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, $377 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
395
Rank: 33rd
out of 75 providers in this state & specialty
Services
Performed
4,778
Rank: 4th
out of 75 providers in this state & specialty
Avg Services
Per Patient
12.1 This Provider is in the top 10%
Avg 5.1
Total Paid
by Medicare
$197K
Rank: 17th
out of 75 providers in this state & specialty
Avg Paid
Per Patient
$499 This Provider
Avg $377

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 80 different services in 2015
(59 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, dexamethasone sodium phosphate, 1mg

Service Code: J1100
Performed in an office
2,019
times performed,
42% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

137
patients got this service, 35% of his patients
1.5
average number of visits a patient made for this service
$323.04an average of $0.16 per time performed $181.71
an average of $0.09 per time performed
drug
DRUGS

Hyaluronan or derivative, synvisc or synvisc-one, for int... +

Hyaluronan or derivative, synvisc or synvisc-one, for intra-articular injection, 1 mg ×

Service Code: J7325
Performed in an office
1,104
times performed,
23% of his services

2nd 2nd

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

14
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$13,954.56an average of $12.64 per time performed $10,333.44
an average of $9.36 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
227
times performed,
5% of his services

3rd 4th

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

147
patients got this service, 37% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.3)
$16,727.63an average of $73.69 per time performed $9,897.20
an average of $43.60 per time performed
medical
RADIOLOGY

X-ray of knee, 1 or 2 views

Service Code: 73560
Performed in an office
163
times performed,
3% of his services

4th 24th

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

112
patients got this service, 28% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$4,865.55an average of $29.85 per time performed $3,173.61
an average of $19.47 per time performed
medical
RADIOLOGY

X-ray of knee, 4 or more views

Service Code: 73564
Performed in an office
152
times performed,
3% of his services

5th 18th

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

121
patients got this service, 31% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$6,569.44an average of $43.22 per time performed $4,306.16
an average of $28.33 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
146
times performed,
3% of his services

6th 9th

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

129
patients got this service, 33% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$17,045.50an average of $116.75 per time performed $9,980.56
an average of $68.36 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
133
times performed,
3% of his services

7th 3rd

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

109
patients got this service, 28% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.3)
$10,444.49an average of $78.53 per time performed $6,966.54
an average of $52.38 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
105
times performed,
2% of his services

8th 8th

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

105
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$12,328.05an average of $117.41 per time performed $6,773.55
an average of $64.51 per time performed
medical
RADIOLOGY

X-ray of shoulder, minimum of 2 views

Service Code: 73030
Performed in an office
97
times performed,
2% of his services

9th 14th

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

76
patients got this service, 19% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$3,008.94an average of $31.02 per time performed $1,924.48
an average of $19.84 per time performed
medical
RADIOLOGY

X-ray of pelvis, 1 or 2 views

Service Code: 72170
Performed in an office
72
times performed,
2% of his services

10th 12th

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

54
patients got this service, 14% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$1,942.56an average of $26.98 per time performed $1,244.88
an average of $17.29 per time performed
medical
RADIOLOGY

X-ray of hip on one side of body, 1 view

Service Code: 73500
Performed in an office
60
times performed,
1% of his services

11th 27th

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

45
patients got this service, 11% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$1,547.40an average of $25.79 per time performed $1,002.60
an average of $16.71 per time performed
medical
MUSCULOSKELETAL SYSTEM

Repair of knee joint

Service Code: 27447
Performed in a facility
58
times performed,
1% of his services

12th 19th

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

57
patients got this service, 14% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$86,260.50an average of $1,487.25 per time performed $58,812.00
an average of $1,014.00 per time performed
medical
RADIOLOGY

Mri scan of leg joint

Service Code: 73721
Performed in an office
42
times performed,
0.88% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

21
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$7,727.16an average of $183.98 per time performed $3,418.80
an average of $81.40 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
41
times performed,
0.86% of his services

14th 7th

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

38
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.3)
$1,937.25an average of $47.25 per time performed $1,159.89
an average of $28.29 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
38
times performed,
0.8% of his services

15th 28th

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

38
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,066.98an average of $80.71 per time performed $1,983.60
an average of $52.20 per time performed
medical
MUSCULOSKELETAL SYSTEM

Removal of both knee cartilages using an endoscope

Service Code: 29880
Performed in a facility
30
times performed,
0.63% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

29
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$20,865.60an average of $695.52 per time performed $11,776.20
an average of $392.54 per time performed
medical
RADIOLOGY

Mri scan of arm joint

Service Code: 73221
Performed in an office
26
times performed,
0.54% of his services

17th 61st

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

14
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,595.80an average of $138.30 per time performed $2,286.70
an average of $87.95 per time performed
medical
MUSCULOSKELETAL SYSTEM

Shaving of shoulder bone using an endoscope

Service Code: 29826
Performed in a facility
23
times performed,
0.48% of his services

18th 46th

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

22
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$4,273.17an average of $185.79 per time performed $2,913.18
an average of $126.66 per time performed
medical
MUSCULOSKELETAL SYSTEM

Partial removal of collar bone at shoulder using an endos... +

Partial removal of collar bone at shoulder using an endoscope ×

Service Code: 29824
Performed in a facility
22
times performed,
0.46% of his services

19th 56th

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

21
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$9,199.30an average of $418.15 per time performed $6,271.54
an average of $285.07 per time performed
medical
RADIOLOGY

X-ray of ankle, minimum of 3 views

Service Code: 73610
Performed in an office
14
times performed,
0.29% of his services

20th 36th

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

11
patients got this service, 3% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$536.90an average of $38.35 per time performed $293.44
an average of $20.96 per time performed
medical
MUSCULOSKELETAL SYSTEM

Repair of shoulder rotator cuff using an endoscope

Service Code: 29827
Performed in a facility
13
times performed,
0.27% of his services

21st 50th

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

12
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$14,673.75an average of $1,128.75 per time performed $10,003.76
an average of $769.52 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.

Peter A Looby
Average for Orthopaedic Surgery 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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