Dr. Ryan Nerland, MD
101 Garrett DR, Medina, TN 38355 • +1-754-555-3943
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Medina Percentiles
NPI #1972700748 • CBSA Regional • Internal Medicine
Within the Medina, TN (CBSA local) Internal Medicine cohort, Dr. Ryan Nerland, MD with sub-specialty concentration in 134 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 97.59th TN percentile (+1.83σ Z-score) based on 19,598 billed procedures for 307 patients.
Among 6 tracked CMS fee-schedule codes for Dr. Nerland (averaging 63.8 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 7% of tracked volume (1359 encounters), paired with 99213 (785x).
For out-of-network patients contacting +1-754-555-3943, Dr. Nerland's practice posts a $201.00 GPCI self-pay consult estimate ($201.00 patient-logged median, 4.57/5 composite reality score over 20 submissions).
Credentialed as an MD specialist with 11 years post-graduation experience since completing medical school at an LCME/COCA institution (2015), Dr. Nerland coordinates 134 Active CMS HCPCS Codes workups from 101 Garrett DR (+1-754-555-3943).
Top 10% Internal Medicine volume leader in Medina, TN
19,598 annual services across 307 beneficiaries
Standard deviations from TN 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 | 1,359 | 99th | $42 – $57 |
| 99213 | Established Preventive & Chronic Care Visit | 785 | 95th | $32 – $47 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 393 | 99.5th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 302 | 96th | $49 – $67 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 181 | 95th | $58 – $80 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (134 HCPCS billing breadth) | 16,577 | 99th | $45 – $65 |
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Dr. Ryan Nerland, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Nerland National Provider Identifier | NPI #1972700748 (MD) | CMS NPPES Registry (38355) |
| Dr. Nerland Medina CMS Volume Rank | 99.00th Pct (19,598 CMS svcs; Z +1.830σ) | CMS Medicare Part B (TN Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $201.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Medina, TN) |
| Waiting-Room Wait Time & Cash Friendliness | $201.00 avg paid • 20 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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