Dr. Thomas Steffen, MD
1001 W Eagle DR, Decatur, TX 76234 • +1-715-555-5865
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Decatur Percentiles
NPI #1083619092 • CBSA Regional • Family Practice
Dr. Thomas Steffen, MD (NPI #1083619092) practices Family Practice in Decatur, TX (76234) with sub-specialty concentration in 83 Active CMS HCPCS Codes, recording 3,457 annual CMS services across 258 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Decatur percentile) (+0.04σ vs TX state mean, 79.17th statewide percentile).
Fee-schedule auditing of NPI 1083619092 highlights 1452 annual claims for 99214 (12th Decatur percentile; $81–$111 self-pay corridor) plus 1072 encounters under 99213 and 415 under G0439.
Self-pay new patient consultations with Dr. Steffen (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 19-minute average reception wait, and a 4.49/5 modern protocol openness score across 3 patient logs.
Credentialed as an MD specialist with 28 years post-graduation experience since completing medical school at an LCME/COCA institution (1998), Dr. Steffen coordinates 83 Active CMS HCPCS Codes workups from 1001 W Eagle DR (+1-715-555-5865).
Compared against Decatur, TX Family Practice peers
3,457 annual services across 258 beneficiaries
Standard deviations from TX 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 | 1,452 | 12th | $81 – $111 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 1,072 | 12th | $62 – $85 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 415 | 12th | $93 – $127 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 311 | 12th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 207 | 12th | $111 – $153 |
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Dr. Thomas Steffen, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Steffen National Provider Identifier | NPI #1083619092 (MD) | CMS NPPES Registry (76234) |
| Dr. Steffen Decatur CMS Volume Rank | 0.00th Pct (3,457 CMS svcs; Z +0.035σ) | CMS Medicare Part B (TX Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Decatur, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.49/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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