Dr. Preston Stephens, MD
5618 Odana Rd, Madison, WI 53719 • +1-768-555-6361
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Madison Percentiles
NPI #1144675133 • CBSA Regional • Family Practice
Within the Madison, WI (CBSA local) Family Practice cohort, Dr. Preston Stephens, MD with sub-specialty concentration in 49 Active CMS HCPCS Codes ranks at the 44.59th municipal percentile and 50.65th WI percentile (-0.26σ Z-score) based on 1,261 billed procedures for 192 patients.
Fee-schedule auditing of NPI 1144675133 highlights 489 annual claims for 99214 (44.59th Madison percentile; $79–$109 self-pay corridor) plus 361 encounters under 99213 and 140 under G0439.
Uninsured and high-deductible cash patients visiting Dr. Preston Stephens in Madison (53719) face an estimated $209.00 initial evaluation fee at 5618 Odana Rd (hybrid in-clinic and telehealth video consults; 19-minute average reception wait; bedside manner 4.77/5 from 13 verified reports).
NPI registry verification (#1144675133) confirms Dr. Preston Stephens's MD standing serving CBSA 53719 with a 4.58/5 patient scorecard.
Compared against Madison, WI Family Practice peers
1,261 annual services across 192 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 | 489 | 44.59th | $79 – $109 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 361 | 46.59th | $61 – $83 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 140 | 40.59th | $91 – $125 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 105 | 45.59th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 70 | 45.59th | $109 – $150 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (49 HCPCS billing breadth) | 96 | 44.59th | $72 – $104 |
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Dr. Preston Stephens, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Stephens National Provider Identifier | NPI #1144675133 (MD) | CMS NPPES Registry (53719) |
| Dr. Stephens Madison CMS Volume Rank | 44.59th Pct (1,261 CMS svcs; Z -0.256σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Madison, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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