Dr. Michael Piesman, MD
12850 Toepperwein Rd, Live Oak, TX 78233 • +1-209-555-4915
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Live Oak Percentiles
NPI #1750402046 • CBSA Regional • Gastroenterology
Anchored in Live Oak, TX 78233, Dr. Michael Piesman, MD (NPI 1750402046) logged 1,508 annual procedures (upper-quartile active clinical volume (83.33th Live Oak percentile), 54.12th TX percentile, -0.22σ) with sub-specialty concentration in 62 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1750402046 highlights 558 annual claims for 99214 (83.33th Live Oak percentile; $184–$253 self-pay corridor) plus 377 encounters under 45380 and 317 under 43239.
Cash-pay intake data for NPI 1750402046 (12850 Toepperwein Rd, Live Oak) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 14-minute average reception wait and 4.87/5 biomarker openness.
Patients evaluating Dr. Michael Piesman in ZIP 78233 note 9 years of post-doctoral tenure (null, 2017) alongside 2.4 annual CMS procedures per patient.
Compared against Live Oak, TX Gastroenterology peers
1,508 annual services across 636 beneficiaries
Standard deviations from TX Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 558 | 83.33th | $184 – $253 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 377 | 79.33th | $444 – $609 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 317 | 82.33th | $369 – $505 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 151 | 86.33th | $494 – $678 |
| 99204 | New Patient Digestive & Hepatology Consultation | 106 | 84.33th | $260 – $356 |
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Dr. Michael Piesman, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Piesman National Provider Identifier | NPI #1750402046 (MD) | CMS NPPES Registry (78233) |
| Dr. Piesman Live Oak CMS Volume Rank | 83.33th Pct (1,508 CMS svcs; Z -0.224σ) | CMS Medicare Part B (TX Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Live Oak, TX) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.94/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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