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, $217 per patient in 2015.
They performed about 3 services per patient. Here’s how this provider compares.

Number of
Patients
1,315
Rank: 2nd
out of 27 providers in this state & specialty
Services
Performed
4,603
Rank: 1st
out of 27 providers in this state & specialty
Avg Services
Per Patient
3.5 This Provider
Avg 3.1
Total Paid
by Medicare
$262K
Rank: 2nd
out of 27 providers in this state & specialty
Avg Paid
Per Patient
$199 This Provider
Avg $217

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 46 different services in 2015
(19 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

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
1,391
times performed,
30% of his services

1st 2nd

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

405
patients got this service, 31% of his patients
3.4
average number of visits a patient made for this service
(Peers: 2.4)
$116,857.91an average of $84.01 per time performed $73,458.71
an average of $52.81 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
547
times performed,
12% of his services

2nd 7th

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

381
patients got this service, 29% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$66,208.88an average of $121.04 per time performed $38,465.04
an average of $70.32 per time performed
medical
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in an office
471
times performed,
10% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

362
patients got this service, 28% of his patients
1.3
average number of visits a patient made for this service
$30,615.00an average of $65.00 per time performed $8,642.85
an average of $18.35 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
367
times performed,
8% of his services

4th 8th

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

113
patients got this service, 9% of his patients
3.2
average number of visits a patient made for this service
(Peers: 1.9)
$44,040.00an average of $120.00 per time performed $28,192.94
an average of $76.82 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
319
times performed,
7% of his services

5th 10th

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

232
patients got this service, 18% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$26,177.14an average of $82.06 per time performed $15,222.68
an average of $47.72 per time performed
medical
MEDICINE

Measurement and graphic recording of total and timed exha... +

Measurement and graphic recording of total and timed exhaled air capacity ×

Service Code: 94010
Performed in an office
228
times performed,
5% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

218
patients got this service, 17% of his patients
1
average number of visits a patient made for this service
$13,224.00an average of $58.00 per time performed $5,567.76
an average of $24.42 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
165
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

165
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
$38,610.00an average of $234.00 per time performed $23,923.35
an average of $144.99 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
137
times performed,
3% of his services

8th 13th

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

137
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$31,784.00an average of $232.00 per time performed $20,212.98
an average of $147.54 per time performed
medical
MEDICINE

Determination of lung volumes using gas dilution or washout +

Determination of lung volumes using gas dilution or washout ×

Service Code: 94727
Performed in a facility
133
times performed,
3% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

132
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
$5,539.45an average of $41.65 per time performed $1,185.03
an average of $8.91 per time performed
medical
MEDICINE

Measurement of lung diffusing capacity

Service Code: 94729
Performed in a facility
119
times performed,
3% of his services

10th 4th

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

119
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,712.00an average of $48.00 per time performed $787.78
an average of $6.62 per time performed
medical
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
116
times performed,
3% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

115
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
$18,560.00an average of $160.00 per time performed $10,971.28
an average of $94.58 per time performed
medical
MEDICINE

Measurement and graphic recording of total and timed exha... +

Measurement and graphic recording of total and timed exhaled air capacity ×

Service Code: 94010
Performed in a facility
79
times performed,
2% of his services

12th 9th

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

79
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,199.64an average of $53.16 per time performed $479.53
an average of $6.07 per time performed
medical
MEDICINE

Measurement and graphic recording of the amount and speed... +

Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration ×

Service Code: 94060
Performed in a facility
64
times performed,
1% of his services

13th 11th

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

63
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,264.96an average of $66.64 per time performed $586.88
an average of $9.17 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
54
times performed,
1% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

54
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$1,350.00an average of $25.00 per time performed $1,209.60
an average of $22.40 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
49
times performed,
1% of his services

15th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

49
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$9,800.00an average of $200.00 per time performed $8,126.65
an average of $165.85 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
45
times performed,
0.98% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

44
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$7,290.00an average of $162.00 per time performed $4,556.25
an average of $101.25 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
36
times performed,
0.78% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

36
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$900.00an average of $25.00 per time performed $811.08
an average of $22.53 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
36
times performed,
0.78% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

36
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$720.00an average of $20.00 per time performed $558.36
an average of $15.51 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
30
times performed,
0.65% of his services

19th 27th

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

30
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$1,500.00an average of $50.00 per time performed $854.70
an average of $28.49 per time performed
medical
EVALUATION AND MANAGEMENT

Critical care delivery critically ill or injured patient,... +

Critical care delivery critically ill or injured patient, first 30-74 minutes ×

Service Code: 99291
Performed in a facility
26
times performed,
0.56% of his services

20th 1st

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

25
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 2.1)
$10,140.00an average of $390.00 per time performed $4,161.04
an average of $160.04 per time performed
medical
RESPIRATORY SYSTEM

Biopsy of one lobe of lung using an endoscope

Service Code: 31628
Performed in a facility
23
times performed,
0.5% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

23
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$12,190.00an average of $530.00 per time performed $2,922.84
an average of $127.08 per time performed
medical
RADIOLOGY

X-ray of paranasal sinus, complete, minimum of 3 views

Service Code: 70220
Performed in an office
16
times performed,
0.35% of his services

22nd 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, 0.99% of his patients
1.2
average number of visits a patient made for this service
$1,120.00an average of $70.00 per time performed $368.48
an average of $23.03 per time performed
medical
MEDICINE

Single measurement of remaining air or lung capacity afte... +

Single measurement of remaining air or lung capacity after exhalation ×

Service Code: 94250
Performed in a facility
15
times performed,
0.33% of his services

23rd 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, 1% of his patients
1.1
average number of visits a patient made for this service
$270.00an average of $18.00 per time performed $60.15
an average of $4.01 per time performed
medical
RESPIRATORY SYSTEM

Diagnostic examination of lung airways using an endoscope +

Diagnostic examination of lung airways using an endoscope ×

Service Code: 31622
Performed in a facility
15
times performed,
0.33% of his services

24th 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, 0.91% of his patients
1.3
average number of visits a patient made for this service
$7,200.00an average of $480.00 per time performed $1,668.15
an average of $111.21 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
14
times performed,
0.3% of his services

25th 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, 1% of his patients
1
average number of visits a patient made for this service
$2,604.00an average of $186.00 per time performed $1,605.38
an average of $114.67 per time performed
medical
RESPIRATORY SYSTEM

Biopsy of lung airways using an endoscope

Service Code: 31625
Performed in a facility
13
times performed,
0.28% of his services

26th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 0.84% of his patients
1.2
average number of visits a patient made for this service
$7,410.00an average of $570.00 per time performed $1,701.57
an average of $130.89 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 30 minutes per... +

Initial hospital inpatient care, typically 30 minutes per day ×

Service Code: 99221
Performed in a facility
11
times performed,
0.24% of his services

27th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 0.84% of his patients
1
average number of visits a patient made for this service
$1,276.00an average of $116.00 per time performed $838.86
an average of $76.26 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.

Wallace Dale Prophet
Average for Pulmonary Disease 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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