Dr. Adam Houghton, MD
9 Heartland DR, Suite C, Bloomington, IL 61704 • +1-964-555-3459
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Bloomington Percentiles
NPI #1568783439 • CBSA Regional • Family Practice
Within the Bloomington, IL (CBSA local) Family Practice cohort, Dr. Adam Houghton, MD with sub-specialty concentration in 73 Active CMS HCPCS Codes ranks at the 41.67th municipal percentile and 69.66th IL percentile (-0.06σ Z-score) based on 2,002 billed procedures for 269 patients.
Medicare Part B line-item claims for Dr. Adam Houghton (61704) place 99214 at the top of the practice ledger (736 yearly units, 41.67th metro rank), rounded out by 99213 and G0439.
Cash-pay intake data for NPI 1568783439 (9 Heartland DR, Suite C, Bloomington) indicates $218.00 typical out-of-pocket visit spend against a $218.00 locality benchmark, paired with 22-minute average reception wait and 4.47/5 biomarker openness.
Credentialed as an MD specialist with 18 years post-graduation experience since completing medical school at an LCME/COCA institution (2008), Dr. Houghton coordinates 73 Active CMS HCPCS Codes workups from 9 Heartland DR, Suite C (+1-964-555-3459).
Compared against Bloomington, IL Family Practice peers
2,002 annual services across 269 beneficiaries
Standard deviations from IL 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 | 736 | 41.67th | $116 – $159 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 543 | 37.67th | $89 – $122 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 210 | 40.67th | $134 – $183 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 158 | 38.67th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 105 | 40.67th | $160 – $219 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (73 HCPCS billing breadth) | 250 | 41.67th | $105 – $152 |
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Dr. Adam Houghton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Houghton National Provider Identifier | NPI #1568783439 (MD) | CMS NPPES Registry (61704) |
| Dr. Houghton Bloomington CMS Volume Rank | 41.67th Pct (2,002 CMS svcs; Z -0.063σ) | CMS Medicare Part B (IL Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Bloomington, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 22 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.88/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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