Dr. John Spence, MD
4284 Kelson Ave, Marianna, FL 32446 • +1-538-555-4948
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Marianna Percentiles
NPI #1497794796 • CBSA Regional • Family Practice
Within the Marianna, FL (CBSA local) Family Practice cohort, Dr. John Spence, MD with sub-specialty concentration in 71 Active CMS HCPCS Codes ranks at the 40th municipal percentile and 67.72th FL percentile (-0.14σ Z-score) based on 2,667 billed procedures for 430 patients.
Medicare Part B line-item claims for Dr. John Spence (32446) place 99214 at the top of the practice ledger (984 yearly units, 40th metro rank), rounded out by 99213 and G0439.
Uninsured and high-deductible cash patients visiting Dr. John Spence in Marianna (32446) face an estimated $216.00 initial evaluation fee at 4284 Kelson Ave (hybrid in-clinic and telehealth video consults; 9-minute average reception wait; bedside manner 4.95/5 from 13 verified reports).
Patients evaluating Dr. John Spence in ZIP 32446 note 27 years of post-doctoral tenure (null, 1999) alongside 6.2 annual CMS procedures per patient.
Compared against Marianna, FL Family Practice peers
2,667 annual services across 430 beneficiaries
Standard deviations from FL Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 984 | 40th | $119 – $163 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 726 | 42th | $91 – $125 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 281 | 37th | $137 – $188 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 211 | 41th | $26 – $41 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 141 | 36th | $164 – $224 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (71 HCPCS billing breadth) | 324 | 40th | $107 – $155 |
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Dr. John Spence, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spence National Provider Identifier | NPI #1497794796 (MD) | CMS NPPES Registry (32446) |
| Dr. Spence Marianna CMS Volume Rank | 40.00th Pct (2,667 CMS svcs; Z -0.136σ) | CMS Medicare Part B (FL Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Marianna, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 9 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.95/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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