Dr. James Upshaw, MD
330 Hospital DR, Bldg C, Ste 200, Macon, GA 31217 • +1-601-555-7358
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Macon Percentiles
NPI #1740252170 • CBSA Regional • Internal Medicine
Within the Macon, GA (CBSA local) Internal Medicine cohort, Dr. James Upshaw, MD with sub-specialty concentration in 139 Active CMS HCPCS Codes ranks at the 89.23th municipal percentile and 97.52th GA percentile (+0.45σ Z-score) based on 17,742 billed procedures for 549 patients.
Procedural volume for Dr. Upshaw is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 7907 annual services, $52–$72 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 4569/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 2284/yr).
Uninsured and high-deductible cash patients visiting Dr. James Upshaw in Macon (31217) face an estimated $209.00 initial evaluation fee at 330 Hospital DR, Bldg C, Ste 200 (hybrid in-clinic and telehealth video consults; 17-minute average reception wait; bedside manner 4.94/5 from 7 verified reports).
Credentialed as an MD specialist with 15 years post-graduation experience since completing medical school at an LCME/COCA institution (2011), Dr. Upshaw coordinates 139 Active CMS HCPCS Codes workups from 330 Hospital DR, Bldg C, Ste 200 (+1-601-555-7358).
Compared against Macon, GA Internal Medicine peers
17,742 annual services across 549 beneficiaries
Standard deviations from GA Internal 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 | 7,907 | 89.23th | $52 – $72 |
| 99213 | Established Preventive & Chronic Care Visit | 4,569 | 85.23th | $40 – $55 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 2,284 | 93.23th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 1,757 | 91.23th | $61 – $84 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 1,054 | 93.23th | $73 – $100 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (139 HCPCS billing breadth) | 170 | 89.23th | $47 – $68 |
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Dr. James Upshaw, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Upshaw National Provider Identifier | NPI #1740252170 (MD) | CMS NPPES Registry (31217) |
| Dr. Upshaw Macon CMS Volume Rank | 89.23th Pct (17,742 CMS svcs; Z +0.452σ) | CMS Medicare Part B (GA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Macon, GA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.94/5 Listening • 4.91/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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