Dr. William Gaines, MD
385 Southbridge St, Auburn, MA 01501 • +1-230-555-4804
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Auburn Percentiles
NPI #1184684078 • CBSA Regional • Internal Medicine
Statistical peer benchmarking across MA Internal Medicine providers positions Dr. William Gaines, MD in Auburn at +0.16σ (71.43th city percentile / 84.3th state percentile, 87 Medicare beneficiaries), with clinical focus spanning 27 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Gaines (averaging 36.4 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 2% of tracked volume (68 encounters), paired with 99213 (39x).
Self-pay new patient consultations with Dr. Gaines (CPT 99204 GPCI-adjusted benchmark) estimate around $224.00 (community reported average: $224.00) with hybrid in-clinic and telehealth video consults, 11-minute average reception wait, and a 4.45/5 modern protocol openness score across 5 patient logs.
Spanning 11 years of clinical practice following 2015 graduation from medical training, Dr. William Gaines integrates 27 Active CMS HCPCS Codes diagnostics for Auburn metro patients.
Compared against Auburn, MA Internal Medicine peers
3,171 annual services across 87 beneficiaries
Standard deviations from MA 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 | 68 | 71.43th | $47 – $64 |
| 99213 | Established Preventive & Chronic Care Visit | 39 | 66.43th | $36 – $51 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 20 | 76.43th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 15 | 67.43th | $55 – $75 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 11 | 67.43th | $65 – $89 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (27 HCPCS billing breadth) | 3,021 | 71.43th | $45 – $65 |
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Dr. William Gaines, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gaines National Provider Identifier | NPI #1184684078 (MD) | CMS NPPES Registry (01501) |
| Dr. Gaines Auburn CMS Volume Rank | 71.43th Pct (3,171 CMS svcs; Z +0.159σ) | CMS Medicare Part B (MA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Auburn, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 11 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.55/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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