Dr. Walter Simoneaux, MD
504 N Acadia Rd, Thibodaux, LA 70301 • +1-814-555-5044
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Thibodaux Percentiles
NPI #1225076185 • CBSA Regional • Urology
Statistical peer benchmarking across LA Urology providers positions Dr. Walter Simoneaux, MD in Thibodaux at +0.10σ (66.67th city percentile / 80.19th state percentile, 571 Medicare beneficiaries), with clinical focus spanning 47 Active CMS HCPCS Codes.
Procedural volume for Dr. Simoneaux is led by HCPCS 99214 (Established Urologic, BPH & Androgen Evaluation — 955 annual services, $43–$60 GPCI cash estimate), followed by CPT 51798 (Ultrasound Measurement of Post-Void Residual Urine Capacity, 716/yr) and CPT 52000 (Diagnostic Cystourethroscopy Lower Urinary Tract Inspection, 451/yr).
Self-pay new patient consultations with Dr. Simoneaux (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 12-minute average reception wait, and a 4.80/5 modern protocol openness score across 12 patient logs.
Spanning 10 years of clinical practice following 2016 graduation from medical training, Dr. Walter Simoneaux integrates 47 Active CMS HCPCS Codes diagnostics for Thibodaux metro patients.
Compared against Thibodaux, LA Urology peers
21,499 annual services across 571 beneficiaries
Standard deviations from LA Urology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Urologic, BPH & Androgen Evaluation | 955 | 66.67th | $43 – $60 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 716 | 69.67th | $25 – $40 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 451 | 70.67th | $89 – $122 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 318 | 61.67th | $25 – $40 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 212 | 70.67th | $61 – $84 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (47 HCPCS billing breadth) | 18,847 | 66.67th | $45 – $65 |
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Dr. Walter Simoneaux, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simoneaux National Provider Identifier | NPI #1225076185 (MD) | CMS NPPES Registry (70301) |
| Dr. Simoneaux Thibodaux CMS Volume Rank | 66.67th Pct (21,499 CMS svcs; Z +0.100σ) | CMS Medicare Part B (LA Urology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Thibodaux, LA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.80/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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