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, $95 per patient in 2015.
They performed about 4 services per patient. Here’s how this provider compares.

Number of
Patients
399
Rank: 15th
out of 298 providers in this state & specialty
Services
Performed
1,030
Rank: 45th
out of 298 providers in this state & specialty
Avg Services
Per Patient
2.6 This Provider
Avg 3.5
Total Paid
by Medicare
$29.5K
Rank: 46th
out of 298 providers in this state & specialty
Avg Paid
Per Patient
$74 This Provider
Avg $95

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 29 different services in 2015
(18 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
AUDITORY SYSTEM

Removal of impact ear wax, one ear

Service Code: 69210
Performed in an office
235
times performed,
23% of his services

1st Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

178
patients got this service, 45% of his patients
1.3
average number of visits a patient made for this service
$29,490.15an average of $125.49 per time performed $6,227.50
an average of $26.50 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
167
times performed,
16% of his services

2nd 1st

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

125
patients got this service, 31% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.4)
$24,954.81an average of $149.43 per time performed $7,100.84
an average of $42.52 per time performed
medical
MEDICINE

Diagnostic examination of ear and nose

Service Code: 92504
Performed in an office
77
times performed,
7% of his services

3rd Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

49
patients got this service, 12% of his patients
1.6
average number of visits a patient made for this service
$10,422.72an average of $135.36 per time performed $1,420.65
an average of $18.45 per time performed
medical
PROCEDURES

Removal of impacted cerumen (one or both ears) by physici... +

Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing ×

Service Code: G0268
Performed in an office
39
times performed,
4% of his services

4th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

38
patients got this service, 10% of his patients
1
average number of visits a patient made for this service
$4,765.02an average of $122.18 per time performed $1,016.34
an average of $26.06 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
26
times performed,
3% of his services

5th 2nd

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

26
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
(Peers: 1.4)
$1,716.00an average of $66.00 per time performed $765.18
an average of $29.43 per time performed
medical
AUDITORY SYSTEM

Removal of skin debris and drainage of mastoid cavity

Service Code: 69220
Performed in an office
26
times performed,
3% of his services

6th Alert 634c0670e9b0f4e97fc9f1e1f07be123ffeab88a9de548d41da5a24a8f6054bd

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

17
patients got this service, 4% of his patients
1.5
average number of visits a patient made for this service
$4,459.00an average of $171.50 per time performed $2,141.36
an average of $82.36 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
25
times performed,
2% of his services

7th 15th

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

17
patients got this service, 4% of his patients
1.5
average number of visits a patient made for this service
(Peers: 1.7)
$3,422.00an average of $136.88 per time performed $628.75
an average of $25.15 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
21
times performed,
2% of his services

8th 33rd

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)
$4,798.08an average of $228.48 per time performed $1,095.99
an average of $52.19 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
21
times performed,
2% of his services

9th 5th

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: 1.3)
$4,545.03an average of $216.43 per time performed $1,249.08
an average of $59.48 per time performed
medical
RESPIRATORY SYSTEM

Diagnostic examination of voice box using flexible endoscope +

Diagnostic examination of voice box using flexible endoscope ×

Service Code: 31575
Performed in an office
15
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

15
patients got this service, 4% of his patients
1
average number of visits a patient made for this service
$6,895.95an average of $459.73 per time performed $1,082.55
an average of $72.17 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
12
times performed,
1% of his services

11th 11th

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

11
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$1,407.96an average of $117.33 per time performed $324.48
an average of $27.04 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.

Marc H Ellwein
Average for Physician Assistant 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.

Read our methodology.