Dr. Mark Herring, MD
1355 Johnston DR, Manitowoc, WI 54220 • +1-685-555-7807
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Manitowoc Percentiles
NPI #1386766368 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across WI Internal Medicine providers positions Dr. Mark Herring, MD in Manitowoc at -0.16σ (99th city percentile / 34.35th state percentile, 208 Medicare beneficiaries), with clinical focus spanning 25 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1386766368 highlights 408 annual claims for 99214 (99th Manitowoc percentile; $153–$209 self-pay corridor) plus 236 encounters under 99213 and 118 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Mark Herring in Manitowoc (54220) face an estimated $209.00 initial evaluation fee at 1355 Johnston DR (hybrid in-clinic and telehealth video consults; 21-minute average reception wait; bedside manner 4.65/5 from 13 verified reports).
Clinical background for Dr. Herring (MD, NPI #1386766368) includes accredited doctoral training (2017, 9 yrs in practice) and virtual + in-office availability across WI.
Top 10% Internal Medicine volume leader in Manitowoc, WI
906 annual services across 208 beneficiaries
Standard deviations from WI Internal Medicine 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 | 408 | 99th | $153 – $209 |
| 99213 | Established Preventive & Chronic Care Visit | 236 | 98th | $117 – $160 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 118 | 96th | $56 – $76 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 91 | 99.5th | $179 – $246 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 54 | 97th | $213 – $291 |
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Dr. Mark Herring, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Herring National Provider Identifier | NPI #1386766368 (MD) | CMS NPPES Registry (54220) |
| Dr. Herring Manitowoc CMS Volume Rank | 99.00th Pct (906 CMS svcs; Z -0.160σ) | CMS Medicare Part B (WI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Manitowoc, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.72/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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