Dr. Nancy Birner, MD
12700 Southfork Rd, Ste 215, Saint Louis, MO 63128 • +1-344-555-2244
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Saint Louis Percentiles
NPI #1043214778 • CBSA Regional • Pediatric Medicine
Dr. Nancy Birner, MD (NPI #1043214778) practices Pediatric Medicine in Saint Louis, MO (63128) with sub-specialty concentration in 47 Active CMS HCPCS Codes, recording 1,475 annual CMS services across 287 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Saint Louis) (-0.39σ vs MO state mean, 42.86th statewide percentile).
Medicare Part B line-item claims for Dr. Nancy Birner (63128) place 99214 at the top of the practice ledger (603 yearly units, 99th metro rank), rounded out by 99213 and 93000.
For out-of-network patients contacting +1-344-555-2244, Dr. Birner's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.61/5 composite reality score over 8 submissions).
Patients evaluating Dr. Nancy Birner in ZIP 63128 note 20 years of post-doctoral tenure (null, 2006) alongside 5.1 annual CMS procedures per patient.
Top 10% Pediatric Medicine volume leader in Saint Louis, MO
1,475 annual services across 287 beneficiaries
Standard deviations from MO Pediatric 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 | 603 | 99th | $127 – $173 |
| 99213 | Established Preventive & Chronic Care Visit | 348 | 96th | $97 – $133 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 174 | 97th | $46 – $63 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 134 | 96th | $149 – $204 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 80 | 97th | $176 – $241 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (47 HCPCS billing breadth) | 135 | 99th | $114 – $165 |
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Dr. Nancy Birner, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Birner National Provider Identifier | NPI #1043214778 (MD) | CMS NPPES Registry (63128) |
| Dr. Birner Saint Louis CMS Volume Rank | 99.00th Pct (1,475 CMS svcs; Z -0.394σ) | CMS Medicare Part B (MO Pediatric Medicine) |
| 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 • 20 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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