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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, $260 per patient in 2012.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
419
Rank: 7th
out of 120 providers in this state & specialty
Services
Performed
2,141
Rank: 16th
out of 120 providers in this state & specialty
Avg Services
Per Patient
5.1 This Provider
Avg 4.4
Total Paid
by Medicare
$235K
Rank: 5th
out of 120 providers in this state & specialty
Avg Paid
Per Patient
$560 This Provider is in the top 10%
Avg $260

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.

Richard E. Moore
Average for Orthopedic Surgery 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

MARK WILLIAMS

KATHERINE REED

STEFANI WESTERBERG

KAE LEINBERGER

NANCY TAYLOR

Organizations

SAINT ALPHONSUS REGIONA...

ST LUKES REGIONAL MEDIC...

Patients saw before

Richard E. Moore

Patients saw after

Individuals

MARK WILLIAMS

KATHERINE REED

KAE LEINBERGER

STEFANI WESTERBERG

EMILY RUPRECHT

Organizations

SAINT ALPHONSUS REGIONA...

ST LUKES REGIONAL MEDIC...

This Provider's Services

This provider performed 20 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
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
325
times performed,
15% of his services

1st 2nd

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

66
patients got this service, 16% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$1,625an average of $5 per time performed $325
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 15 minutes ×

Service Code: 99213
Performed in an office
285
times performed,
13% of his services

2nd 3rd

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

214
patients got this service, 51% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$35,340an average of $124 per time performed $12,540
an average of $44 per time performed
RADIOLOGY

X-ray of knee, 4 or more views

Service Code: 73564
Performed in an office
229
times performed,
11% of his services

3rd 14th

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

160
patients got this service, 38% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$22,900an average of $100 per time performed $6,870
an average of $30 per time performed
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
196
times performed,
9% of his services

4th 13th

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

126
patients got this service, 30% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$21,952an average of $112 per time performed $4,508
an average of $23 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
187
times performed,
9% of his services

5th 7th

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

158
patients got this service, 38% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$26,554an average of $142 per time performed $12,529
an average of $67 per time performed
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in an office
169
times performed,
8% of his services

6th 11th

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

108
patients got this service, 26% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$15,210an average of $90 per time performed $4,394
an average of $26 per time performed
RADIOLOGY

Imaging of 2 or more joints, single view

Service Code: 77077
Performed in an office
156
times performed,
7% of his services

7th Alert

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

105
patients got this service, 25% of his patients
1.5
average number of visits a patient made for this service
$23,712an average of $152 per time performed $4,212
an average of $27 per time performed
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
134
times performed,
6% of his services

8th 10th

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

101
patients got this service, 24% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$9,380an average of $70 per time performed $2,680
an average of $20 per time performed
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
98
times performed,
5% of his services

9th 15th

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

89
patients got this service, 21% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$403,466an average of $4,117 per time performed $104,762
an average of $1,069 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
76
times performed,
4% of his services

10th 4th

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

61
patients got this service, 15% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$11,932an average of $157 per time performed $3,496
an average of $46 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
72
times performed,
3% of his services

11th 20th

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

72
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,624an average of $217 per time performed $6,192
an average of $86 per time performed
MUSCULOSKELETAL SYSTEM

Replacement of thigh bone and hip joint prosthesis

Service Code: 27130
Performed in a facility
47
times performed,
2% of his services

12th 27th

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

46
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$172,819an average of $3,677 per time performed $47,282
an average of $1,006 per time performed
RADIOLOGY

X-ray of both hips minimum 2 views

Service Code: 73520
Performed in an office
37
times performed,
2% of his services

13th 80th

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

34
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$3,922an average of $106 per time performed $999
an average of $27 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
32
times performed,
1% of his services

14th 5th

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

32
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$2,688an average of $84 per time performed $864
an average of $27 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
27
times performed,
1% of his services

15th 6th

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

27
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,806an average of $178 per time performed $1,647
an average of $61 per time performed
RADIOLOGY

X-ray of hip on one side of body, 1 view

Service Code: 73500
Performed in an office
17
times performed,
0.79% of his services

16th 39th

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

17
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$1,326an average of $78 per time performed $306
an average of $18 per time performed
MUSCULOSKELETAL SYSTEM

Removal of both knee cartilages using an endoscope

Service Code: 29880
Performed in a facility
16
times performed,
0.75% of his services

17th Alert

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

16
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$23,968an average of $1,498 per time performed $5,584
an average of $349 per time performed
MUSCULOSKELETAL SYSTEM

Removal of one knee cartilage using an endoscope

Service Code: 29881
Performed in a facility
14
times performed,
0.65% of his services

18th 75th

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)
$28,882an average of $2,063 per time performed $4,438
an average of $317 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 1... +

New patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99201
Performed in an office
13
times performed,
0.61% of his services

19th Alert

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

13
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$1,183an average of $91 per time performed $364
an average of $28 per time performed
MUSCULOSKELETAL SYSTEM

Revision of one component of total knee joint prosthesis +

Revision of one component of total knee joint prosthesis ×

Service Code: 27486
Performed in a facility
11
times performed,
0.51% of his services

20th Alert

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

11
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$41,459an average of $3,769 per time performed $10,538
an average of $958 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 "Orthopaedic Surgery." 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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