ProPublica

Journalism in the Public Interest

Treatment Tracker

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $796 per patient in 2014.
They performed about 57 services per patient. Here’s how this provider compares.
Number of
Patients
342
Rank: 3rd
out of 11 providers in this state & specialty
Services
Performed
77,027
Rank: 1st
out of 11 providers in this state & specialty
Avg Services
Per Patient
225.2 This Provider is in the top 10%
Avg 57.1
Total Paid
by Medicare
$1.02M
Rank: 1st
out of 11 providers in this state & specialty
Avg Paid
Per Patient
$2,992 This Provider is in the top 10%
Avg $796

Note: About 81% 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.

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

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 in 2014.

Individuals

BRIAN HOLGATE

MICHAEL FUCHS

JAMES HILL

BLAKE NIEDERHAUSER

SHANE BALL

Organizations

ST LUKES REGIONAL MEDIC...

LABORATORY CORPORATION ...

Patients saw before

MIKAEL LAGWINSKI MD

Patients saw after

Individuals

BRIAN HOLGATE

JAMES HILL

WAYNE MORTENSEN

NICHOLAS LAZZARO

MICHAEL FUCHS

Organizations

ST LUKES REGIONAL MEDIC...

SAINT ALPHONSUS REGIONA...

This Provider's Services

This provider performed 62 different services in 2014
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
44,080
times performed,
57% 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
5.8
average number of visits a patient made for this service
$335,008an average of $8 per time performed $115,930
an average of $3 per time performed
drug
DRUGS

Injection infliximab, 10 mg

Service Code: J1745
Performed in an office
7,590
times performed,
10% of his services

2nd 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, 9% of his patients
5.6
average number of visits a patient made for this service
$980,628an average of $129 per time performed $399,689
an average of $53 per time performed
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
3,060
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

32
patients got this service, 9% of his patients
1.6
average number of visits a patient made for this service
$87,210an average of $29 per time performed $34,333
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
1,062
times performed,
1% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

317
patients got this service, 93% of his patients
3.4
average number of visits a patient made for this service
$15,930an average of $15 per time performed $3,059
an average of $3 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
948
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

283
patients got this service, 83% of his patients
3.3
average number of visits a patient made for this service
$9,480an average of $10 per time performed $3,337
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
948
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

284
patients got this service, 83% of his patients
3.3
average number of visits a patient made for this service
$14,220an average of $15 per time performed $6,361
an average of $7 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
929
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

287
patients got this service, 84% of his patients
3.2
average number of visits a patient made for this service
$27,870an average of $30 per time performed $12,309
an average of $13 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
918
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

270
patients got this service, 79% of his patients
3.4
average number of visits a patient made for this service
$18,360an average of $20 per time performed $9,263
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
826
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

87
patients got this service, 25% of his patients
1.7
average number of visits a patient made for this service
$8,260an average of $10 per time performed $999
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
764
times performed,
0.99% of his services

10th 8th

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

284
patients got this service, 83% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.3)
$145,160an average of $190 per time performed $52,143
an average of $68 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
276
times performed,
0.36% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

36
patients got this service, 11% of his patients
5.1
average number of visits a patient made for this service
$41,400an average of $150 per time performed $5,095
an average of $18 per time performed
medical
RADIOLOGY

Ultrasound of leg or arm

Service Code: 76881
Performed in an office
253
times performed,
0.33% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

111
patients got this service, 32% of his patients
1.3
average number of visits a patient made for this service
$75,900an average of $300 per time performed $21,249
an average of $84 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
245
times performed,
0.32% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

161
patients got this service, 47% of his patients
1.5
average number of visits a patient made for this service
$31,850an average of $130 per time performed $12,032
an average of $49 per time performed
medical
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
205
times performed,
0.27% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

45
patients got this service, 13% of his patients
4.6
average number of visits a patient made for this service
$61,500an average of $300 per time performed $17,148
an average of $84 per time performed
medical
PATHOLOGY AND LABORATORY

Vitamin d-3 level

Service Code: 82306
Performed in an office
191
times performed,
0.25% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

141
patients got this service, 41% of his patients
1.4
average number of visits a patient made for this service
$16,235an average of $85 per time performed $7,460
an average of $39 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
184
times performed,
0.24% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

20
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
$10,120an average of $55 per time performed $4,293
an average of $23 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
164
times performed,
0.21% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

26
patients got this service, 8% of his patients
6.3
average number of visits a patient made for this service
$24,600an average of $150 per time performed $7,752
an average of $47 per time performed
medical
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
129
times performed,
0.17% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

64
patients got this service, 19% of his patients
1.8
average number of visits a patient made for this service
$5,805an average of $45 per time performed $1,997
an average of $15 per time performed
medical
PATHOLOGY AND LABORATORY

Analysis of substance using immunoassay technique

Service Code: 83516
Performed in an office
87
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

44
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
$2,610an average of $30 per time performed $1,234
an average of $14 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
69
times performed,
0.09% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

54
patients got this service, 16% of his patients
1.3
average number of visits a patient made for this service
$1,035an average of $15 per time performed $259
an average of $4 per time performed
medical
PATHOLOGY AND LABORATORY

Cardiolipin antibody (tissue antibody) measurement

Service Code: 86147
Performed in an office
68
times performed,
0.09% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

23
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$4,440an average of $65 per time performed $2,256
an average of $33 per time performed
medical
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82550
Performed in an office
66
times performed,
0.09% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

62
patients got this service, 18% of his patients
1.1
average number of visits a patient made for this service
$1,320an average of $20 per time performed $283
an average of $4 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
65
times performed,
0.08% of his services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

22
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$4,980an average of $77 per time performed $2,154
an average of $33 per time performed
medical
PATHOLOGY AND LABORATORY

Parathormone (parathyroid hormone) level

Service Code: 83970
Performed in an office
65
times performed,
0.08% of his services

24th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

59
patients got this service, 17% of his patients
1.1
average number of visits a patient made for this service
$7,150an average of $110 per time performed $3,541
an average of $54 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
64
times performed,
0.08% of his services

25th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

20
patients got this service, 6% of his patients
1.6
average number of visits a patient made for this service
$1,920an average of $30 per time performed $982
an average of $15 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
59
times performed,
0.08% of his services

26th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

58
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
$2,360an average of $40 per time performed $1,241
an average of $21 per time performed
medical
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
51
times performed,
0.07% of his services

27th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

32
patients got this service, 9% of his patients
1.6
average number of visits a patient made for this service
$7,650an average of $150 per time performed $2,334
an average of $46 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
48
times performed,
0.06% of his services

28th 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, 9% of his patients
1.6
average number of visits a patient made for this service
$20,160an average of $420 per time performed $2,518
an average of $52 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement of dna antibody

Service Code: 86225
Performed in an office
47
times performed,
0.06% of his services

29th 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, 9% of his patients
1.5
average number of visits a patient made for this service
$1,880an average of $40 per time performed $848
an average of $18 per time performed
medical
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
45
times performed,
0.06% of his services

30th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

45
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
$13,185an average of $293 per time performed $5,341
an average of $119 per time performed
medical
PATHOLOGY AND LABORATORY

Rheumatoid factor level

Service Code: 86431
Performed in an office
44
times performed,
0.06% of his services

31st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

44
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
$660an average of $15 per time performed $328
an average of $7 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
39
times performed,
0.05% of his services

32nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

39
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
$12,675an average of $325 per time performed $1,712
an average of $44 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
39
times performed,
0.05% of his services

33rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

39
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
$1,560an average of $40 per time performed $661
an average of $17 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
38
times performed,
0.05% of his services

34th 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, 11% of his patients
1
average number of visits a patient made for this service
$1,330an average of $35 per time performed $446
an average of $12 per time performed
medical
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
31
times performed,
0.04% 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
2.2
average number of visits a patient made for this service
$3,069an average of $99 per time performed $1,133
an average of $37 per time performed
medical
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
30
times performed,
0.04% of his services

36th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

20
patients got this service, 6% of his patients
1.5
average number of visits a patient made for this service
$5,850an average of $195 per time performed $1,277
an average of $43 per time performed
medical
PATHOLOGY AND LABORATORY

Screening test for autoimmune disorder

Service Code: 86038
Performed in an office
24
times performed,
0.03% of his services

37th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

24
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$720an average of $30 per time performed $306
an average of $13 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
12
times performed,
0.02% of his services

38th 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
1.1
average number of visits a patient made for this service
$190an average of $16 per time performed $31
an average of $3 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
11
times performed,
0.01% of his services

39th 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
average number of visits a patient made for this service
$275an average of $25 per time performed $120
an average of $11 per time performed

Office Visits

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

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.

Read our methodology.