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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, $140 per patient in 2012.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
332
Rank: 72nd
out of 548 providers in this state & specialty
Services
Performed
2,208
Rank: 39th
out of 548 providers in this state & specialty
Avg Services
Per Patient
6.7 This Provider
Avg 3.8
Total Paid
by Medicare
$96.4K
Rank: 24th
out of 548 providers in this state & specialty
Avg Paid
Per Patient
$290 This Provider is in the top 10%
Avg $140

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.

Gerald L. Knouf
Average for Family Practice 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

STEVEN LARSEN

MATTHEW WILLIAMSON

GEORGE STEPHENS

ALLEN ENG

LORIN BACHMAN

Organizations

POCATELLO HOSPITAL LLC

TANABELL HEALTH SERVICE...

Patients saw before

Gerald L. Knouf

Patients saw after

This Provider's Services

This provider performed 15 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
625
times performed,
28% of his services

1st 1st

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

169
patients got this service, 51% of his patients
3.7
average number of visits a patient made for this service
(Peers: 2)
$41,875an average of $67 per time performed $28,750
an average of $46 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
554
times performed,
25% of his services

2nd 2nd

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

185
patients got this service, 56% of his patients
3
average number of visits a patient made for this service
(Peers: 1.9)
$54,846an average of $99 per time performed $36,010
an average of $65 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
248
times performed,
11% of his services

3rd 13th

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

28
patients got this service, 8% of his patients
8.1
average number of visits a patient made for this service
(Peers: 2.7)
$5,456an average of $22 per time performed $4,216
an average of $17 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
195
times performed,
9% of his services

4th 8th

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

34
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$1,950an average of $10 per time performed $195
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 10 minutes ×

Service Code: 99212
Performed in an office
129
times performed,
6% of his services

5th 10th

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

46
patients got this service, 14% of his patients
2.8
average number of visits a patient made for this service
(Peers: 1.7)
$5,160an average of $40 per time performed $3,612
an average of $28 per time performed
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 35 minutes per day +

Initial nursing facility visit, typically 35 minutes per day ×

Service Code: 99305
Performed in an office
108
times performed,
5% of his services

6th 110th

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

101
patients got this service, 30% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$12,960an average of $120 per time performed $9,828
an average of $91 per time performed
CARDIOVASCULAR SYSTEM

Insertion of needle into vein, patient 3 years or older

Service Code: 36410
Performed in an office
102
times performed,
5% of his services

7th Alert

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

76
patients got this service, 23% of his patients
1.3
average number of visits a patient made for this service
$1,632an average of $16 per time performed $1,224
an average of $12 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in an office
82
times performed,
4% of his services

8th 64th

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

24
patients got this service, 7% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.1)
$6,724an average of $82 per time performed $4,756
an average of $58 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
37
times performed,
2% of his services

9th 63rd

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

37
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,624an average of $152 per time performed $3,441
an average of $93 per time performed
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in an office
33
times performed,
1% of his services

10th 35th

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

25
patients got this service, 8% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$2,178an average of $66 per time performed $1,485
an average of $45 per time performed
MEDICINE

Respiratory inhaled pressure or nonpressure treatment to ... +

Respiratory inhaled pressure or nonpressure treatment to relieve airway obstruction or for sputum specimen ×

Service Code: 94640
Performed in an office
23
times performed,
1% of his services

11th 130th

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

17
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.1)
$368an average of $16 per time performed $276
an average of $12 per time performed
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
22
times performed,
1% of his services

12th 80th

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

19
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$1,034an average of $47 per time performed $704
an average of $32 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
21
times performed,
0.95% of his services

13th 3rd

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

21
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.9)
$210an average of $10 per time performed $63
an average of $3 per time performed
MUSCULOSKELETAL SYSTEM

Injections of trigger points in 1 or 2 muscles

Service Code: 20552
Performed in an office
18
times performed,
0.82% of his services

14th 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
1.1
average number of visits a patient made for this service
$900an average of $50 per time performed $648
an average of $36 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in an office
11
times performed,
0.5% of his services

15th 25th

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: 1.3)
$1,441an average of $131 per time performed $979
an average of $89 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.