Dr. Matthew Fox, MD
3701 Katz DR, Marion, IA 52302 • +1-536-555-4311
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Marion Percentiles
NPI #1780644849 • CBSA Regional • Family Practice
Dr. Matthew Fox, MD (NPI #1780644849) practices Family Practice in Marion, IA (52302) with sub-specialty concentration in 78 Active CMS HCPCS Codes, recording 4,175 annual CMS services across 668 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Marion percentile) (+0.08σ vs IA state mean, 76.23th statewide percentile).
Fee-schedule auditing of NPI 1780644849 highlights 1039 annual claims for 99214 (50th Marion percentile; $64–$87 self-pay corridor) plus 767 encounters under 99213 and 297 under G0439.
Self-pay new patient consultations with Dr. Fox (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 18-minute average reception wait, and a 4.78/5 modern protocol openness score across 4 patient logs.
From 3701 Katz DR in Marion (+1-536-555-4311), Dr. Fox, MD (12-year clinical track record) delivers 78 Active CMS HCPCS Codes care.
Compared against Marion, IA Family Practice peers
4,175 annual services across 668 beneficiaries
Standard deviations from IA 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 | 1,039 | 50th | $64 – $87 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 767 | 54th | $49 – $67 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 297 | 48th | $73 – $100 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 223 | 50th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 148 | 54th | $87 – $120 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (78 HCPCS billing breadth) | 1,702 | 50th | $57 – $83 |
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Dr. Matthew Fox, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fox National Provider Identifier | NPI #1780644849 (MD) | CMS NPPES Registry (52302) |
| Dr. Fox Marion CMS Volume Rank | 50.00th Pct (4,175 CMS svcs; Z +0.077σ) | CMS Medicare Part B (IA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Marion, IA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.70/5 Listening • 4.78/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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