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, $179 per patient in 2015.
They performed about 6 services per patient. Here’s how this provider compares.

Number of
Patients
181
Rank: 183rd
out of 350 providers in this state & specialty
Services
Performed
5,762
Rank: 30th
out of 350 providers in this state & specialty
Avg Services
Per Patient
31.8 This Provider is in the top 10%
Avg 6
Total Paid
by Medicare
$65.7K
Rank: 70th
out of 350 providers in this state & specialty
Avg Paid
Per Patient
$363 This Provider is in the top 10%
Avg $179

Note: About 21% of this provider’s Medicare payments were for drugs administered in her 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 her Part B patients.

This Provider's Patients
Expected to have lower spending
Expected to have higher spending

This Provider's Services

This provider performed 137 different services in 2015
(99 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
435
times performed,
8% of her services

1st 1st

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

145
patients got this service, 80% of her patients
3
average number of visits a patient made for this service
(Peers: 2.2)
$6,525.00an average of $15.00 per time performed $1,278.90
an average of $2.94 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
231
times performed,
4% of her services

2nd 4th

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

112
patients got this service, 62% of her patients
2.1
average number of visits a patient made for this service
(Peers: 2)
$86,199.96an average of $373.16 per time performed $18,177.39
an average of $78.69 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
191
times performed,
3% of her services

3rd 3rd

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

103
patients got this service, 57% of her patients
1.9
average number of visits a patient made for this service
(Peers: 1.8)
$43,548.00an average of $228.00 per time performed $9,267.32
an average of $48.52 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
166
times performed,
3% of her services

4th 8th

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

89
patients got this service, 49% of her patients
1.9
average number of visits a patient made for this service
(Peers: 1.6)
$6,859.12an average of $41.32 per time performed $1,721.42
an average of $10.37 per time performed
medical
PATHOLOGY AND LABORATORY

Automated urinalysis test

Service Code: 81003
Performed in an office
134
times performed,
2% of her services

5th 38th

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

84
patients got this service, 46% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.4)
$1,742.00an average of $13.00 per time performed $402.00
an average of $3.00 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
126
times performed,
2% of her services

6th 12th

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

71
patients got this service, 39% of her patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$5,647.32an average of $44.82 per time performed $1,026.90
an average of $8.15 per time performed
medical
PATHOLOGY AND LABORATORY

Blood glucose (sugar) level

Service Code: 82947
Performed in an office
117
times performed,
2% of her services

7th 102nd

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

61
patients got this service, 34% of her patients
1.9
average number of visits a patient made for this service
(Peers: 1.8)
$2,441.79an average of $20.87 per time performed $402.48
an average of $3.44 per time performed
medical
PATHOLOGY AND LABORATORY

Liver enzyme (sgpt), level

Service Code: 84460
Performed in an office
113
times performed,
2% of her services

8th Alert

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

80
patients got this service, 44% of her patients
1.4
average number of visits a patient made for this service
$3,182.08an average of $28.16 per time performed $322.05
an average of $2.85 per time performed
medical
PATHOLOGY AND LABORATORY

Liver enzyme (sgot), level

Service Code: 84450
Performed in an office
113
times performed,
2% of her services

9th Alert

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

80
patients got this service, 44% of her patients
1.4
average number of visits a patient made for this service
$3,110.89an average of $27.53 per time performed $310.75
an average of $2.75 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
100
times performed,
2% of her services

10th 16th

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

55
patients got this service, 30% of her patients
1.8
average number of visits a patient made for this service
(Peers: 1.7)
$5,167.00an average of $51.67 per time performed $1,242.00
an average of $12.42 per time performed
medical
PATHOLOGY AND LABORATORY

Urea nitrogen level to assess kidney function

Service Code: 84520
Performed in an office
88
times performed,
2% of her services

11th 103rd

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

66
patients got this service, 36% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$1,848.88an average of $21.01 per time performed $180.40
an average of $2.05 per time performed
medical
PATHOLOGY AND LABORATORY

Blood creatinine level

Service Code: 82565
Performed in an office
82
times performed,
1% of her services

12th 81st

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

63
patients got this service, 35% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$2,236.96an average of $27.28 per time performed $220.58
an average of $2.69 per time performed
medical
PATHOLOGY AND LABORATORY

Blood potassium level

Service Code: 84132
Performed in an office
74
times performed,
1% of her services

13th 118th

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

57
patients got this service, 31% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$1,809.30an average of $24.45 per time performed $177.60
an average of $2.40 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
74
times performed,
1% of her services

14th 32nd

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

50
patients got this service, 28% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.4)
$9,945.60an average of $134.40 per time performed $2,117.88
an average of $28.62 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
71
times performed,
1% of her services

15th 13th

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

15
patients got this service, 8% of her patients
4.7
average number of visits a patient made for this service
(Peers: 5.6)
$1,483.90an average of $20.90 per time performed $372.04
an average of $5.24 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
62
times performed,
1% of her services

16th 21st

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

33
patients got this service, 18% of her patients
1.8
average number of visits a patient made for this service
(Peers: 2.2)
$5,059.20an average of $81.60 per time performed $1,187.30
an average of $19.15 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
57
times performed,
0.99% of her services

17th 11th

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

57
patients got this service, 31% of her patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$4,503.00an average of $79.00 per time performed $580.83
an average of $10.19 per time performed
medical
PROCEDURES

Administration of pneumococcal vaccine

Service Code: G0009
Performed in an office
54
times performed,
0.94% of her services

18th 20th

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

54
patients got this service, 30% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,804.30an average of $70.45 per time performed $1,335.42
an average of $24.73 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
52
times performed,
0.9% of her services

19th 15th

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

52
patients got this service, 29% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,663.40an average of $70.45 per time performed $1,288.56
an average of $24.78 per time performed
drug
MEDICINE

Pneumococcal vaccine for injection into muscle

Service Code: 90670
Performed in an office
52
times performed,
0.9% of her services

20th 19th

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

52
patients got this service, 29% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$19,535.36an average of $375.68 per time performed $8,767.20
an average of $168.60 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
51
times performed,
0.89% of her services

21st 18th

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

37
patients got this service, 20% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$1,530.00an average of $30.00 per time performed $215.22
an average of $4.22 per time performed
drug
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
45
times performed,
0.78% of her services

22nd 70th

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

13
patients got this service, 7% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.3)
$495.00an average of $11.00 per time performed $20.70
an average of $0.46 per time performed
medical
PATHOLOGY AND LABORATORY

Phosphate level

Service Code: 84100
Performed in an office
43
times performed,
0.75% of her services

23rd Alert

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

17
patients got this service, 9% of her patients
2.5
average number of visits a patient made for this service
$1,085.75an average of $25.25 per time performed $174.58
an average of $4.06 per time performed
medical
PATHOLOGY AND LABORATORY

Liver function blood test panel

Service Code: 80076
Performed in an office
41
times performed,
0.71% of her services

24th 43rd

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

25
patients got this service, 14% of her patients
1.6
average number of visits a patient made for this service
(Peers: 1.6)
$2,378.00an average of $58.00 per time performed $302.58
an average of $7.38 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient visit, typ... +

Established patient office or other outpatient visit, typically 5 minutes ×

Service Code: 99211
Performed in an office
41
times performed,
0.71% of her services

25th 55th

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

14
patients got this service, 8% of her patients
2.9
average number of visits a patient made for this service
(Peers: 3.1)
$2,460.00an average of $60.00 per time performed $624.02
an average of $15.22 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin measurement

Service Code: 85018
Performed in an office
35
times performed,
0.61% of her services

26th 119th

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

28
patients got this service, 15% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.6)
$390.25an average of $11.15 per time performed $98.35
an average of $2.81 per time performed
medical
PROCEDURES

Administration of hepatitis b vaccine

Service Code: G0010
Performed in an office
35
times performed,
0.61% of her services

27th Alert

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

21
patients got this service, 12% of her patients
1.7
average number of visits a patient made for this service
$2,039.80an average of $58.28 per time performed $866.25
an average of $24.75 per time performed
drug
TEMPORARY CODES

Influenza virus vaccine, split virus, when administered t... +

Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluzone) ×

Service Code: Q2038
Performed in an office
33
times performed,
0.57% of her services

28th 66th

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

33
patients got this service, 18% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,347.06an average of $40.82 per time performed $389.40
an average of $11.80 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: 86140
Performed in an office
33
times performed,
0.57% of her services

29th 68th

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

19
patients got this service, 10% of her patients
1.7
average number of visits a patient made for this service
(Peers: 1.3)
$901.89an average of $27.33 per time performed $181.17
an average of $5.49 per time performed
medical
PATHOLOGY AND LABORATORY

Urine microalbumin (protein) level

Service Code: 82043
Performed in an office
31
times performed,
0.54% of her services

30th 51st

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

30
patients got this service, 17% of her patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$954.80an average of $30.80 per time performed $239.01
an average of $7.71 per time performed
medical
PATHOLOGY AND LABORATORY

Red blood cell concentration measurement

Service Code: 85014
Performed in an office
31
times performed,
0.54% of her services

31st Alert

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

25
patients got this service, 14% of her patients
1.2
average number of visits a patient made for this service
$352.47an average of $11.37 per time performed $88.66
an average of $2.86 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
30
times performed,
0.52% of her services

32nd 46th

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

29
patients got this service, 16% of her patients
1
average number of visits a patient made for this service
(Peers: 1.2)
$826.80an average of $27.56 per time performed $207.00
an average of $6.90 per time performed
drug
MEDICINE

Vaccine for hepatitis b adult dosage (3 dose schedule) in... +

Vaccine for hepatitis b adult dosage (3 dose schedule) injection into muscle ×

Service Code: 90746
Performed in an office
30
times performed,
0.52% of her services

33rd Alert

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

20
patients got this service, 11% of her patients
1.5
average number of visits a patient made for this service
$5,337.90an average of $177.93 per time performed $1,755.60
an average of $58.52 per time performed
medical
PATHOLOGY AND LABORATORY

Magnesium level

Service Code: 83735
Performed in an office
26
times performed,
0.45% of her services

34th 95th

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

14
patients got this service, 8% of her patients
1.9
average number of visits a patient made for this service
(Peers: 1.2)
$927.42an average of $35.67 per time performed $232.18
an average of $8.93 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
22
times performed,
0.38% of her services

35th 125th

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

19
patients got this service, 10% of her patients
1.2
average number of visits a patient made for this service
(Peers: 1)
$751.52an average of $34.16 per time performed $144.76
an average of $6.58 per time performed
medical
RADIOLOGY

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

Service Code: 71020
Performed in an office
20
times performed,
0.35% of her services

36th 25th

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

16
patients got this service, 9% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$2,441.60an average of $122.08 per time performed $409.00
an average of $20.45 per time performed
medical
PATHOLOGY AND LABORATORY

Albumin (protein) level

Service Code: 82040
Performed in an office
14
times performed,
0.24% of her services

37th Alert

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

11
patients got this service, 6% of her patients
1.3
average number of visits a patient made for this service
$368.76an average of $26.34 per time performed $45.64
an average of $3.26 per time performed
medical
PATHOLOGY AND LABORATORY

Stool analysis for blood to screen for colon tumors

Service Code: 82270
Performed in an office
12
times performed,
0.21% of her services

38th 114th

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

12
patients got this service, 7% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$207.96an average of $17.33 per time performed $43.44
an average of $3.62 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 did not bill Medicare for any 5’s.

1234512345
Gretchen Marie Esplund
Average for Family 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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