Dr. Abby Lochmann-Bailkey, MD
700 S Park St, Madison, WI 53715 • +1-287-555-7886
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Madison Percentiles
NPI #1366886806 • CBSA Regional • Gastroenterology
Dr. Abby Lochmann-Bailkey, MD (NPI #1366886806) practices Gastroenterology in Madison, WI (53715) with sub-specialty concentration in 48 Active CMS HCPCS Codes, recording 776 annual CMS services across 392 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (33.33th Madison percentile) (-0.11σ vs WI state mean, 32.93th statewide percentile).
Fee-schedule auditing of NPI 1366886806 highlights 287 annual claims for 99214 (33.33th Madison percentile; $168–$231 self-pay corridor) plus 194 encounters under 45380 and 163 under 43239.
Direct cash-pay transparency modeling sets Dr. Lochmann-Bailkey's baseline new-consult rate near $209.00 in Madison, WI (cash-pay accepted, hybrid in-clinic and telehealth video consults, 21-minute average reception wait).
Patients evaluating Dr. Abby Lochmann-Bailkey in ZIP 53715 note 20 years of post-doctoral tenure (null, 2006) alongside 2.0 annual CMS procedures per patient.
Compared against Madison, WI Gastroenterology peers
776 annual services across 392 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 | 287 | 33.33th | $168 – $231 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 194 | 30.33th | $406 – $556 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 163 | 33.33th | $337 – $462 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 78 | 33.33th | $452 – $619 |
| 99204 | New Patient Digestive & Hepatology Consultation | 54 | 32.33th | $237 – $325 |
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Dr. Abby Lochmann-Bailkey, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lochmann-Bailkey National Provider Identifier | NPI #1366886806 (MD) | CMS NPPES Registry (53715) |
| Dr. Lochmann-Bailkey Madison CMS Volume Rank | 33.33th Pct (776 CMS svcs; Z -0.114σ) | CMS Medicare Part B (WI Gastroenterology) |
| 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 • 21 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.43/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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