Dr. Michael Kastner, MD
400 W Mineral King Ave, Visalia, CA 93291 • +1-399-555-8913
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Visalia Percentiles
NPI #1114489481 • CBSA Regional • Emergency Medicine
Within the Visalia, CA (CBSA local) Emergency Medicine cohort, Dr. Michael Kastner, MD with sub-specialty concentration in 30 Active CMS HCPCS Codes ranks at the 89.47th municipal percentile and 84.83th CA percentile (+0.03σ Z-score) based on 1,356 billed procedures for 823 patients.
Dr. Kastner's longitudinal care intensity (1.6 billed units per patient across 823 individuals) centers on 99214 (610 annual units) and 99213 ($152–$208 cash range).
For out-of-network patients contacting +1-399-555-8913, Dr. Kastner's practice posts a $239.00 GPCI self-pay consult estimate ($239.00 patient-logged median, 4.74/5 composite reality score over 21 submissions).
Patients evaluating Dr. Michael Kastner in ZIP 93291 note 22 years of post-doctoral tenure (null, 2004) alongside 1.6 annual CMS procedures per patient.
Compared against Visalia, CA Emergency Medicine peers
1,356 annual services across 823 beneficiaries
Standard deviations from CA Emergency Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 610 | 89.47th | $198 – $272 |
| 99213 | Established Preventive & Chronic Care Visit | 353 | 92.47th | $152 – $208 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 176 | 88.47th | $72 – $99 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 136 | 92.47th | $233 – $319 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 81 | 94.47th | $276 – $378 |
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Dr. Michael Kastner, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kastner National Provider Identifier | NPI #1114489481 (MD) | CMS NPPES Registry (93291) |
| Dr. Kastner Visalia CMS Volume Rank | 89.47th Pct (1,356 CMS svcs; Z +0.029σ) | CMS Medicare Part B (CA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Visalia, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 13 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.60/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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