Treatment Tracker

The Doctors and Services in Medicare Part B

This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.

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
537
Rank: 50th
out of 164 providers in this state & specialty
Services
Performed
1,936
Rank: 52nd
out of 164 providers in this state & specialty
Avg Services
Per Patient
3.6 This Provider
Avg 5.4
Total Paid
by Medicare
$104K
Rank: 42nd
out of 164 providers in this state & specialty
Avg Paid
Per Patient
$194 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 Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 49 different services in 2015
(31 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
793
times performed,
41% of his services

1st 2nd

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

282
patients got this service, 53% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.1)
$113,589.32an average of $143.24 per time performed $42,417.57
an average of $53.49 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
225
times performed,
12% of his services

2nd 4th

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

135
patients got this service, 25% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.9)
$14,823.00an average of $65.88 per time performed $8,068.50
an average of $35.86 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
223
times performed,
12% of his services

3rd 1st

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

81
patients got this service, 15% of his patients
2.8
average number of visits a patient made for this service
(Peers: 2.4)
$42,695.58an average of $191.46 per time performed $12,260.54
an average of $54.98 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
138
times performed,
7% of his services

4th 6th

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

125
patients got this service, 23% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$6,408.72an average of $46.44 per time performed $844.56
an average of $6.12 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
91
times performed,
5% of his services

5th 45th

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

29
patients got this service, 5% of his patients
3.1
average number of visits a patient made for this service
(Peers: 2.3)
$21,832.72an average of $239.92 per time performed $6,196.19
an average of $68.09 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
53
times performed,
3% of his services

6th 17th

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

49
patients got this service, 9% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$28,210.84an average of $532.28 per time performed $8,037.45
an average of $151.65 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care discharge

Service Code: 99217
Performed in a facility
46
times performed,
2% of his services

7th 37th

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

41
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$8,871.10an average of $192.85 per time performed $2,563.58
an average of $55.73 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, more than 30 minutes

Service Code: 99239
Performed in a facility
37
times performed,
2% of his services

8th 15th

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

32
patients got this service, 6% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$10,436.96an average of $282.08 per time performed $3,073.96
an average of $83.08 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital discharge day management, 30 minutes or less

Service Code: 99238
Performed in a facility
35
times performed,
2% of his services

9th 24th

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

29
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$6,661.90an average of $190.34 per time performed $1,971.55
an average of $56.33 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
31
times performed,
2% of his services

10th 55th

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

26
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$15,260.99an average of $492.29 per time performed $4,437.96
an average of $143.16 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 a facility
30
times performed,
2% of his services

11th 109th

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

30
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,539.90an average of $151.33 per time performed $1,500.60
an average of $50.02 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
29
times performed,
1% of his services

12th 23rd

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

26
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$6,598.95an average of $227.55 per time performed $1,932.56
an average of $66.64 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
23
times performed,
1% of his services

13th 31st

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

11
patients got this service, 2% of his patients
2.1
average number of visits a patient made for this service
(Peers: 2.9)
$4,070.08an average of $176.96 per time performed $833.75
an average of $36.25 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent observation care, typically 25 minutes per day +

Subsequent observation care, typically 25 minutes per day ×

Service Code: 99225
Performed in a facility
22
times performed,
1% of his services

14th 46th

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

19
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.5)
$4,257.00an average of $193.50 per time performed $1,178.10
an average of $53.55 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
20
times performed,
1% of his services

15th 21st

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

19
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$7,236.00an average of $361.80 per time performed $1,997.40
an average of $99.87 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 50 minutes

Service Code: 99219
Performed in a facility
16
times performed,
0.83% of his services

16th 61st

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

15
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$5,652.96an average of $353.31 per time performed $1,467.36
an average of $91.71 per time performed
medical
MUSCULOSKELETAL SYSTEM

Aspiration and/or injection of large joint or joint capsule +

Aspiration and/or injection of large joint or joint capsule ×

Service Code: 20610
Performed in a facility
16
times performed,
0.83% of his services

17th Alert

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

12
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
$848.00an average of $53.00 per time performed $476.16
an average of $29.76 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 a facility
11
times performed,
0.57% of his services

18th 89th

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)
$2,963.95an average of $269.45 per time performed $876.81
an average of $79.71 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.

This provider charged Medicare for a lower percentage of 5’s than his peers

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Samuel Maina Nyamu
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 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.

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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