Dr. Thomas Desmarais, MD
1233 N 30th St, Billings, MT 59101 • +1-362-555-5804
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Billings Percentiles
NPI #1972918639 • CBSA Regional • Vascular Surgery
Operating out of Billings, MT (1233 N 30th St), Vascular Surgery clinician Dr. Thomas Desmarais, MD (accredited MD/DO training, 2002) maintains a focused low-volume boutique caseload (0th Billings percentile) (16.67th MT percentile; Z-score -0.64σ across 933 documented services) with sub-specialty concentration in 105 Active CMS HCPCS Codes.
Dr. Desmarais's longitudinal care intensity (2.1 billed units per patient across 444 individuals) centers on 99214 (420 annual units) and 99213 ($199–$273 cash range).
Cash-pay intake data for NPI 1972918639 (1233 N 30th St, Billings) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 15-minute average reception wait and 4.73/5 biomarker openness.
Clinical background for Dr. Desmarais (MD, NPI #1972918639) includes accredited doctoral training (2002, 24 yrs in practice) and virtual + in-office availability across MT.
Compared against Billings, MT Vascular Surgery peers
933 annual services across 444 beneficiaries
Standard deviations from MT Vascular Surgery 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 | 420 | 12th | $260 – $357 |
| 99213 | Established Preventive & Chronic Care Visit | 243 | 12th | $199 – $273 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 121 | 12th | $95 – $130 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 93 | 12th | $306 – $419 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 56 | 12th | $362 – $496 |
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Dr. Thomas Desmarais, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Desmarais National Provider Identifier | NPI #1972918639 (MD) | CMS NPPES Registry (59101) |
| Dr. Desmarais Billings CMS Volume Rank | 0.00th Pct (933 CMS svcs; Z -0.640σ) | CMS Medicare Part B (MT Vascular Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Billings, MT) |
| 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 • 4.73/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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