Dr. Jon Simmons, MD
2820 Roosevelt Road, Marinette, WI 54143 • +1-433-555-6534
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Marinette Percentiles
NPI #1336189075 • CBSA Regional • Family Practice
Within the Marinette, WI (CBSA local) Family Practice cohort, Dr. Jon Simmons, MD with sub-specialty concentration in 101 Active CMS HCPCS Codes ranks at the 50th municipal percentile and 77.29th WI percentile (+0.09σ Z-score) based on 2,331 billed procedures for 206 patients.
Fee-schedule auditing of NPI 1336189075 highlights 188 annual claims for 99214 (50th Marinette percentile; $43–$60 self-pay corridor) plus 139 encounters under 99213 and 54 under G0439.
For out-of-network patients contacting +1-433-555-6534, Dr. Simmons's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.59/5 composite reality score over 14 submissions).
Patients evaluating Dr. Jon Simmons in ZIP 54143 note 32 years of post-doctoral tenure (null, 1994) alongside 11.3 annual CMS procedures per patient.
Compared against Marinette, WI Family Practice peers
2,331 annual services across 206 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 | 188 | 50th | $43 – $60 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 139 | 51th | $33 – $48 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 54 | 51th | $50 – $68 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 40 | 51th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 27 | 49th | $60 – $82 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (101 HCPCS billing breadth) | 1,883 | 50th | $45 – $65 |
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Dr. Jon Simmons, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Simmons National Provider Identifier | NPI #1336189075 (MD) | CMS NPPES Registry (54143) |
| Dr. Simmons Marinette CMS Volume Rank | 50.00th Pct (2,331 CMS svcs; Z +0.092σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Marinette, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.54/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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