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Dr. Michelle Peterson-Jones , M.D.

Moderate Markup
Practice Location: Papillion,Nebraska 68046
National Provider Identifier (NPI): 1538173190
Procedural
Surgical Specialist
3.37x
Markup Level
10,108
Annual Services
The Rushed Visit Index

Balanced Practice

Standard Pacing

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
Specialist (Procedures only)

Dr. Peterson-Jones primarily performs clinical procedures, imaging, or laboratory services rather than routine timed office consultations.

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
3.37x
National Specialty Average: 2.56x
Total Annual Charges Billed
$956,213
Gross billed amount on claims
Standard Benchmark Value
$283,586
Customary fee baseline
Practical Guide for Patients and Families:

Dr. Peterson-Jones 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 77067
1,064$111.06$194.98$33.840.57x
CPT 77063
1,054$81.39$110.00$26.760.74x
CPT 71045
984$33.00$37.00$8.180.89x
CPT 71046
550$38.43$60.35$9.870.64x
CPT 77067
362$240.59$194.98$98.531.23x
CPT 77063
357$85.05$110.00$43.580.77x
CPT 77080
309$49.34$100.00$8.830.49x
CPT 71046
275$45.96$60.35$17.720.76x
๐Ÿ‘จโ€โš•๏ธ 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: N/A. 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: 3.37x. 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. Peterson-Jones 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.