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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, $138 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
128
Rank: 224th
out of 360 providers in this state & specialty
Services
Performed
536
Rank: 159th
out of 360 providers in this state & specialty
Avg Services
Per Patient
4.2 This Provider
Avg 3.5
Total Paid
by Medicare
$15.8K
Rank: 207th
out of 360 providers in this state & specialty
Avg Paid
Per Patient
$123 This Provider
Avg $138

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.

Robert K. Lamme
Average for Family Practice 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.

Individuals

CHARLES CALDWELL

GREGORY LORD

JOSE MATHEW

REYMOND MEADAA

TIMOTHY DONOVAN

Organizations

NATIONAL HEALTHCARE OF ...

DOCTORS' HOSPITAL AT DE...

Patients saw before

Robert K. Lamme

Patients saw after

Individuals

GREGORY LORD

CHARLES CALDWELL

JOSE MATHEW

REYMOND MEADAA

TIMOTHY DONOVAN

Organizations

CENTRAL MONTANA COMMUNI...

NATIONAL HEALTHCARE OF ...

This Provider's Services

This provider performed 18 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

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
87
times performed,
16% of his services

1st 1st

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

58
patients got this service, 45% of his patients
1.5
average number of visits a patient made for this service
(Peers: 2)
$7,482an average of $86 per time performed $4,176
an average of $48 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
58
times performed,
11% of his services

2nd 9th

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

50
patients got this service, 39% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$2,842an average of $49 per time performed $638
an average of $11 per time performed
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
53
times performed,
10% of his services

3rd 34th

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

26
patients got this service, 20% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$4,187an average of $79 per time performed $583
an average of $11 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
47
times performed,
9% of his services

4th 3rd

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

37
patients got this service, 29% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$6,627an average of $141 per time performed $3,478
an average of $74 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
41
times performed,
8% of his services

5th 12th

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

28
patients got this service, 22% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$3,485an average of $85 per time performed $574
an average of $14 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
38
times performed,
7% of his services

6th 6th

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

15
patients got this service, 12% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2)
$4,484an average of $118 per time performed $2,052
an average of $54 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81000
Performed in an office
37
times performed,
7% of his services

7th 54th

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

26
patients got this service, 20% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$1,406an average of $38 per time performed $148
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
26
times performed,
5% of his services

8th 7th

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

15
patients got this service, 12% of his patients
1.7
average number of visits a patient made for this service
(Peers: 5.6)
$702an average of $27 per time performed $156
an average of $6 per time performed
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
20
times performed,
4% of his services

9th 4th

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

18
patients got this service, 14% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.9)
$260an average of $13 per time performed $60
an average of $3 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
17
times performed,
3% of his services

10th 21st

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

15
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,244an average of $132 per time performed $850
an average of $50 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
17
times performed,
3% of his services

11th 16th

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

14
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$1,428an average of $84 per time performed $221
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
17
times performed,
3% of his services

12th 25th

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

17
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,564an average of $92 per time performed $408
an average of $24 per time performed
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
14
times performed,
3% of his services

13th 73rd

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

11
patients got this service, 9% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$434an average of $31 per time performed $98
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
14
times performed,
3% of his services

14th 17th

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

13
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$896an average of $64 per time performed $196
an average of $14 per time performed
MEDICINE

Routine electrocardiogram (ekg) with tracing using at lea... +

Routine electrocardiogram (ekg) with tracing using at least 12 leads ×

Service Code: 93005
Performed in an office
14
times performed,
3% of his services

15th 66th

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

14
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$462an average of $33 per time performed $98
an average of $7 per time performed
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 an office
13
times performed,
2% of his services

16th Alert

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

13
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
$182an average of $14 per time performed $91
an average of $7 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
12
times performed,
2% of his services

17th 8th

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

12
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,348an average of $279 per time performed $1,812
an average of $151 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
11
times performed,
2% of his services

18th 86th

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

11
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$242an average of $22 per time performed $143
an average of $13 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 "Family 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.