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, $188 per patient in 2015.
They performed about 7 services per patient. Here’s how this provider compares.

Number of
Patients
415
Rank: 361st
out of 1,396 providers in this state & specialty
Services
Performed
1,856
Rank: 488th
out of 1,396 providers in this state & specialty
Avg Services
Per Patient
4.5 This Provider
Avg 7
Total Paid
by Medicare
$75.4K
Rank: 424th
out of 1,396 providers in this state & specialty
Avg Paid
Per Patient
$182 This Provider
Avg $188

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 31 different services in 2015
(23 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

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
670
times performed,
36% of his services

1st 13th

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

293
patients got this service, 71% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.8)
$71,931.20an average of $107.36 per time performed $22,143.50
an average of $33.05 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
551
times performed,
30% of his services

2nd 15th

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

241
patients got this service, 58% of his patients
2.3
average number of visits a patient made for this service
(Peers: 1.9)
$87,570.43an average of $158.93 per time performed $27,935.70
an average of $50.70 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 10 minutes p... +

Subsequent nursing facility visit, typically 10 minutes per day ×

Service Code: 99307
Performed in an office
160
times performed,
9% of his services

3rd 35th

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

46
patients got this service, 11% of his patients
3.5
average number of visits a patient made for this service
(Peers: 2.9)
$13,396.80an average of $83.73 per time performed $4,070.40
an average of $25.44 per time performed
medical
PROCEDURES

Annual wellness visit, includes a personalized prevention... +

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit ×

Service Code: G0439
Performed in a facility
107
times performed,
6% of his services

4th 75th

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

107
patients got this service, 26% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$25,156.77an average of $235.11 per time performed $11,482.17
an average of $107.31 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 a facility
42
times performed,
2% of his services

5th 43rd

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

40
patients got this service, 10% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.1)
$1,233.12an average of $29.36 per time performed $243.60
an average of $5.80 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 15 minutes p... +

Subsequent nursing facility visit, typically 15 minutes per day ×

Service Code: 99308
Performed in an office
32
times performed,
2% of his services

6th 26th

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

25
patients got this service, 6% of his patients
1.3
average number of visits a patient made for this service
(Peers: 2.5)
$4,382.08an average of $136.94 per time performed $1,043.52
an average of $32.61 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of 2-14 skin growths

Service Code: 17003
Performed in a facility
28
times performed,
2% of his services

7th 77th

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: 1.4)
$647.08an average of $23.11 per time performed $42.28
an average of $1.51 per time performed
medical
SKIN, HAIR AND NAILS

Destruction of skin growth

Service Code: 17000
Performed in a facility
18
times performed,
0.97% of his services

8th 120th

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

17
patients got this service, 4% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$1,918.08an average of $106.56 per time performed $638.82
an average of $35.49 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.

David A Ruen
Average for Family Medicine 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.