Dr. Phillip Martinez-Knouse, MD
36500 Aurora DR, Summit, WI 53066 • +1-424-555-1859
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Summit Percentiles
NPI #1689036923 • CBSA Regional • Hematology-Oncology
CMS Medicare Part B utilization records credit Dr. Phillip Martinez-Knouse (MD, NPI 1689036923) at 36500 Aurora DR in Summit with 824 annual clinical services (288 beneficiaries), corresponding to a -0.39σ regional deviation and focused low-volume boutique caseload (0th Summit percentile) with sub-specialty concentration in 15 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1689036923 highlights 371 annual claims for 99214 (12th Summit percentile; $144–$197 self-pay corridor) plus 214 encounters under 99213 and 107 under 93000.
For out-of-network patients contacting +1-424-555-1859, Dr. Martinez-Knouse's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.76/5 composite reality score over 11 submissions).
From 36500 Aurora DR in Summit (+1-424-555-1859), Dr. Martinez-Knouse, MD (32-year clinical track record) delivers 15 Active CMS HCPCS Codes care.
Compared against Summit, WI Hematology-Oncology peers
824 annual services across 288 beneficiaries
Standard deviations from WI Hematology-Oncology 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 | 371 | 12th | $144 – $197 |
| 99213 | Established Preventive & Chronic Care Visit | 214 | 12th | $110 – $151 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 107 | 12th | $53 – $72 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 82 | 12th | $169 – $231 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 49 | 12th | $200 – $274 |
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Dr. Phillip Martinez-Knouse, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Martinez-Knouse National Provider Identifier | NPI #1689036923 (MD) | CMS NPPES Registry (53066) |
| Dr. Martinez-Knouse Summit CMS Volume Rank | 0.00th Pct (824 CMS svcs; Z -0.385σ) | CMS Medicare Part B (WI Hematology-Oncology) |
| 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 • 15 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.68/5 Listening • 4.78/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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