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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
1,246
Rank: 2nd
out of 201 providers in this state & specialty
Services
Performed
4,352
Rank: 11th
out of 201 providers in this state & specialty
Avg Services
Per Patient
3.5 This Provider
Avg 3.3
Total Paid
by Medicare
$231K
Rank: 3rd
out of 201 providers in this state & specialty
Avg Paid
Per Patient
$185 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.

Thomas B. Addison
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

MARY GRAY

JEFFREY KESSLER

TYLER WILL

JAMES HARRIS

LESLIE RUSSELL

Organizations

BENEFIS HOSPITALS, INC.

PEAK MEDICAL MONTANA OP...

Patients saw before

Thomas B. Addison

Patients saw after

Individuals

MARY GRAY

REBECCA LOZANO

JAMES HARRIS

JEFFREY KESSLER

GEORGE RO

Organizations

BENEFIS HOSPITALS, INC.

PEAK MEDICAL MONTANA OP...

This Provider's Services

This provider performed 31 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

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in an office
1,025
times performed,
24% of his services

1st 25th

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

379
patients got this service, 30% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.5)
$170,150an average of $166 per time performed $51,250
an average of $50 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 a facility
693
times performed,
16% of his services

2nd 5th

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

242
patients got this service, 19% of his patients
2.9
average number of visits a patient made for this service
(Peers: 1.8)
$40,194an average of $58 per time performed $24,948
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
401
times performed,
9% of his services

3rd 3rd

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

151
patients got this service, 12% of his patients
2.7
average number of visits a patient made for this service
(Peers: 1.7)
$34,486an average of $86 per time performed $23,258
an average of $58 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
371
times performed,
9% of his services

4th 8th

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

315
patients got this service, 25% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$11,130an average of $30 per time performed $2,226
an average of $6 per time performed
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in a facility
255
times performed,
6% of his services

5th 37th

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

247
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$41,820an average of $164 per time performed $13,260
an average of $52 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
231
times performed,
5% of his services

6th 48th

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

149
patients got this service, 12% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.9)
$24,717an average of $107 per time performed $7,623
an average of $33 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
178
times performed,
4% of his services

7th 1st

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

66
patients got this service, 5% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.1)
$29,904an average of $168 per time performed $9,968
an average of $56 per time performed
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in an office
151
times performed,
3% of his services

8th Alert

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

141
patients got this service, 11% of his patients
1.1
average number of visits a patient made for this service
$61,155an average of $405 per time performed $19,328
an average of $128 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
144
times performed,
3% of his services

9th 20th

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

140
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$16,560an average of $115 per time performed $10,944
an average of $76 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
126
times performed,
3% of his services

10th 7th

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

61
patients got this service, 5% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.9)
$28,980an average of $230 per time performed $10,080
an average of $80 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in an office
111
times performed,
3% of his services

11th 56th

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

80
patients got this service, 6% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.7)
$24,198an average of $218 per time performed $7,770
an average of $70 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
80
times performed,
2% of his services

12th 10th

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

72
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$37,760an average of $472 per time performed $12,560
an average of $157 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
55
times performed,
1% of his services

13th 94th

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

29
patients got this service, 2% of his patients
1.9
average number of visits a patient made for this service
(Peers: 1.5)
$4,235an average of $77 per time performed $2,090
an average of $38 per time performed
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
51
times performed,
1% of his services

14th 11th

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

46
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$11,985an average of $235 per time performed $4,131
an average of $81 per time performed
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 35 minutes per day +

Initial nursing facility visit, typically 35 minutes per day ×

Service Code: 99305
Performed in an office
45
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

43
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$14,355an average of $319 per time performed $4,590
an average of $102 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
42
times performed,
0.97% of his services

16th 31st

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

29
patients got this service, 2% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$1,806an average of $43 per time performed $714
an average of $17 per time performed
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
40
times performed,
0.92% of his services

17th 40th

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

40
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$920an average of $23 per time performed $600
an average of $15 per time performed
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in a facility
39
times performed,
0.9% of his services

18th 35th

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

17
patients got this service, 1% of his patients
2.3
average number of visits a patient made for this service
(Peers: 2)
$6,123an average of $157 per time performed $2,067
an average of $53 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
36
times performed,
0.83% of his services

19th 55th

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

36
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,680an average of $130 per time performed $3,996
an average of $111 per time performed
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in a facility
35
times performed,
0.8% of his services

20th 46th

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

31
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$2,835an average of $81 per time performed $1,435
an average of $41 per time performed
MEDICINE

Ultrasound examination of the heart performed during rest... +

Ultrasound examination of the heart performed during rest, exercise, and/or drug-induced stress with interpretation and report ×

Service Code: 93350
Performed in a facility
27
times performed,
0.62% of his services

21st Alert

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

27
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$5,616an average of $208 per time performed $1,566
an average of $58 per time performed
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in an office
25
times performed,
0.57% of his services

22nd Alert

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

25
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$5,925an average of $237 per time performed $3,725
an average of $149 per time performed
EVALUATION AND MANAGEMENT

Nursing facility discharge management, more than 30 minutes +

Nursing facility discharge management, more than 30 minutes ×

Service Code: 99316
Performed in an office
22
times performed,
0.51% of his services

23rd Alert

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

22
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$5,522an average of $251 per time performed $1,760
an average of $80 per time performed
MEDICINE

Heart rhythm tracing, analysis, and interpretation of 48-... +

Heart rhythm tracing, analysis, and interpretation of 48-hour ekg ×

Service Code: 93227
Performed in a facility
21
times performed,
0.48% of his services

24th Alert

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

21
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$1,386an average of $66 per time performed $441
an average of $21 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
21
times performed,
0.48% of his services

25th 38th

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

21
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,507an average of $167 per time performed $3,507
an average of $167 per time performed
PROCEDURES

Prostate cancer screening; digital rectal examination

Service Code: G0102
Performed in a facility
20
times performed,
0.46% of his services

26th Alert

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

20
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$980an average of $49 per time performed $140
an average of $7 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in a facility
19
times performed,
0.44% of his services

27th Alert

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

15
patients got this service, 1% of his patients
1.3
average number of visits a patient made for this service
$228an average of $12 per time performed $57
an average of $3 per time performed
EVALUATION AND MANAGEMENT

Nursing facility discharge day management, 30 minutes or ... +

Nursing facility discharge day management, 30 minutes or less ×

Service Code: 99315
Performed in an office
19
times performed,
0.44% of his services

28th Alert

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

19
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$3,325an average of $175 per time performed $1,064
an average of $56 per time performed
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient,... +

Critical care delivery critically ill or injured patient, first 30-74 minutes ×

Service Code: 99291
Performed in a facility
18
times performed,
0.41% of his services

29th 42nd

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

11
patients got this service, 0.88% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.7)
$10,440an average of $580 per time performed $3,150
an average of $175 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
16
times performed,
0.37% of his services

30th 80th

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$656an average of $41 per time performed $432
an average of $27 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
13
times performed,
0.3% of his services

31st 19th

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

12
patients got this service, 0.96% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$4,667an average of $359 per time performed $1,391
an average of $107 per time performed
SKIN, HAIR AND NAILS

Biopsy of single growth of skin and/or tissue

Service Code: 11100
Performed in a facility
11
times performed,
0.25% of his services

32nd Alert

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

11
patients got this service, 0.88% of his patients
1
average number of visits a patient made for this service
$1,144an average of $104 per time performed $341
an average of $31 per time performed
MEDICINE

Remote evaluations of single, dual, or multiple lead pace... +

Remote evaluations of single, dual, or multiple lead pacemaker or cardioverter-defibrillator transmissions, technician review, support, and distribution of results up to 90 days ×

Service Code: 93296
Performed in an office
11
times performed,
0.25% of his services

33rd Alert

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

11
patients got this service, 0.88% of his patients
1
average number of visits a patient made for this service
$396an average of $36 per time performed $264
an average of $24 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.