Dr. Scott Hiltunen, MD
1200 S 7th Ave, Sioux Falls, SD 57105 • +1-580-555-5028
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Sioux Falls Percentiles
NPI #1457380859 • CBSA Regional • Internal Medicine
Operating out of Sioux Falls, SD (1200 S 7th Ave), Internal Medicine clinician Dr. Scott Hiltunen, MD (accredited MD/DO training, 2004) maintains a focused low-volume boutique caseload (31.25th Sioux Falls percentile) (34.15th SD percentile; Z-score -0.24σ across 943 documented services) with sub-specialty concentration in 21 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1457380859 highlights 424 annual claims for 99214 (31.25th Sioux Falls percentile; $169–$231 self-pay corridor) plus 245 encounters under 99213 and 123 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Scott Hiltunen in Sioux Falls (57105) face an estimated $209.00 initial evaluation fee at 1200 S 7th Ave (in-person clinic visits only; 19-minute average reception wait; bedside manner 4.84/5 from 21 verified reports).
From 1200 S 7th Ave in Sioux Falls (+1-580-555-5028), Dr. Hiltunen, MD (22-year clinical track record) delivers 21 Active CMS HCPCS Codes care.
Compared against Sioux Falls, SD Internal Medicine peers
943 annual services across 358 beneficiaries
Standard deviations from SD Internal Medicine 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 | 424 | 31.25th | $169 – $231 |
| 99213 | Established Preventive & Chronic Care Visit | 245 | 35.25th | $129 – $177 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 123 | 36.25th | $62 – $84 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 94 | 34.25th | $198 – $271 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 57 | 29.25th | $235 – $322 |
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Dr. Scott Hiltunen, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Hiltunen National Provider Identifier | NPI #1457380859 (MD) | CMS NPPES Registry (57105) |
| Dr. Hiltunen Sioux Falls CMS Volume Rank | 31.25th Pct (943 CMS svcs; Z -0.239σ) | CMS Medicare Part B (SD Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sioux Falls, SD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.49/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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