Dr. Timothy Biagini, MD
515 E Grant St Ste 211, Macomb, IL 61455 • +1-374-555-5522
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Macomb Percentiles
NPI #1568618544 • CBSA Regional • Gastroenterology
Dr. Timothy Biagini, MD (NPI #1568618544) practices Gastroenterology in Macomb, IL (61455) with sub-specialty concentration in 36 Active CMS HCPCS Codes, recording 914 annual CMS services across 543 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Macomb) (-0.26σ vs IL state mean, 29.72th statewide percentile).
Fee-schedule auditing of NPI 1568618544 highlights 338 annual claims for 99214 (99th Macomb percentile; $234–$321 self-pay corridor) plus 229 encounters under 45380 and 192 under 43239.
Uninsured and high-deductible cash patients visiting Dr. Timothy Biagini in Macomb (61455) face an estimated $218.00 initial evaluation fee at 515 E Grant St Ste 211 (hybrid in-clinic and telehealth video consults; 12-minute average reception wait; bedside manner 4.69/5 from 22 verified reports).
NPI registry verification (#1568618544) confirms Dr. Timothy Biagini's MD standing serving CBSA 61455 with a 4.95/5 patient scorecard.
Top 10% Gastroenterology volume leader in Macomb, IL
914 annual services across 543 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 | 338 | 99th | $234 – $321 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 229 | 94th | $564 – $773 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 192 | 99.5th | $468 – $642 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 91 | 99.5th | $628 – $860 |
| 99204 | New Patient Digestive & Hepatology Consultation | 64 | 98th | $330 – $452 |
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Dr. Timothy Biagini, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Biagini National Provider Identifier | NPI #1568618544 (MD) | CMS NPPES Registry (61455) |
| Dr. Biagini Macomb CMS Volume Rank | 99.00th Pct (914 CMS svcs; Z -0.264σ) | CMS Medicare Part B (IL Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Macomb, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 12 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.55/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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