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Treatment Tracker

Treatment Tracker » Montana » Billings

Benjamin T. Marchello M.D.

1315 golden valley cir, Billings, Mont., 59102 | (406) 238-6290

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $1,130 per patient in 2012.
They performed about 68 services per patient. Here’s how this provider compares.
Number of
Patients
228
Rank: 3rd
out of 4 providers in this state & specialty
Services
Performed
2,332
Rank: 3rd
out of 4 providers in this state & specialty
Avg Services
Per Patient
10.2 This Provider
Avg 67.9
Total Paid
by Medicare
$91.1K
Rank: 3rd
out of 4 providers in this state & specialty
Avg Paid
Per Patient
$400 This Provider
Avg $1,130

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.

Benjamin T. Marchello
Average for Hematology 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

KATHLEEN RYAN

JOHN HANSON

MITCHELL GALLAGHER

JOHN VIPPERMAN

GREGORY CROSS

Organizations

ST. VINCENT HEALTHCARE

ST. VINCENT HEALTHCARE

Patients saw before

Benjamin T. Marchello

Patients saw after

Individuals

JOHN VIPPERMAN

MITCHELL GALLAGHER

TRAVIS GRAHAM

JOHN HANSON

DAVID BROST

Organizations

ST. VINCENT HEALTHCARE

ST. VINCENT HEALTHCARE

This Provider's Services

This provider performed 23 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
464
times performed,
20% of his services

1st Alert

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

208
patients got this service, 91% of his patients
2.2
average number of visits a patient made for this service
$87,232an average of $188 per time performed $34,800
an average of $75 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
291
times performed,
12% of his services

2nd Alert

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

136
patients got this service, 60% of his patients
2.1
average number of visits a patient made for this service
$16,878an average of $58 per time performed $3,492
an average of $12 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
283
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

132
patients got this service, 58% of his patients
2.1
average number of visits a patient made for this service
$10,471an average of $37 per time performed $3,113
an average of $11 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
273
times performed,
12% of his services

4th Alert

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

135
patients got this service, 59% of his patients
2
average number of visits a patient made for this service
$4,095an average of $15 per time performed $819
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Lactate dehydrogenase (enzyme) level

Service Code: 83615
Performed in an office
181
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

99
patients got this service, 43% of his patients
1.8
average number of visits a patient made for this service
$3,258an average of $18 per time performed $543
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Carcinoembryonic antigen (cea) protein level

Service Code: 82378
Performed in an office
144
times performed,
6% of his services

6th Alert

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

76
patients got this service, 33% of his patients
1.9
average number of visits a patient made for this service
$10,224an average of $71 per time performed $3,888
an average of $27 per time performed
PATHOLOGY AND LABORATORY

Glutamyltransferase (liver enzyme) level

Service Code: 82977
Performed in an office
112
times performed,
5% of his services

7th Alert

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

63
patients got this service, 28% of his patients
1.8
average number of visits a patient made for this service
$2,240an average of $20 per time performed $336
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Immunologic analysis for detection of tumor antigen

Service Code: 86300
Performed in an office
112
times performed,
5% of his services

8th Alert

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

54
patients got this service, 24% of his patients
2.1
average number of visits a patient made for this service
$7,056an average of $63 per time performed $3,248
an average of $29 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
82
times performed,
4% of his services

9th Alert

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

13
patients got this service, 6% of his patients
6.3
average number of visits a patient made for this service
$46,002an average of $561 per time performed $9,102
an average of $111 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
50
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

15
patients got this service, 7% of his patients
3.3
average number of visits a patient made for this service
$700an average of $14 per time performed $250
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
50
times performed,
2% of his services

11th Alert

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

15
patients got this service, 7% of his patients
3.3
average number of visits a patient made for this service
$1,400an average of $28 per time performed $450
an average of $9 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
42
times performed,
2% of his services

12th Alert

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

11
patients got this service, 5% of his patients
3.7
average number of visits a patient made for this service
$2,856an average of $68 per time performed $798
an average of $19 per time performed
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
40
times performed,
2% of his services

13th Alert

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

14
patients got this service, 6% of his patients
2.9
average number of visits a patient made for this service
$3,440an average of $86 per time performed $1,040
an average of $26 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
37
times performed,
2% of his services

14th Alert

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

24
patients got this service, 11% of his patients
1.5
average number of visits a patient made for this service
$4,699an average of $127 per time performed $1,924
an average of $52 per time performed
RADIOLOGY

Ct scan chest with contrast

Service Code: 71260
Performed in an office
31
times performed,
1% of his services

15th Alert

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

24
patients got this service, 11% of his patients
1.3
average number of visits a patient made for this service
$36,332an average of $1,172 per time performed $3,441
an average of $111 per time performed
RADIOLOGY

Ct scan of abdomen and pelvis with contrast

Service Code: 74177
Performed in an office
25
times performed,
1% of his services

16th Alert

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

20
patients got this service, 9% of his patients
1.3
average number of visits a patient made for this service
$58,550an average of $2,342 per time performed $5,300
an average of $212 per time performed
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
25
times performed,
1% of his services

17th Alert

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

19
patients got this service, 8% of his patients
1.3
average number of visits a patient made for this service
$425an average of $17 per time performed $125
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Red blood count, manual test

Service Code: 85044
Performed in an office
23
times performed,
0.99% of his services

18th Alert

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

13
patients got this service, 6% of his patients
1.8
average number of visits a patient made for this service
$460an average of $20 per time performed $138
an average of $6 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
18
times performed,
0.77% of his services

19th Alert

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

14
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
$11,394an average of $633 per time performed $3,636
an average of $202 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
16
times performed,
0.69% of his services

20th Alert

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

13
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
$29,104an average of $1,819 per time performed $13,264
an average of $829 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
11
times performed,
0.47% of his services

21st Alert

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

11
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$2,079an average of $189 per time performed $880
an average of $80 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
11
times performed,
0.47% of his services

22nd Alert

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

11
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$264an average of $24 per time performed $264
an average of $24 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
11
times performed,
0.47% of his services

23rd Alert

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

11
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$154an average of $14 per time performed $154
an average of $14 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 "Hematology & Oncology." 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.


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