Dr. James Carroll, MD
4755 Ogletown Stanton Rd, Newark, DE 19718 • +1-644-555-7050
Medical Education: Accredited U.S. Medical School (Class of 1995)
What This Doctor Actually Performs: CMS Medicare Utilization & Newark Percentiles
NPI #1295713006 • CBSA Regional • Emergency Medicine
Operating out of Newark, DE (4755 Ogletown Stanton Rd), Emergency Medicine clinician Dr. James Carroll, MD (accredited MD/DO training, 1995) maintains a mid-cohort balanced caseload (51.72th Newark percentile) (58.82th DE percentile; Z-score -0.12σ across 893 documented services) with sub-specialty concentration in 35 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. James Carroll (19718) place 99214 at the top of the practice ledger (402 yearly units, 51.72th metro rank), rounded out by 99213 and 93000.
At 4755 Ogletown Stanton Rd (19718), Dr. James Carroll, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.81/5 bedside rating).
NPI registry verification (#1295713006) confirms Dr. James Carroll's MD standing serving CBSA 19718 with a 4.90/5 patient scorecard.
Compared against Newark, DE Emergency Medicine peers
893 annual services across 554 beneficiaries
Standard deviations from DE Emergency Medicine 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 | 402 | 51.72th | $169 – $231 |
| 99213 | Established Preventive & Chronic Care Visit | 232 | 48.72th | $129 – $177 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 116 | 49.72th | $62 – $85 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 89 | 53.72th | $198 – $272 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 54 | 46.72th | $235 – $322 |
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Dr. James Carroll, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Carroll National Provider Identifier | NPI #1295713006 (MD) | CMS NPPES Registry (19718) |
| Dr. Carroll Newark CMS Volume Rank | 51.72th Pct (893 CMS svcs; Z -0.123σ) | CMS Medicare Part B (DE Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Newark, DE) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.57/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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