Dr. James Burns, MD
101 Main St, Neenah, WI 54956 • +1-378-555-4676
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Neenah Percentiles
NPI #1225022080 • CBSA Regional • Internal Medicine
CMS Medicare Part B utilization records credit Dr. James Burns (MD, NPI 1225022080) at 101 Main St in Neenah with 2,184 annual clinical services (1,320 beneficiaries), corresponding to a -0.03σ regional deviation and mid-cohort balanced caseload (50th Neenah percentile) with sub-specialty concentration in 5 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. James Burns (54956) place 99214 at the top of the practice ledger (983 yearly units, 50th metro rank), rounded out by 99213 and 93000.
Self-pay new patient consultations with Dr. Burns (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 20-minute average reception wait, and a 4.77/5 modern protocol openness score across 24 patient logs.
Patients evaluating Dr. James Burns in ZIP 54956 note 28 years of post-doctoral tenure (null, 1998) alongside 1.7 annual CMS procedures per patient.
Compared against Neenah, WI Internal Medicine peers
2,184 annual services across 1,320 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 | 983 | 50th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 568 | 48th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 284 | 52th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 218 | 49th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 131 | 51th | $60 – $83 |
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Dr. James Burns, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Burns National Provider Identifier | NPI #1225022080 (MD) | CMS NPPES Registry (54956) |
| Dr. Burns Neenah CMS Volume Rank | 50.00th Pct (2,184 CMS svcs; Z -0.026σ) | CMS Medicare Part B (WI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Neenah, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.96/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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