Dr. John Wagener, MD
4520 W 69th St, Sioux Falls, SD 57108 • +1-783-555-4747
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Sioux Falls Percentiles
NPI #1972879161 • CBSA Regional • Interventional Cardiology
Within the Sioux Falls, SD (CBSA local) Interventional Cardiology cohort, Dr. John Wagener, MD with sub-specialty concentration in 86 Active CMS HCPCS Codes ranks at the 55.56th municipal percentile and 69.23th SD percentile (-0.01σ Z-score) based on 4,058 billed procedures for 1,428 patients.
Fee-schedule auditing of NPI 1972879161 highlights 1826 annual claims for 99214 (55.56th Sioux Falls percentile; $198–$271 self-pay corridor) plus 1055 encounters under 99213 and 528 under 93000.
Self-pay new patient consultations with Dr. Wagener (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 16-minute average reception wait, and a 4.92/5 modern protocol openness score across 22 patient logs.
NPI registry verification (#1972879161) confirms Dr. John Wagener's MD standing serving CBSA 57108 with a 4.63/5 patient scorecard.
Compared against Sioux Falls, SD Interventional Cardiology peers
4,058 annual services across 1,428 beneficiaries
Standard deviations from SD Interventional Cardiology 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 | 1,826 | 55.56th | $198 – $271 |
| 99213 | Established Preventive & Chronic Care Visit | 1,055 | 58.56th | $151 – $208 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 528 | 50.56th | $72 – $99 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 406 | 53.56th | $232 – $318 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 243 | 58.56th | $275 – $377 |
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Dr. John Wagener, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wagener National Provider Identifier | NPI #1972879161 (MD) | CMS NPPES Registry (57108) |
| Dr. Wagener Sioux Falls CMS Volume Rank | 55.56th Pct (4,058 CMS svcs; Z -0.006σ) | CMS Medicare Part B (SD Interventional Cardiology) |
| 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 • 16 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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