Dr. John Whalen, MD
915 Gordon Ave, Thomasville, GA 31792 • +1-647-555-2487
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Thomasville Percentiles
NPI #1336778976 • CBSA Regional • Internal Medicine
Operating out of Thomasville, GA (915 Gordon Ave), Internal Medicine clinician Dr. John Whalen, MD (accredited MD/DO training, 1993) maintains a focused low-volume boutique caseload (20th Thomasville percentile) (22.21th GA percentile; Z-score -0.14σ across 860 documented services) with sub-specialty concentration in 11 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Whalen (averaging 4.2 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (387 encounters), paired with 99213 (224x).
Self-pay new patient consultations with Dr. Whalen (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 14-minute average reception wait, and a 4.51/5 modern protocol openness score across 16 patient logs.
Spanning 33 years of clinical practice following 1993 graduation from medical training, Dr. John Whalen integrates 11 Active CMS HCPCS Codes diagnostics for Thomasville metro patients.
Compared against Thomasville, GA Internal Medicine peers
860 annual services across 203 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 | 387 | 20th | $171 – $234 |
| 99213 | Established Preventive & Chronic Care Visit | 224 | 15th | $131 – $179 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 112 | 20th | $62 – $85 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 86 | 17th | $200 – $275 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 52 | 21th | $237 – $325 |
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Dr. John Whalen, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Whalen National Provider Identifier | NPI #1336778976 (MD) | CMS NPPES Registry (31792) |
| Dr. Whalen Thomasville CMS Volume Rank | 20.00th Pct (860 CMS svcs; Z -0.142σ) | CMS Medicare Part B (GA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Thomasville, GA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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