Physician

Keith M Baumgarten, MD

According to 2025 Medicare claims, Keith Baumgarten, MD (NPI: 1467474452) practices orthopedic surgery in the Sioux Falls, SD-MN market, with the plurality of this provider's patient population coming from Minnehaha, SD. This provider's primary affiliated billing organization is ORTHOPEDIC INSTITUTE PC (NPI: 1245263326; TIN: 460316404) and primary practice location at 57105-1012. Baumgarten is affiliated with the Prairie Vista Care Organization (ACO ID: A3578), Avera Prairie View ACO (ACO ID: A4692), and Caravan Health ACO 43 LLC (ACO ID: A4974), participating under the MSSP model.

Baumgarten's data goes back to 2015 and runs through 2024. For example, in 2024, this provider had 662 traditional Medicare patients, billed 4,933 HCPCS/CPT codes, and received $213,302 in Medicare payments. The top billing code was 99214 (Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more). Part D data shows 181 prescription claims across 93 beneficiaries totaling $432 in drug costs, led by Amoxicillin (Amoxicillin). 2023 DME data shows 15 claims. Open Payments data shows 34 records totaling $101,237. You can download detailed data with all billing codes (2015-2024). For more recent data, please contact us.

Over the past 10 years, this provider's Medicare Part B carrier billing has changed little. Concurrently, Part D prescription costs have declined steadily, from $1,260 to $432. For DME billing, this provider has fewer than 5 years of reported data, so a reliable trend cannot be assigned.