Dr. Thomas Sapp, MD
100 Michigan St Ne, Grand Rapids, MI 49503 • +1-366-555-7162
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Grand Rapids Percentiles
NPI #1174540025 • CBSA Regional • Emergency Medicine
Within the Grand Rapids, MI (CBSA local) Emergency Medicine cohort, Dr. Thomas Sapp, MD with sub-specialty concentration in 11 Active CMS HCPCS Codes ranks at the 66.67th municipal percentile and 91.29th MI percentile (+0.62σ Z-score) based on 1,552 billed procedures for 1,321 patients.
Fee-schedule auditing of NPI 1174540025 highlights 698 annual claims for 99214 (66.67th Grand Rapids percentile; $43–$60 self-pay corridor) plus 404 encounters under 99213 and 202 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Thomas Sapp in Grand Rapids (49503) face an estimated $209.00 initial evaluation fee at 100 Michigan St Ne (hybrid in-clinic and telehealth video consults; 15-minute average reception wait; bedside manner 4.83/5 from 17 verified reports).
From 100 Michigan St Ne in Grand Rapids (+1-366-555-7162), Dr. Sapp, MD (11-year clinical track record) delivers 11 Active CMS HCPCS Codes care.
Compared against Grand Rapids, MI Emergency Medicine peers
1,552 annual services across 1,321 beneficiaries
Standard deviations from MI Emergency Medicine mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 698 | 66.67th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 404 | 64.67th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 202 | 68.67th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 155 | 69.67th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 93 | 65.67th | $60 – $83 |
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Dr. Thomas Sapp, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sapp National Provider Identifier | NPI #1174540025 (MD) | CMS NPPES Registry (49503) |
| Dr. Sapp Grand Rapids CMS Volume Rank | 66.67th Pct (1,552 CMS svcs; Z +0.620σ) | CMS Medicare Part B (MI Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Grand Rapids, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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