Dr. Matthew Heitzenrater, DO
300 State St Ste 401, Erie, PA 16507 • +1-403-555-5589
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Erie Percentiles
NPI #1003251620 • CBSA Regional • Family Practice
Dr. Matthew Heitzenrater, DO (NPI #1003251620) practices Family Practice in Erie, PA (16507) with sub-specialty concentration in 34 Active CMS HCPCS Codes, recording 854 annual CMS services across 291 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (33.33th Erie percentile) (-0.44σ vs PA state mean, 19.46th statewide percentile).
Fee-schedule auditing of NPI 1003251620 highlights 320 annual claims for 99214 (33.33th Erie percentile; $141–$193 self-pay corridor) plus 237 encounters under 99213 and 92 under G0439.
For out-of-network patients contacting +1-403-555-5589, Dr. Heitzenrater's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.57/5 composite reality score over 16 submissions).
Patients evaluating Dr. Matthew Heitzenrater in ZIP 16507 note 33 years of post-doctoral tenure (null, 1993) alongside 2.9 annual CMS procedures per patient.
Compared against Erie, PA Family Practice peers
854 annual services across 291 beneficiaries
Standard deviations from PA 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 | 320 | 33.33th | $141 – $193 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 237 | 29.33th | $108 – $148 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 92 | 31.33th | $162 – $222 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 69 | 32.33th | $31 – $46 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 46 | 38.33th | $194 – $265 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (34 HCPCS billing breadth) | 91 | 33.33th | $127 – $184 |
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Dr. Matthew Heitzenrater, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Heitzenrater National Provider Identifier | NPI #1003251620 (DO) | CMS NPPES Registry (16507) |
| Dr. Heitzenrater Erie CMS Volume Rank | 33.33th Pct (854 CMS svcs; Z -0.441σ) | CMS Medicare Part B (PA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Erie, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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