Dr. Sheldon Johnson, DO
615 S New Ballas Rd, Saint Louis, MO 63141 • +1-642-555-8466
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Saint Louis Percentiles
NPI #1144516402 • CBSA Regional • Family Practice
Operating out of Saint Louis, MO (615 S New Ballas Rd), Family Practice clinician Dr. Sheldon Johnson, DO (accredited MD/DO training, 1997) maintains a focused low-volume boutique caseload (34.78th Saint Louis percentile) (23.32th MO percentile; Z-score -0.43σ across 858 documented services) with sub-specialty concentration in 32 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Johnson (averaging 4.6 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 36% of tracked volume (307 encounters), paired with 99213 (227x).
For out-of-network patients contacting +1-642-555-8466, Dr. Johnson's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.93/5 composite reality score over 20 submissions).
Clinical background for Dr. Johnson (DO, NPI #1144516402) includes accredited doctoral training (1997, 29 yrs in practice) and virtual + in-office availability across MO.
Compared against Saint Louis, MO Family Practice peers
858 annual services across 186 beneficiaries
Standard deviations from MO 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 | 307 | 34.78th | $85 – $116 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 227 | 38.78th | $65 – $89 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 88 | 31.78th | $97 – $133 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 66 | 37.78th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 44 | 34.78th | $116 – $159 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (32 HCPCS billing breadth) | 127 | 34.78th | $76 – $110 |
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Dr. Sheldon Johnson, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Johnson National Provider Identifier | NPI #1144516402 (DO) | CMS NPPES Registry (63141) |
| Dr. Johnson Saint Louis CMS Volume Rank | 34.78th Pct (858 CMS svcs; Z -0.427σ) | CMS Medicare Part B (MO Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Saint Louis, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.69/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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