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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, $93 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
319
Rank: 49th
out of 286 providers in this state & specialty
Services
Performed
21,911
Rank: 1st
out of 286 providers in this state & specialty
Avg Services
Per Patient
68.7 This Provider is in the top 10%
Avg 2.7
Total Paid
by Medicare
$430K
Rank: 1st
out of 286 providers in this state & specialty
Avg Paid
Per Patient
$1,349 This Provider is in the top 10%
Avg $93

Office Visits

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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.

David P. Brost
Average for Physician Assistant 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

MARTIN LUCAS

PATRICK COBB

JOHN HANSON

DAVID CHRISTIANSON

TROY FIDDLER

Organizations

ST. VINCENT HEALTHCARE

ST. VINCENT HEALTHCARE

Patients saw before

David P. Brost

Patients saw after

Individuals

MARTIN LUCAS

PATRICK COBB

DAVID CHRISTIANSON

KATHLEEN RYAN

TROY FIDDLER

Organizations

ST. VINCENT HEALTHCARE

ST. VINCENT HEALTHCARE

This Provider's Services

This provider performed 49 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, darbepoetin alfa, 1 microgram (non-end-stage r... +

Injection, darbepoetin alfa, 1 microgram (non-end-stage renal disease use) ×

Service Code: J0881
Performed in an office
7,600
times performed,
35% of his services

1st Alert

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

11
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
$83,600an average of $11 per time performed $15,200
an average of $2 per time performed
CHEMOTHERAPY DRUGS

Injection, docetaxel, 1 mg

Service Code: J9171
Performed in an office
2,912
times performed,
13% of his services

2nd Alert

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

19
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
$96,096an average of $33 per time performed $23,296
an average of $8 per time performed
DRUGS

Injection, fosaprepitant (emend), 1 mg

Service Code: J1453
Performed in an office
2,550
times performed,
12% of his services

3rd Alert

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

13
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
$7,650an average of $3 per time performed $2,550
an average of $1 per time performed
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
1,868
times performed,
9% of his services

4th Alert

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

70
patients got this service, 22% of his patients
2
average number of visits a patient made for this service
$1,868an average of $1 per time performed $0
an average of $0 per time performed
DRUGS

Injection, ondansetron hydrochloride, per 1 mg

Service Code: J2405
Performed in an office
1,720
times performed,
8% of his services

5th Alert

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

38
patients got this service, 12% of his patients
2.6
average number of visits a patient made for this service
$1,720an average of $1 per time performed $0
an average of $0 per time performed
DRUGS

Injection, palonosetron hydrochloride, 25 mcg

Service Code: J2469
Performed in an office
970
times performed,
4% of his services

6th Alert

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

57
patients got this service, 18% of his patients
1.7
average number of visits a patient made for this service
$64,990an average of $67 per time performed $13,580
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 15 minutes ×

Service Code: 99213
Performed in an office
358
times performed,
2% of his services

7th 1st

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

186
patients got this service, 58% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.4)
$45,466an average of $127 per time performed $16,468
an average of $46 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
315
times performed,
1% of his services

8th 9th

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

144
patients got this service, 45% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.5)
$4,725an average of $15 per time performed $945
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
258
times performed,
1% of his services

9th 28th

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

136
patients got this service, 43% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.3)
$14,964an average of $58 per time performed $3,612
an average of $14 per time performed
CHEMOTHERAPY DRUGS

Injection, rituximab (rituxan), 100 mg

Service Code: J9310
Performed in an office
251
times performed,
1% of his services

10th Alert

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

17
patients got this service, 5% of his patients
1.9
average number of visits a patient made for this service
$280,116an average of $1,116 per time performed $128,261
an average of $511 per time performed
DRUGS

Injection, potassium chloride, per 2 meq

Service Code: J3480
Performed in an office
236
times performed,
1% of his services

11th Alert

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

14
patients got this service, 4% of his patients
1.6
average number of visits a patient made for this service
$236an average of $1 per time performed $0
an average of $0 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
222
times performed,
1% of his services

12th 22nd

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

111
patients got this service, 35% of his patients
2
average number of visits a patient made for this service
(Peers: 1.3)
$8,214an average of $37 per time performed $2,442
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Microscopic examination for white blood cells with manual... +

Microscopic examination for white blood cells with manual cell count ×

Service Code: 85007
Performed in an office
205
times performed,
0.94% of his services

13th Alert

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

92
patients got this service, 29% of his patients
2.2
average number of visits a patient made for this service
$2,870an average of $14 per time performed $1,025
an average of $5 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: 85027
Performed in an office
205
times performed,
0.94% of his services

14th Alert

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

92
patients got this service, 29% of his patients
2.2
average number of visits a patient made for this service
$5,740an average of $28 per time performed $1,845
an average of $9 per time performed
MEDICINE

Infusion into a vein for therapy prevention or diagnosis ... +

Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour ×

Service Code: 96367
Performed in an office
203
times performed,
0.93% of his services

15th Alert

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

78
patients got this service, 24% of his patients
2
average number of visits a patient made for this service
$34,104an average of $168 per time performed $4,263
an average of $21 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
200
times performed,
0.91% of his services

16th 34th

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

70
patients got this service, 22% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.2)
$13,600an average of $68 per time performed $3,200
an average of $16 per time performed
CHEMOTHERAPY DRUGS

Injection, carboplatin, 50 mg

Service Code: J9045
Performed in an office
177
times performed,
0.81% of his services

17th Alert

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

16
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
$22,125an average of $125 per time performed $531
an average of $3 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
176
times performed,
0.8% of his services

18th 7th

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

107
patients got this service, 34% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.3)
$33,088an average of $188 per time performed $12,144
an average of $69 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
174
times performed,
0.79% of his services

19th Alert

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

83
patients got this service, 26% of his patients
2.1
average number of visits a patient made for this service
$97,614an average of $561 per time performed $16,356
an average of $94 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
155
times performed,
0.71% of his services

20th 21st

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

37
patients got this service, 12% of his patients
4.2
average number of visits a patient made for this service
(Peers: 4)
$3,100an average of $20 per time performed $775
an average of $5 per time performed
MEDICINE

Hydration infusion into a vein

Service Code: 96361
Performed in an office
144
times performed,
0.66% of his services

21st Alert

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

45
patients got this service, 14% of his patients
2
average number of visits a patient made for this service
$11,232an average of $78 per time performed $1,440
an average of $10 per time performed
MEDICINE

Injection of different drug or substance into a vein for ... +

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

Service Code: 96375
Performed in an office
112
times performed,
0.51% of his services

22nd Alert

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

64
patients got this service, 20% of his patients
1.6
average number of visits a patient made for this service
$12,208an average of $109 per time performed $1,568
an average of $14 per time performed
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
95
times performed,
0.43% of his services

23rd Alert

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

29
patients got this service, 9% of his patients
1.8
average number of visits a patient made for this service
$12,065an average of $127 per time performed $1,995
an average of $21 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
95
times performed,
0.43% of his services

24th 8th

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

22
patients got this service, 7% of his patients
4.3
average number of visits a patient made for this service
(Peers: 1.3)
$7,980an average of $84 per time performed $2,185
an average of $23 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
81
times performed,
0.37% of his services

25th Alert

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

45
patients got this service, 14% of his patients
1.8
average number of visits a patient made for this service
$22,599an average of $279 per time performed $3,969
an average of $49 per time performed
DRUGS

Injection, pegfilgrastim, 6 mg

Service Code: J2505
Performed in an office
61
times performed,
0.28% of his services

26th Alert

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

37
patients got this service, 12% of his patients
1.6
average number of visits a patient made for this service
$399,306an average of $6,546 per time performed $134,810
an average of $2,210 per time performed
MEDICINE

Infusion of different chemotherapy drug or substance into... +

Infusion of different chemotherapy drug or substance into a vein up to 1 hour ×

Service Code: 96417
Performed in an office
50
times performed,
0.23% of his services

27th Alert

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

33
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
$13,400an average of $268 per time performed $2,350
an average of $47 per time performed
DRUGS

Infusion, normal saline solution , 1000 cc

Service Code: J7030
Performed in an office
47
times performed,
0.21% of his services

28th Alert

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

26
patients got this service, 8% of his patients
1.7
average number of visits a patient made for this service
$188an average of $4 per time performed $47
an average of $1 per time performed
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosis +

Infusion into a vein for therapy, prevention, or diagnosis ×

Service Code: 96366
Performed in an office
41
times performed,
0.19% of his services

29th Alert

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

13
patients got this service, 4% of his patients
1.6
average number of visits a patient made for this service
$4,305an average of $105 per time performed $615
an average of $15 per time performed
MEDICINE

Hydration infusion into a vein 31 minutes to 1 hour

Service Code: 96360
Performed in an office
35
times performed,
0.16% of his services

30th Alert

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

20
patients got this service, 6% of his patients
1.8
average number of visits a patient made for this service
$7,945an average of $227 per time performed $1,295
an average of $37 per time performed
DRUGS

Unclassified drugs

Service Code: J3490
Performed in an office
34
times performed,
0.16% of his services

31st Alert

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

14
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
$34an average of $1 per time performed $0
an average of $0 per time performed
PATHOLOGY AND LABORATORY

Carcinoembryonic antigen (cea) protein level

Service Code: 82378
Performed in an office
33
times performed,
0.15% of his services

32nd Alert

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

23
patients got this service, 7% of his patients
1.4
average number of visits a patient made for this service
$2,343an average of $71 per time performed $891
an average of $27 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
30
times performed,
0.14% of his services

33rd Alert

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

25
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
$1,050an average of $35 per time performed $360
an average of $12 per time performed
PATHOLOGY AND LABORATORY

Lactate dehydrogenase (enzyme) level

Service Code: 83615
Performed in an office
28
times performed,
0.13% of his services

34th Alert

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

22
patients got this service, 7% of his patients
1.3
average number of visits a patient made for this service
$504an average of $18 per time performed $84
an average of $3 per time performed
RADIOLOGY

Ct scan chest with contrast

Service Code: 71260
Performed in an office
28
times performed,
0.13% of his services

35th Alert

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

24
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
$32,816an average of $1,172 per time performed $2,968
an average of $106 per time performed
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
26
times performed,
0.12% of his services

36th Alert

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

17
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
$754an average of $29 per time performed $234
an average of $9 per time performed
RADIOLOGY

Ct scan of abdomen and pelvis with contrast

Service Code: 74177
Performed in an office
26
times performed,
0.12% of his services

37th Alert

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

22
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
$60,892an average of $2,342 per time performed $5,642
an average of $217 per time performed
DRUGS

Infusion, normal saline solution, sterile (500 ml=1 unit) +

Infusion, normal saline solution, sterile (500 ml=1 unit) ×

Service Code: J7040
Performed in an office
25
times performed,
0.11% of his services

38th Alert

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

17
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
$75an average of $3 per time performed $0
an average of $0 per time performed
MEDICINE

Irrigation of implanted venous access drug delivery device +

Irrigation of implanted venous access drug delivery device ×

Service Code: 96523
Performed in an office
21
times performed,
0.1% of his services

39th Alert

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

19
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
$1,869an average of $89 per time performed $315
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
18
times performed,
0.08% of his services

40th 26th

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

15
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$198an average of $11 per time performed $72
an average of $4 per time performed
ADMINISTRATIVE

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, ... +

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ×

Service Code: A9552
Performed in an office
17
times performed,
0.08% of his services

41st Alert

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

17
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$11,662an average of $686 per time performed $3,468
an average of $204 per time performed
MEDICINE

Infusion of different chemotherapy drug or substance into... +

Infusion of different chemotherapy drug or substance into a vein ×

Service Code: 96411
Performed in an office
16
times performed,
0.07% of his services

42nd Alert

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

11
patients got this service, 3% of his patients
1.4
average number of visits a patient made for this service
$3,568an average of $223 per time performed $672
an average of $42 per time performed
RADIOLOGY

Nuclear medicine study with ct imaging skull base to mid-... +

Nuclear medicine study with ct imaging skull base to mid-thigh ×

Service Code: 78815
Performed in an office
15
times performed,
0.07% of his services

43rd Alert

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

15
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$27,285an average of $1,819 per time performed $12,405
an average of $827 per time performed
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
15
times performed,
0.07% of his services

44th Alert

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

12
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
$1,290an average of $86 per time performed $390
an average of $26 per time performed
MEDICINE

Hormonal anti-neoplastic chemotherapy administration bene... +

Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle ×

Service Code: 96402
Performed in an office
14
times performed,
0.06% of his services

45th Alert

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

13
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
$1,610an average of $115 per time performed $322
an average of $23 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
13
times performed,
0.06% of his services

46th 47th

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

13
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$312an average of $24 per time performed $286
an average of $22 per time performed
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
13
times performed,
0.06% of his services

47th Alert

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

13
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$182an average of $14 per time performed $169
an average of $13 per time performed
PATHOLOGY AND LABORATORY

Blood creatinine level

Service Code: 82565
Performed in an office
12
times performed,
0.05% of his services

48th Alert

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

11
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$288an average of $24 per time performed $84
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
11
times performed,
0.05% of his services

49th 63rd

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

11
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$682an average of $62 per time performed $264
an average of $24 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 "Physician Assistant, Medical." 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.


Read our methodology.


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