Dr. Paul Mathieu, MD
3780 Eisenhower Pkwy, Macon, GA 31206 • +1-736-555-6161
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Macon Percentiles
NPI #1164684205 • CBSA Regional • Hospitalist
Dr. Paul Mathieu, MD (NPI #1164684205) practices Hospitalist in Macon, GA (31206) with sub-specialty concentration in 10 Active CMS HCPCS Codes, recording 1,070 annual CMS services across 281 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Macon percentile) (+0.08σ vs GA state mean, 80.21th statewide percentile).
Medicare Part B line-item claims for Dr. Paul Mathieu (31206) place 99214 at the top of the practice ledger (482 yearly units, 50th metro rank), rounded out by 99213 and 93000.
Self-pay new patient consultations with Dr. Mathieu (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 14-minute average reception wait, and a 4.90/5 modern protocol openness score across 10 patient logs.
Clinical background for Dr. Mathieu (MD, NPI #1164684205) includes accredited doctoral training (2008, 18 yrs in practice) and virtual + in-office availability across GA.
Compared against Macon, GA Hospitalist peers
1,070 annual services across 281 beneficiaries
Standard deviations from GA Hospitalist 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 | 482 | 50th | $153 – $210 |
| 99213 | Established Preventive & Chronic Care Visit | 278 | 52th | $117 – $160 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 139 | 49th | $56 – $77 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 107 | 45th | $180 – $246 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 64 | 52th | $213 – $292 |
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Dr. Paul Mathieu, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mathieu National Provider Identifier | NPI #1164684205 (MD) | CMS NPPES Registry (31206) |
| Dr. Mathieu Macon CMS Volume Rank | 50.00th Pct (1,070 CMS svcs; Z +0.077σ) | CMS Medicare Part B (GA Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Macon, GA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.67/5 Listening • 4.90/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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