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Dr. Kevin Nemeth , M.D.

Moderate Markup
Practice Location: Grand Rapids,Michigan 49546
National Provider Identifier (NPI): 1407198807
20 mins
Average Visit Time
3.13x
Markup Level
3,455
Annual Services
The Rushed Visit Index

Balanced Practice

~20 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. Nemeth maintains a focused, rapid visit cadence suited for straightforward checkups and procedural follow-ups.

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
3.13x
National Specialty Average: 2.56x
Total Annual Charges Billed
$501,583
Gross billed amount on claims
Standard Benchmark Value
$160,487
Customary fee baseline
Practical Guide for Patients and Families:

Dr. Nemeth 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
HCPCS J1100
1,867$10.00$3.00$0.123.33x
HCPCS J3010
252$2.13$3.50$0.870.61x
HCPCS J1030
207$15.25$18.00$7.580.85x
CPT 64483
142$905.92$1064.79$292.350.85x
CPT 20610
117$226.30$221.85$70.101.02x
CPT 77002
98$273.76$218.00$108.261.26x
CPT 27096
96$690.56$730.29$212.350.95x
CPT 62323
91$621.24$788.00$241.740.79x
👨‍⚕️ 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: 20 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: 3.13x. 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. Nemeth 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.