Dr. John Kay, MD
903 Medical Park DR, Effingham, IL 62401 • +1-572-555-9240
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Effingham Percentiles
NPI #1093768061 • CBSA Regional • Ophthalmology
Operating out of Effingham, IL (903 Medical Park DR), Ophthalmology clinician Dr. John Kay, MD (accredited MD/DO training, 1998) maintains a focused low-volume boutique caseload (0th Effingham percentile) (64.11th IL percentile; Z-score -0.25σ across 3,969 documented services) with sub-specialty concentration in 48 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1093768061 highlights 1469 annual claims for 92014 (12th Effingham percentile; $187–$256 self-pay corridor) plus 1032 encounters under 92134 and 675 under 92083.
Self-pay new patient consultations with Dr. Kay (CPT 99204 GPCI-adjusted benchmark) estimate around $218.00 (community reported average: $218.00) with in-person clinic visits only, 14-minute average reception wait, and a 4.70/5 modern protocol openness score across 6 patient logs.
Patients evaluating Dr. John Kay in ZIP 62401 note 28 years of post-doctoral tenure (null, 1998) alongside 2.2 annual CMS procedures per patient.
Compared against Effingham, IL Ophthalmology peers
3,969 annual services across 1,819 beneficiaries
Standard deviations from IL Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 1,469 | 12th | $187 – $256 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 1,032 | 12th | $103 – $141 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 675 | 12th | $123 – $169 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 476 | 12th | $225 – $308 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 318 | 12th | $822 – $1127 |
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Dr. John Kay, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Kay National Provider Identifier | NPI #1093768061 (MD) | CMS NPPES Registry (62401) |
| Dr. Kay Effingham CMS Volume Rank | 0.00th Pct (3,969 CMS svcs; Z -0.249σ) | CMS Medicare Part B (IL Ophthalmology) |
| 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 • 14 min lobby wait | 6 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.64/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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