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, $200 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
586
Rank: 42nd
out of 164 providers in this state & specialty
Services
Performed
3,181
Rank: 27th
out of 164 providers in this state & specialty
Avg Services
Per Patient
5.4 This Provider
Avg 5.4
Total Paid
by Medicare
$130K
Rank: 25th
out of 164 providers in this state & specialty
Avg Paid
Per Patient
$223 This Provider
Avg $200

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 85 different services in 2015
(50 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

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
338
times performed,
11% of his services

1st 2nd

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

199
patients got this service, 34% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.1)
$35,892.22an average of $106.19 per time performed $19,401.20
an average of $57.40 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in an office
322
times performed,
10% of his services

2nd 53rd

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

91
patients got this service, 16% of his patients
3.5
average number of visits a patient made for this service
(Peers: 3.2)
$32,058.32an average of $99.56 per time performed $12,622.40
an average of $39.20 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of 2-14 skin growths

Service Code: 17003
Performed in a facility
282
times performed,
9% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

34
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
$1,553.82an average of $5.51 per time performed $473.76
an average of $1.68 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in a facility
209
times performed,
7% of his services

4th 31st

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

54
patients got this service, 9% of his patients
3.9
average number of visits a patient made for this service
(Peers: 2.9)
$14,897.52an average of $71.28 per time performed $10,700.80
an average of $51.20 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
202
times performed,
6% of his services

5th 3rd

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

117
patients got this service, 20% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.3)
$3,232.00an average of $16.00 per time performed $591.86
an average of $2.93 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 a facility
197
times performed,
6% of his services

6th 4th

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

151
patients got this service, 26% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$14,115.05an average of $71.65 per time performed $7,184.59
an average of $36.47 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
180
times performed,
6% of his services

7th 7th

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

58
patients got this service, 10% of his patients
3.1
average number of visits a patient made for this service
(Peers: 1.9)
$27,415.80an average of $152.31 per time performed $13,734.00
an average of $76.30 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
139
times performed,
4% of his services

8th 8th

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

83
patients got this service, 14% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.9)
$20,116.08an average of $144.72 per time performed $7,646.39
an average of $55.01 per time performed
medical
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
133
times performed,
4% of his services

9th 6th

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

118
patients got this service, 20% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$1,513.54an average of $11.38 per time performed $815.29
an average of $6.13 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in a facility
100
times performed,
3% of his services

10th 45th

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

37
patients got this service, 6% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.3)
$9,131.00an average of $91.31 per time performed $6,805.00
an average of $68.05 per time performed
medical
EVALUATION AND MANAGEMENT

Emergency department visit, moderately severe problem

Service Code: 99283
Performed in a facility
69
times performed,
2% of his services

11th 57th

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

67
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$23,925.06an average of $346.74 per time performed $2,962.17
an average of $42.93 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in an office
68
times performed,
2% of his services

12th 59th

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

42
patients got this service, 7% of his patients
1.6
average number of visits a patient made for this service
(Peers: 2.6)
$8,398.68an average of $123.51 per time performed $3,844.04
an average of $56.53 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
61
times performed,
2% of his services

13th 16th

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

16
patients got this service, 3% of his patients
3.8
average number of visits a patient made for this service
(Peers: 5.4)
$2,235.04an average of $36.64 per time performed $319.64
an average of $5.24 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81000
Performed in an office
60
times performed,
2% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

53
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
$1,740.00an average of $29.00 per time performed $253.20
an average of $4.22 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
49
times performed,
2% of his services

15th 17th

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

45
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$14,120.33an average of $288.17 per time performed $6,923.21
an average of $141.29 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 a facility
47
times performed,
1% of his services

16th 23rd

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

46
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$6,711.60an average of $142.80 per time performed $3,866.22
an average of $82.26 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 a facility
45
times performed,
1% of his services

17th 41st

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

41
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$1,940.40an average of $43.12 per time performed $850.05
an average of $18.89 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
42
times performed,
1% of his services

18th 36th

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

42
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.9)
$8,190.00an average of $195.00 per time performed $2,615.34
an average of $62.27 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in a facility
40
times performed,
1% of his services

19th 110th

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

34
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$2,614.40an average of $65.36 per time performed $1,544.40
an average of $38.61 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
39
times performed,
1% of his services

20th 15th

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

34
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$6,534.06an average of $167.54 per time performed $3,087.24
an average of $79.16 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
34
times performed,
1% of his services

21st 1st

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

20
patients got this service, 3% of his patients
1.7
average number of visits a patient made for this service
(Peers: 2.4)
$2,738.36an average of $80.54 per time performed $1,833.96
an average of $53.94 per time performed
medical
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
30
times performed,
0.94% of his services

22nd 14th

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

25
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.7)
$1,089.00an average of $36.30 per time performed $300.60
an average of $10.02 per time performed
medical
EVALUATION AND MANAGEMENT

Emergency department visit, problem of high severity

Service Code: 99284
Performed in a facility
28
times performed,
0.88% of his services

23rd 58th

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

28
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$11,720.24an average of $418.58 per time performed $2,054.92
an average of $73.39 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
27
times performed,
0.85% of his services

24th 24th

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

25
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$2,569.32an average of $95.16 per time performed $1,468.80
an average of $54.40 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
27
times performed,
0.85% of his services

25th 11th

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

11
patients got this service, 2% of his patients
2.5
average number of visits a patient made for this service
(Peers: 2)
$1,794.69an average of $66.47 per time performed $781.92
an average of $28.96 per time performed
medical
RADIOLOGY

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

Service Code: 71020
Performed in a facility
25
times performed,
0.79% of his services

26th 71st

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

25
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$271.75an average of $10.87 per time performed $190.00
an average of $7.60 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in an office
23
times performed,
0.72% of his services

27th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

23
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$5,211.11an average of $226.57 per time performed $2,387.63
an average of $103.81 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
22
times performed,
0.69% of his services

28th 5th

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

19
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.3)
$2,090.00an average of $95.00 per time performed $684.64
an average of $31.12 per time performed
medical
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring and physician supervision ×

Service Code: 93016
Performed in a facility
20
times performed,
0.63% of his services

29th 94th

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

19
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,281.40an average of $64.07 per time performed $302.00
an average of $15.10 per time performed
medical
MEDICINE

Exercise or drug-induced heart and blood vessel stress te... +

Exercise or drug-induced heart and blood vessel stress test with ekg monitoring, physician interpretation and report ×

Service Code: 93018
Performed in a facility
20
times performed,
0.63% of his services

30th 74th

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

19
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$1,349.80an average of $67.49 per time performed $197.60
an average of $9.88 per time performed
medical
MEDICINE

Routine ekg using at least 12 leads including interpretat... +

Routine ekg using at least 12 leads including interpretation and report ×

Service Code: 93000
Performed in an office
20
times performed,
0.63% of his services

31st 38th

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

17
patients got this service, 3% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$1,760.00an average of $88.00 per time performed $173.80
an average of $8.69 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
15
times performed,
0.47% of his services

32nd 37th

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

15
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,392.30an average of $92.82 per time performed $812.25
an average of $54.15 per time performed
medical
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 an office
14
times performed,
0.44% of his services

33rd 47th

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

14
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,850.00an average of $275.00 per time performed $1,524.88
an average of $108.92 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in a facility
13
times performed,
0.41% of his services

34th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

13
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$2,126.93an average of $163.61 per time performed $1,617.72
an average of $124.44 per time performed
drug
DRUGS

Injection, methylprednisolone acetate, 80 mg

Service Code: J1040
Performed in an office
11
times performed,
0.35% of his services

35th 81st

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

11
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$374.00an average of $34.00 per time performed $28.93
an average of $2.63 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.

Darrell W Plumage
Average for Internal Medicine 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 [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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