ProPublica

Journalism in the Public Interest

Cancel

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
970
Rank: 7th
out of 201 providers in this state & specialty
Services
Performed
2,348
Rank: 29th
out of 201 providers in this state & specialty
Avg Services
Per Patient
2.4 This Provider
Avg 3.3
Total Paid
by Medicare
$68.5K
Rank: 92nd
out of 201 providers in this state & specialty
Avg Paid
Per Patient
$71 This Provider
Avg $168

Office Visits

Story image rib

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.

Sarah Robinson
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

PATRICK MCDONNELL

WILLIAM BENEDETTO

MICHAEL HENSON

ANDERS ENGDAHL

RICHARD FRIEDMAN

Organizations

KALISPELL REGIONAL MEDI...

HEALTHCENTER NORTHWEST LLC

Patients saw before

Sarah Robinson

Patients saw after

Individuals

HUGH CECIL

BENJAMIN POMERANTZ

WILLIAM BENEDETTO

PATRICK MCDONNELL

MICHAEL HENSON

Organizations

KALISPELL REGIONAL MEDI...

HEALTHCENTER NORTHWEST LLC

This Provider's Services

This provider performed 15 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
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
1,111
times performed,
47% of her services

1st 8th

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

744
patients got this service, 77% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$26,664an average of $24 per time performed $7,777
an average of $7 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
518
times performed,
22% of her services

2nd 5th

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

214
patients got this service, 22% of her patients
2.4
average number of visits a patient made for this service
(Peers: 1.8)
$25,382an average of $49 per time performed $18,130
an average of $35 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
228
times performed,
10% of her services

3rd 3rd

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

132
patients got this service, 14% of her patients
1.7
average number of visits a patient made for this service
(Peers: 1.7)
$17,556an average of $77 per time performed $12,996
an average of $57 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
103
times performed,
4% of her services

4th 38th

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

103
patients got this service, 11% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,583an average of $161 per time performed $16,583
an average of $161 per time performed
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in a facility
88
times performed,
4% of her services

5th 28th

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

12
patients got this service, 1% of her patients
7.3
average number of visits a patient made for this service
(Peers: 3.7)
$880an average of $10 per time performed $616
an average of $7 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
79
times performed,
3% of her services

6th 31st

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

67
patients got this service, 7% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$1,975an average of $25 per time performed $1,343
an average of $17 per time performed
SKIN, HAIR AND NAILS

Destruction of 2-14 skin growths

Service Code: 17003
Performed in a facility
54
times performed,
2% of her services

7th 23rd

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

16
patients got this service, 2% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$270an average of $5 per time performed $108
an average of $2 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
54
times performed,
2% of her services

8th 55th

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

54
patients got this service, 6% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,778an average of $107 per time performed $5,724
an average of $106 per time performed
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in a facility
31
times performed,
1% of her services

9th 46th

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

27
patients got this service, 3% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,736an average of $56 per time performed $992
an average of $32 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
20
times performed,
0.85% of her services

10th 80th

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

20
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$560an average of $28 per time performed $540
an average of $27 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
14
times performed,
0.6% of her services

11th 72nd

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

13
patients got this service, 1% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,386an average of $99 per time performed $588
an average of $42 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
13
times performed,
0.55% of her services

12th 20th

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

12
patients got this service, 1% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,404an average of $108 per time performed $1,079
an average of $83 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 a facility
12
times performed,
0.51% of her services

13th 59th

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

12
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,196an average of $183 per time performed $924
an average of $77 per time performed
PROCEDURES

Prostate cancer screening; digital rectal examination

Service Code: G0102
Performed in a facility
12
times performed,
0.51% of her services

14th Alert

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

12
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
$108an average of $9 per time performed $60
an average of $5 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 a facility
11
times performed,
0.47% of her services

15th 145th

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

11
patients got this service, 1% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,408an average of $128 per time performed $1,364
an average of $124 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.