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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, $687 per patient in 2013.
They performed about 55 services per patient. Here’s how this provider compares.
Number of
Patients
367
Rank: 2nd
out of 11 providers in this state & specialty
Services
Performed
75,076
Rank: 1st
out of 11 providers in this state & specialty
Avg Services
Per Patient
204.6 This Provider is in the top 10%
Avg 54.8
Total Paid
by Medicare
$804K
Rank: 1st
out of 11 providers in this state & specialty
Avg Paid
Per Patient
$2,191 This Provider is in the top 10%
Avg $687

Note: About 75% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

Office Visits

Story image rib 8a2c1e812d78fea39cf7fb4926cf598dbc8604e0a950a7f60c1e192c8c412b43

Top Billing

Related story »

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

This Provider's Services

This provider performed 63 different services in 2013
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
drug
DRUGS

Injection, tocilizumab, 1 mg

Service Code: J3262
Performed in an office
48,120
times performed,
64% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 4% of his patients
6.8
average number of visits a patient made for this service
$344,058an average of $7 per time performed $128,962
an average of $3 per time performed
drug
DRUGS

Injection infliximab, 10 mg

Service Code: J1745
Performed in an office
5,480
times performed,
7% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

27
patients got this service, 7% of his patients
4.9
average number of visits a patient made for this service
$651,572an average of $119 per time performed $269,835
an average of $49 per time performed
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
3,006
times performed,
4% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

30
patients got this service, 8% of his patients
1.7
average number of visits a patient made for this service
$84,258an average of $28 per time performed $33,457
an average of $11 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
1,027
times performed,
1% of his services

4th 5th

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

275
patients got this service, 75% of his patients
3.7
average number of visits a patient made for this service
(Peers: 3.3)
$15,405an average of $15 per time performed $2,947
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
909
times performed,
1% of his services

5th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

257
patients got this service, 70% of his patients
3.5
average number of visits a patient made for this service
$27,270an average of $30 per time performed $12,190
an average of $13 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
903
times performed,
1% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

244
patients got this service, 66% of his patients
3.7
average number of visits a patient made for this service
$9,030an average of $10 per time performed $3,179
an average of $4 per time performed
medical
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
903
times performed,
1% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

244
patients got this service, 66% of his patients
3.7
average number of visits a patient made for this service
$13,545an average of $15 per time performed $6,077
an average of $7 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
890
times performed,
1% of his services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

239
patients got this service, 65% of his patients
3.7
average number of visits a patient made for this service
$17,800an average of $20 per time performed $9,007
an average of $10 per time performed
drug
DRUGS

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

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

Service Code: J3301
Performed in an office
825
times performed,
1% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

92
patients got this service, 25% of his patients
1.7
average number of visits a patient made for this service
$8,250an average of $10 per time performed $990
an average of $1 per time performed
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
782
times performed,
1% of his services

10th 7th

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

261
patients got this service, 71% of his patients
3
average number of visits a patient made for this service
(Peers: 2.4)
$146,359an average of $187 per time performed $53,614
an average of $69 per time performed
medical
RADIOLOGY

Ultrasound of leg or arm

Service Code: 76881
Performed in an office
348
times performed,
0.46% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

158
patients got this service, 43% of his patients
1.2
average number of visits a patient made for this service
$104,400an average of $300 per time performed $28,592
an average of $82 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein each additional hour +

Infusion of chemotherapy into a vein each additional hour ×

Service Code: 96415
Performed in an office
317
times performed,
0.42% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

35
patients got this service, 10% of his patients
4.3
average number of visits a patient made for this service
$47,550an average of $150 per time performed $6,590
an average of $21 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
259
times performed,
0.34% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

41
patients got this service, 11% of his patients
6.3
average number of visits a patient made for this service
$77,700an average of $300 per time performed $23,427
an average of $90 per time performed
medical
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
209
times performed,
0.28% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

143
patients got this service, 39% of his patients
1.5
average number of visits a patient made for this service
$17,765an average of $85 per time performed $8,214
an average of $39 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
200
times performed,
0.27% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

128
patients got this service, 35% of his patients
1.6
average number of visits a patient made for this service
$25,340an average of $127 per time performed $8,694
an average of $43 per time performed
medical
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
104
times performed,
0.14% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
$5,720an average of $55 per time performed $2,528
an average of $24 per time performed
medical
RADIOLOGY

Bone density measurement spine or hips using dedicated x-... +

Bone density measurement spine or hips using dedicated x-ray machine ×

Service Code: 77080
Performed in an office
83
times performed,
0.11% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

83
patients got this service, 23% of his patients
1
average number of visits a patient made for this service
$26,975an average of $325 per time performed $3,722
an average of $45 per time performed
medical
MEDICINE

Injection into tissue or muscle for therapy, diagnosis, o... +

Injection into tissue or muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
83
times performed,
0.11% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

50
patients got this service, 14% of his patients
1.6
average number of visits a patient made for this service
$3,610an average of $43 per time performed $1,246
an average of $15 per time performed
medical
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
81
times performed,
0.11% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

55
patients got this service, 15% of his patients
1.5
average number of visits a patient made for this service
$34,020an average of $420 per time performed $11,559
an average of $143 per time performed
medical
MEDICINE

Non-hormonal anti-neoplastic chemotherapy into tissue or ... +

Non-hormonal anti-neoplastic chemotherapy into tissue or muscle ×

Service Code: 96401
Performed in an office
77
times performed,
0.1% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

33
patients got this service, 9% of his patients
2
average number of visits a patient made for this service
$11,550an average of $150 per time performed $3,699
an average of $48 per time performed
medical
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,
0.08% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
5.3
average number of visits a patient made for this service
$8,700an average of $150 per time performed $2,914
an average of $50 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of complement function (immune system proteins) +

Measurement of complement function (immune system proteins) ×

Service Code: 86161
Performed in an office
52
times performed,
0.07% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
2.2
average number of visits a patient made for this service
$1,560an average of $30 per time performed $824
an average of $16 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration or injection of large joint or joint capsule

Service Code: 20610
Performed in an office
49
times performed,
0.07% of his services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

31
patients got this service, 8% of his patients
1.5
average number of visits a patient made for this service
$9,555an average of $195 per time performed $1,974
an average of $40 per time performed
medical
PATHOLOGY AND LABORATORY

Cardiolipin antibody (tissue antibody) measurement

Service Code: 86147
Performed in an office
49
times performed,
0.07% of his services

24th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$3,060an average of $62 per time performed $1,688
an average of $34 per time performed
medical
PATHOLOGY AND LABORATORY

Beta 2 glycoprotein 1 antibody (autoantibody) measurement +

Beta 2 glycoprotein 1 antibody (autoantibody) measurement ×

Service Code: 86146
Performed in an office
46
times performed,
0.06% of his services

25th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$2,880an average of $63 per time performed $1,585
an average of $34 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
41
times performed,
0.05% of his services

26th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

38
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
$1,640an average of $40 per time performed $859
an average of $21 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
40
times performed,
0.05% of his services

27th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

25
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
$600an average of $15 per time performed $185
an average of $5 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
37
times performed,
0.05% of his services

28th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

34
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
$1,295an average of $35 per time performed $424
an average of $11 per time performed
medical
PATHOLOGY AND LABORATORY

Analysis of substance using immunoassay technique

Service Code: 83516
Performed in an office
35
times performed,
0.05% of his services

29th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$1,050an average of $30 per time performed $484
an average of $14 per time performed
medical
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82550
Performed in an office
33
times performed,
0.04% of his services

30th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 5% of his patients
1.8
average number of visits a patient made for this service
$660an average of $20 per time performed $173
an average of $5 per time performed
medical
PATHOLOGY AND LABORATORY

Parathormone (parathyroid hormone) level

Service Code: 83970
Performed in an office
26
times performed,
0.03% of his services

31st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

19
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
$2,860an average of $110 per time performed $1,415
an average of $54 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of dna antibody

Service Code: 86225
Performed in an office
22
times performed,
0.03% of his services

32nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
$880an average of $40 per time performed $390
an average of $18 per time performed
medical
PATHOLOGY AND LABORATORY

Rheumatoid factor level

Service Code: 86431
Performed in an office
18
times performed,
0.02% of his services

33rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$270an average of $15 per time performed $131
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 10 minutes ×

Service Code: 99212
Performed in an office
18
times performed,
0.02% of his services

34th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$1,371an average of $76 per time performed $231
an average of $13 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration or injection of medium joint or joint capsule +

Aspiration or injection of medium joint or joint capsule ×

Service Code: 20605
Performed in an office
17
times performed,
0.02% of his services

35th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
$2,380an average of $140 per time performed $817
an average of $48 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of antibody for rheumatoid arthritis assessment +

Measurement of antibody for rheumatoid arthritis assessment ×

Service Code: 86200
Performed in an office
15
times performed,
0.02% of his services

36th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$600an average of $40 per time performed $245
an average of $16 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
14
times performed,
0.02% of his services

37th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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
1.3
average number of visits a patient made for this service
$350an average of $25 per time performed $160
an average of $11 per time performed

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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Credits: Warning icon designed by Stefan Parnarov from the Noun Project.