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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, $168 per patient in 2012.
They performed about 3 services per patient. Here’s how this provider compares.
Number of
Patients
605
Rank: 35th
out of 201 providers in this state & specialty
Services
Performed
1,233
Rank: 77th
out of 201 providers in this state & specialty
Avg Services
Per Patient
2 This Provider
Avg 3.3
Total Paid
by Medicare
$73.5K
Rank: 81st
out of 201 providers in this state & specialty
Avg Paid
Per Patient
$121 This Provider
Avg $168

Office Visits

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Top Billing

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Medicare reimburses office visits using a five-point scale, with five being the most intensive and costly. The chart below shows what percentage of this provider’s office visits were reimbursed at each level. A higher than average proportion of costly visits is not necessarily an indication of a problem, but it may be worth asking about.

Hover over each slice to see percentage breakdown.

Timothy P. Roux
Average for Internal Medicine 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

JEFFREY KESSLER

TYLER WILL

GEORGE RO

JAMES HARRIS

EVE GERASIMOU

Organizations

BENEFIS HOSPITALS, INC.

ROCKY MOUNTAIN SLEEP DI...

Patients saw before

Timothy P. Roux

Patients saw after

This Provider's Services

This provider performed 8 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 a facility
419
times performed,
34% of his services

1st 3rd

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

191
patients got this service, 32% of his patients
2.2
average number of visits a patient made for this service
(Peers: 1.7)
$36,034an average of $86 per time performed $23,464
an average of $56 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 a facility
274
times performed,
22% of his services

2nd 5th

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

192
patients got this service, 32% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.8)
$16,166an average of $59 per time performed $10,138
an average of $37 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep l... +

Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube ×

Service Code: 95811
Performed in a facility
183
times performed,
15% of his services

3rd Alert

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

167
patients got this service, 28% of his patients
1.1
average number of visits a patient made for this service
$67,527an average of $369 per time performed $18,666
an average of $102 per time performed
MEDICINE

Routine electrocardiogram (ekg) using at least 12 leads w... +

Routine electrocardiogram (ekg) using at least 12 leads with interpretation and report ×

Service Code: 93010
Performed in a facility
127
times performed,
10% of his services

4th 8th

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

105
patients got this service, 17% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$5,461an average of $43 per time performed $889
an average of $7 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep lab +

Sleep monitoring of patient (6 years or older) in sleep lab ×

Service Code: 95810
Performed in a facility
105
times performed,
9% of his services

5th Alert

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

105
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
$37,380an average of $356 per time performed $10,185
an average of $97 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 a facility
27
times performed,
2% of his services

6th 59th

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

27
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,753an average of $139 per time performed $2,673
an average of $99 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 a facility
23
times performed,
2% of his services

7th 74th

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

23
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,001an average of $87 per time performed $1,288
an average of $56 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in a facility
21
times performed,
2% of his services

8th 20th

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

16
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.1)
$2,415an average of $115 per time performed $1,554
an average of $74 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
20
times performed,
2% of his services

9th 2nd

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

17
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2)
$3,320an average of $166 per time performed $820
an average of $41 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep l... +

Sleep monitoring of patient (6 years or older) in sleep lab with continued pressured respiratory assistance by mask or breathing tube ×

Service Code: 95811
Performed in an office
20
times performed,
2% of his services

10th Alert

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

19
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$9,260an average of $463 per time performed $2,680
an average of $134 per time performed
MEDICINE

Sleep monitoring of patient (6 years or older) in sleep lab +

Sleep monitoring of patient (6 years or older) in sleep lab ×

Service Code: 95810
Performed in an office
14
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, 2% of his patients
1
average number of visits a patient made for this service
$4,270an average of $305 per time performed $1,232
an average of $88 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 "Sleep 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.