Dr. Jessica Rouse, MD
5 Park St Ste 3a, Middlebury, VT 05753 • +1-766-555-6995
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Middlebury Percentiles
NPI #1063546752 • CBSA Regional • Family Practice
Dr. Jessica Rouse, MD (NPI #1063546752) practices Family Practice in Middlebury, VT (05753) with sub-specialty concentration in 50 Active CMS HCPCS Codes, recording 1,134 annual CMS services across 157 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Middlebury percentile) (-0.30σ vs VT state mean, 50th statewide percentile).
Fee-schedule auditing of NPI 1063546752 highlights 428 annual claims for 99214 (12th Middlebury percentile; $127–$174 self-pay corridor) plus 316 encounters under 99213 and 122 under G0439.
Uninsured and high-deductible cash patients visiting Dr. Jessica Rouse in Middlebury (05753) face an estimated $209.00 initial evaluation fee at 5 Park St Ste 3a (in-person clinic visits only; 10-minute average reception wait; bedside manner 4.93/5 from 24 verified reports).
Clinical background for Dr. Rouse (MD, NPI #1063546752) includes accredited doctoral training (1998, 28 yrs in practice) and dedicated on-site consultations at 5 Park St Ste 3a.
Compared against Middlebury, VT Family Practice peers
1,134 annual services across 157 beneficiaries
Standard deviations from VT 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 | 428 | 12th | $127 – $174 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 316 | 12th | $97 – $133 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 122 | 12th | $146 – $199 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 92 | 12th | $28 – $43 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 61 | 12th | $174 – $239 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (50 HCPCS billing breadth) | 115 | 0th | $114 – $165 |
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Dr. Jessica Rouse, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Rouse National Provider Identifier | NPI #1063546752 (MD) | CMS NPPES Registry (05753) |
| Dr. Rouse Middlebury CMS Volume Rank | 0.00th Pct (1,134 CMS svcs; Z -0.300σ) | CMS Medicare Part B (VT Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Middlebury, VT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.74/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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