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
662
Rank: 21st
out of 174 providers in this state & specialty
Services
Performed
2,553
Rank: 31st
out of 174 providers in this state & specialty
Avg Services
Per Patient
3.9 This Provider
Avg 4.3
Total Paid
by Medicare
$119K
Rank: 28th
out of 174 providers in this state & specialty
Avg Paid
Per Patient
$179 This Provider
Avg $181

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 30 different services in 2015
(15 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
589
times performed,
23% of his services

1st 1st

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

285
patients got this service, 43% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.8)
$44,228.01an average of $75.09 per time performed $26,428.43
an average of $44.87 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
557
times performed,
22% of his services

2nd 4th

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

204
patients got this service, 31% of his patients
2.7
average number of visits a patient made for this service
(Peers: 1.8)
$61,559.64an average of $110.52 per time performed $42,064.64
an average of $75.52 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
417
times performed,
16% of his services

3rd 8th

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

310
patients got this service, 47% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$25,745.58an average of $61.74 per time performed $2,714.67
an average of $6.51 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
255
times performed,
10% of his services

4th 10th

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

24
patients got this service, 4% of his patients
10.6
average number of visits a patient made for this service
(Peers: 7.2)
$1,438.20an average of $5.64 per time performed $1,336.20
an average of $5.24 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
204
times performed,
8% of his services

5th 11th

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

204
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$23,957.76an average of $117.44 per time performed $23,435.52
an average of $114.88 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
134
times performed,
5% of his services

6th 18th

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

134
patients got this service, 20% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,536.26an average of $26.39 per time performed $3,360.72
an average of $25.08 per time performed
drug
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) ×

Service Code: Q2037
Performed in an office
97
times performed,
4% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

97
patients got this service, 15% of his patients
1
average number of visits a patient made for this service
$1,516.11an average of $15.63 per time performed $1,486.04
an average of $15.32 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
48
times performed,
2% of his services

8th 15th

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

48
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,583.04an average of $32.98 per time performed $1,203.84
an average of $25.08 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
47
times performed,
2% of his services

9th 16th

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

47
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,490.08an average of $180.64 per time performed $7,975.43
an average of $169.69 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
37
times performed,
1% of his services

10th 42nd

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

37
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,276.87an average of $34.51 per time performed $1,251.34
an average of $33.82 per time performed
medical
PROCEDURES

Physician certification for medicare-covered home health ... +

Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple ×

Service Code: G0180
Performed in an office
32
times performed,
1% of his services

11th 70th

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

29
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,742.72an average of $54.46 per time performed $1,280.32
an average of $40.01 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
27
times performed,
1% of his services

12th 39th

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

26
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$596.70an average of $22.10 per time performed $309.96
an average of $11.48 per time performed
medical
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
20
times performed,
0.78% of his services

13th 91st

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

19
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$72.80an average of $3.64 per time performed $68.20
an average of $3.41 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,
0.63% of his services

14th 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)
$2,717.92an average of $169.87 per time performed $2,634.56
an average of $164.66 per time performed
medical
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
16
times performed,
0.63% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$902.72an average of $56.42 per time performed $590.40
an average of $36.90 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.

James B Legan
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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