Dr. Lance Vangundy, MD
3 S 4th Ave, Marshalltown, IA 50158 • +1-263-555-3411
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Marshalltown Percentiles
NPI #1942290028 • CBSA Regional • Emergency Medicine
Dr. Lance Vangundy, MD (NPI #1942290028) practices Emergency Medicine in Marshalltown, IA (50158) with sub-specialty concentration in 29 Active CMS HCPCS Codes, recording 699 annual CMS services across 485 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (50th Marshalltown percentile) (-0.33σ vs IA state mean, 23.21th statewide percentile).
Procedural volume for Dr. Vangundy is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 315 annual services, $169–$232 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 182/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 91/yr).
Uninsured and high-deductible cash patients visiting Dr. Lance Vangundy in Marshalltown (50158) face an estimated $209.00 initial evaluation fee at 3 S 4th Ave (hybrid in-clinic and telehealth video consults; 16-minute average reception wait; bedside manner 4.71/5 from 16 verified reports).
NPI registry verification (#1942290028) confirms Dr. Lance Vangundy's MD standing serving CBSA 50158 with a 4.73/5 patient scorecard.
Compared against Marshalltown, IA Emergency Medicine peers
699 annual services across 485 beneficiaries
Standard deviations from IA Emergency 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 | 315 | 50th | $169 – $232 |
| 99213 | Established Preventive & Chronic Care Visit | 182 | 47th | $129 – $177 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 91 | 54th | $62 – $85 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 70 | 48th | $198 – $272 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 42 | 55th | $235 – $322 |
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Dr. Lance Vangundy, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Vangundy National Provider Identifier | NPI #1942290028 (MD) | CMS NPPES Registry (50158) |
| Dr. Vangundy Marshalltown CMS Volume Rank | 50.00th Pct (699 CMS svcs; Z -0.331σ) | CMS Medicare Part B (IA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Marshalltown, IA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.54/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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