Dr. Matthew Grimes, MD
600 Highland Ave, Madison, WI 53792 • +1-351-555-3445
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Madison Percentiles
NPI #1386087740 • CBSA Regional • Urology
Within the Madison, WI (CBSA local) Urology cohort, Dr. Matthew Grimes, MD with sub-specialty concentration in 70 Active CMS HCPCS Codes ranks at the 26.67th municipal percentile and 14.85th WI percentile (-0.50σ Z-score) based on 889 billed procedures for 307 patients.
Medicare Part B line-item claims for Dr. Matthew Grimes (53792) place 99214 at the top of the practice ledger (320 yearly units, 26.67th metro rank), rounded out by 51798 and 52000.
At 600 Highland Ave (53792), Dr. Matthew Grimes, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.66/5 bedside rating).
Spanning 16 years of clinical practice following 2010 graduation from medical training, Dr. Matthew Grimes integrates 70 Active CMS HCPCS Codes diagnostics for Madison metro patients.
Compared against Madison, WI Urology peers
889 annual services across 307 beneficiaries
Standard deviations from WI Urology 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 Urologic, BPH & Androgen Evaluation | 320 | 26.67th | $150 – $206 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 240 | 25.67th | $63 – $86 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 151 | 30.67th | $307 – $420 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 107 | 30.67th | $85 – $116 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 71 | 23.67th | $211 – $290 |
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Dr. Matthew Grimes, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Grimes National Provider Identifier | NPI #1386087740 (MD) | CMS NPPES Registry (53792) |
| Dr. Grimes Madison CMS Volume Rank | 26.67th Pct (889 CMS svcs; Z -0.498σ) | CMS Medicare Part B (WI Urology) |
| 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 • 4.75/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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