Dr. Erin O'tool, MD
8825 S Howell Ave, Oak Creek, WI 53154 • +1-364-555-5303
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Oak Creek Percentiles
NPI #1104050954 • CBSA Regional • Family Practice
Dr. Erin O'tool, MD (NPI #1104050954) practices Family Practice in Oak Creek, WI (53154) with sub-specialty concentration in 28 Active CMS HCPCS Codes, recording 860 annual CMS services across 100 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (40th Oak Creek percentile) (-0.39σ vs WI state mean, 25.56th statewide percentile).
Fee-schedule auditing of NPI 1104050954 highlights 97 annual claims for 99214 (40th Oak Creek percentile; $43–$60 self-pay corridor) plus 72 encounters under 99213 and 28 under G0439.
For out-of-network patients contacting +1-364-555-5303, Dr. O'tool's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.79/5 composite reality score over 14 submissions).
From 8825 S Howell Ave in Oak Creek (+1-364-555-5303), Dr. O'tool, MD (26-year clinical track record) delivers 28 Active CMS HCPCS Codes care.
Compared against Oak Creek, WI Family Practice peers
860 annual services across 100 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 | 97 | 40th | $43 – $60 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 72 | 43th | $33 – $48 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 28 | 42th | $50 – $68 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 21 | 41th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 14 | 35th | $60 – $82 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (28 HCPCS billing breadth) | 628 | 40th | $45 – $65 |
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Dr. Erin O'tool, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. O'tool National Provider Identifier | NPI #1104050954 (MD) | CMS NPPES Registry (53154) |
| Dr. O'tool Oak Creek CMS Volume Rank | 40.00th Pct (860 CMS svcs; Z -0.387σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Oak Creek, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.73/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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