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Dr. Brian Heeringa , MD

Moderate Markup
Practice Location: Traverse City,Michigan 49686
National Provider Identifier (NPI): 1497789010
26 mins
Average Visit Time
2.94x
Markup Level
1,027
Annual Services
The Rushed Visit Index

Balanced Practice

~26 min face-time

Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.

How is appointment length calculated?

Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).

Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.

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Appointment Length & Visit Style

Clinical appointment coding analysis across standard patient evaluations

Consultation Classification
Standard (20-30 mins)

Dr. Heeringa provides standard-duration consultations averaging approximately 26 minutes per visit, aligned with typical medical practice guidelines.

What visit duration tells you:
•Thorough evaluations: Longer appointments mean more opportunity to ask questions, review medical histories, and explain treatment options.
•Complex medical care: Patients managing multiple chronic conditions or seeking second opinions often benefit from physicians with extended visit styles.
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Pricing Transparency & Fee Comparison

How this provider bills compared to standard insurance benchmarks

Pricing Markup Ratio
2.94x
National Specialty Average: 2.56x
Total Annual Charges Billed
$579,078
Gross billed amount on claims
Standard Benchmark Value
$197,061
Customary fee baseline
Practical Guide for Patients and Families:

Dr. Heeringa bills moderately higher than baseline insurance benchmarks. If you are in-network, your co-pay or coinsurance will be determined by your plan's contracted rate. If paying out of pocket, request an upfront written fee estimate.

Verified Clinical Procedures & Surgical Focus

Official annual procedure volumes, customary fee comparisons, and clinical focus areas.

Clinical Procedure & CodeAnnual ServicesDoctor ChargePeer NormStandard Baselinevs. Peer Norm
CPT 99213
246$175.66$168.44$83.481.04x
CPT 36471
138$470.09$546.09$191.840.86x
CPT 76942
134$148.10$210.00$55.120.71x
CPT 93970
132$467.00$225.00$173.102.08x
CPT 93971
131$286.00$136.00$110.082.1x
CPT 10160
75$317.00$252.64$89.531.25x
CPT 36475
52$3648.00$4036.85$998.580.9x
CPT 99203
36$261.00$234.50$103.911.11x
👨‍⚕️ Physician & Medical Billing Intelligence (Click to view professional coding data)Expand ↓

This section provides clinical practice analytics for healthcare administrators, billing coders, and peer physicians evaluating practice benchmarks:

Evaluation & Management Mix

Estimated appointment time calculation: 26 minutes. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.

Charge-to-Payment Ratio

Gross charge multiplier: 2.94x. Useful for fee schedule alignment, out-of-network charge master analysis, and payer contract negotiations.

Patient Guidance: What to Ask Before Your Appointment

  • In-Network Confirmation: Confirm directly with your insurance plan that Dr. Heeringa participates in your specific network tier.
  • Surgical Facility Fees: If having surgery, verify whether it will be in a hospital or an outpatient surgery center. Facility charges are billed separately from physician fees.
  • Written Estimates: If you are paying out of pocket or have a high deductible, request a written good-faith estimate before major treatments.