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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, $532 per patient in 2012.
They performed about 30 services per patient. Here’s how this provider compares.
Number of
Patients
318
Rank: 10th
out of 17 providers in this state & specialty
Services
Performed
22,650
Rank: 3rd
out of 17 providers in this state & specialty
Avg Services
Per Patient
71.2 This Provider
Avg 30.3
Total Paid
by Medicare
$237K
Rank: 6th
out of 17 providers in this state & specialty
Avg Paid
Per Patient
$745 This Provider
Avg $532

Office Visits

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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.

Martin K. Lucas
Average for Hematology/Oncology 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

JOHN HANSON

KATHLEEN RYAN

DAVID BROST

JOSEPH DILLARD

MITCHELL GALLAGHER

Organizations

ST. VINCENT HEALTHCARE

ST. VINCENT HEALTHCARE

Patients saw before

Martin K. Lucas

Patients saw after

Individuals

DAVID BROST

MITCHELL GALLAGHER

JOHN HANSON

KATHLEEN RYAN

JOSEPH DILLARD

Organizations

ST. VINCENT HEALTHCARE

ST. VINCENT HEALTHCARE

This Provider's Services

This provider performed 38 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
DRUGS

Injection, darbepoetin alfa, 1 microgram (non-end-stage r... +

Injection, darbepoetin alfa, 1 microgram (non-end-stage renal disease use) ×

Service Code: J0881
Performed in an office
15,700
times performed,
69% of her services

1st Alert

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

11
patients got this service, 3% of her patients
3.4
average number of visits a patient made for this service
$172,700an average of $11 per time performed $47,100
an average of $3 per time performed
DRUGS

Injection, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
1,030
times performed,
5% of her services

2nd 2nd

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

21
patients got this service, 7% of her patients
3.3
average number of visits a patient made for this service
(Peers: 4.4)
$1,030an average of $1 per time performed $0
an average of $0 per time performed
DRUGS

Injection, ondansetron hydrochloride, per 1 mg

Service Code: J2405
Performed in an office
872
times performed,
4% of her services

3rd Alert

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

15
patients got this service, 5% of her patients
2.5
average number of visits a patient made for this service
$872an average of $1 per time performed $0
an average of $0 per time performed
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
659
times performed,
3% of her services

4th 14th

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

159
patients got this service, 50% of her patients
4.1
average number of visits a patient made for this service
(Peers: 3.2)
$9,885an average of $15 per time performed $1,977
an average of $3 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
555
times performed,
2% of her services

5th 8th

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

172
patients got this service, 54% of her patients
3.2
average number of visits a patient made for this service
(Peers: 3.4)
$104,340an average of $188 per time performed $43,290
an average of $78 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85025
Performed in an office
550
times performed,
2% of her services

6th 16th

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

132
patients got this service, 42% of her patients
4.2
average number of visits a patient made for this service
(Peers: 3.7)
$20,350an average of $37 per time performed $6,050
an average of $11 per time performed
DRUGS

Injection, palonosetron hydrochloride, 25 mcg

Service Code: J2469
Performed in an office
550
times performed,
2% of her services

7th 6th

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

15
patients got this service, 5% of her patients
3.7
average number of visits a patient made for this service
(Peers: 4.2)
$36,850an average of $67 per time performed $8,250
an average of $15 per time performed
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
508
times performed,
2% of her services

8th 12th

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

128
patients got this service, 40% of her patients
3.9
average number of visits a patient made for this service
(Peers: 3.6)
$29,464an average of $58 per time performed $7,112
an average of $14 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 an office
413
times performed,
2% of her services

9th 11th

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

174
patients got this service, 55% of her patients
2.4
average number of visits a patient made for this service
(Peers: 2.1)
$52,451an average of $127 per time performed $21,476
an average of $52 per time performed
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
181
times performed,
0.8% of her services

10th 22nd

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

33
patients got this service, 10% of her patients
5.3
average number of visits a patient made for this service
(Peers: 4.2)
$12,308an average of $68 per time performed $3,439
an average of $19 per time performed
PATHOLOGY AND LABORATORY

Complete blood cell count (red cells, white blood cell, p... +

Complete blood cell count (red cells, white blood cell, platelets), automated test ×

Service Code: 85027
Performed in an office
171
times performed,
0.75% of her services

11th 18th

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

61
patients got this service, 19% of her patients
2.8
average number of visits a patient made for this service
(Peers: 3.1)
$4,788an average of $28 per time performed $1,539
an average of $9 per time performed
PATHOLOGY AND LABORATORY

Microscopic examination for white blood cells with manual... +

Microscopic examination for white blood cells with manual cell count ×

Service Code: 85007
Performed in an office
170
times performed,
0.75% of her services

12th 20th

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

61
patients got this service, 19% of her patients
2.8
average number of visits a patient made for this service
(Peers: 3.1)
$2,380an average of $14 per time performed $850
an average of $5 per time performed
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
119
times performed,
0.53% of her services

13th Alert

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

23
patients got this service, 7% of her patients
5.1
average number of visits a patient made for this service
$2,380an average of $20 per time performed $595
an average of $5 per time performed
MEDICINE

Infusion of chemotherapy into a vein up to 1 hour

Service Code: 96413
Performed in an office
109
times performed,
0.48% of her services

14th 17th

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

30
patients got this service, 9% of her patients
3.6
average number of visits a patient made for this service
(Peers: 4.8)
$61,149an average of $561 per time performed $11,554
an average of $106 per time performed
MEDICINE

Infusion into a vein for therapy prevention or diagnosis ... +

Infusion into a vein for therapy prevention or diagnosis additional sequential infusion up to 1 hour ×

Service Code: 96367
Performed in an office
104
times performed,
0.46% of her services

15th 15th

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

29
patients got this service, 9% of her patients
2.8
average number of visits a patient made for this service
(Peers: 4.7)
$17,472an average of $168 per time performed $2,600
an average of $25 per time performed
PATHOLOGY AND LABORATORY

Lactate dehydrogenase (enzyme) level

Service Code: 83615
Performed in an office
97
times performed,
0.43% of her services

16th Alert

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

47
patients got this service, 15% of her patients
2.1
average number of visits a patient made for this service
$1,746an average of $18 per time performed $388
an average of $4 per time performed
MEDICINE

Hydration infusion into a vein

Service Code: 96361
Performed in an office
80
times performed,
0.35% of her services

17th 31st

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

18
patients got this service, 6% of her patients
2.5
average number of visits a patient made for this service
(Peers: 3.2)
$6,240an average of $78 per time performed $960
an average of $12 per time performed
MEDICINE

Injection of different drug or substance into a vein for ... +

Injection of different drug or substance into a vein for therapy, diagnosis, or prevention ×

Service Code: 96375
Performed in an office
78
times performed,
0.34% of her services

18th 27th

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

20
patients got this service, 6% of her patients
3.1
average number of visits a patient made for this service
(Peers: 4.2)
$8,502an average of $109 per time performed $1,404
an average of $18 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
73
times performed,
0.32% of her services

19th Alert

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

24
patients got this service, 8% of her patients
3
average number of visits a patient made for this service
$6,132an average of $84 per time performed $2,409
an average of $33 per time performed
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in an office
66
times performed,
0.29% of her services

20th Alert

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

66
patients got this service, 21% of her patients
1
average number of visits a patient made for this service
$19,206an average of $291 per time performed $7,722
an average of $117 per time performed
MEDICINE

Infusion into a vein for therapy, prevention, or diagnosi... +

Infusion into a vein for therapy, prevention, or diagnosis up to 1 hour ×

Service Code: 96365
Performed in an office
65
times performed,
0.29% of her services

21st 34th

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

24
patients got this service, 8% of her patients
2.7
average number of visits a patient made for this service
(Peers: 3.1)
$18,135an average of $279 per time performed $3,705
an average of $57 per time performed
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
58
times performed,
0.26% of her services

22nd Alert

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

38
patients got this service, 12% of her patients
1.5
average number of visits a patient made for this service
$2,030an average of $35 per time performed $696
an average of $12 per time performed
MEDICINE

Infusion of chemotherapy into a vein

Service Code: 96415
Performed in an office
52
times performed,
0.23% of her services

23rd 29th

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

16
patients got this service, 5% of her patients
1.9
average number of visits a patient made for this service
(Peers: 3.1)
$6,604an average of $127 per time performed $1,300
an average of $25 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
41
times performed,
0.18% of her services

24th 28th

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

22
patients got this service, 7% of her patients
1.5
average number of visits a patient made for this service
(Peers: 2)
$6,478an average of $158 per time performed $2,255
an average of $55 per time performed
RADIOLOGY

Ct scan of abdomen and pelvis with contrast

Service Code: 74177
Performed in an office
40
times performed,
0.18% of her services

25th Alert

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

27
patients got this service, 8% of her patients
1.5
average number of visits a patient made for this service
$93,680an average of $2,342 per time performed $8,480
an average of $212 per time performed
RADIOLOGY

Ct scan chest with contrast

Service Code: 71260
Performed in an office
37
times performed,
0.16% of her services

26th Alert

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

28
patients got this service, 9% of her patients
1.3
average number of visits a patient made for this service
$43,364an average of $1,172 per time performed $3,478
an average of $94 per time performed
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
33
times performed,
0.15% of her services

27th Alert

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

26
patients got this service, 8% of her patients
1.3
average number of visits a patient made for this service
$363an average of $11 per time performed $132
an average of $4 per time performed
PATHOLOGY AND LABORATORY

Red blood count, manual test

Service Code: 85044
Performed in an office
31
times performed,
0.14% of her services

28th Alert

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

28
patients got this service, 9% of her patients
1.1
average number of visits a patient made for this service
$620an average of $20 per time performed $186
an average of $6 per time performed
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
27
times performed,
0.12% of her services

29th Alert

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

23
patients got this service, 7% of her patients
1.2
average number of visits a patient made for this service
$1,674an average of $62 per time performed $648
an average of $24 per time performed
MEDICINE

Infusion of different chemotherapy drug or substance into... +

Infusion of different chemotherapy drug or substance into a vein up to 1 hour ×

Service Code: 96417
Performed in an office
26
times performed,
0.11% of her services

30th 30th

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

12
patients got this service, 4% of her patients
1.4
average number of visits a patient made for this service
(Peers: 3.5)
$6,968an average of $268 per time performed $1,482
an average of $57 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
21
times performed,
0.09% of her services

31st 9th

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

21
patients got this service, 7% of her patients
1
average number of visits a patient made for this service
(Peers: 3)
$3,381an average of $161 per time performed $1,281
an average of $61 per time performed
HEMIC AND LYMPHATIC SYSTEMS

Needle or trocar bone marrow biopsy

Service Code: 38221
Performed in an office
19
times performed,
0.08% of her services

32nd Alert

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

18
patients got this service, 6% of her patients
1.1
average number of visits a patient made for this service
$7,410an average of $390 per time performed $2,527
an average of $133 per time performed
PROCEDURES

Bone marrow aspiration performed with bone marrow biopsy ... +

Bone marrow aspiration performed with bone marrow biopsy through the same incision on the same date of service ×

Service Code: G0364
Performed in an office
19
times performed,
0.08% of her services

33rd Alert

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

18
patients got this service, 6% of her patients
1.1
average number of visits a patient made for this service
$741an average of $39 per time performed $190
an average of $10 per time performed
DRUGS

Injection, pegfilgrastim, 6 mg

Service Code: J2505
Performed in an office
19
times performed,
0.08% of her services

34th Alert

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

11
patients got this service, 3% of her patients
1.7
average number of visits a patient made for this service
$124,564an average of $6,556 per time performed $42,807
an average of $2,253 per time performed
ADMINISTRATIVE

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, ... +

Fluorodeoxyglucose f-18 fdg, diagnostic, per study dose, up to 45 millicuries ×

Service Code: A9552
Performed in an office
17
times performed,
0.08% of her services

35th Alert

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

11
patients got this service, 3% of her patients
1.5
average number of visits a patient made for this service
$13,481an average of $793 per time performed $3,451
an average of $203 per time performed
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
16
times performed,
0.07% of her services

36th Alert

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

16
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
$384an average of $24 per time performed $384
an average of $24 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
16
times performed,
0.07% of her services

37th Alert

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

16
patients got this service, 5% of her patients
1
average number of visits a patient made for this service
$224an average of $14 per time performed $224
an average of $14 per time performed
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85651
Performed in an office
14
times performed,
0.06% of her services

38th Alert

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

13
patients got this service, 4% of her patients
1.1
average number of visits a patient made for this service
$238an average of $17 per time performed $70
an average of $5 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
14
times performed,
0.06% of her services

39th 64th

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

13
patients got this service, 4% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$4,186an average of $299 per time performed $1,498
an average of $107 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 "Hematology & Oncology." 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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