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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
762
Rank: 15th
out of 201 providers in this state & specialty
Services
Performed
2,606
Rank: 26th
out of 201 providers in this state & specialty
Avg Services
Per Patient
3.4 This Provider
Avg 3.3
Total Paid
by Medicare
$107K
Rank: 30th
out of 201 providers in this state & specialty
Avg Paid
Per Patient
$141 This Provider
Avg $168

Office Visits

Story image rib 8a2c1e812d78fea39cf7fb4926cf598dbc8604e0a950a7f60c1e192c8c412b43

Top Billing

Related story »

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

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

JOSEPH DILLARD

JOHN HANSON

KATHLEEN RYAN

JOHN BRANDON

MITCHELL GALLAGHER

Organizations

ST. VINCENT HEALTHCARE

ST. VINCENT HEALTHCARE

Patients saw before

Edward C. Malters

Patients saw after

Individuals

JOSEPH DILLARD

MITCHELL GALLAGHER

JOHN HANSON

JOHN BRANDON

KATHLEEN RYAN

Organizations

ST. VINCENT HEALTHCARE

ST. VINCENT HEALTHCARE

This Provider's Services

This provider performed 18 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
898
times performed,
34% of his services

1st 5th

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

388
patients got this service, 51% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.8)
$46,696an average of $52 per time performed $33,226
an average of $37 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
464
times performed,
18% of his services

2nd 3rd

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

405
patients got this service, 53% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$36,656an average of $79 per time performed $21,808
an average of $47 per time performed
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
412
times performed,
16% of his services

3rd 16th

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

199
patients got this service, 26% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.8)
$35,020an average of $85 per time performed $12,360
an average of $30 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
206
times performed,
8% of his services

4th 8th

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

190
patients got this service, 25% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$8,034an average of $39 per time performed $1,442
an average of $7 per time performed
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
169
times performed,
6% of his services

5th 1st

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

106
patients got this service, 14% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.1)
$21,294an average of $126 per time performed $9,295
an average of $55 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
89
times performed,
3% of his services

6th 74th

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

89
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,942an average of $78 per time performed $4,895
an average of $55 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
62
times performed,
2% of his services

7th 11th

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

52
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$14,942an average of $241 per time performed $5,084
an average of $82 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
60
times performed,
2% of his services

8th 10th

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

56
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$20,820an average of $347 per time performed $9,180
an average of $153 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
35
times performed,
1% of his services

9th 31st

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

34
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$945an average of $27 per time performed $630
an average of $18 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 10 minutes p... +

Subsequent nursing facility visit, typically 10 minutes per day ×

Service Code: 99307
Performed in an office
34
times performed,
1% of his services

10th 48th

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

20
patients got this service, 3% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.9)
$2,176an average of $64 per time performed $1,020
an average of $30 per time performed
SKIN, HAIR AND NAILS

Destruction of 2-14 skin growths

Service Code: 17003
Performed in a facility
29
times performed,
1% of his services

11th 23rd

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$464an average of $16 per time performed $87
an average of $3 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
26
times performed,
1% of his services

12th 32nd

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

25
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,328an average of $128 per time performed $1,456
an average of $56 per time performed
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in a facility
25
times performed,
0.96% of his services

13th 46th

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: 1.3)
$1,700an average of $68 per time performed $1,000
an average of $40 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 a facility
25
times performed,
0.96% of his services

14th 94th

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

18
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.5)
$1,200an average of $48 per time performed $800
an average of $32 per time performed
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
21
times performed,
0.81% of his services

15th 7th

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

16
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$3,969an average of $189 per time performed $1,680
an average of $80 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
19
times performed,
0.73% of his services

16th 14th

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

18
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,926an average of $154 per time performed $1,045
an average of $55 per time performed
EVALUATION AND MANAGEMENT

Subsequent observation care, typically 15 minutes per day +

Subsequent observation care, typically 15 minutes per day ×

Service Code: 99224
Performed in a facility
18
times performed,
0.69% of his services

17th 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
1.5
average number of visits a patient made for this service
$1,080an average of $60 per time performed $558
an average of $31 per time performed
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
14
times performed,
0.54% of his services

18th 44th

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,962an average of $283 per time performed $1,806
an average of $129 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.


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