Dr. Donald Graham, MD
301 N 8th St, Springfield, IL 62701 • +1-584-555-3083
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Springfield Percentiles
NPI #1508962366 • CBSA Regional • Internal Medicine
Anchored in Springfield, IL 62701, Dr. Donald Graham, MD (NPI 1508962366) logged 1,639 annual procedures (upper-quartile active clinical volume (76.36th Springfield percentile), 57.52th IL percentile, -0.14σ) with sub-specialty concentration in 41 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1508962366 highlights 329 annual claims for 99214 (76.36th Springfield percentile; $86–$118 self-pay corridor) plus 190 encounters under 99213 and 95 under 93000.
Direct cash-pay transparency modeling sets Dr. Graham's baseline new-consult rate near $218.00 in Springfield, IL (cash-pay accepted, hybrid in-clinic and telehealth video consults, 22-minute average reception wait).
Patients evaluating Dr. Donald Graham in ZIP 62701 note 33 years of post-doctoral tenure (null, 1993) alongside 15.8 annual CMS procedures per patient.
Compared against Springfield, IL Internal Medicine peers
1,639 annual services across 104 beneficiaries
Standard deviations from IL Internal Medicine 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 | 329 | 76.36th | $86 – $118 |
| 99213 | Established Preventive & Chronic Care Visit | 190 | 81.36th | $66 – $90 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 95 | 76.36th | $31 – $46 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 73 | 72.36th | $101 – $139 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 44 | 81.36th | $120 – $164 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (41 HCPCS billing breadth) | 907 | 76.36th | $78 – $113 |
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Dr. Donald Graham, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Graham National Provider Identifier | NPI #1508962366 (MD) | CMS NPPES Registry (62701) |
| Dr. Graham Springfield CMS Volume Rank | 76.36th Pct (1,639 CMS svcs; Z -0.145σ) | CMS Medicare Part B (IL Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Springfield, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 22 min lobby wait | 10 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.82/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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