Dr. Lona Caires, DO
1151 Silver Lake Rd, New Brighton, MN 55112 • +1-294-555-9817
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & New Brighton Percentiles
NPI #1639273113 • CBSA Regional • Family Practice
Operating out of New Brighton, MN (1151 Silver Lake Rd), Family Practice clinician Dr. Lona Caires, DO (accredited MD/DO training, 1999) maintains a top-decile high-throughput specialist (99th percentile in New Brighton) (16.98th MN percentile; Z-score -0.48σ across 775 documented services) with sub-specialty concentration in 78 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1639273113 highlights 286 annual claims for 99214 (99th New Brighton percentile; $70–$97 self-pay corridor) plus 211 encounters under 99213 and 82 under G0439.
For out-of-network patients contacting +1-294-555-9817, Dr. Caires's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.54/5 composite reality score over 13 submissions).
NPI registry verification (#1639273113) confirms Dr. Lona Caires's DO standing serving CBSA 55112 with a 4.54/5 patient scorecard.
Top 10% Family Practice volume leader in New Brighton, MN
775 annual services across 77 beneficiaries
Standard deviations from MN 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 | 286 | 99th | $70 – $97 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 211 | 99th | $54 – $74 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 82 | 99.5th | $81 – $111 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 61 | 99th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 41 | 97th | $97 – $133 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (78 HCPCS billing breadth) | 94 | 99th | $64 – $93 |
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Dr. Lona Caires, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Caires National Provider Identifier | NPI #1639273113 (DO) | CMS NPPES Registry (55112) |
| Dr. Caires New Brighton CMS Volume Rank | 99.00th Pct (775 CMS svcs; Z -0.478σ) | CMS Medicare Part B (MN Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (New Brighton, MN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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