Dr. Nathan Hayes, DO
815 Jefferson St, Algoma, WI 54201 • +1-642-555-6772
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Algoma Percentiles
NPI #1104949387 • CBSA Regional • Family Practice
Dr. Nathan Hayes, DO (NPI #1104949387) practices Family Practice in Algoma, WI (54201) with sub-specialty concentration in 102 Active CMS HCPCS Codes, recording 1,773 annual CMS services across 225 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Algoma) (-0.09σ vs WI state mean, 68.61th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Hayes (averaging 7.9 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 38% of tracked volume (678 encounters), paired with 99213 (501x).
Self-pay new patient consultations with Dr. Hayes (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 18-minute average reception wait, and a 4.90/5 modern protocol openness score across 26 patient logs.
NPI registry verification (#1104949387) confirms Dr. Nathan Hayes's DO standing serving CBSA 54201 with a 4.63/5 patient scorecard.
Top 10% Family Practice volume leader in Algoma, WI
1,773 annual services across 225 beneficiaries
Standard deviations from WI 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 | 678 | 99th | $61 – $83 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 501 | 99.5th | $46 – $64 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 194 | 99.5th | $70 – $95 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 145 | 99.5th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 97 | 98th | $83 – $114 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (102 HCPCS billing breadth) | 158 | 99th | $55 – $80 |
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Dr. Nathan Hayes, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Hayes National Provider Identifier | NPI #1104949387 (DO) | CMS NPPES Registry (54201) |
| Dr. Hayes Algoma CMS Volume Rank | 99.00th Pct (1,773 CMS svcs; Z -0.090σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Algoma, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.57/5 Listening • 4.90/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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