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, $598 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
946
Rank: 18th
out of 40 providers in this state & specialty
Services
Performed
5,988
Rank: 10th
out of 40 providers in this state & specialty
Avg Services
Per Patient
6.3 This Provider
Avg 4.4
Total Paid
by Medicare
$534K
Rank: 12th
out of 40 providers in this state & specialty
Avg Paid
Per Patient
$565 This Provider
Avg $598

Note: About 30% 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 Services

This provider performed 70 different services in 2015
(47 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, onabotulinumtoxina, 1 unit

Service Code: J0585
Performed in an office
1,451
times performed,
24% of her services

1st 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 her patients
2.1
average number of visits a patient made for this service
$23,216.00an average of $16.00 per time performed $6,384.40
an average of $4.40 per time performed
medical
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, established patient ×

Service Code: 92012
Performed in an office
998
times performed,
17% of her services

2nd 3rd

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

551
patients got this service, 58% of her patients
1.8
average number of visits a patient made for this service
(Peers: 1.6)
$89,261.12an average of $89.44 per time performed $58,392.98
an average of $58.51 per time performed
medical
MEDICINE

Diagnostic imaging of retina

Service Code: 92134
Performed in an office
550
times performed,
9% of her services

3rd 1st

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

188
patients got this service, 20% of her patients
2.9
average number of visits a patient made for this service
(Peers: 2.4)
$25,905.00an average of $47.10 per time performed $18,859.50
an average of $34.29 per time performed
medical
EYE

Injection of drug into eye

Service Code: 67028
Performed in an office
476
times performed,
8% of her services

4th 4th

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

98
patients got this service, 10% of her patients
4.9
average number of visits a patient made for this service
(Peers: 4.3)
$55,173.16an average of $115.91 per time performed $39,441.36
an average of $82.86 per time performed
medical
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits ×

Service Code: 92014
Performed in an office
379
times performed,
6% of her services

5th 2nd

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

378
patients got this service, 40% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$48,997.12an average of $129.28 per time performed $31,282.66
an average of $82.54 per time performed
medical
DRUGS

Unclassified biologics

Service Code: J3590
Performed in an office
373
times performed,
6% of her services

6th 11th

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

80
patients got this service, 8% of her patients
4
average number of visits a patient made for this service
(Peers: 3.3)
$27,975.00an average of $75.00 per time performed $19,366.16
an average of $51.92 per time performed
medical
MEDICINE

Diagnostic imaging of optic nerve of eye

Service Code: 92133
Performed in an office
225
times performed,
4% of her services

7th 16th

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

225
patients got this service, 24% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$10,685.25an average of $47.49 per time performed $7,184.25
an average of $31.93 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
220
times performed,
4% of her services

8th 10th

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

171
patients got this service, 18% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$16,572.60an average of $75.33 per time performed $10,208.00
an average of $46.40 per time performed
medical
MEDICINE

Measurement of field of vision during daylight conditions +

Measurement of field of vision during daylight conditions ×

Service Code: 92083
Performed in an office
193
times performed,
3% of her services

9th 12th

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

189
patients got this service, 20% of her patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$13,052.59an average of $67.63 per time performed $8,762.20
an average of $45.40 per time performed
drug

Injection, aflibercept, 1 mg

Service Code: J0178
Performed in an office
158
times performed,
3% of her services

10th 7th

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

16
patients got this service, 2% of her patients
4.6
average number of visits a patient made for this service
(Peers: 4.1)
$221,200.00an average of $1,400.00 per time performed $121,456.18
an average of $768.71 per time performed
medical
EYE

Removal of cataract with insertion of lens

Service Code: 66984
Performed in a facility
148
times performed,
2% of her services

11th 5th

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

109
patients got this service, 12% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.6)
$105,349.36an average of $711.82 per time performed $68,149.56
an average of $460.47 per time performed
medical
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits ×

Service Code: 92004
Performed in an office
127
times performed,
2% of her services

12th 15th

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

127
patients got this service, 13% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$19,912.33an average of $156.79 per time performed $11,544.30
an average of $90.90 per time performed
medical
MEDICINE

Measurement of corneal curvature and depth of eye

Service Code: 92136
Performed in an office
112
times performed,
2% of her services

13th 6th

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

82
patients got this service, 9% of her patients
1.4
average number of visits a patient made for this service
(Peers: 1.4)
$8,211.84an average of $73.32 per time performed $5,903.52
an average of $52.71 per time performed
medical

Compounded drug, not otherwise classified

Service Code: Q9977
Performed in an office
80
times performed,
1% of her services

14th 24th

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

45
patients got this service, 5% of her patients
1.5
average number of visits a patient made for this service
(Peers: 1.5)
$6,000.00an average of $75.00 per time performed $4,223.20
an average of $52.79 per time performed
medical
EYE

Removal of recurring cataract in lens capsule using laser +

Removal of recurring cataract in lens capsule using laser ×

Service Code: 66821
Performed in an office
44
times performed,
0.73% of her services

15th 26th

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

39
patients got this service, 4% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$17,451.72an average of $396.63 per time performed $11,223.52
an average of $255.08 per time performed
medical
EYE

Laser repair to improve eye fluid flow, 1 or more sessions +

Laser repair to improve eye fluid flow, 1 or more sessions ×

Service Code: 65855
Performed in an office
39
times performed,
0.65% of her services

16th 38th

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

31
patients got this service, 3% of her patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$16,032.51an average of $411.09 per time performed $10,062.39
an average of $258.01 per time performed
medical
RADIOLOGY

Ultrasound of eye for determination of lens power

Service Code: 76519
Performed in an office
37
times performed,
0.62% of her services

17th 27th

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

33
patients got this service, 3% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$2,642.54an average of $71.42 per time performed $1,582.86
an average of $42.78 per time performed
medical
MEDICINE

Eye and medical examination for diagnosis and treatment, ... +

Eye and medical examination for diagnosis and treatment, new patient ×

Service Code: 92002
Performed in an office
36
times performed,
0.6% of her services

18th 42nd

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

36
patients got this service, 4% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,301.20an average of $91.70 per time performed $2,116.44
an average of $58.79 per time performed
medical
NERVOUS SYSTEM

Injection of chemical for destruction of nerve muscles on... +

Injection of chemical for destruction of nerve muscles on one side of face ×

Service Code: 64612
Performed in an office
27
times performed,
0.45% of her services

19th 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 her patients
2.1
average number of visits a patient made for this service
$4,381.83an average of $162.29 per time performed $2,850.12
an average of $105.56 per time performed
medical
EYE

Removal of cataract with insertion of lens

Service Code: 66982
Performed in a facility
22
times performed,
0.37% of her services

20th 33rd

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

20
patients got this service, 2% of her patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$17,859.60an average of $811.80 per time performed $12,953.82
an average of $588.81 per time performed
medical
SKIN, HAIR AND NAILS

Removal of excessive skin and fat of upper eyelid

Service Code: 15823
Performed in a facility
19
times performed,
0.32% of her services

21st 43rd

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

19
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
(Peers: 1)
$17,421.67an average of $916.93 per time performed $10,941.53
an average of $575.87 per time performed
medical
MEDICINE

Measurement of field of vision during daylight conditions +

Measurement of field of vision during daylight conditions ×

Service Code: 92081
Performed in an office
18
times performed,
0.3% of her services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 2% of her patients
1
average number of visits a patient made for this service
$648.00an average of $36.00 per time performed $480.42
an average of $26.69 per time performed
medical
MEDICINE

Photography of content of eyes

Service Code: 92285
Performed in an office
12
times performed,
0.2% of her services

23rd 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, 1% of her patients
1
average number of visits a patient made for this service
$253.44an average of $21.12 per time performed $159.24
an average of $13.27 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.

Gail Bernard
Average for Ophthalmology 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.