Treatment Tracker
The Doctors and Services in Medicare Part B
This database was last updated in December 2017. It should only be used as a historical snapshot. More recent data is available via the Centers for Medicare and Medicaid Services’ lookup tool.
How This Provider Compares
This Provider
Avg in State & Specialty
Providers in this state and specialty were reimbursed, on average, $211 per patient in 2015.
They performed about 11 services per patient. Here’s how this provider compares.
Number of
Patients
Services
Performed
Avg Services
Per Patient
Total Paid
by Medicare
Avg Paid
Per Patient
Note: About 25% of this provider’s Medicare payments were for drugs administered in his office.
This is intended to reimburse the provider for purchasing the drugs, plus an additional percentage for overhead.
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 66 different services in 2015
(45 were redacted as they were performed on less than 11 patients)
Show Only:
CATEGORYDescription of Service |
Times Performed (or Units) | This Service's Rank | Patients | Unique Visits Per Patient |
Billed to Medicare | Payments from Medicare |
|---|---|---|---|---|---|---|
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient visit, typ... + Established patient office or other outpatient visit, typically 15 minutes × Service Code: 99213Performed in an office |
436 times performed, 24% of his services |
1st 2nd most performed service for this provider most performed service in this state & specialty |
240 patients got this service, 85% of his patients |
1.8 average number of visits a patient made for this service (Peers: 2) |
$43,835.44an average of $100.54 per time performed |
$17,335.36 an average of $39.76 per time performed |
CARDIOVASCULAR SYSTEMInsertion of needle into vein for collection of blood sample + Insertion of needle into vein for collection of blood sample × Service Code: 36415Performed in an office |
256 times performed, 14% of his services |
2nd 4th most performed service for this provider most performed service in this state & specialty |
183 patients got this service, 64% of his patients |
1.4 average number of visits a patient made for this service (Peers: 2) |
$2,385.92an average of $9.32 per time performed |
$750.08 an average of $2.93 per time performed |
EVALUATION AND MANAGEMENTEstablished patient office or other outpatient, visit typ... + Established patient office or other outpatient, visit typically 25 minutes × Service Code: 99214Performed in an office |
119 times performed, 6% of his services |
3rd 3rd most performed service for this provider most performed service in this state & specialty |
90 patients got this service, 32% of his patients |
1.3 average number of visits a patient made for this service (Peers: 2) |
$19,178.04an average of $161.16 per time performed |
$8,136.03 an average of $68.37 per time performed |
PATHOLOGY AND LABORATORYComplete blood cell count (red cells, white blood cell, p... + Complete blood cell count (red cells, white blood cell, platelets), automated test × Service Code: 85027Performed in an office |
93 times performed, 5% of his services |
4th 32nd most performed service for this provider most performed service in this state & specialty |
80 patients got this service, 28% of his patients |
1.2 average number of visits a patient made for this service (Peers: 1.4) |
$1,953.00an average of $21.00 per time performed |
$802.59 an average of $8.63 per time performed |
PATHOLOGY AND LABORATORYBlood test, basic group of blood chemicals Service Code: 80048Performed in an office |
79 times performed, 4% of his services |
5th 20th most performed service for this provider most performed service in this state & specialty |
74 patients got this service, 26% of his patients |
1.1 average number of visits a patient made for this service (Peers: 1.6) |
$1,659.00an average of $21.00 per time performed |
$756.82 an average of $9.58 per time performed |
PROCEDURESAdministration of pneumococcal vaccine Service Code: G0009Performed in an office |
77 times performed, 4% of his services |
6th 16th most performed service for this provider most performed service in this state & specialty |
77 patients got this service, 27% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$770.00an average of $10.00 per time performed |
$754.60 an average of $9.80 per time performed |
MEDICINEPneumococcal vaccine for injection into muscle Service Code: 90670Performed in an office |
76 times performed, 4% of his services |
7th 17th most performed service for this provider most performed service in this state & specialty |
76 patients got this service, 27% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$13,460.36an average of $177.11 per time performed |
$12,731.52 an average of $167.52 per time performed |
PATHOLOGY AND LABORATORYBlood test, lipids (cholesterol and triglycerides) Service Code: 80061Performed in an office |
76 times performed, 4% of his services |
8th 12th most performed service for this provider most performed service in this state & specialty |
75 patients got this service, 26% of his patients |
1 average number of visits a patient made for this service (Peers: 1.3) |
$2,236.68an average of $29.43 per time performed |
$962.92 an average of $12.67 per time performed |
PATHOLOGY AND LABORATORYService Code: 83036Performed in an office |
60 times performed, 3% of his services |
9th 14th most performed service for this provider most performed service in this state & specialty |
37 patients got this service, 13% of his patients |
1.6 average number of visits a patient made for this service (Peers: 1.7) |
$1,422.00an average of $23.70 per time performed |
$765.00 an average of $12.75 per time performed |
MEDICINEVaccine for influenza for injection into muscle Service Code: 90662Performed in an office |
59 times performed, 3% of his services |
10th 19th most performed service for this provider most performed service in this state & specialty |
59 patients got this service, 21% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$2,301.00an average of $39.00 per time performed |
$2,099.81 an average of $35.59 per time performed |
PROCEDURESAdministration of influenza virus vaccine Service Code: G0008Performed in an office |
59 times performed, 3% of his services |
11th 10th most performed service for this provider most performed service in this state & specialty |
59 patients got this service, 21% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$590.00an average of $10.00 per time performed |
$578.20 an average of $9.80 per time performed |
PATHOLOGY AND LABORATORYManual urinalysis test with examination using microscope + Manual urinalysis test with examination using microscope × Service Code: 81001Performed in an office |
49 times performed, 3% of his services |
12th 28th most performed service for this provider most performed service in this state & specialty |
36 patients got this service, 13% of his patients |
1.4 average number of visits a patient made for this service (Peers: 1.4) |
$558.11an average of $11.39 per time performed |
$206.78 an average of $4.22 per time performed |
PROCEDURESAnnual wellness visit, includes a personalized prevention... + Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit × Service Code: G0439Performed in an office |
37 times performed, 2% of his services |
13th 30th most performed service for this provider most performed service in this state & specialty |
37 patients got this service, 13% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$7,724.86an average of $208.78 per time performed |
$3,921.63 an average of $105.99 per time performed |
PATHOLOGY AND LABORATORYService Code: 84460Performed in an office |
28 times performed, 2% of his services |
14th 94th most performed service for this provider most performed service in this state & specialty |
27 patients got this service, 10% of his patients |
1 average number of visits a patient made for this service (Peers: 1.3) |
$374.92an average of $13.39 per time performed |
$134.68 an average of $4.81 per time performed |
PATHOLOGY AND LABORATORYUrine microalbumin (protein) level Service Code: 82043Performed in an office |
27 times performed, 1% of his services |
15th 53rd most performed service for this provider most performed service in this state & specialty |
27 patients got this service, 10% of his patients |
1 average number of visits a patient made for this service (Peers: 1.2) |
$554.04an average of $20.52 per time performed |
$208.17 an average of $7.71 per time performed |
PATHOLOGY AND LABORATORYCreatinine level to test for kidney function or muscle in... + Creatinine level to test for kidney function or muscle injury × Service Code: 82570Performed in an office |
27 times performed, 1% of his services |
16th 40th most performed service for this provider most performed service in this state & specialty |
27 patients got this service, 10% of his patients |
1 average number of visits a patient made for this service (Peers: 1.2) |
$554.04an average of $20.52 per time performed |
$186.30 an average of $6.90 per time performed |
PATHOLOGY AND LABORATORYBlood test, comprehensive group of blood chemicals Service Code: 80053Performed in an office |
25 times performed, 1% of his services |
17th 11th most performed service for this provider most performed service in this state & specialty |
25 patients got this service, 9% of his patients |
1 average number of visits a patient made for this service (Peers: 1.5) |
$649.00an average of $25.96 per time performed |
$308.50 an average of $12.34 per time performed |
MEDICINERoutine ekg using at least 12 leads including interpretat... + Routine ekg using at least 12 leads including interpretation and report × Service Code: 93000Performed in an office |
25 times performed, 1% of his services |
18th 27th most performed service for this provider most performed service in this state & specialty |
24 patients got this service, 8% of his patients |
1 average number of visits a patient made for this service (Peers: 1.1) |
$1,683.00an average of $67.32 per time performed |
$305.00 an average of $12.20 per time performed |
PATHOLOGY AND LABORATORYBlood test, thyroid stimulating hormone (tsh) Service Code: 84443Performed in an office |
19 times performed, 1% of his services |
19th 23rd most performed service for this provider most performed service in this state & specialty |
19 patients got this service, 7% of his patients |
1 average number of visits a patient made for this service (Peers: 1.3) |
$695.97an average of $36.63 per time performed |
$425.79 an average of $22.41 per time performed |
PROCEDURESAnnual wellness visit; includes a personalized prevention... + Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit × Service Code: G0438Performed in an office |
19 times performed, 1% of his services |
20th 59th most performed service for this provider most performed service in this state & specialty |
19 patients got this service, 7% of his patients |
1 average number of visits a patient made for this service (Peers: 1) |
$3,935.09an average of $207.11 per time performed |
$2,985.85 an average of $157.15 per time performed |
RADIOLOGYX-ray of chest, 2 views, front and side Service Code: 71020Performed in an office |
13 times performed, 0.71% of his services |
21st 24th most performed service for this provider most performed service in this state & specialty |
13 patients got this service, 5% of his patients |
1 average number of visits a patient made for this service (Peers: 1.2) |
$1,249.04an average of $96.08 per time performed |
$258.31 an average of $19.87 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.
This provider did not bill Medicare for any 5’s.
Ralph J Kramper
Average for Family Medicine Providers in Nebraska
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 checkup@propublica.org and we will update your information. If you have other questions about this data, send a note to checkup@propublica.org. 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.