Dr. Kari Sheldon, MD
400 S Maple St, Black Creek, WI 54106 • +1-304-555-4988
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Black Creek Percentiles
NPI #1891722435 • CBSA Regional • Family Practice
Within the Black Creek, WI (CBSA local) Family Practice cohort, Dr. Kari Sheldon, MD with sub-specialty concentration in 77 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 69.92th WI percentile (-0.07σ Z-score) based on 1,823 billed procedures for 169 patients.
Fee-schedule auditing of NPI 1891722435 highlights 208 annual claims for 99214 (99th Black Creek percentile; $43–$60 self-pay corridor) plus 154 encounters under 99213 and 60 under G0439.
Uninsured and high-deductible cash patients visiting Dr. Kari Sheldon in Black Creek (54106) face an estimated $209.00 initial evaluation fee at 400 S Maple St (hybrid in-clinic and telehealth video consults; 9-minute average reception wait; bedside manner 4.93/5 from 23 verified reports).
Clinical background for Dr. Sheldon (MD, NPI #1891722435) includes accredited doctoral training (2009, 17 yrs in practice) and virtual + in-office availability across WI.
Top 10% Family Practice volume leader in Black Creek, WI
1,823 annual services across 169 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 | 208 | 99th | $43 – $60 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 154 | 98th | $33 – $48 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 60 | 99.5th | $50 – $68 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 45 | 97th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 30 | 99.5th | $60 – $82 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (77 HCPCS billing breadth) | 1,327 | 99th | $45 – $65 |
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Dr. Kari Sheldon, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sheldon National Provider Identifier | NPI #1891722435 (MD) | CMS NPPES Registry (54106) |
| Dr. Sheldon Black Creek CMS Volume Rank | 99.00th Pct (1,823 CMS svcs; Z -0.073σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Black Creek, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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