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
1,231
Rank: 5th
out of 164 providers in this state & specialty
Services
Performed
6,288
Rank: 17th
out of 164 providers in this state & specialty
Avg Services
Per Patient
5.1 This Provider
Avg 5.4
Total Paid
by Medicare
$143K
Rank: 22nd
out of 164 providers in this state & specialty
Avg Paid
Per Patient
$116 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 184 different services in 2015
(139 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
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
937
times performed,
15% of his services

1st 3rd

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

534
patients got this service, 43% of his patients
1.8
average number of visits a patient made for this service
(Peers: 2.3)
$6,559.00an average of $7.00 per time performed $2,736.04
an average of $2.92 per time performed
drug
DRUGS

Injection, denosumab, 1 mg

Service Code: J0897
Performed in an office
721
times performed,
11% of his services

2nd 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, 1% of his patients
1
average number of visits a patient made for this service
$10,815.00an average of $15.00 per time performed $8,255.45
an average of $11.45 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
449
times performed,
7% of his services

3rd 13th

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

345
patients got this service, 28% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$19,756.00an average of $44.00 per time performed $5,347.59
an average of $11.91 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
402
times performed,
6% of his services

4th 2nd

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

293
patients got this service, 24% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.1)
$34,170.00an average of $85.00 per time performed $23,681.82
an average of $58.91 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
330
times performed,
5% of his services

5th 5th

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

231
patients got this service, 19% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.3)
$41,438.10an average of $125.57 per time performed $11,800.80
an average of $35.76 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
278
times performed,
4% of his services

6th 4th

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

221
patients got this service, 18% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.9)
$15,290.00an average of $55.00 per time performed $10,416.66
an average of $37.47 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
231
times performed,
4% of his services

7th 18th

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

222
patients got this service, 18% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$12,705.00an average of $55.00 per time performed $3,331.02
an average of $14.42 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
229
times performed,
4% of his services

8th 14th

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

143
patients got this service, 12% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.7)
$7,328.00an average of $32.00 per time performed $2,349.54
an average of $10.26 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
206
times performed,
3% of his services

9th 16th

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

54
patients got this service, 4% of his patients
3.8
average number of visits a patient made for this service
(Peers: 5.4)
$3,296.00an average of $16.00 per time performed $1,079.44
an average of $5.24 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
195
times performed,
3% of his services

10th 8th

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

166
patients got this service, 13% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.9)
$34,996.65an average of $179.47 per time performed $11,974.95
an average of $61.41 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
189
times performed,
3% of his services

11th 20th

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

135
patients got this service, 11% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.9)
$7,371.00an average of $39.00 per time performed $2,334.15
an average of $12.35 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in an office
164
times performed,
3% of his services

12th 48th

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

164
patients got this service, 13% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,467.72an average of $57.73 per time performed $3,286.56
an average of $20.04 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77080
Performed in a facility
149
times performed,
2% of his services

13th 40th

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

149
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,604.31an average of $24.19 per time performed $1,481.06
an average of $9.94 per time performed
medical
PATHOLOGY AND LABORATORY

Thyroxine (thyroid chemical) measurement

Service Code: 84439
Performed in an office
106
times performed,
2% of his services

14th 63rd

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

94
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$3,074.00an average of $29.00 per time performed $999.58
an average of $9.43 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
101
times performed,
2% of his services

15th 25th

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

94
patients got this service, 8% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$7,070.00an average of $70.00 per time performed $2,241.19
an average of $22.19 per time performed
medical
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
100
times performed,
2% of his services

16th 97th

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

51
patients got this service, 4% of his patients
2
average number of visits a patient made for this service
(Peers: 1.4)
$2,800.00an average of $28.00 per time performed $866.00
an average of $8.66 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
83
times performed,
1% of his services

17th 19th

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

59
patients got this service, 5% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2)
$2,905.00an average of $35.00 per time performed $897.23
an average of $10.81 per time performed
medical
PATHOLOGY AND LABORATORY

Phosphate level

Service Code: 84100
Performed in an office
69
times performed,
1% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

39
patients got this service, 3% of his patients
1.8
average number of visits a patient made for this service
$1,380.00an average of $20.00 per time performed $255.30
an average of $3.70 per time performed
medical
RADIOLOGY

Computer analysis of screening mammogram to assist detect... +

Computer analysis of screening mammogram to assist detection of cancer ×

Service Code: 77052
Performed in an office
68
times performed,
1% of his services

19th 73rd

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

68
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,224.00an average of $18.00 per time performed $361.76
an average of $5.32 per time performed
medical
PROCEDURES

Screening mammography, producing direct digital image, bi... +

Screening mammography, producing direct digital image, bilateral, all views ×

Service Code: G0202
Performed in an office
68
times performed,
1% of his services

20th 62nd

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

68
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$16,252.00an average of $239.00 per time performed $6,512.36
an average of $95.77 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
60
times performed,
0.95% of his services

21st 6th

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

59
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$550.20an average of $9.17 per time performed $396.00
an average of $6.60 per time performed
medical
PATHOLOGY AND LABORATORY

Manual urinalysis test with examination using microscope +

Manual urinalysis test with examination using microscope ×

Service Code: 81001
Performed in an office
60
times performed,
0.95% of his services

22nd 22nd

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

46
patients got this service, 4% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$780.00an average of $13.00 per time performed $253.20
an average of $4.22 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: 85027
Performed in an office
59
times performed,
0.94% of his services

23rd 29th

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

54
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$1,593.00an average of $27.00 per time performed $500.32
an average of $8.48 per time performed
medical
PATHOLOGY AND LABORATORY

Uric acid level, blood

Service Code: 84550
Performed in an office
59
times performed,
0.94% of his services

24th 104th

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

37
patients got this service, 3% of his patients
1.6
average number of visits a patient made for this service
(Peers: 1.2)
$1,121.00an average of $19.00 per time performed $198.24
an average of $3.36 per time performed
medical
PATHOLOGY AND LABORATORY

Creatinine level to test for kidney function or muscle in... +

Creatinine level to test for kidney function or muscle injury ×

Service Code: 82570
Performed in an office
43
times performed,
0.68% of his services

25th 92nd

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

43
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$903.00an average of $21.00 per time performed $296.70
an average of $6.90 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
43
times performed,
0.68% of his services

26th 101st

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

43
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,032.00an average of $24.00 per time performed $331.53
an average of $7.71 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
41
times performed,
0.65% of his services

27th 38th

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

40
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,722.00an average of $42.00 per time performed $470.27
an average of $11.47 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
36
times performed,
0.57% of his services

28th 89th

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

36
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$5,149.08an average of $143.03 per time performed $3,351.60
an average of $93.10 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
35
times performed,
0.56% of his services

29th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

35
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
$9,905.00an average of $283.00 per time performed $2,985.85
an average of $85.31 per time performed
medical
PATHOLOGY AND LABORATORY

Natriuretic peptide (heart and blood vessel protein) level +

Natriuretic peptide (heart and blood vessel protein) level ×

Service Code: 83880
Performed in an office
34
times performed,
0.54% of his services

30th 67th

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

22
patients got this service, 2% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.8)
$4,760.00an average of $140.00 per time performed $1,539.18
an average of $45.27 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood cell sedimentation rate, to detect inflammation +

Red blood cell sedimentation rate, to detect inflammation ×

Service Code: 85652
Performed in an office
31
times performed,
0.49% of his services

31st 69th

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

27
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$341.00an average of $11.00 per time performed $111.91
an average of $3.61 per time performed
medical
MEDICINE

Injection beneath the skin or into muscle for therapy, di... +

Injection beneath the skin or into muscle for therapy, diagnosis, or prevention ×

Service Code: 96372
Performed in an office
23
times performed,
0.37% of his services

32nd 27th

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

16
patients got this service, 1% of his patients
1.4
average number of visits a patient made for this service
(Peers: 2.3)
$1,357.00an average of $59.00 per time performed $394.91
an average of $17.17 per time performed
medical
MEDICINE

Ultrasound examination of heart including color-depicted ... +

Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function ×

Service Code: 93306
Performed in an office
21
times performed,
0.33% of his services

33rd 141st

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

21
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,623.00an average of $363.00 per time performed $2,350.53
an average of $111.93 per time performed
medical
PATHOLOGY AND LABORATORY

Measurement c-reactive protein for detection of infection... +

Measurement c-reactive protein for detection of infection or inflammation ×

Service Code: 86141
Performed in an office
21
times performed,
0.33% of his services

34th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

17
patients got this service, 1% of his patients
1.2
average number of visits a patient made for this service
$1,113.00an average of $53.00 per time performed $362.67
an average of $17.27 per time performed
medical
RADIOLOGY

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

Service Code: 71020
Performed in an office
17
times performed,
0.27% of his services

35th 39th

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

17
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$867.00an average of $51.00 per time performed $204.17
an average of $12.01 per time performed
medical
DIGESTIVE SYSTEM

Biopsy of large bowel using an endoscope

Service Code: 45380
Performed in a facility
16
times performed,
0.25% of his services

36th 142nd

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,696.00an average of $1,106.00 per time performed $1,636.16
an average of $102.26 per time performed
medical
RADIOLOGY

Bone density measurement using dedicated x-ray machine

Service Code: 77081
Performed in an office
16
times performed,
0.25% of his services

37th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

16
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$432.00an average of $27.00 per time performed $170.40
an average of $10.65 per time performed
medical
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
15
times performed,
0.24% of his services

38th 116th

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

11
patients got this service, 0.89% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.5)
$510.00an average of $34.00 per time performed $120.15
an average of $8.01 per time performed
medical
MEDICINE

Routine electrocardiogram (ekg) with tracing using at lea... +

Routine electrocardiogram (ekg) with tracing using at least 12 leads ×

Service Code: 93005
Performed in an office
14
times performed,
0.22% of his services

39th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 0.97% of his patients
1.2
average number of visits a patient made for this service
$322.00an average of $23.00 per time performed $77.14
an average of $5.51 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
13
times performed,
0.21% of his services

40th 23rd

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

13
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,560.00an average of $120.00 per time performed $1,114.36
an average of $85.72 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 supervision, interpretation, and report ×

Service Code: 93015
Performed in an office
12
times performed,
0.19% of his services

41st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 0.97% of his patients
1
average number of visits a patient made for this service
$2,256.00an average of $188.00 per time performed $570.48
an average of $47.54 per time performed
medical
RADIOLOGY

Nuclear medicine study of vessels of heart using drugs or... +

Nuclear medicine study of vessels of heart using drugs or exercise multiple studies ×

Service Code: 78452
Performed in an office
12
times performed,
0.19% of his services

42nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 0.97% of his patients
1
average number of visits a patient made for this service
$12,744.00an average of $1,062.00 per time performed $3,318.48
an average of $276.54 per time performed
medical
ADMINISTRATIVE

Technetium tc-99m sestamibi, diagnostic, per study dose

Service Code: A9500
Performed in an office
12
times performed,
0.19% of his services

43rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 0.97% of his patients
1
average number of visits a patient made for this service
$2,508.00an average of $209.00 per time performed $1,049.52
an average of $87.46 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 a facility
11
times performed,
0.17% of his services

44th 64th

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

11
patients got this service, 0.89% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,691.03an average of $153.73 per time performed $1,245.64
an average of $113.24 per time performed
medical
DIGESTIVE SYSTEM

Removal of polyps or growths of large bowel using an endo... +

Removal of polyps or growths of large bowel using an endoscope ×

Service Code: 45385
Performed in a facility
11
times performed,
0.17% of his services

45th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

11
patients got this service, 0.89% of his patients
1
average number of visits a patient made for this service
$13,665.96an average of $1,242.36 per time performed $2,510.86
an average of $228.26 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.

Richard L. Keim
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.

Read our methodology.