Dr. John Casey, MD
609 E Orangeburg Ave, Suite 201, Modesto, CA 95350 • +1-691-555-9936
Medical Education: Accredited U.S. Medical School (Class of 2009)
What This Doctor Actually Performs: CMS Medicare Utilization & Modesto Percentiles
NPI #1811909716 • CBSA Regional • Orthopedic Surgery
CMS Medicare Part B utilization records credit Dr. John Casey (MD, NPI 1811909716) at 609 E Orangeburg Ave, Suite 201 in Modesto with 947 annual clinical services (240 beneficiaries), corresponding to a -0.38σ regional deviation and focused low-volume boutique caseload (7.14th Modesto percentile) with sub-specialty concentration in 51 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1811909716 highlights 231 annual claims for 99213 (12th Modesto percentile; $158–$216 self-pay corridor) plus 173 encounters under 20610 and 122 under 73562.
Cash-pay intake data for NPI 1811909716 (609 E Orangeburg Ave, Suite 201, Modesto) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 20-minute average reception wait and 4.83/5 biomarker openness.
NPI registry verification (#1811909716) confirms Dr. John Casey's MD standing serving CBSA 95350 with a 4.57/5 patient scorecard.
Compared against Modesto, CA Orthopedic Surgery peers
947 annual services across 240 beneficiaries
Standard deviations from CA Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 231 | 12th | $158 – $216 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 173 | 12th | $168 – $230 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 122 | 12th | $94 – $129 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 71 | 12th | $226 – $310 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 45 | 12th | $1457 – $1997 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (51 HCPCS billing breadth) | 306 | 7.14th | $178 – $258 |
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Dr. John Casey, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Casey National Provider Identifier | NPI #1811909716 (MD) | CMS NPPES Registry (95350) |
| Dr. Casey Modesto CMS Volume Rank | 7.14th Pct (947 CMS svcs; Z -0.378σ) | CMS Medicare Part B (CA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Modesto, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 20 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.83/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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