Dr. John Herath, MD
3111 Gundersen DR, Onalaska, WI 54650 • +1-225-555-4589
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Onalaska Percentiles
NPI #1740286913 • CBSA Regional • Internal Medicine
CMS Medicare Part B utilization records credit Dr. John Herath (MD, NPI 1740286913) at 3111 Gundersen DR in Onalaska with 676 annual clinical services (235 beneficiaries), corresponding to a -0.18σ regional deviation and focused low-volume boutique caseload (0th Onalaska percentile) with sub-specialty concentration in 19 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1740286913 highlights 304 annual claims for 99214 (12th Onalaska percentile; $102–$139 self-pay corridor) plus 176 encounters under 99213 and 88 under 93000.
For out-of-network patients contacting +1-225-555-4589, Dr. Herath's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.57/5 composite reality score over 4 submissions).
Spanning 15 years of clinical practice following 2011 graduation from medical training, Dr. John Herath integrates 19 Active CMS HCPCS Codes diagnostics for Onalaska metro patients.
Compared against Onalaska, WI Internal Medicine peers
676 annual services across 235 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 | 304 | 12th | $102 – $139 |
| 99213 | Established Preventive & Chronic Care Visit | 176 | 12th | $78 – $107 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 88 | 12th | $37 – $52 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 68 | 12th | $119 – $163 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 41 | 12th | $141 – $194 |
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Dr. John Herath, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Herath National Provider Identifier | NPI #1740286913 (MD) | CMS NPPES Registry (54650) |
| Dr. Herath Onalaska CMS Volume Rank | 0.00th Pct (676 CMS svcs; Z -0.185σ) | CMS Medicare Part B (WI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Onalaska, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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