Dr. Mark Newton, MD
2413 W Ridgeway Ave, Waterloo, IA 50701 • +1-831-555-1925
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Waterloo Percentiles
NPI #1790929354 • CBSA Regional • Urology
Dr. Mark Newton, MD (NPI #1790929354) practices Urology in Waterloo, IA (50701) with sub-specialty concentration in 72 Active CMS HCPCS Codes, recording 3,670 annual CMS services across 601 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (75th Waterloo percentile) (-0.49σ vs IA state mean, 49.15th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Newton (averaging 6.1 services per beneficiary), 99214 (Established Urologic, BPH & Androgen Evaluation) represents 17% of tracked volume (620 encounters), paired with 51798 (465x).
Self-pay new patient consultations with Dr. Newton (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 13-minute average reception wait, and a 4.40/5 modern protocol openness score across 19 patient logs.
NPI registry verification (#1790929354) confirms Dr. Mark Newton's MD standing serving CBSA 50701 with a 4.56/5 patient scorecard.
Compared against Waterloo, IA Urology peers
3,670 annual services across 601 beneficiaries
Standard deviations from IA Urology 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 Urologic, BPH & Androgen Evaluation | 620 | 75th | $103 – $141 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 465 | 80th | $43 – $59 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 293 | 73th | $211 – $289 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 207 | 71th | $58 – $80 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 138 | 70th | $145 – $199 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (72 HCPCS billing breadth) | 1,948 | 75th | $93 – $135 |
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Dr. Mark Newton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Newton National Provider Identifier | NPI #1790929354 (MD) | CMS NPPES Registry (50701) |
| Dr. Newton Waterloo CMS Volume Rank | 75.00th Pct (3,670 CMS svcs; Z -0.495σ) | CMS Medicare Part B (IA Urology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Waterloo, IA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.40/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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