Dr. Philip Margiotta, MD
4701 Ogletown Stanton Rd Ste 2300, Newark, DE 19713 • +1-744-555-7431
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Newark Percentiles
NPI #1427582915 • CBSA Regional • Hematology-Oncology
Dr. Philip Margiotta, MD (NPI #1427582915) practices Hematology-Oncology in Newark, DE (19713) with sub-specialty concentration in 11 Active CMS HCPCS Codes, recording 706 annual CMS services across 225 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Newark percentile) (-0.59σ vs DE state mean, 0th statewide percentile).
Fee-schedule auditing of NPI 1427582915 highlights 318 annual claims for 99214 (12th Newark percentile; $196–$268 self-pay corridor) plus 184 encounters under 99213 and 92 under 93000.
Cash-pay intake data for NPI 1427582915 (4701 Ogletown Stanton Rd Ste 2300, Newark) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 19-minute average reception wait and 4.83/5 biomarker openness.
NPI registry verification (#1427582915) confirms Dr. Philip Margiotta's MD standing serving CBSA 19713 with a 4.54/5 patient scorecard.
Compared against Newark, DE Hematology-Oncology peers
706 annual services across 225 beneficiaries
Standard deviations from DE Hematology-Oncology 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 | 318 | 12th | $196 – $268 |
| 99213 | Established Preventive & Chronic Care Visit | 184 | 12th | $150 – $205 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 92 | 12th | $72 – $98 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 71 | 12th | $230 – $315 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 42 | 12th | $273 – $374 |
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Dr. Philip Margiotta, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Margiotta National Provider Identifier | NPI #1427582915 (MD) | CMS NPPES Registry (19713) |
| Dr. Margiotta Newark CMS Volume Rank | 0.00th Pct (706 CMS svcs; Z -0.588σ) | CMS Medicare Part B (DE Hematology-Oncology) |
| 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 • 19 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.83/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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