Dr. Matthew Marcus, MD
7401 104th Ave Ste 110, Kenosha, WI 53142 • +1-879-555-6895
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Kenosha Percentiles
NPI #1316108475 • CBSA Regional • Orthopedic Surgery
Anchored in Kenosha, WI 53142, Dr. Matthew Marcus, MD (NPI 1316108475) logged 629 annual procedures (focused low-volume boutique caseload (0th Kenosha percentile), 0th WI percentile, -0.82σ) with sub-specialty concentration in 46 Active CMS HCPCS Codes.
Procedural volume for Dr. Marcus is led by HCPCS 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation — 161 annual services, $141–$193 GPCI cash estimate), followed by CPT 20610 (Major Joint (Knee/Shoulder/Hip) Aspiration or Injection, 121/yr) and CPT 73562 (Radiologic Weight-Bearing 3-View Knee Examination, 85/yr).
At 7401 104th Ave Ste 110 (53142), Dr. Matthew Marcus, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.69/5 bedside rating).
Patients evaluating Dr. Matthew Marcus in ZIP 53142 note 23 years of post-doctoral tenure (null, 2003) alongside 4.4 annual CMS procedures per patient.
Compared against Kenosha, WI Orthopedic Surgery peers
629 annual services across 143 beneficiaries
Standard deviations from WI 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 | 161 | 12th | $141 – $193 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 121 | 12th | $150 – $205 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 85 | 12th | $84 – $115 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 49 | 12th | $202 – $276 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 31 | 12th | $1299 – $1780 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (46 HCPCS billing breadth) | 182 | 0th | $158 – $229 |
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Dr. Matthew Marcus, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Marcus National Provider Identifier | NPI #1316108475 (MD) | CMS NPPES Registry (53142) |
| Dr. Marcus Kenosha CMS Volume Rank | 0.00th Pct (629 CMS svcs; Z -0.816σ) | CMS Medicare Part B (WI Orthopedic Surgery) |
| 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 • 13 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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