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, $265 per patient in 2015.
They performed about 6 services per patient. Here’s how this provider compares.

Number of
Patients
770
Rank: 5th
out of 26 providers in this state & specialty
Services
Performed
9,287
Rank: 5th
out of 26 providers in this state & specialty
Avg Services
Per Patient
12.1 This Provider is in the top 10%
Avg 6.5
Total Paid
by Medicare
$270K
Rank: 5th
out of 26 providers in this state & specialty
Avg Paid
Per Patient
$351 This Provider
Avg $265

Note: About 19% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.

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 96 different services in 2015
(72 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
drug
DRUGS

Injection, onabotulinumtoxina, 1 unit

Service Code: J0585
Performed in an office
2,800
times performed,
30% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$22,400.00an average of $8.00 per time performed $12,208.00
an average of $4.36 per time performed
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
502
times performed,
5% of his services

2nd 2nd

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

364
patients got this service, 47% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$71,565.12an average of $142.56 per time performed $23,066.90
an average of $45.95 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
373
times performed,
4% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

267
patients got this service, 35% of his patients
1.4
average number of visits a patient made for this service
$4,849.00an average of $13.00 per time performed $1,540.49
an average of $4.13 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
301
times performed,
3% of his services

4th 7th

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

231
patients got this service, 30% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$64,531.39an average of $214.39 per time performed $22,258.95
an average of $73.95 per time performed
medical
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
294
times performed,
3% of his services

5th 16th

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

219
patients got this service, 28% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$1,552.32an average of $5.28 per time performed $855.54
an average of $2.91 per time performed
medical
PATHOLOGY AND LABORATORY

Psa (prostate specific antigen) measurement

Service Code: 84153
Performed in an office
286
times performed,
3% of his services

6th 14th

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

212
patients got this service, 28% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$18,018.00an average of $63.00 per time performed $6,969.82
an average of $24.37 per time performed
medical
URINARY SYSTEM

Diagnostic examination of the bladder and bladder canal (... +

Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope ×

Service Code: 52000
Performed in an office
227
times performed,
2% of his services

7th 11th

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

168
patients got this service, 22% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$119,402.00an average of $526.00 per time performed $34,701.49
an average of $152.87 per time performed
medical
URINARY SYSTEM

Ultrasound measurement of bladder capacity after voiding +

Ultrasound measurement of bladder capacity after voiding ×

Service Code: 51798
Performed in an office
175
times performed,
2% of his services

8th 4th

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

139
patients got this service, 18% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$8,225.00an average of $47.00 per time performed $2,453.50
an average of $14.02 per time performed
drug
CHEMOTHERAPY DRUGS

Leuprolide acetate (for depot suspension), 7.5 mg

Service Code: J9217
Performed in an office
157
times performed,
2% of his services

9th 12th

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

23
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$58,247.00an average of $371.00 per time performed $28,636.80
an average of $182.40 per time performed
medical
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 an office
88
times performed,
0.95% of his services

10th 27th

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

80
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$25,389.76an average of $288.52 per time performed $9,363.20
an average of $106.40 per time performed
medical
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
87
times performed,
0.94% of his services

11th 15th

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

87
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$28,660.41an average of $329.43 per time performed $10,060.68
an average of $115.64 per time performed
medical
RADIOLOGY

Ultrasound of rectum

Service Code: 76872
Performed in an office
64
times performed,
0.69% of his services

12th 25th

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

64
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,832.00an average of $263.00 per time performed $4,601.60
an average of $71.90 per time performed
medical
URINARY SYSTEM

Laser fragmentation of prostate tissue with control of bl... +

Laser fragmentation of prostate tissue with control of bleeding using an endoscope ×

Service Code: 52649
Performed in a facility
57
times performed,
0.61% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

57
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$148,955.25an average of $2,613.25 per time performed $37,290.54
an average of $654.22 per time performed
medical
URINARY SYSTEM

Insertion of stent in urinary duct (ureter) using an endo... +

Insertion of stent in urinary duct (ureter) using an endoscope ×

Service Code: 52332
Performed in a facility
36
times performed,
0.39% of his services

14th 23rd

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

27
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$16,967.88an average of $471.33 per time performed $3,830.40
an average of $106.40 per time performed
medical
MEDICINE

Hormonal anti-neoplastic chemotherapy administration bene... +

Hormonal anti-neoplastic chemotherapy administration beneath the skin or into muscle ×

Service Code: 96402
Performed in an office
31
times performed,
0.33% of his services

15th 20th

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

23
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$2,161.94an average of $69.74 per time performed $787.09
an average of $25.39 per time performed
medical
MALE GENITAL SYSTEM

Biopsy of prostate gland

Service Code: 55700
Performed in an office
25
times performed,
0.27% of his services

16th 34th

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

25
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,475.00an average of $579.00 per time performed $3,963.50
an average of $158.54 per time performed
medical
RADIOLOGY

Ultrasonic guidance imaging supervision and interpretatio... +

Ultrasonic guidance imaging supervision and interpretation for insertion of needle ×

Service Code: 76942
Performed in an office
25
times performed,
0.27% of his services

17th 33rd

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

25
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$8,825.00an average of $353.00 per time performed $1,190.50
an average of $47.62 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
22
times performed,
0.24% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
$1,639.00an average of $74.50 per time performed $670.34
an average of $30.47 per time performed
medical
URINARY SYSTEM

Insertion of indwelling bladder catheter

Service Code: 51702
Performed in an office
17
times performed,
0.18% of his services

19th 28th

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

14
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.3)
$3,247.00an average of $191.00 per time performed $841.84
an average of $49.52 per time performed
medical
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,
0.17% of his services

20th 24th

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

13
patients got this service, 2% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$1,296.00an average of $81.00 per time performed $413.28
an average of $25.83 per time performed
medical

Examination with injections of chemical for destruction o... +

Examination with injections of chemical for destruction of bladder using an endoscope ×

Service Code: 52287
Performed in an office
14
times performed,
0.15% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$10,962.00an average of $783.00 per time performed $3,465.56
an average of $247.54 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 3... +

New patient office or other outpatient visit, typically 30 minutes ×

Service Code: 99203
Performed in an office
13
times performed,
0.14% of his services

22nd 37th

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,709.98an average of $208.46 per time performed $969.15
an average of $74.55 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
12
times performed,
0.13% of his services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$4,944.00an average of $412.00 per time performed $1,822.80
an average of $151.90 per time performed
medical
URINARY SYSTEM

Shock wave crushing of kidney stones

Service Code: 50590
Performed in a facility
11
times performed,
0.12% of his services

24th 54th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$20,356.05an average of $1,850.55 per time performed $5,750.03
an average of $522.73 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.

Garrick R Simmons
Average for Urology 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.

Read our methodology.