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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, $140 per patient in 2012.
They performed about 4 services per patient. Here’s how this provider compares.
Number of
Patients
1,054
Rank: 1st
out of 548 providers in this state & specialty
Services
Performed
8,288
Rank: 2nd
out of 548 providers in this state & specialty
Avg Services
Per Patient
7.9 This Provider is in the top 10%
Avg 3.8
Total Paid
by Medicare
$289K
Rank: 1st
out of 548 providers in this state & specialty
Avg Paid
Per Patient
$274 This Provider is in the top 10%
Avg $140

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.

Tony C. Roisum
Average for Family Practice 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

Tony C. Roisum

Patients saw after

Individuals

MATTHEW MERZLOCK

PETER VANCE

CHRISTOPHER HARKER

JAMES TAYLOR

DAVID WARDEN

Organizations

EASTERN IDAHO HEALTH SE...

MOUNTAIN VIEW HOSPITAL LLC

This Provider's Services

This provider performed 47 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
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
1,270
times performed,
15% of his services

1st 2nd

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

614
patients got this service, 58% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.9)
$142,240an average of $112 per time performed $83,820
an average of $66 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
1,236
times performed,
15% of his services

2nd 3rd

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

626
patients got this service, 59% of his patients
2
average number of visits a patient made for this service
(Peers: 1.9)
$4,944an average of $4 per time performed $3,708
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 15 minutes ×

Service Code: 99213
Performed in an office
1,007
times performed,
12% of his services

3rd 1st

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

465
patients got this service, 44% of his patients
2.2
average number of visits a patient made for this service
(Peers: 2)
$74,518an average of $74 per time performed $47,329
an average of $47 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81000
Performed in an office
700
times performed,
8% of his services

4th 21st

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

495
patients got this service, 47% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$4,900an average of $7 per time performed $2,800
an average of $4 per time performed
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
590
times performed,
7% of his services

5th 29th

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

448
patients got this service, 43% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$23,010an average of $39 per time performed $11,210
an average of $19 per time performed
MEDICINE

Routine electrocardiogram (ekg) with tracing using at lea... +

Routine electrocardiogram (ekg) with tracing using at least 12 leads ×

Service Code: 93005
Performed in an office
399
times performed,
5% of his services

6th 60th

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

361
patients got this service, 34% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$4,389an average of $11 per time performed $2,394
an average of $6 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
342
times performed,
4% of his services

7th 7th

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

97
patients got this service, 9% of his patients
3.5
average number of visits a patient made for this service
(Peers: 2.2)
$25,308an average of $74 per time performed $18,126
an average of $53 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
324
times performed,
4% of his services

8th 8th

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

27
patients got this service, 3% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$972an average of $3 per time performed $324
an average of $1 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 10 minutes p... +

Subsequent nursing facility visit, typically 10 minutes per day ×

Service Code: 99307
Performed in an office
292
times performed,
4% of his services

9th 50th

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

74
patients got this service, 7% of his patients
3.9
average number of visits a patient made for this service
(Peers: 4.8)
$13,140an average of $45 per time performed $9,052
an average of $31 per time performed
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in an office
244
times performed,
3% of his services

10th Alert

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

215
patients got this service, 20% of his patients
1.1
average number of visits a patient made for this service
$40,748an average of $167 per time performed $29,524
an average of $121 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in an office
144
times performed,
2% of his services

11th 40th

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

60
patients got this service, 6% of his patients
2.4
average number of visits a patient made for this service
(Peers: 2.6)
$9,936an average of $69 per time performed $7,200
an average of $50 per time performed
RADIOLOGY

Imaging of abdomen

Service Code: 74020
Performed in an office
119
times performed,
1% of his services

12th Alert

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

99
patients got this service, 9% of his patients
1.2
average number of visits a patient made for this service
$5,236an average of $44 per time performed $2,975
an average of $25 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
117
times performed,
1% of his services

13th 13th

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

35
patients got this service, 3% of his patients
3.2
average number of visits a patient made for this service
(Peers: 2.7)
$3,276an average of $28 per time performed $1,872
an average of $16 per time performed
RADIOLOGY

X-ray of paranasal sinus, less than 3 views

Service Code: 70210
Performed in an office
107
times performed,
1% of his services

14th Alert

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

86
patients got this service, 8% of his patients
1.2
average number of visits a patient made for this service
$3,745an average of $35 per time performed $2,247
an average of $21 per time performed
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial implementation of the plan of care that meets patient's needs, per certification period ×

Service Code: G0180
Performed in an office
102
times performed,
1% of his services

15th 82nd

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

93
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$6,834an average of $67 per time performed $3,774
an average of $37 per time performed
RADIOLOGY

X-ray lower and sacral spine including bending views mini... +

X-ray lower and sacral spine including bending views minimum 6 views ×

Service Code: 72114
Performed in an office
94
times performed,
1% of his services

16th Alert

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

91
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
$7,520an average of $80 per time performed $4,324
an average of $46 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
89
times performed,
1% of his services

17th 44th

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

77
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$9,612an average of $108 per time performed $6,942
an average of $78 per time performed
PATHOLOGY AND LABORATORY

Strep test (streptococcus, group a)

Service Code: 87880
Performed in an office
82
times performed,
0.99% of his services

18th 141st

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

75
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,804an average of $22 per time performed $1,312
an average of $16 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
80
times performed,
0.97% of his services

19th 9th

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

80
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,680an average of $21 per time performed $1,600
an average of $20 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
78
times performed,
0.94% of his services

20th 22nd

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

78
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,170an average of $15 per time performed $1,092
an average of $14 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
78
times performed,
0.94% of his services

21st 38th

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

68
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$15,990an average of $205 per time performed $11,622
an average of $149 per time performed
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
74
times performed,
0.89% of his services

22nd Alert

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

55
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$3,182an average of $43 per time performed $1,850
an average of $25 per time performed
PATHOLOGY AND LABORATORY

Stool analysis for blood to screen for colon tumors

Service Code: 82270
Performed in an office
71
times performed,
0.86% of his services

23rd 70th

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

71
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$426an average of $6 per time performed $355
an average of $5 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
70
times performed,
0.84% of his services

24th 63rd

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

70
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,110an average of $173 per time performed $7,000
an average of $100 per time performed
RADIOLOGY

X-ray of foot, minimum of 3 views

Service Code: 73630
Performed in an office
54
times performed,
0.65% of his services

25th 142nd

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

46
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,998an average of $37 per time performed $1,242
an average of $23 per time performed
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
50
times performed,
0.6% of his services

26th 108th

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

43
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,550an average of $31 per time performed $1,050
an average of $21 per time performed
RADIOLOGY

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

Service Code: 73510
Performed in an office
42
times performed,
0.51% of his services

27th 111th

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

37
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,806an average of $43 per time performed $1,176
an average of $28 per time performed
RADIOLOGY

X-ray of hand, minimum of 3 views

Service Code: 73130
Performed in an office
41
times performed,
0.49% of his services

28th Alert

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

32
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$1,517an average of $37 per time performed $902
an average of $22 per time performed
RADIOLOGY

X-ray of upper spine, 4 or 5 views

Service Code: 72050
Performed in an office
38
times performed,
0.46% of his services

29th Alert

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

38
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$2,356an average of $62 per time performed $1,520
an average of $40 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
33
times performed,
0.4% of his services

30th 27th

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

33
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,795an average of $115 per time performed $1,881
an average of $57 per time performed
RADIOLOGY

X-ray of middle spine, 3 views

Service Code: 72072
Performed in an office
33
times performed,
0.4% of his services

31st Alert

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

33
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$1,287an average of $39 per time performed $924
an average of $28 per time performed
DRUGS

Infusion, normal saline solution , 1000 cc

Service Code: J7030
Performed in an office
26
times performed,
0.31% of his services

32nd Alert

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

14
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
$208an average of $8 per time performed $26
an average of $1 per time performed
RADIOLOGY

X-ray of ankle, minimum of 3 views

Service Code: 73610
Performed in an office
25
times performed,
0.3% of his services

33rd Alert

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

18
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
$725an average of $29 per time performed $525
an average of $21 per time performed
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 35 minutes per day +

Initial nursing facility visit, typically 35 minutes per day ×

Service Code: 99305
Performed in an office
24
times performed,
0.29% of his services

34th 110th

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

24
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$2,928an average of $122 per time performed $2,136
an average of $89 per time performed
RADIOLOGY

X-ray of wrist, minimum of 3 views

Service Code: 73110
Performed in an office
20
times performed,
0.24% of his services

35th Alert

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$800an average of $40 per time performed $500
an average of $25 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
19
times performed,
0.23% of his services

36th 10th

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

19
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.7)
$836an average of $44 per time performed $551
an average of $29 per time performed
EVALUATION AND MANAGEMENT

Hospital observation or inpatient care high severity, 55 ... +

Hospital observation or inpatient care high severity, 55 minutes per day ×

Service Code: 99236
Performed in a facility
19
times performed,
0.23% of his services

37th Alert

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

19
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$4,313an average of $227 per time performed $2,964
an average of $156 per time performed
MEDICINE

Ultrasound scanning of blood flow (outside the brain) on ... +

Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck ×

Service Code: 93880
Performed in an office
18
times performed,
0.22% of his services

38th Alert

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$3,186an average of $177 per time performed $1,890
an average of $105 per time performed
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
18
times performed,
0.22% of his services

39th 80th

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

16
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,188an average of $66 per time performed $684
an average of $38 per time performed
PROCEDURES

Annual wellness visit; includes a personalized prevention... +

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit ×

Service Code: G0438
Performed in an office
18
times performed,
0.22% of his services

40th 30th

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,150an average of $175 per time performed $2,808
an average of $156 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
17
times performed,
0.21% of his services

41st 26th

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

16
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,377an average of $81 per time performed $901
an average of $53 per time performed
MEDICINE

Hydration infusion into a vein 31 minutes to 1 hour

Service Code: 96360
Performed in an office
15
times performed,
0.18% of his services

42nd Alert

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

14
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
$945an average of $63 per time performed $615
an average of $41 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
15
times performed,
0.18% of his services

43rd 31st

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

14
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2.1)
$1,470an average of $98 per time performed $1,140
an average of $76 per time performed
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
14
times performed,
0.17% of his services

44th 61st

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$532an average of $38 per time performed $532
an average of $38 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
14
times performed,
0.17% of his services

45th 65th

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$336an average of $24 per time performed $308
an average of $22 per time performed
EVALUATION AND MANAGEMENT

Nursing facility discharge management, more than 30 minutes +

Nursing facility discharge management, more than 30 minutes ×

Service Code: 99316
Performed in an office
13
times performed,
0.16% of his services

46th Alert

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

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$1,092an average of $84 per time performed $871
an average of $67 per time performed
RADIOLOGY

X-ray of chest, 1 view, front

Service Code: 71010
Performed in an office
13
times performed,
0.16% of his services

47th Alert

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

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$364an average of $28 per time performed $221
an average of $17 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 "Family Medicine." 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.