Dr. Sharon Rooney-Gandy, DO
42 N Saint Joseph Ave Ste 103, Niles, MI 49120 • +1-525-555-9575
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Niles Percentiles
NPI #1083788285 • CBSA Regional • General Surgery
Operating out of Niles, MI (42 N Saint Joseph Ave Ste 103), General Surgery clinician Dr. Sharon Rooney-Gandy, DO (accredited MD/DO training, 2001) maintains a top-decile high-throughput specialist (99th percentile in Niles) (67.21th MI percentile; Z-score -0.12σ across 1,204 documented services) with sub-specialty concentration in 27 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1083788285 highlights 542 annual claims for 99214 (99th Niles percentile; $100–$137 self-pay corridor) plus 313 encounters under 99213 and 157 under 93000.
Cash-pay intake data for NPI 1083788285 (42 N Saint Joseph Ave Ste 103, Niles) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 20-minute average reception wait and 4.85/5 biomarker openness.
Credentialed as an DO specialist with 25 years post-graduation experience since completing medical school at an LCME/COCA institution (2001), Dr. Rooney-Gandy coordinates 27 Active CMS HCPCS Codes workups from 42 N Saint Joseph Ave Ste 103 (+1-525-555-9575).
Top 10% General Surgery volume leader in Niles, MI
1,204 annual services across 91 beneficiaries
Standard deviations from MI General Surgery 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 | 542 | 99th | $100 – $137 |
| 99213 | Established Preventive & Chronic Care Visit | 313 | 99.5th | $77 – $105 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 157 | 99.5th | $37 – $52 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 120 | 95th | $117 – $161 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 72 | 99.5th | $139 – $191 |
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Dr. Sharon Rooney-Gandy, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rooney-Gandy National Provider Identifier | NPI #1083788285 (DO) | CMS NPPES Registry (49120) |
| Dr. Rooney-Gandy Niles CMS Volume Rank | 99.00th Pct (1,204 CMS svcs; Z -0.117σ) | CMS Medicare Part B (MI General Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Niles, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.85/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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