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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
472
Rank: 72nd
out of 201 providers in this state & specialty
Services
Performed
1,553
Rank: 53rd
out of 201 providers in this state & specialty
Avg Services
Per Patient
3.3 This Provider
Avg 3.3
Total Paid
by Medicare
$86.4K
Rank: 56th
out of 201 providers in this state & specialty
Avg Paid
Per Patient
$183 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.

Michael Spinelli
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

KAREN IZBICKI

BLAIR ERB

REX SPEAR

DENNIS RICH

PETER FRECH

Organizations

BOZEMAN DEACONESS HEALT...

AMERICAN MEDICAL RESPON...

Patients saw before

Michael Spinelli

Patients saw after

Individuals

KAREN IZBICKI

BLAIR ERB

HEIDI TUTHILL

ALBERT MEIER

KEVIN DUWE

Organizations

BOZEMAN DEACONESS HEALT...

AMERICAN MEDICAL RESPON...

This Provider's Services

This provider performed 11 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 15 minutes ×

Service Code: 99213
Performed in a facility
617
times performed,
40% of his services

1st 5th

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

318
patients got this service, 67% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.8)
$58,615an average of $95 per time performed $22,212
an average of $36 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 a facility
539
times performed,
35% of his services

2nd 3rd

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

279
patients got this service, 59% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.7)
$88,396an average of $164 per time performed $30,184
an average of $56 per time performed
PROCEDURES

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

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

Service Code: G0439
Performed in a facility
165
times performed,
11% of his services

3rd 55th

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

165
patients got this service, 35% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$26,730an average of $162 per time performed $18,315
an average of $111 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
59
times performed,
4% of his services

4th 8th

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

55
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,593an average of $27 per time performed $354
an average of $6 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 a facility
39
times performed,
3% of his services

5th 38th

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

39
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,842an average of $278 per time performed $6,513
an average of $167 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
35
times performed,
2% of his services

6th 59th

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

35
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,835an average of $281 per time performed $3,185
an average of $91 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
29
times performed,
2% of his services

7th 20th

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

25
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$7,424an average of $256 per time performed $2,378
an average of $82 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 a facility
24
times performed,
2% of his services

8th 31st

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

23
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$1,368an average of $57 per time performed $456
an average of $19 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
18
times performed,
1% of his services

9th 74th

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

18
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,276an average of $182 per time performed $846
an average of $47 per time performed
PROCEDURES

Initial preventive physical examination; face-to-face vis... +

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment ×

Service Code: G0402
Performed in a facility
16
times performed,
1% of his services

10th 145th

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

16
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,816an average of $176 per time performed $1,984
an average of $124 per time performed
PROCEDURES

Cervical or vaginal cancer screening; pelvic and clinical... +

Cervical or vaginal cancer screening; pelvic and clinical breast examination ×

Service Code: G0101
Performed in a facility
12
times performed,
0.77% of his services

11th 80th

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

12
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,032an average of $86 per time performed $324
an average of $27 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 "Internal 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.