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Orthopedic Surgery • Pleasant Prairie, WI 53158 • NPI #1730119561

Dr. Alan Gegenheimer, DO

9697 Saint Catherines DR, Suite 200, Pleasant Prairie, WI 53158 • +1-361-555-1099

Medical Education: Accredited U.S. Medical School (Class of 2016)

72 Active CMS HCPCS Codes
4.84/5
Waiting-Room Score
3 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Pleasant Prairie Percentiles

NPI #1730119561 • CBSA Regional • Orthopedic Surgery

Dr. Alan Gegenheimer DotMD Verification Badge

CMS Medicare Part B utilization records credit Dr. Alan Gegenheimer (DO, NPI 1730119561) at 9697 Saint Catherines DR, Suite 200 in Pleasant Prairie with 1,328 annual clinical services (227 beneficiaries), corresponding to a -0.55σ regional deviation and mid-cohort balanced caseload (50th Pleasant Prairie percentile) with sub-specialty concentration in 72 Active CMS HCPCS Codes.

Among 6 tracked CMS fee-schedule codes for Dr. Gegenheimer (averaging 5.9 services per beneficiary), 99213 (Focused Orthopedic Joint & Spine Mobility Evaluation) represents 22% of tracked volume (289 encounters), paired with 20610 (217x).

Self-pay new patient consultations with Dr. Gegenheimer (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 11-minute average reception wait, and a 4.90/5 modern protocol openness score across 3 patient logs.

NPI registry verification (#1730119561) confirms Dr. Alan Gegenheimer's DO standing serving CBSA 53158 with a 4.84/5 patient scorecard.

Pleasant Prairie Percentile 50.00th

Compared against Pleasant Prairie, WI Orthopedic Surgery peers

WI State Percentile 33.33th

1,328 annual services across 227 beneficiaries

Regional Volume Z-Score -0.554σ

Standard deviations from WI Orthopedic Surgery mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
99213 Focused Orthopedic Joint & Spine Mobility Evaluation 289 50th $131 – $179
20610 Major Joint (Knee/Shoulder/Hip) Aspiration or Injection 217 49th $139 – $191
73562 Radiologic Weight-Bearing 3-View Knee Examination 153 49th $78 – $107
99203 New Patient Musculoskeletal Injury & Surgical Triage 88 47th $188 – $257
27447 Total Knee Arthroplasty Joint Reconstruction 56 49th $1210 – $1658
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (72 HCPCS billing breadth) 524 50th $148 – $215
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Dr. Alan Gegenheimer, DO Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Gegenheimer National Provider Identifier NPI #1730119561 (DO) CMS NPPES Registry (53158)
Dr. Gegenheimer Pleasant Prairie CMS Volume Rank 50.00th Pct (1,328 CMS svcs; Z -0.554σ) CMS Medicare Part B (WI Orthopedic Surgery)
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 • 11 min lobby wait 3 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.85/5 Listening • 4.90/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
11 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.85/5
Patient communication rating
Modern Protocol Openness
4.90/5
Preventive labs, GLP-1s & HRT
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