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, $200 per patient in 2015.
They performed about 5 services per patient. Here’s how this provider compares.

Number of
Patients
528
Rank: 52nd
out of 164 providers in this state & specialty
Services
Performed
2,687
Rank: 35th
out of 164 providers in this state & specialty
Avg Services
Per Patient
5.1 This Provider
Avg 5.4
Total Paid
by Medicare
$111K
Rank: 36th
out of 164 providers in this state & specialty
Avg Paid
Per Patient
$210 This Provider
Avg $200

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 87 different services in 2015
(71 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 25 minutes ×

Service Code: 99214
Performed in a facility
1,048
times performed,
39% of his services

1st 2nd

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

393
patients got this service, 74% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.1)
$111,591.04an average of $106.48 per time performed $59,526.40
an average of $56.80 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
361
times performed,
13% of his services

2nd 4th

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

207
patients got this service, 39% of his patients
1.7
average number of visits a patient made for this service
(Peers: 1.9)
$25,919.80an average of $71.80 per time performed $12,952.68
an average of $35.88 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 a facility
173
times performed,
6% of his services

3rd 31st

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

44
patients got this service, 8% of his patients
3.9
average number of visits a patient made for this service
(Peers: 2.9)
$11,748.43an average of $67.91 per time performed $8,039.31
an average of $46.47 per time performed
medical
PROCEDURES

Administration of influenza virus vaccine

Service Code: G0008
Performed in an office
115
times performed,
4% of his services

4th 26th

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

113
patients got this service, 21% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$2,908.35an average of $25.29 per time performed $2,849.70
an average of $24.78 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
111
times performed,
4% of his services

5th 6th

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

94
patients got this service, 18% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.2)
$984.57an average of $8.87 per time performed $678.21
an average of $6.11 per time performed
medical
RADIOLOGY

X-ray of chest, 2 views, front and side

Service Code: 71020
Performed in a facility
110
times performed,
4% of his services

6th 71st

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

88
patients got this service, 17% of his patients
1.3
average number of visits a patient made for this service
(Peers: 1.2)
$1,199.00an average of $10.90 per time performed $924.00
an average of $8.40 per time performed
drug
MEDICINE

Vaccine for influenza for injection into muscle

Service Code: 90662
Performed in an office
99
times performed,
4% of his services

7th 42nd

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

99
patients got this service, 19% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$3,595.68an average of $36.32 per time performed $3,523.41
an average of $35.59 per time performed
medical
EVALUATION AND MANAGEMENT

Subsequent nursing facility visit, typically 25 minutes p... +

Subsequent nursing facility visit, typically 25 minutes per day ×

Service Code: 99309
Performed in a facility
90
times performed,
3% of his services

8th 45th

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

33
patients got this service, 6% of his patients
2.7
average number of visits a patient made for this service
(Peers: 2.3)
$8,084.70an average of $89.83 per time performed $5,534.10
an average of $61.49 per time performed
medical
PROCEDURES

Screening mammography, producing direct digital image, bi... +

Screening mammography, producing direct digital image, bilateral, all views ×

Service Code: G0202
Performed in a facility
56
times performed,
2% of his services

9th 98th

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

56
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,940.40an average of $34.65 per time performed $1,901.76
an average of $33.96 per time performed
medical
RADIOLOGY

Computer analysis of screening mammogram to assist detect... +

Computer analysis of screening mammogram to assist detection of cancer ×

Service Code: 77052
Performed in a facility
56
times performed,
2% of his services

10th 98th

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

56
patients got this service, 11% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$168.56an average of $3.01 per time performed $165.20
an average of $2.95 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
39
times performed,
1% of his services

11th 41st

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

34
patients got this service, 6% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1.4)
$1,685.58an average of $43.22 per time performed $684.06
an average of $17.54 per time performed
medical
EVALUATION AND MANAGEMENT

Initial nursing facility visit, typically 45 minutes per day +

Initial nursing facility visit, typically 45 minutes per day ×

Service Code: 99306
Performed in a facility
38
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

37
patients got this service, 7% of his patients
1
average number of visits a patient made for this service
$6,235.04an average of $164.08 per time performed $4,862.48
an average of $127.96 per time performed
medical
EVALUATION AND MANAGEMENT

Established patient office or other outpatient, visit typ... +

Established patient office or other outpatient, visit typically 40 minutes ×

Service Code: 99215
Performed in a facility
28
times performed,
1% of his services

13th 23rd

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

24
patients got this service, 5% of his patients
1.2
average number of visits a patient made for this service
(Peers: 1.1)
$4,008.48an average of $143.16 per time performed $1,716.12
an average of $61.29 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 a facility
16
times performed,
0.6% of his services

14th 32nd

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

15
patients got this service, 3% of his patients
1.1
average number of visits a patient made for this service
(Peers: 3)
$702.24an average of $43.89 per time performed $516.16
an average of $32.26 per time performed
drug

Vaccine for influenza administered into muscle to individ... +

Vaccine for influenza administered into muscle to individuals 3 years of age and older ×

Service Code: 90686
Performed in an office
13
times performed,
0.48% of his services

15th 102nd

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

12
patients got this service, 2% of his patients
1.1
average number of visits a patient made for this service
(Peers: 1)
$236.08an average of $18.16 per time performed $231.40
an average of $17.80 per time performed
medical
EVALUATION AND MANAGEMENT

New patient office or other outpatient visit, typically 4... +

New patient office or other outpatient visit, typically 45 minutes ×

Service Code: 99204
Performed in a facility
12
times performed,
0.45% of his services

16th 89th

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

12
patients got this service, 2% of his patients
1
average number of visits a patient made for this service
(Peers: 1)
$1,940.64an average of $161.72 per time performed $1,094.88
an average of $91.24 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.

Michael Tobin
Average for Internal Medicine 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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