Dr. Mathew Herbst, MD
1300 S Century Ave, Waunakee, WI 53597 • +1-622-555-3030
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Waunakee Percentiles
NPI #1811020969 • CBSA Regional • Family Practice
Dr. Mathew Herbst, MD (NPI #1811020969) practices Family Practice in Waunakee, WI (53597) with sub-specialty concentration in 72 Active CMS HCPCS Codes, recording 2,047 annual CMS services across 311 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (16.67th Waunakee percentile) (+0.00σ vs WI state mean, 73.96th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Herbst (averaging 6.6 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 24% of tracked volume (494 encounters), paired with 99213 (364x).
At 1300 S Century Ave (53597), Dr. Mathew Herbst, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.58/5 bedside rating).
Clinical background for Dr. Herbst (MD, NPI #1811020969) includes accredited doctoral training (2004, 22 yrs in practice) and dedicated on-site consultations at 1300 S Century Ave.
Compared against Waunakee, WI Family Practice peers
2,047 annual services across 311 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 | 494 | 16.67th | $76 – $104 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 364 | 21.67th | $58 – $79 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 141 | 20.67th | $87 – $119 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 106 | 14.67th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 71 | 14.67th | $104 – $142 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (72 HCPCS billing breadth) | 872 | 16.67th | $68 – $99 |
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Dr. Mathew Herbst, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Herbst National Provider Identifier | NPI #1811020969 (MD) | CMS NPPES Registry (53597) |
| Dr. Herbst Waunakee CMS Volume Rank | 16.67th Pct (2,047 CMS svcs; Z +0.000σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Waunakee, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.58/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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