Dr. Kevin Malone, MD
1104 W Evergreen Ave, Effingham, IL 62401 • +1-572-555-5086
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Effingham Percentiles
NPI #1154331411 • CBSA Regional • General Surgery
CMS Medicare Part B utilization records credit Dr. Kevin Malone (MD, NPI 1154331411) at 1104 W Evergreen Ave in Effingham with 726 annual clinical services (307 beneficiaries), corresponding to a -0.25σ regional deviation and upper-quartile active clinical volume (66.67th Effingham percentile) with sub-specialty concentration in 58 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1154331411 highlights 327 annual claims for 99214 (66.67th Effingham percentile; $234–$321 self-pay corridor) plus 189 encounters under 99213 and 94 under 93000.
Self-pay new patient consultations with Dr. Malone (CPT 99204 GPCI-adjusted benchmark) estimate around $218.00 (community reported average: $218.00) with in-person clinic visits only, 18-minute average reception wait, and a 4.87/5 modern protocol openness score across 18 patient logs.
Credentialed as an MD specialist with 28 years post-graduation experience since completing medical school at an LCME/COCA institution (1998), Dr. Malone coordinates 58 Active CMS HCPCS Codes workups from 1104 W Evergreen Ave (+1-572-555-5086).
Compared against Effingham, IL General Surgery peers
726 annual services across 307 beneficiaries
Standard deviations from IL General Surgery 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 | 327 | 66.67th | $234 – $321 |
| 99213 | Established Preventive & Chronic Care Visit | 189 | 69.67th | $179 – $246 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 94 | 65.67th | $86 – $117 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 73 | 68.67th | $275 – $377 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 44 | 61.67th | $326 – $447 |
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Dr. Kevin Malone, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Malone National Provider Identifier | NPI #1154331411 (MD) | CMS NPPES Registry (62401) |
| Dr. Malone Effingham CMS Volume Rank | 66.67th Pct (726 CMS svcs; Z -0.246σ) | CMS Medicare Part B (IL General Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Effingham, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 18 min lobby wait | 18 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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