Dr. Michael Gerard, MD
11430 N Port Washington Rd, Mequon, WI 53092 • +1-841-555-4135
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Mequon Percentiles
NPI #1598742652 • CBSA Regional • Family Practice
Dr. Michael Gerard, MD (NPI #1598742652) practices Family Practice in Mequon, WI (53092) with sub-specialty concentration in 63 Active CMS HCPCS Codes, recording 882 annual CMS services across 564 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (57.14th Mequon percentile) (-0.38σ vs WI state mean, 27.23th statewide percentile).
Dr. Gerard's longitudinal care intensity (1.6 billed units per patient across 564 individuals) centers on 99214 (342 annual units) and 99213 ($78–$107 cash range).
Self-pay new patient consultations with Dr. Gerard (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 18-minute average reception wait, and a 4.89/5 modern protocol openness score across 24 patient logs.
NPI registry verification (#1598742652) confirms Dr. Michael Gerard's MD standing serving CBSA 53092 with a 4.93/5 patient scorecard.
Compared against Mequon, WI Family Practice peers
882 annual services across 564 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 | 342 | 57.14th | $102 – $140 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 253 | 60.14th | $78 – $107 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 98 | 52.14th | $117 – $160 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 73 | 60.14th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 49 | 56.14th | $140 – $192 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (63 HCPCS billing breadth) | 67 | 57.14th | $92 – $133 |
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Dr. Michael Gerard, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gerard National Provider Identifier | NPI #1598742652 (MD) | CMS NPPES Registry (53092) |
| Dr. Gerard Mequon CMS Volume Rank | 57.14th Pct (882 CMS svcs; Z -0.380σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Mequon, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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