Dr. Martin Andersen, DO
1115 Ronald Reagan Pkwy Ste 206, Avon, IN 46123 • +1-949-555-6753
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Avon Percentiles
NPI #1669406237 • CBSA Regional • Nephrology
Operating out of Avon, IN (1115 Ronald Reagan Pkwy Ste 206), Nephrology clinician Dr. Martin Andersen, DO (accredited MD/DO training, 2001) maintains a focused low-volume boutique caseload (0th Avon percentile) (0th IN percentile; Z-score -0.75σ across 629 documented services) with sub-specialty concentration in 17 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1669406237 highlights 302 annual claims for 99214 (12th Avon percentile; $200–$274 self-pay corridor) plus 138 encounters under 90960 and 113 under 99215.
Self-pay new patient consultations with Dr. Andersen (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 13-minute average reception wait, and a 4.83/5 modern protocol openness score across 15 patient logs.
Credentialed as an DO specialist with 25 years post-graduation experience since completing medical school at an LCME/COCA institution (2001), Dr. Andersen coordinates 17 Active CMS HCPCS Codes workups from 1115 Ronald Reagan Pkwy Ste 206 (+1-949-555-6753).
Compared against Avon, IN Nephrology peers
629 annual services across 249 beneficiaries
Standard deviations from IN Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 302 | 12th | $200 – $274 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 138 | 12th | $399 – $547 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 113 | 12th | $291 – $399 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 75 | 12th | $274 – $376 |
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Dr. Martin Andersen, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Andersen National Provider Identifier | NPI #1669406237 (DO) | CMS NPPES Registry (46123) |
| Dr. Andersen Avon CMS Volume Rank | 0.00th Pct (629 CMS svcs; Z -0.750σ) | CMS Medicare Part B (IN Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Avon, IN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.83/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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