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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, $290 per patient in 2012.
They performed about 5 services per patient. Here’s how this provider compares.
Number of
Patients
385
Rank: 15th
out of 91 providers in this state & specialty
Services
Performed
1,593
Rank: 29th
out of 91 providers in this state & specialty
Avg Services
Per Patient
4.1 This Provider
Avg 4.6
Total Paid
by Medicare
$169K
Rank: 10th
out of 91 providers in this state & specialty
Avg Paid
Per Patient
$439 This Provider
Avg $290

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.

Nicholas D. Bonfilio
Average for Orthopedic Surgery 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

WILLIAM ROWE

LESLIE RUSSELL

KEVIN LIMBAUGH

Organizations

BENEFIS HOSPITALS, INC.

CENTRAL MONTANA SURGERY...

Patients saw before

Nicholas D. Bonfilio

Patients saw after

Individuals

JAMES HARRIS

GEORGE RO

JEFFREY KESSLER

TYLER WILL

LESLIE RUSSELL

Organizations

BENEFIS HOSPITALS, INC.

CENTRAL MONTANA SURGERY...

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
340
times performed,
21% of his services

1st 7th

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

228
patients got this service, 59% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.1)
$37,740an average of $111 per time performed $25,500
an average of $75 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
207
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

126
patients got this service, 33% of his patients
1.6
average number of visits a patient made for this service
$621an average of $3 per time performed $621
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Screening test for pathogenic organisms

Service Code: 87081
Performed in an office
135
times performed,
8% of his services

3rd Alert

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

118
patients got this service, 31% of his patients
1.1
average number of visits a patient made for this service
$1,215an average of $9 per time performed $1,080
an average of $8 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
133
times performed,
8% of his services

4th Alert

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

105
patients got this service, 27% of his patients
1.3
average number of visits a patient made for this service
$1,463an average of $11 per time performed $1,463
an average of $11 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
122
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

109
patients got this service, 28% of his patients
1.1
average number of visits a patient made for this service
$1,952an average of $16 per time performed $1,830
an average of $15 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
105
times performed,
7% of his services

6th 2nd

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

96
patients got this service, 25% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$8,085an average of $77 per time performed $5,250
an average of $50 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
89
times performed,
6% of his services

7th Alert

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

39
patients got this service, 10% of his patients
2.3
average number of visits a patient made for this service
$534an average of $6 per time performed $534
an average of $6 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
89
times performed,
6% of his services

8th 29th

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

89
patients got this service, 23% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,041an average of $169 per time performed $10,413
an average of $117 per time performed
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
53
times performed,
3% of his services

9th 20th

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

48
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$93,863an average of $1,771 per time performed $65,720
an average of $1,240 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
53
times performed,
3% of his services

10th Alert

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

46
patients got this service, 12% of his patients
1.2
average number of visits a patient made for this service
$318an average of $6 per time performed $212
an average of $4 per time performed
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
43
times performed,
3% of his services

11th 3rd

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

37
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$3,612an average of $84 per time performed $2,064
an average of $48 per time performed
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
41
times performed,
3% of his services

12th 12th

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

37
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$410an average of $10 per time performed $205
an average of $5 per time performed
EVALUATION AND MANAGEMENT

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

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
27
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

27
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$648an average of $24 per time performed $405
an average of $15 per time performed
MUSCULOSKELETAL SYSTEM

Replacement of thigh bone and hip joint prosthesis

Service Code: 27130
Performed in a facility
18
times performed,
1% of his services

14th 31st

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

18
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$29,016an average of $1,612 per time performed $19,638
an average of $1,091 per time performed
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 50 minutes per... +

Initial hospital inpatient care, typically 50 minutes per day ×

Service Code: 99222
Performed in a facility
17
times performed,
1% of his services

15th 40th

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

17
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,346an average of $138 per time performed $1,513
an average of $89 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
17
times performed,
1% of his services

16th 55th

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

17
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,689an average of $217 per time performed $2,533
an average of $149 per time performed
MUSCULOSKELETAL SYSTEM

Repair of shoulder rotator cuff using an endoscope

Service Code: 29827
Performed in a facility
17
times performed,
1% of his services

17th 60th

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

17
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$19,142an average of $1,126 per time performed $14,586
an average of $858 per time performed
MUSCULOSKELETAL SYSTEM

Removal of both knee cartilages using an endoscope

Service Code: 29880
Performed in a facility
17
times performed,
1% of his services

18th Alert

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

17
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$12,206an average of $718 per time performed $7,565
an average of $445 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
16
times performed,
1% of his services

19th 8th

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

16
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,872an average of $117 per time performed $1,072
an average of $67 per time performed
DRUGS

Injection, methylprednisolone acetate, 40 mg

Service Code: J1030
Performed in an office
15
times performed,
0.94% of his services

20th 10th

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

14
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$75an average of $5 per time performed $45
an average of $3 per time performed
PATHOLOGY AND LABORATORY

Coagulation assessment blood test

Service Code: 85730
Performed in an office
15
times performed,
0.94% of his services

21st Alert

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

13
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
$135an average of $9 per time performed $135
an average of $9 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
13
times performed,
0.82% of his services

22nd Alert

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

13
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$2,691an average of $207 per time performed $2,067
an average of $159 per time performed
MUSCULOSKELETAL SYSTEM

Removal of one knee cartilage using an endoscope

Service Code: 29881
Performed in a facility
11
times performed,
0.69% of his services

23rd 62nd

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)
$7,392an average of $672 per time performed $4,477
an average of $407 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 "Orthopaedic Surgery." 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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