Dr. Mack Mccain, MD
404 Lincoln DR, Herrin, IL 62948 • +1-923-555-1713
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Herrin Percentiles
NPI #1558321190 • CBSA Regional • Gastroenterology
Within the Herrin, IL (CBSA local) Gastroenterology cohort, Dr. Mack Mccain, MD with sub-specialty concentration in 43 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 8.36th IL percentile (-0.29σ Z-score) based on 723 billed procedures for 304 patients.
Fee-schedule auditing of NPI 1558321190 highlights 268 annual claims for 99214 (12th Herrin percentile; $188–$258 self-pay corridor) plus 181 encounters under 45380 and 152 under 43239.
Cash-pay intake data for NPI 1558321190 (404 Lincoln DR, Herrin) indicates $218.00 typical out-of-pocket visit spend against a $218.00 locality benchmark, paired with 12-minute average reception wait and 4.53/5 biomarker openness.
Clinical background for Dr. Mccain (MD, NPI #1558321190) includes accredited doctoral training (2006, 20 yrs in practice) and virtual + in-office availability across IL.
Compared against Herrin, IL Gastroenterology peers
723 annual services across 304 beneficiaries
Standard deviations from IL Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 268 | 12th | $188 – $258 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 181 | 12th | $454 – $622 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 152 | 12th | $377 – $516 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 72 | 12th | $505 – $692 |
| 99204 | New Patient Digestive & Hepatology Consultation | 51 | 12th | $265 – $364 |
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Dr. Mack Mccain, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mccain National Provider Identifier | NPI #1558321190 (MD) | CMS NPPES Registry (62948) |
| Dr. Mccain Herrin CMS Volume Rank | 0.00th Pct (723 CMS svcs; Z -0.292σ) | CMS Medicare Part B (IL Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Herrin, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 12 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.62/5 Listening • 4.53/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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