Dr. April Mcdonald, MD
743 Spring St Ne, Gainesville, GA 30501 • +1-396-555-7414
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Gainesville Percentiles
NPI #1275892440 • CBSA Regional • Pulmonary Disease
Dr. April Mcdonald, MD (NPI #1275892440) practices Pulmonary Disease in Gainesville, GA (30501) with sub-specialty concentration in 58 Active CMS HCPCS Codes, recording 1,036 annual CMS services across 273 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Gainesville percentile) (-0.50σ vs GA state mean, 24.74th statewide percentile).
Fee-schedule auditing of NPI 1275892440 highlights 425 annual claims for 99214 (50th Gainesville percentile; $135–$185 self-pay corridor) plus 238 encounters under 94060 and 176 under 94729.
Direct cash-pay transparency modeling sets Dr. Mcdonald's baseline new-consult rate near $209.00 in Gainesville, GA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 18-minute average reception wait).
NPI registry verification (#1275892440) confirms Dr. April Mcdonald's MD standing serving CBSA 30501 with a 4.53/5 patient scorecard.
Compared against Gainesville, GA Pulmonary Disease peers
1,036 annual services across 273 beneficiaries
Standard deviations from GA Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 425 | 50th | $135 – $185 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 238 | 51th | $88 – $121 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 176 | 50th | $80 – $110 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 114 | 50th | $247 – $338 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 83 | 51th | $190 – $261 |
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Dr. April Mcdonald, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mcdonald National Provider Identifier | NPI #1275892440 (MD) | CMS NPPES Registry (30501) |
| Dr. Mcdonald Gainesville CMS Volume Rank | 50.00th Pct (1,036 CMS svcs; Z -0.501σ) | CMS Medicare Part B (GA Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Gainesville, GA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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