Dr. James Shields, MD
1865 Lime St Ste 101, Fernandina Beach, FL 32034 • +1-710-555-7562
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Fernandina Beach Percentiles
NPI #1295788529 • CBSA Regional • Pain Management
Within the Fernandina Beach, FL (CBSA local) Pain Management cohort, Dr. James Shields, MD with sub-specialty concentration in 42 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 30.24th FL percentile (-0.51σ Z-score) based on 2,008 billed procedures for 288 patients.
Medicare Part B line-item claims for Dr. James Shields (32034) place 99214 at the top of the practice ledger (249 yearly units, 12th metro rank), rounded out by 99213 and 93000.
Self-pay new patient consultations with Dr. Shields (CPT 99204 GPCI-adjusted benchmark) estimate around $216.00 (community reported average: $216.00) with hybrid in-clinic and telehealth video consults, 21-minute average reception wait, and a 4.55/5 modern protocol openness score across 19 patient logs.
NPI registry verification (#1295788529) confirms Dr. James Shields's MD standing serving CBSA 32034 with a 4.88/5 patient scorecard.
Compared against Fernandina Beach, FL Pain Management peers
2,008 annual services across 288 beneficiaries
Standard deviations from FL Pain Management 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 | 249 | 12th | $58 – $79 |
| 99213 | Established Preventive & Chronic Care Visit | 144 | 12th | $44 – $61 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 72 | 12th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 55 | 12th | $68 – $93 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 33 | 12th | $80 – $110 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (42 HCPCS billing breadth) | 1,455 | 0th | $52 – $75 |
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Dr. James Shields, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shields National Provider Identifier | NPI #1295788529 (MD) | CMS NPPES Registry (32034) |
| Dr. Shields Fernandina Beach CMS Volume Rank | 0.00th Pct (2,008 CMS svcs; Z -0.508σ) | CMS Medicare Part B (FL Pain Management) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fernandina Beach, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 21 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.55/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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