Dr. Nicholas Barnes, DO
2920 Superior Ave, Sheboygan, WI 53081 • +1-813-555-7623
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Sheboygan Percentiles
NPI #1578531976 • CBSA Regional • Internal Medicine
Anchored in Sheboygan, WI 53081, Dr. Nicholas Barnes, DO (NPI 1578531976) logged 4,305 annual procedures (mid-cohort balanced caseload (62.5th Sheboygan percentile), 91.41th WI percentile, +0.20σ) with sub-specialty concentration in 79 Active CMS HCPCS Codes.
Dr. Barnes's longitudinal care intensity (13.0 billed units per patient across 330 individuals) centers on 99214 (1747 annual units) and 99213 ($57–$78 cash range).
For out-of-network patients contacting +1-813-555-7623, Dr. Barnes's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.75/5 composite reality score over 6 submissions).
Clinical background for Dr. Barnes (DO, NPI #1578531976) includes accredited doctoral training (2001, 25 yrs in practice) and dedicated on-site consultations at 2920 Superior Ave.
Compared against Sheboygan, WI Internal Medicine peers
4,305 annual services across 330 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 | 1,747 | 62.5th | $74 – $102 |
| 99213 | Established Preventive & Chronic Care Visit | 1,009 | 64.5th | $57 – $78 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 505 | 66.5th | $27 – $42 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 388 | 66.5th | $87 – $120 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 233 | 60.5th | $104 – $142 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (79 HCPCS billing breadth) | 423 | 62.5th | $67 – $97 |
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Dr. Nicholas Barnes, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Barnes National Provider Identifier | NPI #1578531976 (DO) | CMS NPPES Registry (53081) |
| Dr. Barnes Sheboygan CMS Volume Rank | 62.50th Pct (4,305 CMS svcs; Z +0.197σ) | CMS Medicare Part B (WI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sheboygan, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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