Dr. Michael Frontiera, MD
1211 Fish Hatchery Rd., Madison, WI 53715 • +1-287-555-8250
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Madison Percentiles
NPI #1669428017 • CBSA Regional • Hematology-Oncology
Within the Madison, WI (CBSA local) Hematology-Oncology cohort, Dr. Michael Frontiera, MD with sub-specialty concentration in 68 Active CMS HCPCS Codes ranks at the 33.33th municipal percentile and 78.35th WI percentile (-0.06σ Z-score) based on 16,333 billed procedures for 180 patients.
Procedural volume for Dr. Frontiera is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 362 annual services, $47–$65 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 209/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 105/yr).
Direct cash-pay transparency modeling sets Dr. Frontiera's baseline new-consult rate near $209.00 in Madison, WI (cash-pay accepted, in-person clinic visits only, 15-minute average reception wait).
Clinical background for Dr. Frontiera (MD, NPI #1669428017) includes accredited doctoral training (1992, 34 yrs in practice) and dedicated on-site consultations at 1211 Fish Hatchery Rd..
Compared against Madison, WI Hematology-Oncology peers
16,333 annual services across 180 beneficiaries
Standard deviations from WI Hematology-Oncology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 362 | 33.33th | $47 – $65 |
| 99213 | Established Preventive & Chronic Care Visit | 209 | 36.33th | $36 – $51 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 105 | 28.33th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 81 | 29.33th | $56 – $76 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 48 | 32.33th | $66 – $90 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (68 HCPCS billing breadth) | 15,528 | 33.33th | $45 – $65 |
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Dr. Michael Frontiera, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Frontiera National Provider Identifier | NPI #1669428017 (MD) | CMS NPPES Registry (53715) |
| Dr. Frontiera Madison CMS Volume Rank | 33.33th Pct (16,333 CMS svcs; Z -0.056σ) | CMS Medicare Part B (WI Hematology-Oncology) |
| 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 • 15 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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