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, $377 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
461
Rank: 20th
out of 75 providers in this state & specialty
Services
Performed
1,768
Rank: 35th
out of 75 providers in this state & specialty
Avg Services
Per Patient
3.8 This Provider
Avg 5.1
Total Paid
by Medicare
$183K
Rank: 21st
out of 75 providers in this state & specialty
Avg Paid
Per Patient
$396 This Provider
Avg $377

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 117 different services in 2015
(87 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
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in a facility
145
times performed,
8% of his services

1st 16th

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

95
patients got this service, 21% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$1,312.25an average of $9.05 per time performed $942.50
an average of $6.50 per time performed
drug
DRUGS

Injection, triamcinolone acetonide, not otherwise specif... +

Injection, triamcinolone acetonide, not otherwise specified, 10 mg ×

Service Code: J3301
Performed in an office
140
times performed,
8% of his services

2nd 1st

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

15
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$233.80an average of $1.67 per time performed $175.00
an average of $1.25 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
123
times performed,
7% of his services

3rd 33rd

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

107
patients got this service, 23% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$5,557.14an average of $45.18 per time performed $2,170.95
an average of $17.65 per time performed
medical
RADIOLOGY

X-ray of both knees, standing, front to back view

Service Code: 73565
Performed in a facility
118
times performed,
7% of his services

4th 30th

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

88
patients got this service, 19% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$1,067.90an average of $9.05 per time performed $764.64
an average of $6.48 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
90
times performed,
5% of his services

5th 6th

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

80
patients got this service, 17% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$6,456.60an average of $71.74 per time performed $3,336.30
an average of $37.07 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in a facility
86
times performed,
5% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

68
patients got this service, 15% of his patients
1.3
average number of visits a patient made for this service
$959.76an average of $11.16 per time performed $717.24
an average of $8.34 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
71
times performed,
4% of his services

7th 15th

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

60
patients got this service, 13% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$4,781.85an average of $67.35 per time performed $2,382.76
an average of $33.56 per time performed
medical
RADIOLOGY

X-ray of ribs of one side of body, minimum of 2 views

Service Code: 73510
Performed in a facility
59
times performed,
3% of his services

8th 22nd

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

47
patients got this service, 10% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$640.15an average of $10.85 per time performed $477.90
an average of $8.10 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, minimum of 4 views

Service Code: 72110
Performed in a facility
48
times performed,
3% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

48
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
$756.00an average of $15.75 per time performed $580.32
an average of $12.09 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 a facility
40
times performed,
2% of his services

10th 25th

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

40
patients got this service, 9% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$4,232.80an average of $105.82 per time performed $2,418.40
an average of $60.46 per time performed
medical
RADIOLOGY

X-ray of lower and sacral spine, 2 or 3 views

Service Code: 72100
Performed in an office
37
times performed,
2% of his services

11th 26th

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

23
patients got this service, 5% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.2)
$973.47an average of $26.31 per time performed $763.31
an average of $20.63 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
36
times performed,
2% of his services

12th 7th

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

27
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$1,680.12an average of $46.67 per time performed $1,000.80
an average of $27.80 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
31
times performed,
2% of his services

13th 42nd

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

31
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,010.22an average of $161.62 per time performed $3,028.08
an average of $97.68 per time performed
medical
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
31
times performed,
2% of his services

14th 19th

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

29
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$40,424.00an average of $1,304.00 per time performed $31,111.91
an average of $1,003.61 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in a facility
30
times performed,
2% of his services

15th 23rd

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

23
patients got this service, 5% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$285.60an average of $9.52 per time performed $216.30
an average of $7.21 per time performed
medical
NERVOUS SYSTEM

Partial removal of spine bone with release of spinal cord... +

Partial removal of spine bone with release of spinal cord and/or nerves ×

Service Code: 63048
Performed in a facility
30
times performed,
2% of his services

16th 62nd

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

20
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,010.80an average of $200.36 per time performed $4,712.40
an average of $157.08 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
29
times performed,
2% of his services

17th 24th

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

22
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$267.38an average of $9.22 per time performed $195.75
an average of $6.75 per time performed
medical
NERVOUS SYSTEM

Partial removal of middle spine bone with release of spin... +

Partial removal of middle spine bone with release of spinal cord and/or nerves ×

Service Code: 63047
Performed in a facility
28
times performed,
2% of his services

18th 55th

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

28
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$36,149.12an average of $1,291.04 per time performed $15,665.44
an average of $559.48 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 an office
23
times performed,
1% of his services

19th 4th

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

15
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$2,099.90an average of $91.30 per time performed $1,065.36
an average of $46.32 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,
1% of his services

20th 3rd

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

22
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$1,616.12an average of $73.46 per time performed $1,048.52
an average of $47.66 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
22
times performed,
1% of his services

21st 8th

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

22
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,418.24an average of $109.92 per time performed $1,694.44
an average of $77.02 per time performed
medical
RADIOLOGY

X-ray of both knees, standing, front to back view

Service Code: 73565
Performed in an office
22
times performed,
1% of his services

22nd 47th

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: 1.1)
$203.72an average of $9.26 per time performed $152.46
an average of $6.93 per time performed
medical
MUSCULOSKELETAL SYSTEM

Fusion of lower spine bones, posterior or posterolateral ... +

Fusion of lower spine bones, posterior or posterolateral approach ×

Service Code: 22612
Performed in a facility
20
times performed,
1% of his services

23rd 71st

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

20
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$30,614.80an average of $1,530.74 per time performed $23,229.60
an average of $1,161.48 per time performed
medical
HEMIC AND LYMPHATIC SYSTEMS

Bone marrow aspiration

Service Code: 38220
Performed in a facility
20
times performed,
1% of his services

24th 77th

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

20
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,328.00an average of $66.40 per time performed $474.00
an average of $23.70 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
19
times performed,
1% of his services

25th 20th

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

19
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,987.40an average of $104.60 per time performed $993.32
an average of $52.28 per time performed
medical
MUSCULOSKELETAL SYSTEM

Insertion of posterior spinal instrumentation at base of ... +

Insertion of posterior spinal instrumentation at base of neck for stabilization, 1 interspace ×

Service Code: 22840
Performed in a facility
14
times performed,
0.79% of his services

26th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$13,229.16an average of $944.94 per time performed $7,049.14
an average of $503.51 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
13
times performed,
0.74% of his services

27th 34th

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

13
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,101.84an average of $161.68 per time performed $1,647.75
an average of $126.75 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
11
times performed,
0.62% of his services

28th 65th

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)
$1,647.36an average of $149.76 per time performed $990.66
an average of $90.06 per time performed
medical
MUSCULOSKELETAL SYSTEM

Replacement of thigh bone and hip joint prosthesis

Service Code: 27130
Performed in a facility
11
times performed,
0.62% of his services

29th 31st

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)
$14,125.54an average of $1,284.14 per time performed $11,074.47
an average of $1,006.77 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 2... +

New patient office or other outpatient visit, typically 20 minutes ×

Service Code: 99202
Performed in a facility
11
times performed,
0.62% of his services

30th 72nd

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)
$806.74an average of $73.34 per time performed $384.45
an average of $34.95 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.

James Brian Macdougall
Average for Orthopaedic Surgery 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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