Dr. James Newman, MD
800 N 1st St, Springfield, IL 62702 • +1-446-555-3985
Medical Education: Accredited U.S. Medical School (Class of 2003)
What This Doctor Actually Performs: CMS Medicare Utilization & Springfield Percentiles
NPI #1164783619 • CBSA Regional • Sports Medicine
Within the Springfield, IL (CBSA local) Sports Medicine cohort, Dr. James Newman, MD with sub-specialty concentration in 31 Active CMS HCPCS Codes ranks at the 60th municipal percentile and 70.42th IL percentile (-0.02σ Z-score) based on 6,097 billed procedures for 240 patients.
Procedural volume for Dr. Newman is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 297 annual services, $45–$62 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 171/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 86/yr).
Direct cash-pay transparency modeling sets Dr. Newman's baseline new-consult rate near $218.00 in Springfield, IL (cash-pay accepted, hybrid in-clinic and telehealth video consults, 20-minute average reception wait).
Spanning 23 years of clinical practice following 2003 graduation from medical training, Dr. James Newman integrates 31 Active CMS HCPCS Codes diagnostics for Springfield metro patients.
Compared against Springfield, IL Sports Medicine peers
6,097 annual services across 240 beneficiaries
Standard deviations from IL Sports 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 | 297 | 60th | $45 – $62 |
| 99213 | Established Preventive & Chronic Care Visit | 171 | 56th | $35 – $50 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 86 | 65th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 66 | 59th | $53 – $73 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 40 | 58th | $63 – $86 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (31 HCPCS billing breadth) | 5,438 | 60th | $45 – $65 |
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Dr. James Newman, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Newman National Provider Identifier | NPI #1164783619 (MD) | CMS NPPES Registry (62702) |
| Dr. Newman Springfield CMS Volume Rank | 60.00th Pct (6,097 CMS svcs; Z -0.018σ) | CMS Medicare Part B (IL Sports 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 • 20 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.80/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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