Dr. Michael Mertens, MD
325 Old Pleasant Grove Rd, Mt Juliet, TN 37122 • +1-222-555-9196
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Mt Juliet Percentiles
NPI #1346292257 • CBSA Regional • Family Practice
Within the Mt Juliet, TN (CBSA local) Family Practice cohort, Dr. Michael Mertens, MD with sub-specialty concentration in 94 Active CMS HCPCS Codes ranks at the 83.33th municipal percentile and 83.35th TN percentile (+0.32σ Z-score) based on 6,132 billed procedures for 284 patients.
Fee-schedule auditing of NPI 1346292257 highlights 1818 annual claims for 99214 (83.33th Mt Juliet percentile; $42–$57 self-pay corridor) plus 1342 encounters under 99213 and 519 under G0439.
Uninsured and high-deductible cash patients visiting Dr. Michael Mertens in Mt Juliet (37122) face an estimated $201.00 initial evaluation fee at 325 Old Pleasant Grove Rd (hybrid in-clinic and telehealth video consults; 15-minute average reception wait; bedside manner 4.62/5 from 17 verified reports).
Spanning 20 years of clinical practice following 2006 graduation from medical training, Dr. Michael Mertens integrates 94 Active CMS HCPCS Codes diagnostics for Mt Juliet metro patients.
Compared against Mt Juliet, TN Family Practice peers
6,132 annual services across 284 beneficiaries
Standard deviations from TN Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 1,818 | 83.33th | $42 – $57 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 1,342 | 78.33th | $32 – $47 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 519 | 85.33th | $48 – $66 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 390 | 88.33th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 260 | 80.33th | $57 – $79 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (94 HCPCS billing breadth) | 1,803 | 83.33th | $45 – $65 |
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Dr. Michael Mertens, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mertens National Provider Identifier | NPI #1346292257 (MD) | CMS NPPES Registry (37122) |
| Dr. Mertens Mt Juliet CMS Volume Rank | 83.33th Pct (6,132 CMS svcs; Z +0.317σ) | CMS Medicare Part B (TN Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $201.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mt Juliet, TN) |
| Waiting-Room Wait Time & Cash Friendliness | $201.00 avg paid • 15 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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