Dr. Valerie Kounkel, DO
2101 Westown Pkwy, Suite 2, West Des Moines, IA 50265 • +1-815-555-2048
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & West Des Moines Percentiles
NPI #1437118064 • CBSA Regional • Ophthalmology
Dr. Valerie Kounkel, DO (NPI #1437118064) practices Ophthalmology in West Des Moines, IA (50265) with sub-specialty concentration in 19 Active CMS HCPCS Codes, recording 1,850 annual CMS services across 846 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (13.04th West Des Moines percentile) (-0.40σ vs IA state mean, 25.86th statewide percentile).
Fee-schedule auditing of NPI 1437118064 highlights 685 annual claims for 92014 (13.04th West Des Moines percentile; $181–$247 self-pay corridor) plus 481 encounters under 92134 and 315 under 92083.
Cash-pay intake data for NPI 1437118064 (2101 Westown Pkwy, Suite 2, West Des Moines) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 20-minute average reception wait and 4.64/5 biomarker openness.
From 2101 Westown Pkwy, Suite 2 in West Des Moines (+1-815-555-2048), Dr. Kounkel, DO (25-year clinical track record) delivers 19 Active CMS HCPCS Codes care.
Compared against West Des Moines, IA Ophthalmology peers
1,850 annual services across 846 beneficiaries
Standard deviations from IA Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 685 | 13.04th | $181 – $247 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 481 | 14.04th | $99 – $136 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 315 | 15.04th | $119 – $164 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 222 | 12th | $217 – $298 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 148 | 16.04th | $795 – $1090 |
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Dr. Valerie Kounkel, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kounkel National Provider Identifier | NPI #1437118064 (DO) | CMS NPPES Registry (50265) |
| Dr. Kounkel West Des Moines CMS Volume Rank | 13.04th Pct (1,850 CMS svcs; Z -0.398σ) | CMS Medicare Part B (IA Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (West Des Moines, IA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.64/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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