Medicare Procedure and Patient Information
2012 Medicare Procedure Volume
Volume of procedures performed by Dr. Timothy Ryan Vinyard, MD for Medicare patients.
| doctor visit | 39 |
|---|
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Dr. Timothy Ryan Vinyard, MD is a sports medicine doctor in West Des Moines, IA specializing in sports medicine and orthopedics/orthopedic surgery. He graduated from University of Iowa, Carver College of Medicine. Dr. Timothy Ryan Vinyard, MD is affiliated with Dallas County Hospital Family Medicine Clinics and Iowa Ortho.
Musculoskeletal Problems
The musculoskeletal system refers collectively to the bones, joints, ligaments, muscles, and nerves. It is what gives the body structure and movement. Because this system encompasses so much of the body, musculoskeletal problems are extremely varied and can happen almost anywhere. There are musculoskeletal problems that affect only the joints, those that affect the bones, those that affect tendons and ligaments, and those that can happen in any area of the body but cause pain and numbness.
Joint problems include bursitis and arthritis. Bursitis is the inflammation of a fluid-filled sac cushion on the outside of a joint, causing symptoms including pain and swelling. Arthritis is the inflammation and damage of a joint due to wear and tear or disease. There are several treatments for arthritis, but if the damage progresses far enough, joint replacement may be necessary. In joint replacement, a metal or plastic implant is surgically placed within the joint to make movement easier.
Bone problems include scoliosis, fractures, and osteoporosis. Scoliosis is a curvature of the spine, making the normally straight spine look like a 'C' or 'S.' It is treated with braces or surgery. Osteoporosis is a disease that causes bones to weaken and break easily. It's most common in women, especially older women. Fully half of all women over 65 have osteoporosis. Fractures are any break in the bone. They can be a simple crack or a severe and complicated shatter. Osteoporosis causes fractures in people who have it, but other causes are trauma (such as a fall) or overuse.
Tendon and ligament problems most often result from injury or overuse. Two good examples are ligament tears and tendonitis. The most common ligament tear is the ACL tear in the knee. This ligament supports and stabilizes the knee and is most often torn during sports activities. Tendonitis happens when a tendon, which connects muscles and bones together, becomes irritated and inflamed. This happens most often in older patients who push their bodies too far, leading to pain and swelling. Treatment for both tendon and ligament problems usually includes rest, ice, and supporting the area to let it heal.
Pain and numbness problems can be caused by overuse, disease, an injury, or a compressed nerve. Lower back pain and carpal tunnel syndrome are two of the most common conditions patients encounter. Lower back pain may be caused by sore muscles that have been overworked, or an injury to the disks separating the vertebrae in the spine. Lower back pain usually goes away on its own within a few days, but it may require medical treatment depending on the cause. Carpal tunnel syndrome occurs when the nerve at the base of the palm becomes trapped or pinched. Symptoms include tingling, pain, numbness, or weakness in the hand. Treatment involves rest and sometimes steroid injections.
Because the musculoskeletal system involves so much of the body, problems here can be incredibly varied in their type and severity. Some musculoskeletal problems will go away on their own or only require rest, while others may require medication, physical therapy, or even surgery.
Click on any procedure below to see further details on volume and pricing among Medicare patients.
In 2012, Dr. Timothy Ryan Vinyard, MD performed more minimally invasive surgery procedures for Medicare patients than 75% of providers in related specialties within Iowa.
Volume of procedures performed by Dr. Timothy Ryan Vinyard, MD for Medicare patients.
| doctor visit | 39 |
|---|
The top procedures that Dr. Timothy Ryan Vinyard, MD treated as a sports medicine doctor in West Des Moines, IA during 2013 were aspiration, injections, minimally invasive procedures and joint surgery.
Volume of procedures performed by Dr. Timothy Ryan Vinyard, MD for Medicare patients.
| aspiration | 67 |
|---|---|
| decompression surgery | 15 |
| doctor visit | 152 |
| hospital care | 39 |
| injections | 67 |
| inpatient care | 39 |
| joint surgery | 39 |
| minimally invasive procedures | 39 |
| MRI (magnetic resonance imaging) | 12 |
| musculoskeletal imaging | 12 |
| tendon surgery | 11 |
| upper extremity surgery | 39 |
Information about Medicare patients treated by Dr. Timothy Ryan Vinyard, MD.
| Male | 68 |
|---|---|
| Female | 90 |
| Non-Hispanic White | 145 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 57 |
|---|---|
| From 75 to 84 | 40 |
| 85 and over | 26 |
| Less than 65 | 35 |
| Hypertension | 75 |
|---|---|
| High Cholesterol | 62 |
| Stroke | 0 |
| Ischemic Heart Disease | 44 |
| Depression | 30 |
| Chronic Kidney Disease | 25 |
| Asthma | 10 |
| Osteoperosis | 11 |
| Atrial Fibrilation | 19 |
| Heart Failure | 26 |
| Chronic Obstructive Pulmonary Disease | 30 |
| Diabetes | 37 |
| Dementia | 13 |
| Cancer | 0 |
The top procedures that Dr. Timothy Ryan Vinyard, MD treated as a sports medicine doctor in West Des Moines, IA during 2014 were minimally invasive procedures, joint surgery, upper extremity surgery and hospital care.
Volume of procedures performed by Dr. Timothy Ryan Vinyard, MD for Medicare patients.
| aspiration | 40 |
|---|---|
| decompression surgery | 23 |
| doctor visit | 172 |
| excision | 19 |
| hospital care | 44 |
| injections | 40 |
| inpatient care | 44 |
| joint surgery | 78 |
| minimally invasive procedures | 78 |
| MRI (magnetic resonance imaging) | 14 |
| musculoskeletal imaging | 14 |
| tendon surgery | 18 |
| upper extremity surgery | 78 |
Information about Medicare patients treated by Dr. Timothy Ryan Vinyard, MD.
| Male | 79 |
|---|---|
| Female | 113 |
| Non-Hispanic White | 173 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 84 |
|---|---|
| From 75 to 84 | 44 |
| 85 and over | 26 |
| Less than 65 | 38 |
| Hypertension | 69 |
|---|---|
| High Cholesterol | 58 |
| Stroke | 0 |
| Ischemic Heart Disease | 34 |
| Depression | 32 |
| Chronic Kidney Disease | 28 |
| Asthma | 6 |
| Osteoperosis | 15 |
| Atrial Fibrilation | 13 |
| Heart Failure | 19 |
| Chronic Obstructive Pulmonary Disease | 17 |
| Diabetes | 33 |
| Dementia | 14 |
| Cancer | 6 |
The top procedures that Dr. Timothy Ryan Vinyard, MD treated as a sports medicine doctor in West Des Moines, IA during 2015 were minimally invasive procedures, joint surgery, upper extremity surgery and aspiration.
Volume of procedures performed by Dr. Timothy Ryan Vinyard, MD for Medicare patients.
| aspiration | 84 |
|---|---|
| decompression surgery | 32 |
| doctor visit | 187 |
| excision | 29 |
| hospital care | 13 |
| injections | 84 |
| inpatient care | 13 |
| joint surgery | 114 |
| minimally invasive procedures | 114 |
| MRI (magnetic resonance imaging) | 14 |
| musculoskeletal imaging | 14 |
| tendon surgery | 20 |
| upper extremity surgery | 114 |
Information about Medicare patients treated by Dr. Timothy Ryan Vinyard, MD.
| Male | 166 |
|---|---|
| Female | 172 |
| Non-Hispanic White | 294 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 166 |
|---|---|
| From 75 to 84 | 70 |
| 85 and over | 28 |
| Less than 65 | 74 |
| Hypertension | 65 |
|---|---|
| High Cholesterol | 50 |
| Stroke | 0 |
| Ischemic Heart Disease | 31 |
| Depression | 27 |
| Chronic Kidney Disease | 18 |
| Asthma | 12 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 9 |
| Heart Failure | 15 |
| Chronic Obstructive Pulmonary Disease | 15 |
| Diabetes | 30 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that Dr. Timothy Ryan Vinyard, MD treated as a sports medicine doctor in West Des Moines, IA during 2016 were minimally invasive procedures, joint surgery, upper extremity surgery and aspiration.
Volume of procedures performed by Dr. Timothy Ryan Vinyard, MD for Medicare patients.
| aspiration | 81 |
|---|---|
| decompression surgery | 34 |
| doctor visit | 156 |
| excision | 34 |
| injections | 81 |
| joint surgery | 122 |
| minimally invasive procedures | 122 |
| MRI (magnetic resonance imaging) | 14 |
| musculoskeletal imaging | 14 |
| tendon surgery | 26 |
| upper extremity surgery | 122 |
Information about Medicare patients treated by Dr. Timothy Ryan Vinyard, MD.
| Male | 54 |
|---|---|
| Female | 68 |
| Non-Hispanic White | 108 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 65 |
|---|---|
| From 75 to 84 | 27 |
| 85 and over | 11 |
| Less than 65 | 19 |
| Hypertension | 61 |
|---|---|
| High Cholesterol | 57 |
| Stroke | 0 |
| Ischemic Heart Disease | 27 |
| Depression | 28 |
| Chronic Kidney Disease | 17 |
| Asthma | 18 |
| Osteoperosis | 15 |
| Atrial Fibrilation | 11 |
| Heart Failure | 16 |
| Chronic Obstructive Pulmonary Disease | 16 |
| Diabetes | 29 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that Dr. Timothy Ryan Vinyard, MD treated as a sports medicine doctor in West Des Moines, IA during 2017 were aspiration, injections, minimally invasive procedures and joint surgery.
Volume of procedures performed by Dr. Timothy Ryan Vinyard, MD for Medicare patients.
| aspiration | 66 |
|---|---|
| decompression surgery | 24 |
| doctor visit | 118 |
| excision | 24 |
| injections | 66 |
| joint surgery | 48 |
| minimally invasive procedures | 48 |
| MRI (magnetic resonance imaging) | 14 |
| musculoskeletal imaging | 14 |
| upper extremity surgery | 48 |
Information about Medicare patients treated by Dr. Timothy Ryan Vinyard, MD.
| Male | 33 |
|---|---|
| Female | 66 |
| From 65 to 74 | 52 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 24 |
| Hypertension | 56 |
|---|---|
| High Cholesterol | 54 |
| Stroke | 0 |
| Ischemic Heart Disease | 23 |
| Depression | 37 |
| Chronic Kidney Disease | 23 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 12 |
| Chronic Obstructive Pulmonary Disease | 18 |
| Diabetes | 32 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that Dr. Timothy Ryan Vinyard, MD treated as a sports medicine doctor in West Des Moines, IA during 2018 were minimally invasive procedures, joint surgery, upper extremity surgery and aspiration.
Volume of procedures performed by Dr. Timothy Ryan Vinyard, MD for Medicare patients.
| aspiration | 41 |
|---|---|
| decompression surgery | 32 |
| doctor visit | 125 |
| excision | 32 |
| injections | 41 |
| joint surgery | 115 |
| minimally invasive procedures | 115 |
| MRI (magnetic resonance imaging) | 13 |
| musculoskeletal imaging | 13 |
| tendon surgery | 25 |
| upper extremity surgery | 115 |
Information about Medicare patients treated by Dr. Timothy Ryan Vinyard, MD.
| Male | 59 |
|---|---|
| Female | 64 |
| From 65 to 74 | 66 |
|---|---|
| From 75 to 84 | 27 |
| 85 and over | 13 |
| Less than 65 | 17 |
| Hypertension | 63 |
|---|---|
| High Cholesterol | 51 |
| Stroke | 0 |
| Ischemic Heart Disease | 30 |
| Depression | 28 |
| Chronic Kidney Disease | 25 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 16 |
| Heart Failure | 16 |
| Chronic Obstructive Pulmonary Disease | 11 |
| Diabetes | 27 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that Dr. Timothy Ryan Vinyard, MD treated as a sports medicine doctor in West Des Moines, IA during 2019 were minimally invasive procedures, joint surgery, upper extremity surgery and musculoskeletal imaging.
Volume of procedures performed by Dr. Timothy Ryan Vinyard, MD for Medicare patients.
| decompression surgery | 13 |
|---|---|
| doctor visit | 101 |
| excision | 14 |
| joint surgery | 54 |
| minimally invasive procedures | 54 |
| MRI (magnetic resonance imaging) | 14 |
| musculoskeletal imaging | 14 |
| tendon surgery | 13 |
| upper extremity surgery | 54 |
Information about Medicare patients treated by Dr. Timothy Ryan Vinyard, MD.
| Male | 52 |
|---|---|
| Female | 52 |
| From 65 to 74 | 57 |
|---|---|
| From 75 to 84 | 21 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 61 |
|---|---|
| High Cholesterol | 63 |
| Stroke | 0 |
| Ischemic Heart Disease | 35 |
| Depression | 32 |
| Chronic Kidney Disease | 30 |
| Asthma | 0 |
| Osteoperosis | 11 |
| Atrial Fibrilation | 11 |
| Heart Failure | 15 |
| Chronic Obstructive Pulmonary Disease | 16 |
| Diabetes | 30 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that Dr. Timothy Ryan Vinyard, MD treated as a sports medicine doctor in West Des Moines, IA during 2020 were minimally invasive procedures, joint surgery, upper extremity surgery and musculoskeletal imaging.
Volume of procedures performed by Dr. Timothy Ryan Vinyard, MD for Medicare patients.
| decompression surgery | 12 |
|---|---|
| doctor visit | 61 |
| excision | 11 |
| joint surgery | 23 |
| minimally invasive procedures | 23 |
| MRI (magnetic resonance imaging) | 14 |
| musculoskeletal imaging | 14 |
| upper extremity surgery | 23 |
Information about Medicare patients treated by Dr. Timothy Ryan Vinyard, MD.
| Male | 34 |
|---|---|
| Female | 39 |
| From 65 to 74 | 51 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 59 |
|---|---|
| High Cholesterol | 64 |
| Stroke | 0 |
| Ischemic Heart Disease | 30 |
| Depression | 26 |
| Chronic Kidney Disease | 23 |
| Asthma | 0 |
| Osteoperosis | 0 |
| Atrial Fibrilation | 0 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 22 |
| Dementia | 0 |
| Cancer | 0 |
The top procedures that Dr. Timothy Ryan Vinyard, MD treated as a sports medicine doctor in West Des Moines, IA during 2021 were minimally invasive procedures, joint surgery, upper extremity surgery and aspiration.
Volume of procedures performed by Dr. Timothy Ryan Vinyard, MD for Medicare patients.
| aspiration | 15 |
|---|---|
| decompression surgery | 15 |
| doctor visit | 106 |
| excision | 15 |
| injections | 15 |
| joint surgery | 42 |
| minimally invasive procedures | 42 |
| MRI (magnetic resonance imaging) | 15 |
| musculoskeletal imaging | 15 |
| upper extremity surgery | 42 |
Information about Medicare patients treated by Dr. Timothy Ryan Vinyard, MD.
| Male | 61 |
|---|---|
| Female | 57 |
| From 65 to 74 | 82 |
|---|---|
| From 75 to 84 | 0 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 57 |
|---|---|
| High Cholesterol | 55 |
| Stroke | 0 |
| Ischemic Heart Disease | 22 |
| Depression | 30 |
| Chronic Kidney Disease | 19 |
| Asthma | 0 |
| Osteoperosis | 10 |
| Atrial Fibrilation | 9 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 22 |
| Dementia | 0 |
| Cancer | 9 |
The top procedures that Dr. Timothy Ryan Vinyard, MD treated as a sports medicine doctor in West Des Moines, IA during 2022 were minimally invasive procedures, joint surgery, upper extremity surgery and decompression surgery.
Volume of procedures performed by Dr. Timothy Ryan Vinyard, MD for Medicare patients.
| decompression surgery | 11 |
|---|---|
| doctor visit | 85 |
| joint surgery | 11 |
| minimally invasive procedures | 11 |
| upper extremity surgery | 11 |
Information about Medicare patients treated by Dr. Timothy Ryan Vinyard, MD.
| Male | 46 |
|---|---|
| Female | 56 |
| Non-Hispanic White | 90 |
|---|---|
| Black | 0 |
| Hispanic | 0 |
| Asian | 0 |
| Other | 0 |
| Native American | 0 |
| From 65 to 74 | 68 |
|---|---|
| From 75 to 84 | 20 |
| 85 and over | 0 |
| Less than 65 | 0 |
| Hypertension | 67 |
|---|---|
| High Cholesterol | 74 |
| Stroke | 0 |
| Ischemic Heart Disease | 21 |
| Depression | 25 |
| Chronic Kidney Disease | 16 |
| Asthma | 13 |
| Osteoperosis | 13 |
| Atrial Fibrilation | 11 |
| Heart Failure | 0 |
| Chronic Obstructive Pulmonary Disease | 0 |
| Diabetes | 17 |
| Dementia | 0 |
| Cancer | 12 |
Volume of procedures performed by Dr. Timothy Ryan Vinyard, MD for Medicare patients.
The highest averages for the top procedures that Dr. Timothy Ryan Vinyard, MD treated as a sports medicine doctor in West Des Moines, IA were minimally invasive procedures, joint surgery, upper extremity surgery and aspiration.
| aspiration | 56 |
|---|---|
| decompression surgery | 21 |
| doctor visit | 118 |
| excision | 22 |
| hospital care | 32 |
| injections | 56 |
| inpatient care | 32 |
| joint surgery | 64 |
| minimally invasive procedures | 64 |
| MRI (magnetic resonance imaging) | 13 |
| musculoskeletal imaging | 13 |
| tendon surgery | 18 |
| upper extremity surgery | 64 |
Information about Medicare patients treated by Dr. Timothy Ryan Vinyard, MD.
| Male | 59 |
|---|---|
| Female | 70 |
| Black / African American | 0 |
|---|---|
| Asian / Pacific Islander | 0 |
| Non-Hispanic White | 73 |
| Native American / Alaskan Native | 0 |
| Hispanic | 0 |
| Other | 0 |
| 75 to 84 | 22 |
|---|---|
| 85 and over | 9 |
| Less than 65 | 18 |
| 65 to 74 | 68 |
The highest averages of the most common conditions of Medicare patients that Dr. Timothy Ryan Vinyard, MD treated were hypertension, high cholesterol, depression and ischemic heart disease.
| Hypertension | 57 |
|---|---|
| High Cholesterol | 53 |
| Stroke | 0 |
| Ischemic Heart Disease | 27 |
| Depression | 26 |
| Chronic Kidney Disease | 20 |
| Asthma | 5 |
| Osteoporosis | 6 |
| Heart Failure | 10 |
| Chronic Obstructive Pulmonary Disease | 11 |
| Diabetes | 25 |
| Atrial Fibrillation | 9 |
| Dementia | 2 |
| Cancer | 2 |
Dr. Timothy Ryan Vinyard, MD graduated from University of Iowa, Carver College of Medicine. He completed residency at University of Iowa Affiliated Hospitals. He is certified by the American Board of Orthopaedic Surgery and has a state license in Iowa.
Medical School: University of Iowa, Carver College of Medicine
Residency: University of Iowa Affiliated Hospitals
Board Certification: American Board of Orthopaedic Surgery
Licensed In: Iowa
Dr. Timothy Ryan Vinyard, MD is associated with these hospitals and organizations:
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These charts describe general payments received by Dr. Timothy Ryan Vinyard, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
| Smith & Nephew, Inc. |
$2,653
Sports Med Shoulder $1,494 |
ULTRABUTTON $317 |
Regeneten $215 |
Sports Med Knee $164 |
Sports Med Hip $150 |
Other $312 |
|---|---|---|---|---|---|---|
| Smith+Nephew, Inc. |
$1,494
Meniscal Root Repair System $314 |
Regeneten $244 |
LENS 4K $179 |
REAL INTELLIGENCE $145 |
MULTIFIX S $131 |
Other $480 |
| Stryker Corporation |
$400
Mako $307 |
THORACO-LUMBAR $50 |
AERO $42 |
|||
| DePuy Synthes Sales Inc. |
$348
MONOVISC $83 |
ORTHOVISC $46 |
ATTUNE $44 |
TRUESPAN ORTHOCORD $33 |
RIGIDLOOP $26 |
Other $116 |
| Zimmer Biomet Holdings, Inc. |
$294
Biomet BMA Bone Marrow Aspirate $105 |
Persona $48 |
$141 |
|||
| Other |
$943
VIMOVO $210 |
Knee $178 |
CARTICEL $111 |
ARTHREX PRODUCT LINE KNEE & HIP ARTHROSCOPY $50 |
Dynasplint $47 |
Other $347 |
| Food and Beverage | $4,435 |
|---|---|
| Travel and Lodging | $1,647 |
| Education | $50 |
Dr. Timothy Vinyard is a specialist in orthopedics/orthopedic surgery and sports medicine in West Des Moines, IA and Johnston, IA. Clinical interests for Dr. Vinyard include shoulder instability, dislocation, and hyaluronic acid joint injections (viscosupplementation). His professional affiliations include Iowa Ortho and Dallas County Hospital Family Medicine Clinics. His practice in is open to new patients as reported by Dallas County Hospital Family Medicine Clinics. After completing medical school at the University of Iowa, Carver College of Medicine, Dr. Vinyard performed his residency at a hospital affiliated with the University of Iowa.