Dr. Matthew Koehler, DO
5000 Civic Center DR, San Rafael, CA 94903 • +1-898-555-7994
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & San Rafael Percentiles
NPI #1801090519 • CBSA Regional • Dermatology
Within the San Rafael, CA (CBSA local) Dermatology cohort, Dr. Matthew Koehler, DO with sub-specialty concentration in 72 Active CMS HCPCS Codes ranks at the 62.5th municipal percentile and 69.51th CA percentile (-0.04σ Z-score) based on 5,571 billed procedures for 1,001 patients.
Dr. Koehler's longitudinal care intensity (5.6 billed units per patient across 1001 individuals) centers on 17000 (1890 annual units) and 99213 ($103–$142 cash range).
Cash-pay intake data for NPI 1801090519 (5000 Civic Center DR, San Rafael) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 11-minute average reception wait and 4.58/5 biomarker openness.
Spanning 21 years of clinical practice following 2005 graduation from medical training, Dr. Matthew Koehler integrates 72 Active CMS HCPCS Codes diagnostics for San Rafael metro patients.
Compared against San Rafael, CA Dermatology peers
5,571 annual services across 1,001 beneficiaries
Standard deviations from CA Dermatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 17000 | Cryotherapy Destruction of Premalignant Actinic Lesion | 1,890 | 62.5th | $92 – $127 |
| 99213 | Focused Cutaneous & Dermoscopic Examination | 1,723 | 67.5th | $103 – $142 |
| 11102 | Tangential Diagnostic Skin Biopsy of Single Lesion | 1,056 | 62.5th | $136 – $186 |
| 11401 | Excision of Benign Cutaneous Lesion (0.6 to 1.0 cm) | 556 | 62.5th | $190 – $261 |
| 99203 | New Patient Full-Body Skin Cancer & Dermatology Evaluation | 334 | 64.5th | $147 – $201 |
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Dr. Matthew Koehler, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Koehler National Provider Identifier | NPI #1801090519 (DO) | CMS NPPES Registry (94903) |
| Dr. Koehler San Rafael CMS Volume Rank | 62.50th Pct (5,571 CMS svcs; Z -0.043σ) | CMS Medicare Part B (CA Dermatology) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (San Rafael, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 11 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.58/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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