Dr. Sara Modert, DO
1 Doctors Park Rd Ste C, Mount Vernon, IL 62864 • +1-467-555-1809
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Mount Vernon Percentiles
NPI #1700866258 • CBSA Regional • Family Practice
Statistical peer benchmarking across IL Family Practice providers positions Dr. Sara Modert, DO in Mount Vernon at -0.12σ (33.33th city percentile / 32.3th state percentile, 111 Medicare beneficiaries), with clinical focus spanning 33 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1700866258 highlights 406 annual claims for 99214 (33.33th Mount Vernon percentile; $129–$177 self-pay corridor) plus 299 encounters under 99213 and 116 under G0439.
Direct cash-pay transparency modeling sets Dr. Modert's baseline new-consult rate near $218.00 in Mount Vernon, IL (cash-pay accepted, hybrid in-clinic and telehealth video consults, 13-minute average reception wait).
NPI registry verification (#1700866258) confirms Dr. Sara Modert's DO standing serving CBSA 62864 with a 4.60/5 patient scorecard.
Compared against Mount Vernon, IL Family Practice peers
1,023 annual services across 111 beneficiaries
Standard deviations from IL Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 406 | 33.33th | $129 – $177 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 299 | 28.33th | $99 – $135 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 116 | 32.33th | $148 – $203 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 87 | 33.33th | $28 – $43 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 58 | 33.33th | $177 – $243 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (33 HCPCS billing breadth) | 57 | 33.33th | $116 – $168 |
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Dr. Sara Modert, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Modert National Provider Identifier | NPI #1700866258 (DO) | CMS NPPES Registry (62864) |
| Dr. Modert Mount Vernon CMS Volume Rank | 33.33th Pct (1,023 CMS svcs; Z -0.115σ) | CMS Medicare Part B (IL Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mount Vernon, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 13 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.55/5 Listening • 4.49/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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