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, $365 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
333
Rank: 91st
out of 386 providers in this state & specialty
Services
Performed
2,307
Rank: 48th
out of 386 providers in this state & specialty
Avg Services
Per Patient
6.9 This Provider
Avg 4.9
Total Paid
by Medicare
$134K
Rank: 67th
out of 386 providers in this state & specialty
Avg Paid
Per Patient
$402 This Provider
Avg $365

Note: About 14% of this provider’s Medicare payments were for drugs administered in his 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 his Part B patients.

This Provider's Services

This provider performed 67 different services in 2015
(52 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, triamcinolone acetonide, not otherwise specif... +

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

Service Code: J3301
Performed in an office
825
times performed,
36% of his services

1st 2nd

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

149
patients got this service, 45% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$2,475.00an average of $3.00 per time performed $1,130.25
an average of $1.37 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
296
times performed,
13% of his services

2nd 4th

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

168
patients got this service, 50% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.6)
$103,102.72an average of $348.32 per time performed $14,136.96
an average of $47.76 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 an office
192
times performed,
8% of his services

3rd 3rd

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

151
patients got this service, 45% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$28,992.00an average of $151.00 per time performed $9,980.16
an average of $51.98 per time performed
medical
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
143
times performed,
6% of his services

4th 11th

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

105
patients got this service, 32% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$10,633.48an average of $74.36 per time performed $2,825.68
an average of $19.76 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
137
times performed,
6% of his services

5th 5th

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

117
patients got this service, 35% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$14,385.00an average of $105.00 per time performed $4,448.39
an average of $32.47 per time performed
drug
DRUGS

Hyaluronan or derivative, orthovisc, for intra-articular ... +

Hyaluronan or derivative, orthovisc, for intra-articular injection, per dose ×

Service Code: J7324
Performed in an office
131
times performed,
6% of his services

6th 22nd

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

37
patients got this service, 11% of his patients
2.7
average number of visits a patient made for this service
(Peers: 3)
$34,715.00an average of $265.00 per time performed $17,645.70
an average of $134.70 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 an office
105
times performed,
5% of his services

7th 21st

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

105
patients got this service, 32% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$18,454.80an average of $175.76 per time performed $5,387.55
an average of $51.31 per time performed
medical
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
92
times performed,
4% of his services

8th 16th

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

74
patients got this service, 22% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$6,336.04an average of $68.87 per time performed $1,541.92
an average of $16.76 per time performed
medical
RADIOLOGY

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

Service Code: 73510
Performed in an office
64
times performed,
3% of his services

9th 19th

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

49
patients got this service, 15% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$5,233.28an average of $81.77 per time performed $1,384.32
an average of $21.63 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
46
times performed,
2% of his services

10th 13th

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

40
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$3,322.12an average of $72.22 per time performed $753.48
an average of $16.38 per time performed
medical
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
21
times performed,
0.91% of his services

11th 18th

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

21
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$185,591.91an average of $8,837.71 per time performed $22,199.52
an average of $1,057.12 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
16
times performed,
0.69% of his services

12th 6th

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

16
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,208.00an average of $263.00 per time performed $1,229.12
an average of $76.82 per time performed
medical
MUSCULOSKELETAL SYSTEM

Replacement of thigh bone and hip joint prosthesis

Service Code: 27130
Performed in a facility
15
times performed,
0.65% of his services

13th 27th

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

13
patients got this service, 4% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$108,240.00an average of $7,216.00 per time performed $15,457.05
an average of $1,030.47 per time performed
medical
RADIOLOGY

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

Service Code: 72100
Performed in an office
13
times performed,
0.56% of his services

14th 34th

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

13
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$1,265.03an average of $97.31 per time performed $307.06
an average of $23.62 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
13
times performed,
0.56% of his services

15th 14th

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

11
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$872.95an average of $67.15 per time performed $225.68
an average of $17.36 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.

Steven Jon Merkow
Average for Orthopaedic Surgery Providers in Wisconsin

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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