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, $141 per patient in 2015.
They performed about 3 services per patient. Here’s how this provider compares.

Number of
Patients
554
Rank: 6th
out of 15 providers in this state & specialty
Services
Performed
3,339
Rank: 2nd
out of 15 providers in this state & specialty
Avg Services
Per Patient
6 This Provider is in the top 10%
Avg 2.9
Total Paid
by Medicare
$161K
Rank: 2nd
out of 15 providers in this state & specialty
Avg Paid
Per Patient
$290 This Provider is in the top 10%
Avg $141

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 24 different services in 2015
(10 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
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 25 minutes ... +

Subsequent hospital inpatient care, typically 25 minutes per day ×

Service Code: 99232
Performed in a facility
1,160
times performed,
35% of his services

1st 2nd

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

230
patients got this service, 42% of his patients
5
average number of visits a patient made for this service
(Peers: 3.4)
$144,014.00an average of $124.15 per time performed $63,834.80
an average of $55.03 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
786
times performed,
24% of his services

2nd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

293
patients got this service, 53% of his patients
2.7
average number of visits a patient made for this service
$141,480.00an average of $180.00 per time performed $39,009.18
an average of $49.63 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
616
times performed,
18% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

271
patients got this service, 49% of his patients
2.3
average number of visits a patient made for this service
$6,776.00an average of $11.00 per time performed $1,811.04
an average of $2.94 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 15 minutes ... +

Subsequent hospital inpatient care, typically 15 minutes per day ×

Service Code: 99231
Performed in a facility
170
times performed,
5% of his services

4th 5th

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

87
patients got this service, 16% of his patients
2
average number of visits a patient made for this service
(Peers: 2.3)
$11,549.80an average of $67.94 per time performed $5,001.40
an average of $29.42 per time performed
medical
EVALUATION AND MANAGEMENT

Initial hospital inpatient care, typically 70 minutes per... +

Initial hospital inpatient care, typically 70 minutes per day ×

Service Code: 99223
Performed in a facility
149
times performed,
4% of his services

5th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

149
patients got this service, 27% of his patients
1
average number of visits a patient made for this service
$50,660.00an average of $340.00 per time performed $22,347.02
an average of $149.98 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 (fluvirin) ×

Service Code: Q2037
Performed in an office
69
times performed,
2% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

69
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
$1,380.00an average of $20.00 per time performed $1,070.19
an average of $15.51 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
69
times performed,
2% of his services

7th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

69
patients got this service, 12% of his patients
1
average number of visits a patient made for this service
$2,070.00an average of $30.00 per time performed $1,710.51
an average of $24.79 per time performed
medical
RADIOLOGY

Ultrasound of head and neck

Service Code: 76536
Performed in an office
56
times performed,
2% of his services

8th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

56
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
$12,600.00an average of $225.00 per time performed $4,689.44
an average of $83.74 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
49
times performed,
1% of his services

9th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

40
patients got this service, 7% of his patients
1.2
average number of visits a patient made for this service
$9,310.00an average of $190.00 per time performed $3,933.72
an average of $80.28 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent observation care, typically 25 minutes per day +

Subsequent observation care, typically 25 minutes per day ×

Service Code: 99225
Performed in a facility
47
times performed,
1% of his services

10th 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, 5% of his patients
1.6
average number of visits a patient made for this service
$5,640.00an average of $120.00 per time performed $2,611.32
an average of $55.56 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 6... +

New patient office or other outpatient visit, typically 60 minutes ×

Service Code: 99205
Performed in an office
46
times performed,
1% of his services

11th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

46
patients got this service, 8% of his patients
1
average number of visits a patient made for this service
$16,163.94an average of $351.39 per time performed $6,492.90
an average of $141.15 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent hospital inpatient care, typically 35 minutes ... +

Subsequent hospital inpatient care, typically 35 minutes per day ×

Service Code: 99233
Performed in a facility
36
times performed,
1% of his services

12th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

36
patients got this service, 6% of his patients
1
average number of visits a patient made for this service
$6,613.92an average of $183.72 per time performed $2,867.04
an average of $79.64 per time performed
medical
EVALUATION AND MANAGEMENT

Hospital observation care typically 70 minutes per day

Service Code: 99220
Performed in a facility
14
times performed,
0.42% of his services

13th 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, 3% of his patients
1
average number of visits a patient made for this service
$4,844.00an average of $346.00 per time performed $1,932.70
an average of $138.05 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent observation care, typically 35 minutes per day +

Subsequent observation care, typically 35 minutes per day ×

Service Code: 99226
Performed in a facility
11
times performed,
0.33% of his services

14th 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, 2% of his patients
1
average number of visits a patient made for this service
$2,728.00an average of $248.00 per time performed $884.62
an average of $80.42 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.

Mark J Oppenheimer
Average for Endocrinology, Diabetes & Metabolism 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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