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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, $759 per patient in 2012.
They performed about 49 services per patient. Here’s how this provider compares.
Number of
Patients
480
Rank: 3rd
out of 13 providers in this state & specialty
Services
Performed
22,956
Rank: 3rd
out of 13 providers in this state & specialty
Avg Services
Per Patient
47.8 This Provider
Avg 48.6
Total Paid
by Medicare
$680K
Rank: 2nd
out of 13 providers in this state & specialty
Avg Paid
Per Patient
$1,417 This Provider
Avg $759

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.

Mikael D. Lagwinski
Average for Rheumatology 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.

Patients saw before

Mikael D. Lagwinski

Patients saw after

Individuals

SVETLANA MEIER

BRIAN HOLGATE

ERIC PALFREYMAN

STEVEN MARX

MICHAEL FUCHS

Organizations

ST LUKES REGIONAL MEDIC...

SAINT ALPHONSUS REGIONA...

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
DRUGS

Injection, infliximab (remicade), 10 mg

Service Code: J1745
Performed in an office
6,860
times performed,
30% of his services

1st Alert

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

40
patients got this service, 8% of his patients
4.2
average number of visits a patient made for this service
$617,400an average of $90 per time performed $336,140
an average of $49 per time performed
DRUGS

Injection, abatacept (orencia), 10 mg

Service Code: J0129
Performed in an office
4,925
times performed,
21% of his services

2nd Alert

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

11
patients got this service, 2% of his patients
6
average number of visits a patient made for this service
$172,375an average of $35 per time performed $73,875
an average of $15 per time performed
DRUGS

Injection, denosumab (prolia, xgeva), 1 mg

Service Code: J0897
Performed in an office
1,680
times performed,
7% of his services

3rd Alert

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

19
patients got this service, 4% of his patients
1.5
average number of visits a patient made for this service
$42,000an average of $25 per time performed $18,480
an average of $11 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
1,132
times performed,
5% of his services

4th 6th

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

355
patients got this service, 74% of his patients
3.2
average number of visits a patient made for this service
(Peers: 2.8)
$16,980an average of $15 per time performed $3,396
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Measurement c-reactive protein for detection of infection... +

Measurement c-reactive protein for detection of infection or inflammation ×

Service Code: 86140
Performed in an office
973
times performed,
4% of his services

5th Alert

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

319
patients got this service, 66% of his patients
3.1
average number of visits a patient made for this service
$14,595an average of $15 per time performed $6,811
an average of $7 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
969
times performed,
4% of his services

6th Alert

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

316
patients got this service, 66% of his patients
3.1
average number of visits a patient made for this service
$9,690an average of $10 per time performed $3,876
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
966
times performed,
4% of his services

7th Alert

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

326
patients got this service, 68% of his patients
3
average number of visits a patient made for this service
$28,980an average of $30 per time performed $13,524
an average of $14 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
953
times performed,
4% of his services

8th 5th

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

344
patients got this service, 72% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.2)
$168,681an average of $177 per time performed $65,757
an average of $69 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
929
times performed,
4% of his services

9th 8th

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

304
patients got this service, 63% of his patients
3.1
average number of visits a patient made for this service
(Peers: 2.9)
$18,580an average of $20 per time performed $10,219
an average of $11 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
821
times performed,
4% of his services

10th 9th

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

103
patients got this service, 21% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$8,210an average of $10 per time performed $821
an average of $1 per time performed
RADIOLOGY

Ultrasound of leg or arm

Service Code: 76881
Performed in an office
386
times performed,
2% of his services

11th Alert

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

178
patients got this service, 37% of his patients
1.2
average number of visits a patient made for this service
$115,800an average of $300 per time performed $32,810
an average of $85 per time performed
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
365
times performed,
2% of his services

12th Alert

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

46
patients got this service, 10% of his patients
3.9
average number of visits a patient made for this service
$54,385an average of $149 per time performed $8,030
an average of $22 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
251
times performed,
1% of his services

13th Alert

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

60
patients got this service, 13% of his patients
4.2
average number of visits a patient made for this service
$75,300an average of $300 per time performed $22,088
an average of $88 per time performed
PATHOLOGY AND LABORATORY

Measurement of antibody for assessment of autoimmune diso... +

Measurement of antibody for assessment of autoimmune disorder ×

Service Code: 86235
Performed in an office
198
times performed,
0.86% of his services

14th Alert

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

24
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$10,890an average of $55 per time performed $4,950
an average of $25 per time performed
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
198
times performed,
0.86% of his services

15th Alert

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

148
patients got this service, 31% of his patients
1.3
average number of visits a patient made for this service
$16,830an average of $85 per time performed $8,118
an average of $41 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
120
times performed,
0.52% of his services

16th 13th

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

111
patients got this service, 23% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$15,120an average of $126 per time performed $6,000
an average of $50 per time performed
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
86
times performed,
0.37% of his services

17th Alert

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

56
patients got this service, 12% of his patients
1.5
average number of visits a patient made for this service
$33,712an average of $392 per time performed $12,470
an average of $145 per time performed
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
80
times performed,
0.35% of his services

18th 29th

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

80
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$25,840an average of $323 per time performed $4,320
an average of $54 per time performed
MEDICINE

Non-hormonal anti-neoplastic chemotherapy beneath the ski... +

Non-hormonal anti-neoplastic chemotherapy beneath the skin or into muscle ×

Service Code: 96401
Performed in an office
79
times performed,
0.34% of his services

19th Alert

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

24
patients got this service, 5% of his patients
2.4
average number of visits a patient made for this service
$11,692an average of $148 per time performed $3,871
an average of $49 per time performed
PATHOLOGY AND LABORATORY

Beta 2 glycoprotein 1 antibody (autoantibody) measurement +

Beta 2 glycoprotein 1 antibody (autoantibody) measurement ×

Service Code: 86146
Performed in an office
75
times performed,
0.33% of his services

20th Alert

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

24
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$4,500an average of $60 per time performed $2,700
an average of $36 per time performed
PATHOLOGY AND LABORATORY

Cardiolipin antibody (tissue antibody) measurement

Service Code: 86147
Performed in an office
75
times performed,
0.33% of his services

21st Alert

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

24
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$4,500an average of $60 per time performed $2,700
an average of $36 per time performed
DRUGS

Injection, ibandronate sodium (boniva), 1 mg

Service Code: J1740
Performed in an office
75
times performed,
0.33% of his services

22nd 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
1.9
average number of visits a patient made for this service
$15,000an average of $200 per time performed $8,025
an average of $107 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
74
times performed,
0.32% of his services

23rd Alert

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

57
patients got this service, 12% of his patients
1.3
average number of visits a patient made for this service
$2,960an average of $40 per time performed $1,184
an average of $16 per time performed
DRUGS

Injection, zoledronic acid (reclast), 1 mg

Service Code: J3488
Performed in an office
65
times performed,
0.28% of his services

24th 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
$27,625an average of $425 per time performed $11,635
an average of $179 per time performed
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour ×

Service Code: 96365
Performed in an office
58
times performed,
0.25% of his services

25th Alert

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

20
patients got this service, 4% of his patients
2.9
average number of visits a patient made for this service
$8,700an average of $150 per time performed $2,726
an average of $47 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
58
times performed,
0.25% of his services

26th 28th

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

37
patients got this service, 8% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.5)
$11,310an average of $195 per time performed $2,900
an average of $50 per time performed
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
53
times performed,
0.23% of his services

27th Alert

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

35
patients got this service, 7% of his patients
1.5
average number of visits a patient made for this service
$795an average of $15 per time performed $265
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Measurement of complement function (immune system proteins) +

Measurement of complement function (immune system proteins) ×

Service Code: 86161
Performed in an office
50
times performed,
0.22% of his services

28th Alert

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

18
patients got this service, 4% of his patients
1.4
average number of visits a patient made for this service
$1,500an average of $30 per time performed $800
an average of $16 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
49
times performed,
0.21% of his services

29th Alert

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

47
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
$1,960an average of $40 per time performed $1,078
an average of $22 per time performed
PATHOLOGY AND LABORATORY

Analysis of substance using immunoassay technique

Service Code: 83516
Performed in an office
48
times performed,
0.21% of his services

30th Alert

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

23
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$1,440an average of $30 per time performed $720
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82550
Performed in an office
47
times performed,
0.2% of his services

31st Alert

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

37
patients got this service, 8% of his patients
1.3
average number of visits a patient made for this service
$940an average of $20 per time performed $235
an average of $5 per time performed
MEDICINE

Injection of drug or substance into a vein for therapy, d... +

Injection of drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96374
Performed in an office
39
times performed,
0.17% of his services

32nd Alert

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

21
patients got this service, 4% of his patients
1.9
average number of visits a patient made for this service
$5,811an average of $149 per time performed $1,248
an average of $32 per time performed
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
38
times performed,
0.17% of his services

33rd Alert

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

38
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
$1,330an average of $35 per time performed $456
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Parathormone (parathyroid hormone) level

Service Code: 83970
Performed in an office
37
times performed,
0.16% of his services

34th Alert

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

30
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
$4,070an average of $110 per time performed $2,109
an average of $57 per time performed
PATHOLOGY AND LABORATORY

Measurement of dna antibody

Service Code: 86225
Performed in an office
26
times performed,
0.11% of his services

35th Alert

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

24
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$936an average of $36 per time performed $494
an average of $19 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
25
times performed,
0.11% of his services

36th 22nd

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

25
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,800an average of $272 per time performed $2,300
an average of $92 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
25
times performed,
0.11% of his services

37th Alert

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

18
patients got this service, 4% of his patients
1.4
average number of visits a patient made for this service
$625an average of $25 per time performed $300
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Rheumatoid factor level

Service Code: 86431
Performed in an office
24
times performed,
0.1% of his services

38th Alert

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

23
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$360an average of $15 per time performed $192
an average of $8 per time performed
PATHOLOGY AND LABORATORY

Measurement of antibody for rheumatoid arthritis assessment +

Measurement of antibody for rheumatoid arthritis assessment ×

Service Code: 86200
Performed in an office
19
times performed,
0.08% of his services

39th Alert

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

18
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$760an average of $40 per time performed $342
an average of $18 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
13
times performed,
0.06% of his services

40th Alert

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

12
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$1,079an average of $83 per time performed $377
an average of $29 per time performed
PATHOLOGY AND LABORATORY

Screening test for autoimmune disorder

Service Code: 86038
Performed in an office
12
times performed,
0.05% of his services

41st Alert

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

11
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$360an average of $30 per time performed $144
an average of $12 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 "Rheumatology." 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.