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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
382
Rank: 42nd
out of 360 providers in this state & specialty
Services
Performed
4,849
Rank: 4th
out of 360 providers in this state & specialty
Avg Services
Per Patient
12.7 This Provider is in the top 10%
Avg 3.5
Total Paid
by Medicare
$128K
Rank: 6th
out of 360 providers in this state & specialty
Avg Paid
Per Patient
$334 This Provider is in the top 10%
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.

John N. Kalbfleisch
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

MICHAEL HENSON

HUGH CECIL

RICHARD FRIEDMAN

WILLIAM BENEDETTO

PATRICK MCDONNELL

Organizations

NORTH VALLEY HOSPITAL, INC

KALISPELL REGIONAL MEDI...

Patients saw before

John N. Kalbfleisch

Patients saw after

Individuals

PATRICK MCDONNELL

WILLIAM BENEDETTO

HUGH CECIL

MICHAEL HENSON

SUZANNE DANIELL

Organizations

NORTH VALLEY HOSPITAL, INC

KALISPELL REGIONAL MEDI...

This Provider's Services

This provider performed 41 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 25 minutes ×

Service Code: 99214
Performed in an office
657
times performed,
14% of his services

1st 3rd

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

216
patients got this service, 57% of his patients
3
average number of visits a patient made for this service
(Peers: 1.9)
$107,091an average of $163 per time performed $49,275
an average of $75 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
569
times performed,
12% of his services

2nd 4th

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

253
patients got this service, 66% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.9)
$6,828an average of $12 per time performed $1,707
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
459
times performed,
9% of his services

3rd 12th

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

245
patients got this service, 64% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.3)
$22,032an average of $48 per time performed $6,426
an average of $14 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
436
times performed,
9% of his services

4th 9th

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

243
patients got this service, 64% of his patients
1.8
average number of visits a patient made for this service
(Peers: 1.5)
$16,132an average of $37 per time performed $4,796
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 15 minutes ×

Service Code: 99213
Performed in an office
419
times performed,
9% of his services

5th 1st

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

260
patients got this service, 68% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2)
$45,671an average of $109 per time performed $19,693
an average of $47 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
270
times performed,
6% of his services

6th 7th

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

38
patients got this service, 10% of his patients
7.1
average number of visits a patient made for this service
(Peers: 5.6)
$2,700an average of $10 per time performed $1,620
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
240
times performed,
5% of his services

7th 27th

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

174
patients got this service, 46% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$5,520an average of $23 per time performed $960
an average of $4 per time performed
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
200
times performed,
4% of his services

8th 11th

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

29
patients got this service, 8% of his patients
6.9
average number of visits a patient made for this service
(Peers: 3.7)
$9,000an average of $45 per time performed $2,800
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
173
times performed,
4% of his services

9th 17th

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

83
patients got this service, 22% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.6)
$7,266an average of $42 per time performed $2,422
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
169
times performed,
3% of his services

10th 16th

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

151
patients got this service, 40% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$8,788an average of $52 per time performed $2,366
an average of $14 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
122
times performed,
3% of his services

11th 10th

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

120
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,416an average of $28 per time performed $2,928
an average of $24 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
119
times performed,
2% of his services

12th 25th

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

72
patients got this service, 19% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.2)
$6,664an average of $56 per time performed $2,856
an average of $24 per time performed
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
97
times performed,
2% of his services

13th 74th

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

97
patients got this service, 25% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,813an average of $29 per time performed $2,813
an average of $29 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
95
times performed,
2% of his services

14th 86th

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

51
patients got this service, 13% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.4)
$4,370an average of $46 per time performed $1,235
an average of $13 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
84
times performed,
2% of his services

15th 18th

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

25
patients got this service, 7% of his patients
3.1
average number of visits a patient made for this service
(Peers: 2.9)
$2,352an average of $28 per time performed $1,596
an average of $19 per time performed
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
70
times performed,
1% of his services

16th 24th

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

70
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,960an average of $228 per time performed $7,770
an average of $111 per time performed
PATHOLOGY AND LABORATORY

Stool analysis for blood

Service Code: 82272
Performed in an office
66
times performed,
1% of his services

17th Alert

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

66
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
$1,518an average of $23 per time performed $330
an average of $5 per time performed
SKIN, HAIR AND NAILS

Destruction of 2-14 skin growths

Service Code: 17003
Performed in an office
61
times performed,
1% of his services

18th 46th

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

16
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$2,928an average of $48 per time performed $305
an average of $5 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
56
times performed,
1% of his services

19th 73rd

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

43
patients got this service, 11% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$1,960an average of $35 per time performed $392
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
56
times performed,
1% of his services

20th 83rd

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

43
patients got this service, 11% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$3,080an average of $55 per time performed $448
an average of $8 per time performed
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
49
times performed,
1% of his services

21st 87th

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

38
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$3,136an average of $64 per time performed $1,274
an average of $26 per time performed
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85652
Performed in an office
37
times performed,
0.76% of his services

22nd Alert

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

26
patients got this service, 7% of his patients
1.4
average number of visits a patient made for this service
$999an average of $27 per time performed $148
an average of $4 per time performed
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
28
times performed,
0.58% of his services

23rd 38th

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

28
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,988an average of $321 per time performed $4,340
an average of $155 per time performed
RADIOLOGY

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

Service Code: 71020
Performed in an office
27
times performed,
0.56% of his services

24th 34th

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

26
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$3,267an average of $121 per time performed $648
an average of $24 per time performed
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in an office
25
times performed,
0.52% of his services

25th 56th

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

22
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,725an average of $109 per time performed $1,450
an average of $58 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
24
times performed,
0.49% of his services

26th Alert

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

21
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$624an average of $26 per time performed $120
an average of $5 per time performed
PROCEDURES

Colorectal cancer screening; fecal occult blood test, imm... +

Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous ×

Service Code: G0328
Performed in an office
24
times performed,
0.49% of his services

27th 100th

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

24
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$576an average of $24 per time performed $552
an average of $23 per time performed
MEDICINE

Vaccine for influenza for injection into muscle, patient ... +

Vaccine for influenza for injection into muscle, patient 3 years and older ×

Service Code: 90656
Performed in an office
20
times performed,
0.41% of his services

28th 37th

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

20
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$260an average of $13 per time performed $240
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
20
times performed,
0.41% of his services

29th 36th

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

16
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$840an average of $42 per time performed $220
an average of $11 per time performed
PROCEDURES

Prostate cancer screening; prostate specific antigen test... +

Prostate cancer screening; prostate specific antigen test (psa) ×

Service Code: G0103
Performed in an office
19
times performed,
0.39% of his services

30th 63rd

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

19
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,216an average of $64 per time performed $494
an average of $26 per time performed
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82553
Performed in an office
18
times performed,
0.37% of his services

31st 131st

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

17
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$864an average of $48 per time performed $288
an average of $16 per time performed
PATHOLOGY AND LABORATORY

Myoglobin (muscle protein) level

Service Code: 83874
Performed in an office
17
times performed,
0.35% of his services

32nd 138th

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

16
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,598an average of $94 per time performed $306
an average of $18 per time performed
PATHOLOGY AND LABORATORY

Troponin (protein) analysis

Service Code: 84484
Performed in an office
17
times performed,
0.35% of his services

33rd 142nd

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

16
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,258an average of $74 per time performed $238
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Coagulation function measurement

Service Code: 85379
Performed in an office
17
times performed,
0.35% of his services

34th Alert

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

17
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$3,213an average of $189 per time performed $238
an average of $14 per time performed
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per certification period ×

Service Code: G0180
Performed in an office
17
times performed,
0.35% of his services

35th Alert

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

14
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
$2,193an average of $129 per time performed $646
an average of $38 per time performed
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
13
times performed,
0.27% of his services

36th 68th

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

13
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,157an average of $89 per time performed $832
an average of $64 per time performed
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
13
times performed,
0.27% of his services

37th 52nd

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)
$1,508an average of $116 per time performed $182
an average of $14 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
13
times performed,
0.27% of his services

38th 70th

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

13
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$364an average of $28 per time performed $312
an average of $24 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 2... +

New patient office or other outpatient visit, typically 20 minutes ×

Service Code: 99202
Performed in an office
11
times performed,
0.23% of his services

39th 60th

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

11
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,243an average of $113 per time performed $462
an average of $42 per time performed
PROCEDURES

Initial preventive physical examination; face-to-face vis... +

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment ×

Service Code: G0402
Performed in an office
11
times performed,
0.23% of his services

40th 112th

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

11
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,650an average of $150 per time performed $1,650
an average of $150 per time performed
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
11
times performed,
0.23% of his services

41st 59th

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

11
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,144an average of $104 per time performed $451
an average of $41 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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