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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
376
Rank: 100th
out of 201 providers in this state & specialty
Services
Performed
2,337
Rank: 30th
out of 201 providers in this state & specialty
Avg Services
Per Patient
6.2 This Provider is in the top 10%
Avg 3.3
Total Paid
by Medicare
$105K
Rank: 32nd
out of 201 providers in this state & specialty
Avg Paid
Per Patient
$280 This Provider is in the top 10%
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.

James B. Legan
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

JEFFREY KESSLER

LESLIE RUSSELL

TYLER WILL

KEVIN LIMBAUGH

JAMES HARRIS

Organizations

BENEFIS HOSPITALS, INC.

METWEST INC

Patients saw before

James B. Legan

Patients saw after

Individuals

GEORGE RO

JEFFREY KESSLER

TYLER WILL

JAMES HARRIS

LESLIE RUSSELL

Organizations

BENEFIS HOSPITALS, INC.

METWEST INC

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 an office
795
times performed,
34% of his services

1st 2nd

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

289
patients got this service, 77% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2)
$54,855an average of $69 per time performed $37,365
an average of $47 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 an office
422
times performed,
18% of his services

2nd 4th

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

199
patients got this service, 53% of his patients
2.1
average number of visits a patient made for this service
(Peers: 1.9)
$43,044an average of $102 per time performed $28,696
an average of $68 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
326
times performed,
14% of his services

3rd 9th

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

36
patients got this service, 10% of his patients
9.1
average number of visits a patient made for this service
(Peers: 7.8)
$1,956an average of $6 per time performed $1,630
an average of $5 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
149
times performed,
6% of his services

4th 18th

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

148
patients got this service, 39% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,384an average of $16 per time performed $2,384
an average of $16 per time performed
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
149
times performed,
6% of his services

5th 49th

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

148
patients got this service, 39% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,937an average of $13 per time performed $1,937
an average of $13 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 an office
145
times performed,
6% of his services

6th 34th

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

145
patients got this service, 39% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$15,660an average of $108 per time performed $15,515
an average of $107 per time performed
PATHOLOGY AND LABORATORY

Urinalysis, manual test

Service Code: 81002
Performed in an office
72
times performed,
3% of his services

7th 64th

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

56
patients got this service, 15% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$288an average of $4 per time performed $288
an average of $4 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 an office
66
times performed,
3% of his services

8th 30th

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

66
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,626an average of $161 per time performed $10,626
an average of $161 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
63
times performed,
3% of his services

9th 8th

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

47
patients got this service, 13% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$3,276an average of $52 per time performed $441
an average of $7 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
25
times performed,
1% of his services

10th 40th

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

23
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$500an average of $20 per time performed $375
an average of $15 per time performed
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 implementation of the plan of care that meets patient's needs, per certification period ×

Service Code: G0180
Performed in an office
20
times performed,
0.86% of his services

11th 72nd

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

18
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,060an average of $53 per time performed $840
an average of $42 per time performed
MEDICINE

Vaccine for pneumococcal polysaccharide for injection ben... +

Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older ×

Service Code: 90732
Performed in an office
16
times performed,
0.68% of his services

12th 57th

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

16
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$736an average of $46 per time performed $736
an average of $46 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 an office
16
times performed,
0.68% of his services

13th 29th

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

15
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$656an average of $41 per time performed $384
an average of $24 per time performed
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
16
times performed,
0.68% of his services

14th 58th

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

16
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$320an average of $20 per time performed $320
an average of $20 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 an office
16
times performed,
0.68% of his services

15th Alert

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

16
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$592an average of $37 per time performed $592
an average of $37 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 an office
15
times performed,
0.64% of his services

16th 117th

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

15
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,220an average of $148 per time performed $2,220
an average of $148 per time performed
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
14
times performed,
0.6% of his services

17th 114th

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

14
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$700an average of $50 per time performed $490
an average of $35 per time performed
TEMPORARY CODES

Screening papanicolaou smear; obtaining, preparing and co... +

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory ×

Service Code: Q0091
Performed in an office
12
times performed,
0.51% of his services

18th Alert

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

12
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$516an average of $43 per time performed $516
an average of $43 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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