Dr. Michael Espiritu, M.D.
Contact & Location
605-217-2667
Dakota Dunes, SD 57049
Dr. Espiritu performs more knee replacement procedures than 6% of orthopedic surgeons in South Dakota, based on 2024 Medicare claims volume.Derived from the state ranking shown on this page: #45 of 48 ranked knee surgeons in South Dakota.
About Dr. Espiritu
Practice. Dr. Michael Espiritu is a board-certified orthopedic surgeon practicing in Dakota Dunes, South Dakota. The latest annual CMS data records 13 knee replacements. That is #45 in South Dakota for knee replacement. A Medicare provider since 2007.
Trend. Medicare records run from 2013 to 2024, 12 years. Volume peaked at 33 in 2013 and stands at 13 now. Reporting changes and payer mix can both move that number.
National context. Among 6,612 knee replacement surgeons tracked nationally, 13 procedures is below the national average of 45. Medicare covers part of all joint replacements, so true volume is likely higher.
Local context. Dakota Dunes has 9 orthopedic surgeons in the current Medicare data. Comparing volume and procedure mix across them is one way to narrow a shortlist. Dr. Espiritu also holds hospital privileges in SD and IA, a practice that extends beyond South Dakota.
Verified Case Volume Trends (2013-Current)
| Year | Hip Replacement | Knee Replacement |
|---|---|---|
| 2013 | 18 | 15 |
| 2014 | 13 | 18 |
| 2015 | 13 | 11 |
| 2016 | 0 | 26 |
| 2017 | 0 | 17 |
| 2018 | 0 | 28 |
| 2019 | 0 | 21 |
| 2020 | 0 | 20 |
| 2021 | 0 | 12 |
| 2022 | 0 | 14 |
| 2023 | 0 | 14 |
| 2024 | 0 | 13 |
Verified Medicare Cases
How is this estimated?
Medicare Part B fee-for-service claims are one payer stream among several, and the share they represent differs by procedure. In 2024 it was 23% to 28% for knee replacement. Each verified count above is divided by its own procedure's range, and the results are added, to estimate total practice volume across all payers. The verified Medicare count is the definitive, audited figure; this is a range derived from published national volume projections, not a measurement, and an individual practice can sit well outside it: how these ranges are derived, and their sources.
How Dr. Espiritu Compares
Procedure volume compared to the South Dakota state average.
Volume Trend Analysis
Dr. Espiritu's recorded volume peaked at 33 procedures in 2013 and stood at 13 in the most recent data. Year-to-year variation can reflect changes in payer mix, practice scope, or Medicare billing patterns.
Hospital Affiliations & Quality
Quality ratings and complication rates are hospital-level metrics from CMS Hospital Compare and do not reflect individual surgeon performance. Star ratings updated quarterly. Complication data covers a rolling 3-year period.
Patient Resources: Preparing for Knee Replacement
If you are considering knee replacement surgery, these evidence-based guides can help you prepare and recover:
An overview of current surgical approaches including robotic-assisted and minimally invasive techniques, implant options, and expected outcomes.
What to Expect on the Day of SurgeryA step-by-step walkthrough of your surgical day, from pre-op preparation through anesthesia, the procedure itself, and the first hours of recovery.
Nutrition and Recovery After Joint ReplacementHow protein intake, anti-inflammatory foods, hydration, and targeted supplements support bone healing and tissue repair after surgery.
Medicare Coverage for Joint ReplacementWhat Medicare Part A and Part B cover for joint replacement surgery, including hospital stays, surgeon fees, anesthesia, and physical therapy.
Knee Replacement Recovery Overview
Recovery timelines vary by patient, but here is a general overview of what to expect after knee replacement surgery:
Individual recovery varies based on overall health, age, and adherence to physical therapy. View full knee replacement recovery guide and product recommendations
Frequently Asked Questions About Dr. Espiritu
How does Dr. Espiritu's procedure volume compare to other South Dakota surgeons?
Dr. Espiritu has performed 13 Medicare-verified joint replacement procedures. The South Dakota average is 70 procedures per surgeon. Medicare data captures roughly one-third of all joint replacements, so total volume may be higher. Dr. Espiritu ranks #50 out of 52 orthopedic surgeons in South Dakota.
What types of joint replacement does Dr. Espiritu perform?
Dr. Espiritu's reported Medicare volume is focused on knee replacement, with 13 verified procedures. Some surgeons choose to concentrate on a single joint type to build deep procedural expertise.
Are there other orthopedic surgeons near Dr. Espiritu in Dakota Dunes?
Yes. There are 9 orthopedic surgeons in Dakota Dunes in the current Medicare dataset. Patients can compare procedure volumes and specializations to choose the surgeon who best fits their needs. Use the state page to view all South Dakota surgeons.
What does the Medicare data for Dr. Espiritu represent?
The procedure counts shown are based on 2024 Medicare Part B fee-for-service claims data, published by the Centers for Medicare and Medicaid Services (CMS). Medicare fee-for-service is only one payer stream, and the share of national volume it represents differs by procedure. In 2024 the share was 23% to 28% for knee replacement, which puts Dr. Espiritu's total volume across all insurers at roughly 50 to 60 procedures against the 13 verified here. Those shares are derived from published national volume projections rather than quoted from a single publication, and they are estimates with real uncertainty. The OrthoProcedures methodology page shows the full derivation, the sources, and the limits at orthoprocedures.com/data-methodology.html.
Has Dr. Espiritu's procedure volume changed over time?
Dr. Espiritu's Medicare-recorded volume peaked at 33 procedures in 2013 and was 13 in the most recent data. Volume fluctuations can reflect changes in payer mix, practice focus, or Medicare reporting rather than a change in overall surgical activity.
Which hospitals is Dr. Espiritu affiliated with?
According to CMS facility affiliation data, Dr. Espiritu is affiliated with Dunes Surgical Hospital, St Lukes Regional Medical Center, Floyd Valley Healthcare, Burgess Health Center, Crawford County Memorial Hospital. Dr. Espiritu maintains hospital privileges across state lines, indicating a practice that serves patients in multiple states.
How does Dr. Espiritu compare to other orthopedic surgeons in Dakota Dunes?
Among the 9 orthopedic surgeons in Dakota Dunes, Dr. Espiritu ranks #9 by total Medicare procedure volume. The highest-volume surgeon in Dakota Dunes has 147 verified Medicare procedures.
What are the quality ratings for hospitals where Dr. Espiritu practices?
Dunes Surgical Hospital (hip/knee complication rate similar to national average); St Lukes Regional Medical Center (1 out of 5 CMS stars, insufficient case volume for complication rate comparison); Floyd Valley Healthcare (hip/knee complication rate similar to national average). These are hospital-level quality metrics from CMS Hospital Compare and do not reflect individual surgeon outcomes.
Other Orthopedic Surgeons in Dakota Dunes, South Dakota
Dr. Espiritu's 13 Medicare procedures are below the Dakota Dunes average of 66. The table below compares verified procedure volumes for orthopedic surgeons practicing in Dakota Dunes.
| Surgeon | Procedures | Specialties |
|---|---|---|
| Dr. Daniel Nelson | 147 | Hip, Knee |
| Dr. Brian Johnson | 85 | Knee, Shoulder |
| Dr. Steven Meyer | 64 | Hip, Knee |
| Dr. Justin Deans | 62 | Hip, Knee |
| Dr. Benjamin Bissell | 58 | Knee, Shoulder |
| Dr. Ryan Meis | 36 | Knee |
Patient Resources & Verification
Research reviews, verify credentials, and check official quality data through these trusted sources:
Medicare Care Compare and NPI Registry are official U.S. government sources. Google reviews reflect user-submitted feedback. OrthoProcedures.com does not verify the accuracy of third-party review content.