Dr. Andrew Last, MD
325 Butts Ave, Tomah, WI 54660 • +1-747-555-3196
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Tomah Percentiles
NPI #1225353576 • CBSA Regional • Family Practice
Within the Tomah, WI (CBSA local) Family Practice cohort, Dr. Andrew Last, MD with sub-specialty concentration in 54 Active CMS HCPCS Codes ranks at the 30th municipal percentile and 61.71th WI percentile (-0.15σ Z-score) based on 1,581 billed procedures for 324 patients.
Fee-schedule auditing of NPI 1225353576 highlights 573 annual claims for 99214 (30th Tomah percentile; $111–$152 self-pay corridor) plus 423 encounters under 99213 and 164 under G0439.
Uninsured and high-deductible cash patients visiting Dr. Andrew Last in Tomah (54660) face an estimated $209.00 initial evaluation fee at 325 Butts Ave (hybrid in-clinic and telehealth video consults; 19-minute average reception wait; bedside manner 4.87/5 from 25 verified reports).
NPI registry verification (#1225353576) confirms Dr. Andrew Last's MD standing serving CBSA 54660 with a 4.86/5 patient scorecard.
Compared against Tomah, WI Family Practice peers
1,581 annual services across 324 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 | 573 | 30th | $111 – $152 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 423 | 28th | $85 – $117 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 164 | 31th | $128 – $175 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 123 | 27th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 82 | 35th | $153 – $209 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (54 HCPCS billing breadth) | 216 | 30th | $100 – $145 |
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Dr. Andrew Last, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Last National Provider Identifier | NPI #1225353576 (MD) | CMS NPPES Registry (54660) |
| Dr. Last Tomah CMS Volume Rank | 30.00th Pct (1,581 CMS svcs; Z -0.152σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Tomah, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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