Dr. Melissa Garcia, MD
855 N Westhaven DR, Oshkosh, WI 54904 • +1-259-555-8382
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Oshkosh Percentiles
NPI #1114175619 • CBSA Regional • Family Practice
Operating out of Oshkosh, WI (855 N Westhaven DR), Family Practice clinician Dr. Melissa Garcia, MD (accredited MD/DO training, 1996) maintains a focused low-volume boutique caseload (7.69th Oshkosh percentile) (6.42th WI percentile; Z-score -0.45σ across 677 documented services) with sub-specialty concentration in 35 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1114175619 highlights 265 annual claims for 99214 (12th Oshkosh percentile; $90–$124 self-pay corridor) plus 196 encounters under 99213 and 76 under G0439.
For out-of-network patients contacting +1-259-555-8382, Dr. Garcia's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.58/5 composite reality score over 25 submissions).
Patients evaluating Dr. Melissa Garcia in ZIP 54904 note 30 years of post-doctoral tenure (null, 1996) alongside 4.9 annual CMS procedures per patient.
Compared against Oshkosh, WI Family Practice peers
677 annual services across 139 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 | 265 | 12th | $90 – $124 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 196 | 12th | $69 – $95 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 76 | 12th | $104 – $142 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 57 | 12th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 38 | 12th | $124 – $170 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (35 HCPCS billing breadth) | 45 | 7.69th | $82 – $119 |
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Dr. Melissa Garcia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Garcia National Provider Identifier | NPI #1114175619 (MD) | CMS NPPES Registry (54904) |
| Dr. Garcia Oshkosh CMS Volume Rank | 7.69th Pct (677 CMS svcs; Z -0.447σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Oshkosh, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.78/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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