Dr. William Kucera , PA-C
High MarkupHigher Out-of-Pocket Billing Risk
This practice submits charges that average 6.3 times customary allowable rates. If you have not met your annual health insurance deductible, or if this doctor is out-of-network with your health plan, you may face significant balance billing.
- Confirm network status: Call your insurer to confirm this specific physician and office address are in-network.
- Request in-network labs: Before blood draws or biopsies, ask the nurse to send samples exclusively to an in-network commercial laboratory.
- Ask for a written estimate: Under the No Surprises Act, you are legally entitled to a Good Faith Estimate if you are self-pay or out-of-network.
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. Kucera maintains a focused, rapid visit cadence suited for straightforward checkups and procedural follow-ups.
Pricing Transparency & Fee Comparison
How this provider bills compared to standard insurance benchmarks
⚠️ Price Outlier Warning: Dr. Kucera's submitted charges are significantly higher than peer medians (over 6.25x the baseline standard). If you receive treatment out-of-network or without insurance, you could face substantial bills. Confirm in-network participation with your health plan prior to booking.
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 22853 | 174 | $234.01 | $820.00 | $31.75 | 0.29x |
CPT 99213 | 166 | $204.01 | $168.44 | $75.47 | 1.21x |
CPT 72100 | 133 | $100.19 | $75.00 | $33.78 | 1.34x |
CPT 63048 | 108 | $185.80 | $728.00 | $26.20 | 0.26x |
CPT 63047 | 81 | $956.79 | $3574.00 | $135.34 | 0.27x |
CPT 22633 | 73 | $1788.15 | $5605.00 | $229.49 | 0.32x |
CPT 63052 | 72 | $254.58 | $735.00 | $32.14 | 0.35x |
CPT 22614 | 61 | $411.30 | $1228.00 | $48.62 | 0.33x |
Other Physician Assistant Doctors in North Dakota
Explore peer practitioners in the same state
👨⚕️ 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: 23 minutes. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.
Gross charge multiplier: 6.25x. 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. Kucera 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.