Dr. Jack Spaniol, MD
308 Saint Joseph DR, Bloomington, IL 61701 • +1-212-555-9904
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Bloomington Percentiles
NPI #1356379184 • CBSA Regional • Family Practice
Within the Bloomington, IL (CBSA local) Family Practice cohort, Dr. Jack Spaniol, MD with sub-specialty concentration in 66 Active CMS HCPCS Codes ranks at the 66.67th municipal percentile and 83.64th IL percentile (-0.00σ Z-score) based on 3,130 billed procedures for 300 patients.
Fee-schedule auditing of NPI 1356379184 highlights 684 annual claims for 99214 (66.67th Bloomington percentile; $69–$94 self-pay corridor) plus 505 encounters under 99213 and 195 under G0439.
For out-of-network patients contacting +1-212-555-9904, Dr. Spaniol's practice posts a $218.00 GPCI self-pay consult estimate ($218.00 patient-logged median, 4.80/5 composite reality score over 7 submissions).
NPI registry verification (#1356379184) confirms Dr. Jack Spaniol's MD standing serving CBSA 61701 with a 4.80/5 patient scorecard.
Compared against Bloomington, IL Family Practice peers
3,130 annual services across 300 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 | 684 | 66.67th | $69 – $94 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 505 | 61.67th | $53 – $72 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 195 | 67.67th | $79 – $108 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 147 | 61.67th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 98 | 65.67th | $95 – $130 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (66 HCPCS billing breadth) | 1,501 | 66.67th | $62 – $90 |
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Dr. Jack Spaniol, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Spaniol National Provider Identifier | NPI #1356379184 (MD) | CMS NPPES Registry (61701) |
| Dr. Spaniol Bloomington CMS Volume Rank | 66.67th Pct (3,130 CMS svcs; Z -0.004σ) | 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 • 17 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.73/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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