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, $234 per patient in 2015.
They performed about 15 services per patient. Here’s how this provider compares.

Number of
Patients
358
Rank: 18th
out of 29 providers in this state & specialty
Services
Performed
16,426
Rank: 5th
out of 29 providers in this state & specialty
Avg Services
Per Patient
45.9 This Provider
Avg 15.1
Total Paid
by Medicare
$122K
Rank: 9th
out of 29 providers in this state & specialty
Avg Paid
Per Patient
$341 This Provider
Avg $234

Note: About 56% of this provider’s Medicare payments were for drugs administered in her 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 her Part B patients.

This Provider's Services

This provider performed 30 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
drug
DRUGS

Injection, onabotulinumtoxina, 1 unit

Service Code: J0585
Performed in an office
15,785
times performed,
96% of her services

1st 1st

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

30
patients got this service, 8% of her patients
2.6
average number of visits a patient made for this service
(Peers: 2.6)
$92,815.80an average of $5.88 per time performed $68,980.45
an average of $4.37 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
152
times performed,
0.93% of her services

2nd 2nd

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

124
patients got this service, 35% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$16,394.72an average of $107.86 per time performed $10,719.04
an average of $70.52 per time performed
medical

Injection of chemical for destruction of facial and neck ... +

Injection of chemical for destruction of facial and neck nerve muscles on both sides of face ×

Service Code: 64615
Performed in an office
79
times performed,
0.48% of her services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

30
patients got this service, 8% of her patients
2.6
average number of visits a patient made for this service
$11,512.67an average of $145.73 per time performed $7,202.43
an average of $91.17 per time performed
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
71
times performed,
0.43% of her services

4th 3rd

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

50
patients got this service, 14% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1.6)
$5,127.62an average of $72.22 per time performed $3,901.45
an average of $54.95 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
70
times performed,
0.43% of her services

5th 8th

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

70
patients got this service, 20% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$14,128.80an average of $201.84 per time performed $10,803.80
an average of $154.34 per time performed
medical
MEDICINE

Measurement and recording of brain wave (eeg) activity, a... +

Measurement and recording of brain wave (eeg) activity, awake and drowsy ×

Service Code: 95816
Performed in a facility
39
times performed,
0.24% of her services

6th 13th

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

39
patients got this service, 11% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,237.04an average of $57.36 per time performed $1,752.27
an average of $44.93 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
34
times performed,
0.21% of her services

7th 5th

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

34
patients got this service, 9% of her patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,441.54an average of $71.81 per time performed $1,561.62
an average of $45.93 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
31
times performed,
0.19% of her services

8th 9th

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

31
patients got this service, 9% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,283.70an average of $202.70 per time performed $4,670.77
an average of $150.67 per time performed
medical
MEDICINE

Measurement and recording of brain wave (eeg) activity, a... +

Measurement and recording of brain wave (eeg) activity, awake and asleep ×

Service Code: 95819
Performed in a facility
19
times performed,
0.12% of her services

9th 20th

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

18
patients got this service, 5% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,087.75an average of $57.25 per time performed $807.88
an average of $42.52 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
14
times performed,
0.09% of her services

10th 11th

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

14
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$2,060.66an average of $147.19 per time performed $1,346.94
an average of $96.21 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 a facility
13
times performed,
0.08% of her services

11th 24th

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

13
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,631.59an average of $202.43 per time performed $1,564.03
an average of $120.31 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.

Carol B Nelson
Average for Neurology Providers in South Dakota

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 ch[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.