Dr. Kevin Simonelic, MD
1440 N Main St, Spearfish, SD 57783 • +1-767-555-5265
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Spearfish Percentiles
NPI #1750708244 • CBSA Regional • Hospitalist
Within the Spearfish, SD (CBSA local) Hospitalist cohort, Dr. Kevin Simonelic, MD with sub-specialty concentration in 10 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 78.38th SD percentile (+0.54σ Z-score) based on 1,121 billed procedures for 510 patients.
Fee-schedule auditing of NPI 1750708244 highlights 504 annual claims for 99214 (99th Spearfish percentile; $181–$248 self-pay corridor) plus 291 encounters under 99213 and 146 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Kevin Simonelic in Spearfish (57783) face an estimated $209.00 initial evaluation fee at 1440 N Main St (hybrid in-clinic and telehealth video consults; 21-minute average reception wait; bedside manner 4.65/5 from 13 verified reports).
Credentialed as an MD specialist with 27 years post-graduation experience since completing medical school at an LCME/COCA institution (1999), Dr. Simonelic coordinates 10 Active CMS HCPCS Codes workups from 1440 N Main St (+1-767-555-5265).
Top 10% Hospitalist volume leader in Spearfish, SD
1,121 annual services across 510 beneficiaries
Standard deviations from SD Hospitalist 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 | 504 | 99th | $181 – $248 |
| 99213 | Established Preventive & Chronic Care Visit | 291 | 94th | $139 – $190 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 146 | 98th | $66 – $91 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 112 | 94th | $213 – $292 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 67 | 99th | $252 – $346 |
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Dr. Kevin Simonelic, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simonelic National Provider Identifier | NPI #1750708244 (MD) | CMS NPPES Registry (57783) |
| Dr. Simonelic Spearfish CMS Volume Rank | 99.00th Pct (1,121 CMS svcs; Z +0.542σ) | CMS Medicare Part B (SD Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Spearfish, SD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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