Dr. Philip Detrana, MD
2414 Kohler Memorial DR, Sheboygan, WI 53081 • +1-813-555-2021
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Sheboygan Percentiles
NPI #1013992643 • CBSA Regional • Pulmonary Disease
Statistical peer benchmarking across WI Pulmonary Disease providers positions Dr. Philip Detrana, MD in Sheboygan at -0.49σ (50th city percentile / 39.58th state percentile, 418 Medicare beneficiaries), with clinical focus spanning 28 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1013992643 highlights 345 annual claims for 99214 (50th Sheboygan percentile; $118–$161 self-pay corridor) plus 193 encounters under 94060 and 143 under 94729.
For out-of-network patients contacting +1-813-555-2021, Dr. Detrana's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.65/5 composite reality score over 8 submissions).
NPI registry verification (#1013992643) confirms Dr. Philip Detrana's MD standing serving CBSA 53081 with a 4.65/5 patient scorecard.
Compared against Sheboygan, WI Pulmonary Disease peers
986 annual services across 418 beneficiaries
Standard deviations from WI Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 345 | 50th | $118 – $161 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 193 | 55th | $77 – $105 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 143 | 49th | $70 – $95 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 93 | 54th | $215 – $295 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 67 | 53th | $166 – $227 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (28 HCPCS billing breadth) | 145 | 50th | $106 – $154 |
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Dr. Philip Detrana, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Detrana National Provider Identifier | NPI #1013992643 (MD) | CMS NPPES Registry (53081) |
| Dr. Detrana Sheboygan CMS Volume Rank | 50.00th Pct (986 CMS svcs; Z -0.488σ) | CMS Medicare Part B (WI Pulmonary Disease) |
| 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 • 22 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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