Dr. James Gatto, MD
36500 Aurora DR, Summit, WI 53066 • +1-424-555-4482
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Summit Percentiles
NPI #1932214020 • CBSA Regional • Family Practice
Anchored in Summit, WI 53066, Dr. James Gatto, MD (NPI 1932214020) logged 1,588 annual procedures (mid-cohort balanced caseload (50th Summit percentile), 61.83th WI percentile, -0.15σ) with sub-specialty concentration in 42 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1932214020 highlights 580 annual claims for 99214 (50th Summit percentile; $128–$176 self-pay corridor) plus 428 encounters under 99213 and 166 under G0439.
Uninsured and high-deductible cash patients visiting Dr. James Gatto in Summit (53066) face an estimated $209.00 initial evaluation fee at 36500 Aurora DR (in-person clinic visits only; 14-minute average reception wait; bedside manner 4.85/5 from 6 verified reports).
Spanning 13 years of clinical practice following 2013 graduation from medical training, Dr. James Gatto integrates 42 Active CMS HCPCS Codes diagnostics for Summit metro patients.
Compared against Summit, WI Family Practice peers
1,588 annual services across 403 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 | 580 | 50th | $128 – $176 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 428 | 52th | $98 – $134 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 166 | 48th | $147 – $202 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 124 | 46th | $28 – $43 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 83 | 55th | $176 – $241 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (42 HCPCS billing breadth) | 208 | 50th | $116 – $168 |
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Dr. James Gatto, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gatto National Provider Identifier | NPI #1932214020 (MD) | CMS NPPES Registry (53066) |
| Dr. Gatto Summit CMS Volume Rank | 50.00th Pct (1,588 CMS svcs; Z -0.150σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Summit, 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 | 4.85/5 Listening • 4.71/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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