Dr. James Badger, MD
300 Pasteur DR, Palo Alto, CA 94304 • +1-607-555-4651
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Palo Alto Percentiles
NPI #1255360863 • CBSA Regional • General Surgery
Operating out of Palo Alto, CA (300 Pasteur DR), General Surgery clinician Dr. James Badger, MD (accredited MD/DO training, 2006) maintains a mid-cohort balanced caseload (50th Palo Alto percentile) (10th CA percentile; Z-score -0.36σ across 671 documented services) with sub-specialty concentration in 80 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Badger (averaging 2.0 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (302 encounters), paired with 99213 (174x).
Cash-pay intake data for NPI 1255360863 (300 Pasteur DR, Palo Alto) indicates $239.00 typical out-of-pocket visit spend against a $239.00 locality benchmark, paired with 9-minute average reception wait and 4.77/5 biomarker openness.
Clinical background for Dr. Badger (MD, NPI #1255360863) includes accredited doctoral training (2006, 20 yrs in practice) and virtual + in-office availability across CA.
Compared against Palo Alto, CA General Surgery peers
671 annual services across 328 beneficiaries
Standard deviations from CA General Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 302 | 50th | $552 – $757 |
| 99213 | Established Preventive & Chronic Care Visit | 174 | 45th | $423 – $579 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 87 | 45th | $202 – $276 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 67 | 48th | $648 – $889 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 40 | 51th | $769 – $1053 |
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Dr. James Badger, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Badger National Provider Identifier | NPI #1255360863 (MD) | CMS NPPES Registry (94304) |
| Dr. Badger Palo Alto CMS Volume Rank | 50.00th Pct (671 CMS svcs; Z -0.357σ) | CMS Medicare Part B (CA General Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Palo Alto, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 9 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.72/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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