Dr. Josh Gast, DO
304 S Mount Auburn Rd, Cape Girardeau, MO 63703 • +1-437-555-1986
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Cape Girardeau Percentiles
NPI #1437404761 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across MO Internal Medicine providers positions Dr. Josh Gast, DO in Cape Girardeau at -0.17σ (0th city percentile / 0.78th state percentile, 150 Medicare beneficiaries), with clinical focus spanning 49 Active CMS HCPCS Codes.
Procedural volume for Dr. Gast is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 287 annual services, $43–$60 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 166/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 83/yr).
Self-pay new patient consultations with Dr. Gast (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 21-minute average reception wait, and a 4.91/5 modern protocol openness score across 21 patient logs.
Clinical background for Dr. Gast (DO, NPI #1437404761) includes accredited doctoral training (2007, 19 yrs in practice) and dedicated on-site consultations at 304 S Mount Auburn Rd.
Compared against Cape Girardeau, MO Internal Medicine peers
637 annual services across 150 beneficiaries
Standard deviations from MO Internal 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 | 287 | 12th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 166 | 12th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 83 | 12th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 64 | 12th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 38 | 12th | $60 – $83 |
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Dr. Josh Gast, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gast National Provider Identifier | NPI #1437404761 (DO) | CMS NPPES Registry (63703) |
| Dr. Gast Cape Girardeau CMS Volume Rank | 0.00th Pct (637 CMS svcs; Z -0.172σ) | CMS Medicare Part B (MO Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Cape Girardeau, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.91/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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