Dr. Thomas Wagner, MD
9200 W Wisconsin Ave, Milwaukee, WI 53226 • +1-793-555-6575
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Milwaukee Percentiles
NPI #1861841488 • CBSA Regional • Gastroenterology
Anchored in Milwaukee, WI 53226, Dr. Thomas Wagner, MD (NPI 1861841488) logged 891 annual procedures (mid-cohort balanced caseload (36.84th Milwaukee percentile), 56.1th WI percentile, -0.11σ) with sub-specialty concentration in 38 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Wagner (averaging 2.0 services per beneficiary), 99214 (Established Gastroenterology, GERD & IBD Evaluation) represents 37% of tracked volume (330 encounters), paired with 45380 (223x).
At 9200 W Wisconsin Ave (53226), Dr. Thomas Wagner, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.87/5 bedside rating).
Clinical background for Dr. Wagner (MD, NPI #1861841488) includes accredited doctoral training (2005, 21 yrs in practice) and virtual + in-office availability across WI.
Compared against Milwaukee, WI Gastroenterology peers
891 annual services across 439 beneficiaries
Standard deviations from WI Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 330 | 36.84th | $174 – $238 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 223 | 34.84th | $418 – $573 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 187 | 40.84th | $347 – $476 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 89 | 39.84th | $466 – $638 |
| 99204 | New Patient Digestive & Hepatology Consultation | 62 | 36.84th | $245 – $335 |
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Dr. Thomas Wagner, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wagner National Provider Identifier | NPI #1861841488 (MD) | CMS NPPES Registry (53226) |
| Dr. Wagner Milwaukee CMS Volume Rank | 36.84th Pct (891 CMS svcs; Z -0.113σ) | CMS Medicare Part B (WI Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Milwaukee, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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