Dr. Michelle Gauthier, DO
9697 Saint Catherines DR, Pleasant Prairie, WI 53158 • +1-361-555-2331
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Pleasant Prairie Percentiles
NPI #1265489264 • CBSA Regional • Family Practice
Statistical peer benchmarking across WI Family Practice providers positions Dr. Michelle Gauthier, DO in Pleasant Prairie at -0.15σ (50th city percentile / 61.36th state percentile, 521 Medicare beneficiaries), with clinical focus spanning 33 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Michelle Gauthier (53158) place 99214 at the top of the practice ledger (569 yearly units, 50th metro rank), rounded out by 99213 and G0439.
Direct cash-pay transparency modeling sets Dr. Gauthier's baseline new-consult rate near $209.00 in Pleasant Prairie, WI (cash-pay accepted, hybrid in-clinic and telehealth video consults, 9-minute average reception wait).
Patients evaluating Dr. Michelle Gauthier in ZIP 53158 note 26 years of post-doctoral tenure (null, 2000) alongside 3.0 annual CMS procedures per patient.
Compared against Pleasant Prairie, WI Family Practice peers
1,573 annual services across 521 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 | 569 | 50th | $136 – $186 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 420 | 45th | $104 – $142 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 163 | 52th | $156 – $213 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 122 | 49th | $29 – $44 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 81 | 45th | $186 – $255 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (33 HCPCS billing breadth) | 218 | 50th | $122 – $177 |
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Dr. Michelle Gauthier, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gauthier National Provider Identifier | NPI #1265489264 (DO) | CMS NPPES Registry (53158) |
| Dr. Gauthier Pleasant Prairie CMS Volume Rank | 50.00th Pct (1,573 CMS svcs; Z -0.155σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pleasant Prairie, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.49/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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