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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, $131 per patient in 2012.
They performed about 2 services per patient. Here’s how this provider compares.
Number of
Patients
349
Rank: 14th
out of 35 providers in this state & specialty
Services
Performed
1,914
Rank: 2nd
out of 35 providers in this state & specialty
Avg Services
Per Patient
5.5 This Provider is in the top 10%
Avg 2.4
Total Paid
by Medicare
$82.5K
Rank: 3rd
out of 35 providers in this state & specialty
Avg Paid
Per Patient
$237 This Provider is in the top 10%
Avg $131

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.

Terry Baker
Average for Otolaryngology 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

ALAN WRAY

PATRICK FARRELL

MATT TANNENBAUM

STEVEN LARSEN

REBECCA SHANESMITH

Organizations

EASTERN IDAHO HEALTH SE...

MOUNTAIN VIEW HOSPITAL LLC

Patients saw before

Terry Baker

Patients saw after

Individuals

PATRICK FARRELL

PATRICK GORMAN

EZRA ELLIS

GABRIELE TEERMANN

BRYANT BELNAP

Organizations

MOUNTAIN VIEW HOSPITAL LLC

POCATELLO HOSPITAL LLC

This Provider's Services

This provider performed 17 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
MEDICINE

Preparation and provision of single or multiple antigens ... +

Preparation and provision of single or multiple antigens for allergen immunotherapy ×

Service Code: 95165
Performed in an office
600
times performed,
31% of his services

1st Alert

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

16
patients got this service, 5% of his patients
1.9
average number of visits a patient made for this service
$10,800an average of $18 per time performed $5,400
an average of $9 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
375
times performed,
20% of his services

2nd 1st

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

223
patients got this service, 64% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.7)
$37,500an average of $100 per time performed $16,875
an average of $45 per time performed
MEDICINE

Injection of incremental dosages of allergen, 2 or more i... +

Injection of incremental dosages of allergen, 2 or more injections ×

Service Code: 95117
Performed in an office
255
times performed,
13% of his services

3rd Alert

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

16
patients got this service, 5% of his patients
15.9
average number of visits a patient made for this service
$6,375an average of $25 per time performed $2,040
an average of $8 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
220
times performed,
11% of his services

4th Alert

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

17
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
$220an average of $1 per time performed $220
an average of $1 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
102
times performed,
5% of his services

5th 9th

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

83
patients got this service, 24% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$15,402an average of $151 per time performed $7,344
an average of $72 per time performed
RADIOLOGY

Ct scan of face

Service Code: 70486
Performed in an office
83
times performed,
4% of his services

6th Alert

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

73
patients got this service, 21% of his patients
1.1
average number of visits a patient made for this service
$51,128an average of $616 per time performed $14,691
an average of $177 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
62
times performed,
3% of his services

7th 2nd

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

62
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,238an average of $149 per time performed $4,278
an average of $69 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
33
times performed,
2% of his services

8th 11th

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

33
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,656an average of $232 per time performed $3,729
an average of $113 per time performed
RESPIRATORY SYSTEM

Diagnostic examination of voice box using flexible endoscope +

Diagnostic examination of voice box using flexible endoscope ×

Service Code: 31575
Performed in an office
30
times performed,
2% of his services

9th 7th

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

26
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$10,230an average of $341 per time performed $2,490
an average of $83 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
28
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

28
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
$8,176an average of $292 per time performed $3,836
an average of $137 per time performed
RESPIRATORY SYSTEM

Removal of nasal sinus using an endoscope

Service Code: 31255
Performed in a facility
21
times performed,
1% of his services

11th Alert

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

19
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$18,690an average of $890 per time performed $4,452
an average of $212 per time performed
RESPIRATORY SYSTEM

Incision of nasal sinus using an endoscope

Service Code: 31256
Performed in a facility
21
times performed,
1% of his services

12th Alert

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

19
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$8,862an average of $422 per time performed $2,121
an average of $101 per time performed
RESPIRATORY SYSTEM

Exploration of nasal sinus using an endoscope

Service Code: 31276
Performed in a facility
21
times performed,
1% of his services

13th Alert

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

19
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$42,798an average of $2,038 per time performed $9,891
an average of $471 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
20
times performed,
1% of his services

14th Alert

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

15
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
$680an average of $34 per time performed $280
an average of $14 per time performed
RESPIRATORY SYSTEM

Diagnostic examination of nasal passages using an endoscope +

Diagnostic examination of nasal passages using an endoscope ×

Service Code: 31231
Performed in an office
17
times performed,
0.89% of his services

15th 17th

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

12
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$9,265an average of $545 per time performed $2,193
an average of $129 per time performed
RESPIRATORY SYSTEM

Incision of nasal sinus using an endoscope

Service Code: 31287
Performed in a facility
13
times performed,
0.68% of his services

16th Alert

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

12
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$6,942an average of $534 per time performed $1,703
an average of $131 per time performed
RADIOLOGY

Ultrasound of head and neck

Service Code: 76536
Performed in an office
13
times performed,
0.68% of his services

17th Alert

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

12
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$3,055an average of $235 per time performed $1,079
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 "Otolaryngology." 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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