Dr. Nathan Roberts, MD
300 N Main St, Tuscola, IL 61953 • +1-371-555-3579
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Tuscola Percentiles
NPI #1225089626 • CBSA Regional • Family Practice
Dr. Nathan Roberts, MD (NPI #1225089626) practices Family Practice in Tuscola, IL (61953) with sub-specialty concentration in 84 Active CMS HCPCS Codes, recording 3,502 annual CMS services across 328 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Tuscola) (+0.02σ vs IL state mean, 86.38th statewide percentile).
Fee-schedule auditing of NPI 1225089626 highlights 854 annual claims for 99214 (99th Tuscola percentile; $55–$75 self-pay corridor) plus 631 encounters under 99213 and 244 under G0439.
Cash-pay intake data for NPI 1225089626 (300 N Main St, Tuscola) indicates $218.00 typical out-of-pocket visit spend against a $218.00 locality benchmark, paired with 19-minute average reception wait and 4.58/5 biomarker openness.
From 300 N Main St in Tuscola (+1-371-555-3579), Dr. Roberts, MD (11-year clinical track record) delivers 84 Active CMS HCPCS Codes care.
Top 10% Family Practice volume leader in Tuscola, IL
3,502 annual services across 328 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 | 854 | 99th | $55 – $75 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 631 | 94th | $42 – $57 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 244 | 99.5th | $63 – $86 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 183 | 99.5th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 122 | 99.5th | $75 – $103 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (84 HCPCS billing breadth) | 1,468 | 99th | $49 – $71 |
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Dr. Nathan Roberts, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Roberts National Provider Identifier | NPI #1225089626 (MD) | CMS NPPES Registry (61953) |
| Dr. Roberts Tuscola CMS Volume Rank | 99.00th Pct (3,502 CMS svcs; Z +0.016σ) | CMS Medicare Part B (IL Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Tuscola, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 19 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.58/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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