3,182
an average of $43 per time performed
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
28
times performed,
1% of his services

13th 20th

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

28
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,140an average of $255 per time performed $3,192
an average of $114 per time performed
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
27
times performed,
1% of his services

14th 21st

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

26
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$8,586an average of $318 per time performed $3,888
an average of $144 per time performed
MEDICINE

Determination of lung volumes using plethysmography

Service Code: 94726
Performed in a facility
26
times performed,
1% of his services

15th 9th

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

26
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,794an average of $69 per time performed $234
an average of $9 per time performed
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in a facility
26
times performed,
1% of his services

16th 6th

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

26
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,404an average of $54 per time performed $156
an average of $6 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
24
times performed,
1% of his services

17th 36th

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

23
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,080an average of $170 per time performed $1,872
an average of $78 per time performed
MEDICINE

Measurement and graphic recording of the amount and speed... +

Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94060
Performed in a facility
23
times performed,
1% of his services

18th 7th

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

23
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$782an average of $34 per time performed $230
an average of $10 per time performed
MEDICINE

Overnight measurement of oxygen saturation in blood using... +

Overnight measurement of oxygen saturation in blood using ear or finger device ×

Service Code: 94762
Performed in an office
23
times performed,
1% of his services

19th Alert

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

20
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
$920an average of $40 per time performed $253
an average of $11 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
15
times performed,
0.67% of his services

20th Alert

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

15
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$495an average of $33 per time performed $330
an average of $22 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 (fluvirin) ×

Service Code: Q2037
Performed in an office
15
times performed,
0.67% of his services

21st Alert

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

15
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$225an average of $15 per time performed $210
an average of $14 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
15
times performed,
0.67% of his services

22nd 28th

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

14
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,770an average of $118 per time performed $795
an average of $53 per time performed
RESPIRATORY SYSTEM

Emergent insertion of breathing tube into windpipe cartil... +

Emergent insertion of breathing tube into windpipe cartilage using an endoscope ×

Service Code: 31500
Performed in a facility
11
times performed,
0.49% of his services

23rd Alert

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$2,816an average of $256 per time performed $913
an average of $83 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 "Pulmonary Disease." 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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