Dr. Mark Wallingford, MD
2009 Old Main Street, Maysville, KY 41056 • +1-469-555-1951
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Maysville Percentiles
NPI #1205919875 • CBSA Regional • Internal Medicine
Within the Maysville, KY (CBSA local) Internal Medicine cohort, Dr. Mark Wallingford, MD with sub-specialty concentration in 31 Active CMS HCPCS Codes ranks at the 50th municipal percentile and 71.58th KY percentile (-0.13σ Z-score) based on 2,468 billed procedures for 325 patients.
Dr. Wallingford's longitudinal care intensity (7.6 billed units per patient across 325 individuals) centers on 99214 (1016 annual units) and 99213 ($62–$85 cash range).
Direct cash-pay transparency modeling sets Dr. Wallingford's baseline new-consult rate near $209.00 in Maysville, KY (cash-pay accepted, hybrid in-clinic and telehealth video consults, 20-minute average reception wait).
Patients evaluating Dr. Mark Wallingford in ZIP 41056 note 29 years of post-doctoral tenure (null, 1997) alongside 7.6 annual CMS procedures per patient.
Compared against Maysville, KY Internal Medicine peers
2,468 annual services across 325 beneficiaries
Standard deviations from KY 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 | 1,016 | 50th | $81 – $111 |
| 99213 | Established Preventive & Chronic Care Visit | 587 | 52th | $62 – $85 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 294 | 51th | $30 – $45 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 226 | 55th | $95 – $131 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 135 | 52th | $113 – $155 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (31 HCPCS billing breadth) | 210 | 50th | $73 – $106 |
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Dr. Mark Wallingford, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wallingford National Provider Identifier | NPI #1205919875 (MD) | CMS NPPES Registry (41056) |
| Dr. Wallingford Maysville CMS Volume Rank | 50.00th Pct (2,468 CMS svcs; Z -0.126σ) | CMS Medicare Part B (KY Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Maysville, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.48/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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