Dr. Joyce Fletcher, MD
100 Mac Ln, Pierre, SD 57501 • +1-365-555-1838
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Pierre Percentiles
NPI #1528327798 • CBSA Regional • Dermatology
CMS Medicare Part B utilization records credit Dr. Joyce Fletcher (MD, NPI 1528327798) at 100 Mac Ln in Pierre with 4,165 annual clinical services (835 beneficiaries), corresponding to a -0.10σ regional deviation and mid-cohort balanced caseload (50th Pierre percentile) with sub-specialty concentration in 50 Active CMS HCPCS Codes.
Dr. Fletcher's longitudinal care intensity (5.0 billed units per patient across 835 individuals) centers on 17000 (1416 annual units) and 99213 ($53–$73 cash range).
For out-of-network patients contacting +1-365-555-1838, Dr. Fletcher's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.78/5 composite reality score over 9 submissions).
Patients evaluating Dr. Joyce Fletcher in ZIP 57501 note 10 years of post-doctoral tenure (null, 2016) alongside 5.0 annual CMS procedures per patient.
Compared against Pierre, SD Dermatology peers
4,165 annual services across 835 beneficiaries
Standard deviations from SD 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 | 1,416 | 50th | $48 – $65 |
| 99213 | Focused Cutaneous & Dermoscopic Examination | 1,291 | 52th | $53 – $73 |
| 11102 | Tangential Diagnostic Skin Biopsy of Single Lesion | 791 | 45th | $70 – $96 |
| 11401 | Excision of Benign Cutaneous Lesion (0.6 to 1.0 cm) | 417 | 45th | $98 – $134 |
| 99203 | New Patient Full-Body Skin Cancer & Dermatology Evaluation | 250 | 51th | $76 – $104 |
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Dr. Joyce Fletcher, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fletcher National Provider Identifier | NPI #1528327798 (MD) | CMS NPPES Registry (57501) |
| Dr. Fletcher Pierre CMS Volume Rank | 50.00th Pct (4,165 CMS svcs; Z -0.101σ) | CMS Medicare Part B (SD Dermatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pierre, SD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.82/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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