Dr. Dominic Van Nielen, MD
19200 N Kelsey St, Monroe, WA 98272 • +1-819-555-1591
Medical Education: Accredited U.S. Medical School (Class of 2002)
What This Doctor Actually Performs: CMS Medicare Utilization & Monroe Percentiles
NPI #1184990590 • CBSA Regional • Orthopedic Surgery
Anchored in Monroe, WA 98272, Dr. Dominic Van Nielen, MD (NPI 1184990590) logged 1,738 annual procedures (mid-cohort balanced caseload (50th Monroe percentile), 53.33th WA percentile, -0.29σ) with sub-specialty concentration in 30 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Dominic Van Nielen (98272) place 99213 at the top of the practice ledger (308 yearly units, 50th metro rank), rounded out by 20610 and 73562.
Direct cash-pay transparency modeling sets Dr. Van Nielen's baseline new-consult rate near $222.00 in Monroe, WA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 13-minute average reception wait).
From 19200 N Kelsey St in Monroe (+1-819-555-1591), Dr. Van Nielen, MD (24-year clinical track record) delivers 30 Active CMS HCPCS Codes care.
Compared against Monroe, WA Orthopedic Surgery peers
1,738 annual services across 237 beneficiaries
Standard deviations from WA Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 308 | 50th | $103 – $141 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 231 | 55th | $110 – $151 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 163 | 52th | $62 – $85 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 94 | 49th | $148 – $203 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 60 | 45th | $954 – $1307 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (30 HCPCS billing breadth) | 882 | 50th | $116 – $168 |
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Dr. Dominic Van Nielen, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Van Nielen National Provider Identifier | NPI #1184990590 (MD) | CMS NPPES Registry (98272) |
| Dr. Van Nielen Monroe CMS Volume Rank | 50.00th Pct (1,738 CMS svcs; Z -0.286σ) | CMS Medicare Part B (WA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $222.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Monroe, WA) |
| Waiting-Room Wait Time & Cash Friendliness | $222.00 avg paid • 13 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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