JASON DIETERLE, DO
Sports Medicine (Orthopaedic Surgery) Physician · OAK PARK HEIGHTS, MN
Individual Active NPI 1376730069
Medicare payment data Part B · 2024
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2024 | 228 | 1,803 | $446,715 | $112,373 | $83,871 |
| 2023 | 222 | 1,669 | $439,194 | $110,975 | $84,352 |
| 2022 | 239 | 1,640 | $583,983 | $158,570 | $121,683 |
Top procedures (2024)
| HCPCS | Description | Services | Avg allowed | Avg paid |
|---|---|---|---|---|
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 796 | $1 | $1 |
| 20610 | Aspiration and/or injection of fluid from large joint | 184 | $67 | $47 |
| 99213 | Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | 148 | $86 | $63 |
| 73030 | X-ray of shoulder, minimum of 2 views | 117 | $33 | $24 |
| J7323 | Hyaluronan or derivative, euflexxa, for intra-articular injection, per dose | 61 | $119 | $93 |
| 99203 | New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more | 53 | $102 | $66 |
| 99214 | Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 44 | $120 | $87 |
| 73562 | X-ray of knee, 3 views | 39 | $39 | $27 |
| 99212 | Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more | 35 | $53 | $38 |
| 23472 | Prosthetic repair of shoulder joint, total shoulder | 21 | $1,291 | $1,009 |
| 99204 | New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more | 13 | $157 | $102 |
| 73221 | Mri scan of arm joint without contrast | 12 | $201 | $136 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | ✓ | 51694 | MN |
| Orthopaedic Surgery Physician | 207X00000X | 51694 | MN | |
| Orthopaedic Surgery Physician | 207X00000X | 52724-21 | WI | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 52724-21 | WI |
Medicare eligibility
- Part B
- Yes
- DME
- Yes
- Home health
- Yes
- Power mobility
- Yes
- Hospice
- Yes
Other Sports Medicine (Orthopaedic Surgery) Physician providers in Minnesota
- NPI 1184620858
- NPI 1346247665
- NPI 1265438907
- NPI 1861802019
- NPI 1710171228
- NPI 1932336864
- NPI 1245646983
- NPI 1710246905
See all Sports Medicine (Orthopaedic Surgery) Physician providers in Minnesota →
Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.