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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
246
Rank: 114th
out of 360 providers in this state & specialty
Services
Performed
1,770
Rank: 30th
out of 360 providers in this state & specialty
Avg Services
Per Patient
7.2 This Provider is in the top 10%
Avg 3.5
Total Paid
by Medicare
$52.8K
Rank: 62nd
out of 360 providers in this state & specialty
Avg Paid
Per Patient
$215 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.

Susan J. Gallo
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

BRADY BANTA

STEPHEN BASE

SHANTELL TWOBEARS

DAVID SMITH

CHRISTOPHER LIEB

Organizations

HOLY ROSARY HEALTHCARE

BILLINGS CLINIC

Patients saw before

Susan J. Gallo

Patients saw after

Individuals

BRADY BANTA

STEPHEN BASE

SHANTELL TWOBEARS

DAVID SMITH

CHRISTOPHER LIEB

Organizations

HOLY ROSARY HEALTHCARE

BILLINGS CLINIC

This Provider's Services

This provider performed 23 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
255
times performed,
14% of her services

1st 3rd

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

110
patients got this service, 45% of her patients
2.3
average number of visits a patient made for this service
(Peers: 1.9)
$44,115an average of $173 per time performed $17,595
an average of $69 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
207
times performed,
12% of her services

2nd 4th

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

92
patients got this service, 37% of her patients
2.3
average number of visits a patient made for this service
(Peers: 1.9)
$2,691an average of $13 per time performed $621
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
144
times performed,
8% of her services

3rd 12th

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

86
patients got this service, 35% of her patients
1.7
average number of visits a patient made for this service
(Peers: 1.3)
$7,200an average of $50 per time performed $1,728
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
141
times performed,
8% of her services

4th 7th

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

14
patients got this service, 6% of her patients
10.1
average number of visits a patient made for this service
(Peers: 5.6)
$3,102an average of $22 per time performed $846
an average of $6 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
129
times performed,
7% of her services

5th 11th

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

14
patients got this service, 6% of her patients
9.2
average number of visits a patient made for this service
(Peers: 3.7)
$6,708an average of $52 per time performed $1,677
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
116
times performed,
7% of her services

6th 16th

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

73
patients got this service, 30% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.2)
$7,656an average of $66 per time performed $1,740
an average of $15 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
104
times performed,
6% of her services

7th 6th

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

53
patients got this service, 22% of her patients
2
average number of visits a patient made for this service
(Peers: 2)
$14,352an average of $138 per time performed $5,824
an average of $56 per time performed
MEDICINE

Manual (physical) therapy techniques to 1 or more regions... +

Manual (physical) therapy techniques to 1 or more regions, each 15 minutes ×

Service Code: 97140
Performed in an office
82
times performed,
5% of her services

8th Alert

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

12
patients got this service, 5% of her patients
3.8
average number of visits a patient made for this service
$5,084an average of $62 per time performed $1,722
an average of $21 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
78
times performed,
4% of her services

9th 9th

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

39
patients got this service, 16% of her patients
2
average number of visits a patient made for this service
(Peers: 1.5)
$3,198an average of $41 per time performed $858
an average of $11 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
70
times performed,
4% of her services

10th Alert

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

23
patients got this service, 9% of her patients
3
average number of visits a patient made for this service
$10,430an average of $149 per time performed $4,060
an average of $58 per time performed
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
62
times performed,
4% of her services

11th 17th

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

30
patients got this service, 12% of her patients
2.1
average number of visits a patient made for this service
(Peers: 1.6)
$2,914an average of $47 per time performed $868
an average of $14 per time performed
MEDICINE

Therapeutic exercise to develop strength, endurance, rang... +

Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes ×

Service Code: 97110
Performed in an office
54
times performed,
3% of her services

12th Alert

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

12
patients got this service, 5% of her patients
3.1
average number of visits a patient made for this service
$3,186an average of $59 per time performed $1,188
an average of $22 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
49
times performed,
3% of her services

13th 1st

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

37
patients got this service, 15% of her patients
1.3
average number of visits a patient made for this service
(Peers: 2)
$5,684an average of $116 per time performed $2,009
an average of $41 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
48
times performed,
3% of her services

14th 37th

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

48
patients got this service, 20% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$720an average of $15 per time performed $576
an average of $12 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
47
times performed,
3% of her services

15th 10th

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

47
patients got this service, 19% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,222an average of $26 per time performed $1,128
an average of $24 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
38
times performed,
2% of her services

16th 26th

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

35
patients got this service, 14% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$9,842an average of $259 per time performed $4,028
an average of $106 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
26
times performed,
1% of her services

17th 25th

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

20
patients got this service, 8% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$2,132an average of $82 per time performed $624
an average of $24 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
25
times performed,
1% of her services

18th 36th

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

16
patients got this service, 7% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$1,050an average of $42 per time performed $300
an average of $12 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
20
times performed,
1% of her services

19th 21st

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

19
patients got this service, 8% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,980an average of $149 per time performed $1,100
an average of $55 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 a facility
20
times performed,
1% of her services

20th 43rd

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

12
patients got this service, 5% of her patients
1.7
average number of visits a patient made for this service
(Peers: 2.5)
$2,980an average of $149 per time performed $1,320
an average of $66 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
19
times performed,
1% of her services

21st 20th

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

18
patients got this service, 7% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$4,028an average of $212 per time performed $1,558
an average of $82 per time performed
EVALUATION AND MANAGEMENT

Nursing facility annual assessment, typically 30 minutes +

Nursing facility annual assessment, typically 30 minutes ×

Service Code: 99318
Performed in an office
12
times performed,
0.68% of her services

22nd Alert

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

12
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
$1,836an average of $153 per time performed $792
an average of $66 per time performed
RADIOLOGY

Computer analysis of screening mammogram to assist detect... +

Computer analysis of screening mammogram to assist detection of cancer ×

Service Code: 77052
Performed in an office
12
times performed,
0.68% of her services

23rd Alert

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

12
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
$408an average of $34 per time performed $96
an average of $8 per time performed
RADIOLOGY

Screening mammography of both breasts

Service Code: 77057
Performed in an office
12
times performed,
0.68% of her services

24th Alert

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

12
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
$1,704an average of $142 per time performed $564
an average of $47 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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