Dr. Andrew Gilbert, MD
2550 E Broadway St, Helena, MT 59601 • +1-410-555-6001
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Helena Percentiles
NPI #1043269897 • CBSA Regional • Family Practice
Within the Helena, MT (CBSA local) Family Practice cohort, Dr. Andrew Gilbert, MD with sub-specialty concentration in 31 Active CMS HCPCS Codes ranks at the 81.25th municipal percentile and 62.99th MT percentile (-0.16σ Z-score) based on 1,523 billed procedures for 578 patients.
Fee-schedule auditing of NPI 1043269897 highlights 640 annual claims for 99214 (81.25th Helena percentile; $163–$224 self-pay corridor) plus 472 encounters under 99213 and 183 under G0439.
Cash-pay intake data for NPI 1043269897 (2550 E Broadway St, Helena) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 13-minute average reception wait and 4.50/5 biomarker openness.
Spanning 9 years of clinical practice following 2017 graduation from medical training, Dr. Andrew Gilbert integrates 31 Active CMS HCPCS Codes diagnostics for Helena metro patients.
Compared against Helena, MT Family Practice peers
1,523 annual services across 578 beneficiaries
Standard deviations from MT 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 | 640 | 81.25th | $163 – $224 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 472 | 78.25th | $125 – $171 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 183 | 79.25th | $188 – $257 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 137 | 80.25th | $36 – $51 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 91 | 84.25th | $225 – $308 |
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Dr. Andrew Gilbert, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gilbert National Provider Identifier | NPI #1043269897 (MD) | CMS NPPES Registry (59601) |
| Dr. Gilbert Helena CMS Volume Rank | 81.25th Pct (1,523 CMS svcs; Z -0.162σ) | CMS Medicare Part B (MT Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Helena, MT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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