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, $238 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
1,689
Rank: 7th
out of 62 providers in this state & specialty
Services
Performed
12,371
Rank: 3rd
out of 62 providers in this state & specialty
Avg Services
Per Patient
7.3 This Provider
Avg 5.1
Total Paid
by Medicare
$261K
Rank: 18th
out of 62 providers in this state & specialty
Avg Paid
Per Patient
$155 This Provider
Avg $238

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 84 different services in 2015
(58 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
SKIN, HAIR AND NAILS

Destruction of 2-14 skin growths

Service Code: 17003
Performed in a facility
5,901
times performed,
48% of his services

1st 7th

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

861
patients got this service, 51% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$206,712.03an average of $35.03 per time performed $9,146.55
an average of $1.55 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in a facility
1,345
times performed,
11% of his services

2nd 16th

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

1,034
patients got this service, 61% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$187,237.45an average of $139.21 per time performed $39,785.10
an average of $29.58 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 a facility
1,308
times performed,
11% of his services

3rd 13th

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

937
patients got this service, 55% of his patients
1.4
average number of visits a patient made for this service
(Peers: 1.3)
$141,865.68an average of $108.46 per time performed $43,634.88
an average of $33.36 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 a facility
1,064
times performed,
9% of his services

4th 21st

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

793
patients got this service, 47% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.3)
$73,086.16an average of $68.69 per time performed $17,822.00
an average of $16.75 per time performed
medical
SKIN, HAIR AND NAILS

Biopsy of single growth of skin and/or tissue

Service Code: 11100
Performed in a facility
575
times performed,
5% of his services

5th 19th

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

480
patients got this service, 28% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$98,210.00an average of $170.80 per time performed $13,788.50
an average of $23.98 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of up to 14 skin growths

Service Code: 17110
Performed in a facility
501
times performed,
4% of his services

6th 26th

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

427
patients got this service, 25% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$94,157.94an average of $187.94 per time performed $22,069.05
an average of $44.05 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of 15 or more skin growths

Service Code: 17004
Performed in a facility
343
times performed,
3% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

251
patients got this service, 15% of his patients
1.4
average number of visits a patient made for this service
$144,938.08an average of $422.56 per time performed $22,535.10
an average of $65.70 per time performed
medical
SKIN, HAIR AND NAILS

Biopsy of each additional growth of skin and/or tissue

Service Code: 11101
Performed in a facility
181
times performed,
1% of his services

8th 32nd

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

121
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$12,648.28an average of $69.88 per time performed $3,127.68
an average of $17.28 per time performed
medical
SKIN, HAIR AND NAILS

Repair of wound (2.6 to 7.5 centimeters) of the scalp, un... +

Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs ×

Service Code: 12032
Performed in a facility
124
times performed,
1% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

118
patients got this service, 7% of his patients
1.1
average number of visits a patient made for this service
$61,925.60an average of $499.40 per time performed $15,504.96
an average of $125.04 per time performed
medical
SKIN, HAIR AND NAILS

Removal of malignant growth (1.1 to 2.0 centimeters) of t... +

Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips ×

Service Code: 11642
Performed in a facility
100
times performed,
0.81% of his services

10th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

90
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$45,560.00an average of $455.60 per time performed $7,017.00
an average of $70.17 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 a facility
95
times performed,
0.77% of his services

11th 29th

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

85
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.2)
$15,146.80an average of $159.44 per time performed $4,698.70
an average of $49.46 per time performed
medical
SKIN, HAIR AND NAILS

Removal of malignant growth (1.1 to 2.0 centimeters) of t... +

Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs ×

Service Code: 11602
Performed in a facility
90
times performed,
0.73% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

82
patients got this service, 5% of his patients
1
average number of visits a patient made for this service
$36,315.00an average of $403.50 per time performed $5,232.60
an average of $58.14 per time performed
medical
SKIN, HAIR AND NAILS

Repair of wound (2.6 to 5.0 centimeters) of face, ears, e... +

Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth ×

Service Code: 12052
Performed in a facility
89
times performed,
0.72% of his services

13th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

84
patients got this service, 5% of his patients
1.1
average number of visits a patient made for this service
$45,119.44an average of $506.96 per time performed $13,038.50
an average of $146.50 per time performed
medical
MEDICINE

Laser treatment (total area less than 250 sq centimeters)... +

Laser treatment (total area less than 250 sq centimeters) for inflammatory skin disease ×

Service Code: 96920
Performed in a facility
71
times performed,
0.57% of his services

14th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

12
patients got this service, 0.71% of his patients
5.9
average number of visits a patient made for this service
$30,140.21an average of $424.51 per time performed $3,447.76
an average of $48.56 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 a facility
64
times performed,
0.52% of his services

15th 36th

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

64
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$7,008.00an average of $109.50 per time performed $2,033.28
an average of $31.77 per time performed
medical
SKIN, HAIR AND NAILS

Repair of wound (2.6 to 7.5 centimeters) of neck, hands, ... +

Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals ×

Service Code: 12042
Performed in a facility
46
times performed,
0.37% of his services

16th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

42
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$22,244.22an average of $483.57 per time performed $6,125.82
an average of $133.17 per time performed
medical
SKIN, HAIR AND NAILS

Removal of malignant growth (1.1 to 2.0 centimeters) of t... +

Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals ×

Service Code: 11622
Performed in a facility
46
times performed,
0.37% of his services

17th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

42
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$20,579.94an average of $447.39 per time performed $2,826.24
an average of $61.44 per time performed
medical
SKIN, HAIR AND NAILS

Removal of up to and including 15 skin tags

Service Code: 11200
Performed in a facility
35
times performed,
0.28% of his services

18th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

31
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
$6,063.75an average of $173.25 per time performed $1,621.90
an average of $46.34 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 1... +

New patient office or other outpatient visit, typically 10 minutes ×

Service Code: 99201
Performed in a facility
30
times performed,
0.24% of his services

19th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

30
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$1,965.00an average of $65.50 per time performed $499.20
an average of $16.64 per time performed
medical
SKIN, HAIR AND NAILS

Removal of malignant growth (2.1 to 3.0 centimeters) of t... +

Removal of malignant growth (2.1 to 3.0 centimeters) of the trunk, arms, or legs ×

Service Code: 11603
Performed in a facility
30
times performed,
0.24% of his services

20th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

28
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
$12,468.00an average of $415.60 per time performed $3,286.50
an average of $109.55 per time performed
medical
SKIN, HAIR AND NAILS

Injection of up to 7 skin growths

Service Code: 11900
Performed in a facility
30
times performed,
0.24% of his services

21st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

17
patients got this service, 1% of his patients
1.8
average number of visits a patient made for this service
$2,285.10an average of $76.17 per time performed $499.50
an average of $16.65 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of 15 or more skin growths

Service Code: 17111
Performed in a facility
24
times performed,
0.19% of his services

22nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

22
patients got this service, 1% of his patients
1.1
average number of visits a patient made for this service
$6,327.12an average of $263.63 per time performed $1,345.20
an average of $56.05 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of malignant growth (1.1 to 2.0 centimeters) ... +

Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs ×

Service Code: 17262
Performed in a facility
20
times performed,
0.16% of his services

23rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

16
patients got this service, 0.95% of his patients
1.1
average number of visits a patient made for this service
$6,332.00an average of $316.60 per time performed $1,505.20
an average of $75.26 per time performed
medical
SKIN, HAIR AND NAILS

Acne surgery

Service Code: 10040
Performed in a facility
18
times performed,
0.15% of his services

24th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

18
patients got this service, 1% of his patients
1
average number of visits a patient made for this service
$3,420.00an average of $190.00 per time performed $1,096.02
an average of $60.89 per time performed
medical
SKIN, HAIR AND NAILS

Repair of wound (7.6 to 12.5 centimeters) of the scalp, u... +

Repair of wound (7.6 to 12.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs ×

Service Code: 12034
Performed in a facility
16
times performed,
0.13% of his services

25th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

15
patients got this service, 0.89% of his patients
1.1
average number of visits a patient made for this service
$8,104.00an average of $506.50 per time performed $2,215.20
an average of $138.45 per time performed
medical
SKIN, HAIR AND NAILS

Removal of growth (1.1 to 2.0 centimeters) of the trunk, ... +

Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs ×

Service Code: 11402
Performed in a facility
14
times performed,
0.11% of his services

26th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

14
patients got this service, 0.83% of his patients
1
average number of visits a patient made for this service
$4,002.04an average of $285.86 per time performed $629.30
an average of $44.95 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.

James P Karkos
Average for Dermatology Providers in Iowa

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.