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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, $159 per patient in 2014.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
412
Rank: 45th
out of 384 providers in this state & specialty
Services
Performed
6,495
Rank: 5th
out of 384 providers in this state & specialty
Avg Services
Per Patient
15.8 This Provider is in the top 10%
Avg 4
Total Paid
by Medicare
$160K
Rank: 5th
out of 384 providers in this state & specialty
Avg Paid
Per Patient
$388 This Provider is in the top 10%
Avg $159

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.

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 in 2014.

Individuals

WILLIAM BENEDETTO

MICHAEL HENSON

PATRICK MCDONNELL

NICK CANTRELL

ROGER BARTH

Organizations

NORTH VALLEY HOSPITAL, INC

KALISPELL REGIONAL MEDI...

Patients saw before

JOHN KALBFLEISCH MD

Patients saw after

Individuals

WILLIAM BENEDETTO

PATRICK MCDONNELL

PETER HUMPHREY

NICK CANTRELL

MICHAEL HENSON

Organizations

NORTH VALLEY HOSPITAL, INC

KALISPELL REGIONAL MEDI...

This Provider's Services

This provider performed 112 different services in 2014
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
676
times performed,
10% of his services

1st 4th

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

211
patients got this service, 51% of his patients
3.2
average number of visits a patient made for this service
(Peers: 1.8)
$117,624an average of $174 per time performed $50,362
an average of $75 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
619
times performed,
10% of his services

2nd 5th

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

268
patients got this service, 65% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.9)
$3,095an average of $5 per time performed $1,820
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
537
times performed,
8% of his services

3rd 17th

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

257
patients got this service, 62% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.3)
$25,776an average of $48 per time performed $7,180
an average of $13 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
520
times performed,
8% of his services

4th 1st

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

297
patients got this service, 72% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2)
$61,880an average of $119 per time performed $24,404
an average of $47 per time performed
medical
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
482
times performed,
7% of his services

5th 16th

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

253
patients got this service, 61% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.5)
$17,834an average of $37 per time performed $5,013
an average of $10 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
309
times performed,
5% of his services

6th 41st

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

206
patients got this service, 50% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$2,781an average of $9 per time performed $1,304
an average of $4 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
215
times performed,
3% of his services

7th 20th

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

113
patients got this service, 27% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.6)
$9,030an average of $42 per time performed $2,791
an average of $13 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
200
times performed,
3% of his services

8th 7th

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

25
patients got this service, 6% of his patients
8
average number of visits a patient made for this service
(Peers: 5.7)
$2,000an average of $10 per time performed $1,052
an average of $5 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
156
times performed,
2% of his services

9th 23rd

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

149
patients got this service, 36% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$8,112an average of $52 per time performed $2,047
an average of $13 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
155
times performed,
2% of his services

10th 40th

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

95
patients got this service, 23% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.2)
$8,680an average of $56 per time performed $3,483
an average of $22 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of 2-14 skin growths

Service Code: 17003
Performed in an office
146
times performed,
2% of his services

11th 36th

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

30
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$1,752an average of $12 per time performed $1,053
an average of $7 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
140
times performed,
2% of his services

12th 8th

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

18
patients got this service, 4% of his patients
7.8
average number of visits a patient made for this service
(Peers: 4.1)
$4,760an average of $34 per time performed $1,884
an average of $13 per time performed
medical
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
129
times performed,
2% of his services

13th 21st

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

41
patients got this service, 10% of his patients
3
average number of visits a patient made for this service
(Peers: 2.8)
$5,676an average of $44 per time performed $2,385
an average of $18 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
129
times performed,
2% of his services

14th 13th

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

129
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,990an average of $31 per time performed $3,159
an average of $24 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
121
times performed,
2% of his services

15th 11th

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

121
patients got this service, 29% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$22,022an average of $182 per time performed $13,377
an average of $111 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
117
times performed,
2% of his services

16th 42nd

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

117
patients got this service, 28% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,501an average of $30 per time performed $3,425
an average of $29 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
111
times performed,
2% of his services

17th 85th

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

56
patients got this service, 14% of his patients
2
average number of visits a patient made for this service
(Peers: 1.5)
$5,106an average of $46 per time performed $1,338
an average of $12 per time performed
medical
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
98
times performed,
2% of his services

18th 100th

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

51
patients got this service, 12% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.3)
$3,430an average of $35 per time performed $678
an average of $7 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
97
times performed,
1% of his services

19th 97th

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

51
patients got this service, 12% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.2)
$5,335an average of $55 per time performed $750
an average of $8 per time performed
medical
PATHOLOGY AND LABORATORY

Stool analysis for blood

Service Code: 82272
Performed in an office
65
times performed,
1% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

61
patients got this service, 15% of his patients
1.1
average number of visits a patient made for this service
$1,495an average of $23 per time performed $278
an average of $4 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in an office
55
times performed,
0.85% of his services

21st 57th

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

47
patients got this service, 11% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$7,810an average of $142 per time performed $2,662
an average of $48 per time performed
medical
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
53
times performed,
0.82% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

33
patients got this service, 8% of his patients
1.6
average number of visits a patient made for this service
$1,431an average of $27 per time performed $192
an average of $4 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
48
times performed,
0.74% of his services

23rd 115th

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

34
patients got this service, 8% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$3,072an average of $64 per time performed $1,180
an average of $25 per time performed
drug
DRUGS

Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg

Service Code: J3420
Performed in an office
46
times performed,
0.71% of his services

24th 83rd

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

13
patients got this service, 3% of his patients
3.5
average number of visits a patient made for this service
(Peers: 3.2)
$460an average of $10 per time performed $74
an average of $2 per time performed
medical
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
43
times performed,
0.66% of his services

25th 104th

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

43
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,032an average of $24 per time performed $915
an average of $21 per time performed
medical
PROCEDURES

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

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

Service Code: G0103
Performed in an office
40
times performed,
0.62% of his services

26th 98th

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

40
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,560an average of $64 per time performed $984
an average of $25 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
31
times performed,
0.48% of his services

27th 47th

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

31
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$868an average of $28 per time performed $764
an average of $25 per time performed
drug
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
26
times performed,
0.4% of his services

28th 62nd

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)
$2,418an average of $93 per time performed $1,967
an average of $76 per time performed
medical
RADIOLOGY

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

Service Code: 71020
Performed in an office
24
times performed,
0.37% of his services

29th 39th

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

20
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$1,264an average of $53 per time performed $564
an average of $24 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
21
times performed,
0.32% of his services

30th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
$546an average of $26 per time performed $106
an average of $5 per time performed
medical
PATHOLOGY AND LABORATORY

Microscopic examination for white blood cells with manual... +

Microscopic examination for white blood cells with manual cell count ×

Service Code: 85007
Performed in an office
21
times performed,
0.32% of his services

31st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

16
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
$420an average of $20 per time performed $97
an average of $5 per time performed
medical
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: 85027
Performed in an office
21
times performed,
0.32% of his services

32nd 53rd

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: 1.3)
$756an average of $36 per time performed $182
an average of $9 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
19
times performed,
0.29% of his services

33rd 54th

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

18
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$589an average of $31 per time performed $239
an average of $13 per time performed
medical
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
18
times performed,
0.28% of his services

34th 67th

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)
$1,638an average of $91 per time performed $590
an average of $33 per time performed
medical
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 imple ×

Service Code: G0180
Performed in an office
15
times performed,
0.23% of his services

35th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
$1,305an average of $87 per time performed $600
an average of $40 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
14
times performed,
0.22% of his services

36th 52nd

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)
$3,864an average of $276 per time performed $2,343
an average of $167 per time performed
medical
PATHOLOGY AND LABORATORY

Troponin (protein) analysis

Service Code: 84484
Performed in an office
14
times performed,
0.22% of his services

37th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
$1,036an average of $74 per time performed $184
an average of $13 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
11
times performed,
0.17% of his services

38th 43rd

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: 1.5)
$462an average of $42 per time performed $124
an average of $11 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.

John N Kalbfleisch
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 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.

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.

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