Dr. Melissa Hertler, MD
15 Shrine Club Rd, Ste B, Lander, WY 82520 • +1-544-555-7112
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Lander Percentiles
NPI #1881788180 • CBSA Regional • Otolaryngology
Within the Lander, WY (CBSA local) Otolaryngology cohort, Dr. Melissa Hertler, MD with sub-specialty concentration in 49 Active CMS HCPCS Codes ranks at the 99th municipal percentile and 9.09th WY percentile (-1.00σ Z-score) based on 896 billed procedures for 374 patients.
Dr. Hertler's longitudinal care intensity (2.4 billed units per patient across 374 individuals) centers on 99213 (305 annual units) and 31231 ($260–$356 cash range).
Self-pay new patient consultations with Dr. Hertler (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 13-minute average reception wait, and a 4.50/5 modern protocol openness score across 15 patient logs.
NPI registry verification (#1881788180) confirms Dr. Melissa Hertler's MD standing serving CBSA 82520 with a 4.60/5 patient scorecard.
Top 10% Otolaryngology volume leader in Lander, WY
896 annual services across 374 beneficiaries
Standard deviations from WY Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 305 | 99th | $129 – $177 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 224 | 99.5th | $260 – $356 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 170 | 94th | $190 – $260 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 116 | 99.5th | $91 – $125 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 81 | 99.5th | $81 – $112 |
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Dr. Melissa Hertler, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Hertler National Provider Identifier | NPI #1881788180 (MD) | CMS NPPES Registry (82520) |
| Dr. Hertler Lander CMS Volume Rank | 99.00th Pct (896 CMS svcs; Z -0.996σ) | CMS Medicare Part B (WY Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lander, WY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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