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

Number of
Patients
1,082
Rank: 1st
out of 350 providers in this state & specialty
Services
Performed
6,556
Rank: 27th
out of 350 providers in this state & specialty
Avg Services
Per Patient
6.1 This Provider
Avg 6
Total Paid
by Medicare
$118K
Rank: 35th
out of 350 providers in this state & specialty
Avg Paid
Per Patient
$109 This Provider
Avg $179

Note: About 12% 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 193 different services in 2015
(147 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
TEMPORARY CODES

Low osmolar contrast material, 300-399 mg/ml iodine conce... +

Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml ×

Service Code: Q9967
Performed in an office
1,375
times performed,
21% of his services

1st 2nd

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$481.25an average of $0.35 per time performed $165.00
an average of $0.12 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
1,102
times performed,
17% of his services

2nd 3rd

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

790
patients got this service, 73% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.8)
$84,071.58an average of $76.29 per time performed $51,716.86
an average of $46.93 per time performed
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
333
times performed,
5% of his services

3rd 1st

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

275
patients got this service, 25% of his patients
1.2
average number of visits a patient made for this service
(Peers: 2.2)
$1,068.93an average of $3.21 per time performed $969.03
an average of $2.91 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
261
times performed,
4% of his services

4th 8th

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

230
patients got this service, 21% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$3,118.95an average of $11.95 per time performed $2,688.30
an average of $10.30 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
208
times performed,
3% of his services

5th 18th

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

179
patients got this service, 17% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.4)
$3,226.08an average of $15.51 per time performed $871.52
an average of $4.19 per time performed
medical
RADIOLOGY

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

Service Code: 71020
Performed in an office
185
times performed,
3% of his services

6th 25th

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

160
patients got this service, 15% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$3,936.80an average of $21.28 per time performed $2,203.35
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 10 minutes ×

Service Code: 99212
Performed in an office
163
times performed,
2% of his services

7th 32nd

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

128
patients got this service, 12% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$7,494.74an average of $45.98 per time performed $4,669.95
an average of $28.65 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
148
times performed,
2% of his services

8th 22nd

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

25
patients got this service, 2% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$740.00an average of $5.00 per time performed $183.52
an average of $1.24 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, comprehensive group of blood chemicals

Service Code: 80053
Performed in an office
134
times performed,
2% of his services

9th 9th

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

127
patients got this service, 12% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$2,188.22an average of $16.33 per time performed $1,835.80
an average of $13.70 per time performed
drug
DRUGS

Injection, ketorolac tromethamine, per 15 mg

Service Code: J1885
Performed in an office
96
times performed,
1% of his services

10th 70th

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

22
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$480.00an average of $5.00 per time performed $42.24
an average of $0.44 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
87
times performed,
1% of his services

11th 21st

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

64
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.2)
$2,329.86an average of $26.78 per time performed $1,568.61
an average of $18.03 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
86
times performed,
1% of his services

12th 68th

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

77
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$576.20an average of $6.70 per time performed $472.14
an average of $5.49 per time performed
drug
DRUGS

Injection, ceftriaxone sodium, per 250 mg

Service Code: J0696
Performed in an office
72
times performed,
1% of his services

13th 37th

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

19
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.5)
$504.00an average of $7.00 per time performed $31.68
an average of $0.44 per time performed
medical
PATHOLOGY AND LABORATORY

Detection test for influenza virus

Service Code: 87804
Performed in an office
68
times performed,
1% of his services

14th 86th

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

34
patients got this service, 3% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,441.88an average of $35.91 per time performed $1,087.32
an average of $15.99 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, basic group of blood chemicals

Service Code: 80048
Performed in an office
65
times performed,
0.99% of his services

15th 12th

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

59
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.7)
$804.05an average of $12.37 per time performed $728.00
an average of $11.20 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
64
times performed,
0.98% of his services

16th 33rd

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

63
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$1,333.12an average of $20.83 per time performed $735.36
an average of $11.49 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
58
times performed,
0.88% of his services

17th 4th

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

57
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 2)
$6,520.36an average of $112.42 per time performed $4,096.54
an average of $70.63 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
49
times performed,
0.75% of his services

18th 15th

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

49
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,273.02an average of $25.98 per time performed $1,214.22
an average of $24.78 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 an office
44
times performed,
0.67% of his services

19th 128th

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

44
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$436.48an average of $9.92 per time performed $227.92
an average of $5.18 per time performed
medical
PATHOLOGY AND LABORATORY

Lipase (fat enzyme) level

Service Code: 83690
Performed in an office
32
times performed,
0.49% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

30
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
$356.16an average of $11.13 per time performed $294.08
an average of $9.19 per time performed
drug
DRUGS

Injection, nalbuphine hydrochloride, per 10 mg

Service Code: J2300
Performed in an office
30
times performed,
0.46% of his services

21st 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, 1% of his patients
1.8
average number of visits a patient made for this service
$150.00an average of $5.00 per time performed $52.80
an average of $1.76 per time performed
medical
PATHOLOGY AND LABORATORY

Amylase (enzyme) level

Service Code: 82150
Performed in an office
28
times performed,
0.43% of his services

22nd 151st

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

27
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$285.32an average of $10.19 per time performed $241.92
an average of $8.64 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, thyroid stimulating hormone (tsh)

Service Code: 84443
Performed in an office
27
times performed,
0.41% of his services

23rd 14th

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

27
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.3)
$642.60an average of $23.80 per time performed $605.07
an average of $22.41 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 (flulaval) ×

Service Code: Q2036
Performed in an office
26
times performed,
0.4% of his services

24th 71st

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

26
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$254.80an average of $9.80 per time performed $218.66
an average of $8.41 per time performed
medical
RADIOLOGY

X-ray of foot, minimum of 3 views

Service Code: 73630
Performed in an office
25
times performed,
0.38% of his services

25th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

22
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$743.75an average of $29.75 per time performed $478.25
an average of $19.13 per time performed
drug
DRUGS

Injection, promethazine hcl, up to 50 mg

Service Code: J2550
Performed in an office
23
times performed,
0.35% 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, 1% of his patients
1.6
average number of visits a patient made for this service
$115.00an average of $5.00 per time performed $25.07
an average of $1.09 per time performed
medical
RADIOLOGY

X-ray of wrist, minimum of 3 views

Service Code: 73110
Performed in an office
22
times performed,
0.34% of his services

27th 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 his patients
1.2
average number of visits a patient made for this service
$774.18an average of $35.19 per time performed $451.22
an average of $20.51 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, lipids (cholesterol and triglycerides)

Service Code: 80061
Performed in an office
21
times performed,
0.32% of his services

28th 11th

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: 1.2)
$431.13an average of $20.53 per time performed $300.09
an average of $14.29 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
21
times performed,
0.32% of his services

29th 27th

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)
$714.00an average of $34.00 per time performed $699.72
an average of $33.32 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
20
times performed,
0.31% of his services

30th 65th

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

16
patients got this service, 1% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.5)
$1,227.20an average of $61.36 per time performed $809.20
an average of $40.46 per time performed
medical
PATHOLOGY AND LABORATORY

Creatine kinase (cardiac enzyme) level

Service Code: 82553
Performed in an office
18
times performed,
0.27% of his services

31st 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 his patients
1
average number of visits a patient made for this service
$354.24an average of $19.68 per time performed $277.38
an average of $15.41 per time performed
medical
PATHOLOGY AND LABORATORY

Troponin (protein) analysis

Service Code: 84484
Performed in an office
18
times performed,
0.27% of his services

32nd 163rd

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$293.76an average of $16.32 per time performed $160.56
an average of $8.92 per time performed
medical
RADIOLOGY

X-ray of knee, 3 views

Service Code: 73562
Performed in an office
18
times performed,
0.27% of his services

33rd 169th

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

18
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$594.18an average of $33.01 per time performed $427.50
an average of $23.75 per time performed
medical
RADIOLOGY

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

Service Code: 72100
Performed in an office
16
times performed,
0.24% of his services

34th 124th

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)
$647.84an average of $40.49 per time performed $317.12
an average of $19.82 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
16
times performed,
0.24% of his services

35th 92nd

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

15
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.6)
$2,320.00an average of $145.00 per time performed $724.32
an average of $45.27 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
15
times performed,
0.23% of his services

36th 110th

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,778.10an average of $118.54 per time performed $838.20
an average of $55.88 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
15
times performed,
0.23% of his services

37th 177th

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

15
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$523.05an average of $34.87 per time performed $339.00
an average of $22.60 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
15
times performed,
0.23% of his services

38th 156th

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

14
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$464.70an average of $30.98 per time performed $261.45
an average of $17.43 per time performed
medical
PATHOLOGY AND LABORATORY

Blood test, clotting time

Service Code: 85610
Performed in an office
15
times performed,
0.23% of his services

39th 13th

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

12
patients got this service, 1% of his patients
1.3
average number of visits a patient made for this service
(Peers: 5.6)
$127.50an average of $8.50 per time performed $78.60
an average of $5.24 per time performed
medical
RADIOLOGY

Imaging of abdomen

Service Code: 74020
Performed in an office
13
times performed,
0.2% of his services

40th 142nd

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)
$479.96an average of $36.92 per time performed $354.51
an average of $27.27 per time performed
medical
PATHOLOGY AND LABORATORY

Hemoglobin a1c level

Service Code: 83036
Performed in an office
13
times performed,
0.2% of his services

41st 16th

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: 1.7)
$192.66an average of $14.82 per time performed $161.46
an average of $12.42 per time performed
medical
MEDICINE

Hydration infusion into a vein 31 minutes to 1 hour

Service Code: 96360
Performed in an office
13
times performed,
0.2% 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, 1% of his patients
1.1
average number of visits a patient made for this service
$781.17an average of $60.09 per time performed $495.04
an average of $38.08 per time performed
medical
RADIOLOGY

X-ray of abdomen, single view

Service Code: 74000
Performed in an office
12
times performed,
0.18% 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, 1% of his patients
1
average number of visits a patient made for this service
$287.76an average of $23.98 per time performed $164.52
an average of $13.71 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
12
times performed,
0.18% of his services

44th 178th

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

12
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$334.20an average of $27.85 per time performed $222.24
an average of $18.52 per time performed
medical
PATHOLOGY AND LABORATORY

Bacterial culture for aerobic isolates

Service Code: 87077
Performed in an office
11
times performed,
0.17% of his services

45th 146th

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$129.03an average of $11.73 per time performed $118.58
an average of $10.78 per time performed
medical
PATHOLOGY AND LABORATORY

Strep test (streptococcus, group a)

Service Code: 87880
Performed in an office
11
times performed,
0.17% of his services

46th 92nd

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

11
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
(Peers: 1.1)
$528.00an average of $48.00 per time performed $175.89
an average of $15.99 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.

Michael Rafferty
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 [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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