Dr. Mario Garretto, MD
6308 8th Ave, Ste 202, Kenosha, WI 53143 • +1-295-555-2299
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Kenosha Percentiles
NPI #1497701809 • CBSA Regional • Gastroenterology
Dr. Mario Garretto, MD (NPI #1497701809) practices Gastroenterology in Kenosha, WI (53143) with sub-specialty concentration in 45 Active CMS HCPCS Codes, recording 1,356 annual CMS services across 621 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Kenosha) (-0.11σ vs WI state mean, 78.05th statewide percentile).
Procedural volume for Dr. Garretto is led by HCPCS 99214 (Established Gastroenterology, GERD & IBD Evaluation — 502 annual services, $172–$236 GPCI cash estimate), followed by CPT 45380 (Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy, 339/yr) and CPT 43239 (Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy, 285/yr).
Self-pay new patient consultations with Dr. Garretto (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 21-minute average reception wait, and a 4.69/5 modern protocol openness score across 17 patient logs.
NPI registry verification (#1497701809) confirms Dr. Mario Garretto's MD standing serving CBSA 53143 with a 4.82/5 patient scorecard.
Top 10% Gastroenterology volume leader in Kenosha, WI
1,356 annual services across 621 beneficiaries
Standard deviations from WI Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 502 | 99th | $172 – $236 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 339 | 99.5th | $415 – $569 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 285 | 99.5th | $345 – $472 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 136 | 99.5th | $462 – $633 |
| 99204 | New Patient Digestive & Hepatology Consultation | 95 | 98th | $243 – $333 |
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Dr. Mario Garretto, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Garretto National Provider Identifier | NPI #1497701809 (MD) | CMS NPPES Registry (53143) |
| Dr. Garretto Kenosha CMS Volume Rank | 99.00th Pct (1,356 CMS svcs; Z -0.112σ) | CMS Medicare Part B (WI Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Kenosha, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.69/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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