Treatment Tracker

The Doctors and Services in Medicare Part B

How This Provider Compares

This Provider

Avg in State & Specialty

Providers in this state and specialty were reimbursed, on average, $181 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
772
Rank: 14th
out of 174 providers in this state & specialty
Services
Performed
6,249
Rank: 8th
out of 174 providers in this state & specialty
Avg Services
Per Patient
8.1 This Provider
Avg 4.3
Total Paid
by Medicare
$212K
Rank: 7th
out of 174 providers in this state & specialty
Avg Paid
Per Patient
$275 This Provider is in the top 10%
Avg $181

Note: About 20% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

How This Provider’s Patients Compare

Doctors often say their patients are sicker or more complex than those of their peers. The measure displayed below, used by the Centers for Medicare and Medicaid Services, takes into account patients’ characteristics to estimate whether they are expected to have above-average Medicare spending. It considers patients’ age, sex, diagnoses from the past year and other factors. This provider’s score below takes into account all of his Part B patients.

This Provider's Services

This provider performed 54 different services in 2015
(22 were redacted as they were performed on less than 11 patients)

All Services

Show Only:

Drug Services
Medical Services
CATEGORY
Description of Service
Times Performed (or Units) This Service's Rank Patients Unique Visits
Per Patient
Billed to Medicare Payments from Medicare
medical
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
699
times performed,
11% of his services

1st 1st

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

353
patients got this service, 46% of his patients
2
average number of visits a patient made for this service
(Peers: 1.8)
$102,739.02an average of $146.98 per time performed $36,711.48
an average of $52.52 per time performed
medical
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
484
times performed,
8% of his services

2nd 6th

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

279
patients got this service, 36% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$71,138.32an average of $146.98 per time performed $17,840.24
an average of $36.86 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
432
times performed,
7% of his services

3rd 21st

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

177
patients got this service, 23% of his patients
2.4
average number of visits a patient made for this service
(Peers: 1.8)
$34,300.80an average of $79.40 per time performed $12,687.84
an average of $29.37 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
328
times performed,
5% of his services

4th 10th

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

52
patients got this service, 7% of his patients
6.3
average number of visits a patient made for this service
(Peers: 7.2)
$5,320.16an average of $16.22 per time performed $1,695.76
an average of $5.17 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
250
times performed,
4% of his services

5th 15th

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

250
patients got this service, 32% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,875.00an average of $59.50 per time performed $6,265.00
an average of $25.06 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
249
times performed,
4% of his services

6th 16th

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

249
patients got this service, 32% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$46,065.00an average of $185.00 per time performed $40,410.21
an average of $162.29 per time performed
medical
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
242
times performed,
4% of his services

7th 19th

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

50
patients got this service, 6% of his patients
4.8
average number of visits a patient made for this service
(Peers: 4.3)
$9,738.08an average of $40.24 per time performed $3,562.24
an average of $14.72 per time performed
medical
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
236
times performed,
4% of his services

8th 9th

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

207
patients got this service, 27% of his patients
1.1
average number of visits a patient made for this service
(Peers: 2)
$2,124.00an average of $9.00 per time performed $691.48
an average of $2.93 per time performed
medical
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
216
times performed,
3% of his services

9th 3rd

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

211
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
(Peers: 1.8)
$46,837.44an average of $216.84 per time performed $11,244.96
an average of $52.06 per time performed
medical
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
171
times performed,
3% of his services

10th 47th

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

171
patients got this service, 22% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$58,417.02an average of $341.62 per time performed $27,578.88
an average of $161.28 per time performed
medical
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
150
times performed,
2% of his services

11th 5th

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

81
patients got this service, 10% of his patients
1.9
average number of visits a patient made for this service
(Peers: 2.2)
$21,849.00an average of $145.66 per time performed $8,175.00
an average of $54.50 per time performed
drug

Vaccine for influenza administered into muscle to individ... +

Vaccine for influenza administered into muscle to individuals 3 years of age and older ×

Service Code: 90688
Performed in an office
92
times performed,
1% of his services

12th 43rd

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

92
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,300.00an average of $25.00 per time performed $1,563.08
an average of $16.99 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
91
times performed,
1% of his services

13th 18th

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

91
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,730.00an average of $30.00 per time performed $2,264.08
an average of $24.88 per time performed
drug
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
77
times performed,
1% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 2% of his patients
1.6
average number of visits a patient made for this service
$1,848.00an average of $24.00 per time performed $101.64
an average of $1.32 per time performed
medical
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
75
times performed,
1% of his services

15th 39th

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

70
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,542.50an average of $33.90 per time performed $963.00
an average of $12.84 per time performed
medical
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
73
times performed,
1% of his services

16th 8th

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

71
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,264.36an average of $17.32 per time performed $459.90
an average of $6.30 per time performed
medical
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 an office
51
times performed,
0.82% of his services

17th 11th

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

51
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$11,601.48an average of $227.48 per time performed $5,654.88
an average of $110.88 per time performed
medical
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
48
times performed,
0.77% of his services

18th 4th

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

45
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.8)
$10,408.32an average of $216.84 per time performed $3,611.52
an average of $75.24 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
47
times performed,
0.75% of his services

19th 13th

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

43
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$10,163.28an average of $216.24 per time performed $3,797.60
an average of $80.80 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
43
times performed,
0.69% of his services

20th 35th

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

39
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$6,294.34an average of $146.38 per time performed $2,355.11
an average of $54.77 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
36
times performed,
0.58% of his services

21st 17th

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

31
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$5,265.36an average of $146.26 per time performed $1,981.44
an average of $55.04 per time performed
medical
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
35
times performed,
0.56% of his services

22nd 41st

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

31
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$3,075.80an average of $87.88 per time performed $1,116.85
an average of $31.91 per time performed
medical
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
34
times performed,
0.54% of his services

23rd 12th

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

30
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$13,997.12an average of $411.68 per time performed $5,118.02
an average of $150.53 per time performed
medical
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
28
times performed,
0.45% of his services

24th 29th

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

11
patients got this service, 1% of his patients
2.5
average number of visits a patient made for this service
(Peers: 3.8)
$1,407.84an average of $50.28 per time performed $486.92
an average of $17.39 per time performed
medical
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
24
times performed,
0.38% of his services

25th 78th

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

24
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,229.60an average of $217.90 per time performed $1,955.76
an average of $81.49 per time performed
medical
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
23
times performed,
0.37% of his services

26th 34th

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

21
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$2,021.24an average of $87.88 per time performed $411.70
an average of $17.90 per time performed
medical
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
21
times performed,
0.34% of his services

27th 66th

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

21
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,575.90an average of $217.90 per time performed $1,161.93
an average of $55.33 per time performed
medical
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 a facility
16
times performed,
0.26% of his services

28th 79th

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$2,031.20an average of $126.95 per time performed $585.12
an average of $36.57 per time performed
medical
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 an office
16
times performed,
0.26% of his services

29th 96th

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

16
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,294.08an average of $330.88 per time performed $2,533.44
an average of $158.34 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
13
times performed,
0.21% of his services

30th 61st

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$120.64an average of $9.28 per time performed $39.00
an average of $3.00 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in a facility
12
times performed,
0.19% of his services

31st 49th

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,816.80an average of $151.40 per time performed $459.60
an average of $38.30 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
12
times performed,
0.19% of his services

32nd 45th

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

11
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$4,503.36an average of $375.28 per time performed $1,593.36
an average of $132.78 per time performed

Office Visits

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.

Edward C Malters
Average for Internal Medicine Providers in Montana

Notes: Medicare redacted this data for any services provided to fewer than 11 patients. The contact information listed above is the most current we have for this provider. The services listed on this page may have been delivered at a previous address or as part of a different practice.

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 [email protected] and we will update your information. If you have other questions about this data, send a note to [email protected]. Here's a link to Medicare's data on this provider.

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 2015 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.

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