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Family Practice • Ashland, WI 54806 • NPI #1467460980 TOP 10% ASHLAND CMS VOLUME

Dr. Andrew Matheus, MD

1001 Main St W, Ashland, WI 54806 • +1-590-555-9717

Medical Education: Accredited U.S. Medical School (Class of 1993)

57 Active CMS HCPCS Codes
4.89/5
Waiting-Room Score
4 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Ashland Percentiles

NPI #1467460980 • CBSA Regional • Family Practice

Dr. Andrew Matheus DotMD Verification Badge

Dr. Andrew Matheus, MD (NPI #1467460980) practices Family Practice in Ashland, WI (54806) with sub-specialty concentration in 57 Active CMS HCPCS Codes, recording 4,567 annual CMS services across 207 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (91.67th percentile in Ashland) (+0.82σ vs WI state mean, 92.63th statewide percentile).

Among 6 tracked CMS fee-schedule codes for Dr. Matheus (averaging 22.1 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 11% of tracked volume (501 encounters), paired with 99213 (370x).

Self-pay new patient consultations with Dr. Matheus (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 20-minute average reception wait, and a 4.63/5 modern protocol openness score across 4 patient logs.

Spanning 33 years of clinical practice following 1993 graduation from medical training, Dr. Andrew Matheus integrates 57 Active CMS HCPCS Codes diagnostics for Ashland metro patients.

Ashland Percentile 91.67th

Top 10% Family Practice volume leader in Ashland, WI

WI State Percentile 92.63th

4,567 annual services across 207 beneficiaries

Regional Volume Z-Score +0.821σ

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 501 91.67th $43 – $60
99213 Focused Acute & Preventive Primary Care Evaluation 370 86.67th $33 – $48
G0439 Annual Wellness Biomarker & Preventive Screening Visit 143 95.67th $50 – $68
36415 Routine Venipuncture Blood Biomarker Collection 107 92.67th $25 – $40
99204 New Patient Primary Care Intake & Diagnostic Plan 72 90.67th $60 – $82
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (57 HCPCS billing breadth) 3,375 91.67th $45 – $65
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Dr. Andrew Matheus, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Matheus National Provider Identifier NPI #1467460980 (MD) CMS NPPES Registry (54806)
Dr. Matheus Ashland CMS Volume Rank 91.67th Pct (4,567 CMS svcs; Z +0.821σ) CMS Medicare Part B (WI Family Practice)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Ashland, WI)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 20 min lobby wait 4 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.79/5 Listening • 4.63/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
20 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.79/5
Patient communication rating
Modern Protocol Openness
4.63/5
Preventive labs, GLP-1s & HRT
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