Dr. Michele Bertelle-Semma , D.P.M
Fair / StandardAligned with Customary Rates
This physician's billed charges remain close to standard insurance allowable rates (within 2.5 times baseline). Patients visiting this practice rarely encounter extreme out-of-pocket price inflation.
Balanced Practice
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.
Appointment Length & Visit Style
Clinical appointment coding analysis across standard patient evaluations
Dr. Bertelle-Semma provides standard-duration consultations averaging approximately 26 minutes per visit, aligned with typical medical practice guidelines.
Pricing Transparency & Fee Comparison
How this provider bills compared to standard insurance benchmarks
Dr. Bertelle-Semma's billed charges align closely with standard customary rates. If you have insurance, negotiated rates will apply. For self-paying, uninsured, or out-of-network care, this doctor's billing practices reflect customary and modest fees.
Verified Clinical Procedures & Surgical Focus
Official annual procedure volumes, customary fee comparisons, and clinical focus areas.
| Clinical Procedure & Code | Annual Services | Doctor Charge | Peer Norm | Standard Baseline | vs. Peer Norm |
|---|---|---|---|---|---|
CPT 11721 | 911 | $60.01 | $80.00 | $44.70 | 0.75x |
CPT 99348 | 619 | $200.00 | $150.00 | $76.70 | 1.33x |
CPT 99347 | 609 | $150.00 | $96.18 | $44.80 | 1.56x |
CPT 99342 | 238 | $200.00 | $147.88 | $77.96 | 1.35x |
CPT 11730 | 194 | $132.35 | $180.39 | $116.77 | 0.73x |
CPT 99213 | 163 | $150.00 | $168.44 | $89.13 | 0.89x |
HCPCS J3301 | 49 | $10.00 | $6.00 | $1.02 | 1.67x |
CPT 11042 | 28 | $230.00 | $248.00 | $130.67 | 0.93x |
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👨⚕️ 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:
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.
Gross charge multiplier: 2.12x. 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. Bertelle-Semma 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.