Dr. Madeliene Gainers, MD
660 S. Euclid Avenue, Washington Univ Med Ctr/Div of Dermatology, St Louis, MO 63110 • +1-839-555-5508
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & St Louis Percentiles
NPI #1679779565 • CBSA Regional • Dermatology
Dr. Madeliene Gainers, MD (NPI #1679779565) practices Dermatology in St Louis, MO (63110) with sub-specialty concentration in 35 Active CMS HCPCS Codes, recording 789 annual CMS services across 176 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (25th St Louis percentile) (-0.78σ vs MO state mean, 3.72th statewide percentile).
Granular CPT/HCPCS billing distribution at 660 S. Euclid Avenue, Washington Univ Med Ctr/Div of Dermatology shows Dr. Madeliene Gainers's primary concentration in Cryotherapy Destruction of Premalignant Actinic Lesion (code 17000: 268x/yr, 25th local percentile) alongside Focused Cutaneous & Dermoscopic Examination (99213: 245x/yr, $77–$106).
Uninsured and high-deductible cash patients visiting Dr. Madeliene Gainers in St Louis (63110) face an estimated $209.00 initial evaluation fee at 660 S. Euclid Avenue, Washington Univ Med Ctr/Div of Dermatology (hybrid in-clinic and telehealth video consults; 17-minute average reception wait; bedside manner 4.78/5 from 25 verified reports).
Patients evaluating Dr. Madeliene Gainers in ZIP 63110 note 33 years of post-doctoral tenure (null, 1993) alongside 4.5 annual CMS procedures per patient.
Compared against St Louis, MO Dermatology peers
789 annual services across 176 beneficiaries
Standard deviations from MO Dermatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 17000 | Cryotherapy Destruction of Premalignant Actinic Lesion | 268 | 25th | $69 – $95 |
| 99213 | Focused Cutaneous & Dermoscopic Examination | 245 | 20th | $77 – $106 |
| 11102 | Tangential Diagnostic Skin Biopsy of Single Lesion | 150 | 22th | $102 – $140 |
| 11401 | Excision of Benign Cutaneous Lesion (0.6 to 1.0 cm) | 79 | 27th | $143 – $196 |
| 99203 | New Patient Full-Body Skin Cancer & Dermatology Evaluation | 47 | 22th | $110 – $151 |
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Dr. Madeliene Gainers, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gainers National Provider Identifier | NPI #1679779565 (MD) | CMS NPPES Registry (63110) |
| Dr. Gainers St Louis CMS Volume Rank | 25.00th Pct (789 CMS svcs; Z -0.782σ) | CMS Medicare Part B (MO Dermatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (St Louis, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.58/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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