Dr. Jose Marcal, MD
3 Woodland Rd, Suite 306, Stoneham, MA 02180 • +1-317-555-9736
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Stoneham Percentiles
NPI #1538116223 • CBSA Regional • Gastroenterology
Within the Stoneham, MA (CBSA local) Gastroenterology cohort, Dr. Jose Marcal, MD with sub-specialty concentration in 26 Active CMS HCPCS Codes ranks at the 87.5th municipal percentile and 98.73th MA percentile (+4.46σ Z-score) based on 14,207 billed procedures for 459 patients.
Dr. Marcal's longitudinal care intensity (31.0 billed units per patient across 459 individuals) centers on 99214 (5257 annual units) and 45380 ($112–$154 cash range).
Cash-pay intake data for NPI 1538116223 (3 Woodland Rd, Suite 306, Stoneham) indicates $224.00 typical out-of-pocket visit spend against a $224.00 locality benchmark, paired with 22-minute average reception wait and 4.51/5 biomarker openness.
Credentialed as an MD specialist with 26 years post-graduation experience since completing medical school at an LCME/COCA institution (2000), Dr. Marcal coordinates 26 Active CMS HCPCS Codes workups from 3 Woodland Rd, Suite 306 (+1-317-555-9736).
Compared against Stoneham, MA Gastroenterology peers
14,207 annual services across 459 beneficiaries
Standard deviations from MA 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 | 5,257 | 87.5th | $47 – $64 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 3,552 | 87.5th | $112 – $154 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 2,983 | 88.5th | $93 – $128 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 1,421 | 91.5th | $125 – $171 |
| 99204 | New Patient Digestive & Hepatology Consultation | 994 | 83.5th | $66 – $90 |
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Dr. Jose Marcal, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Marcal National Provider Identifier | NPI #1538116223 (MD) | CMS NPPES Registry (02180) |
| Dr. Marcal Stoneham CMS Volume Rank | 87.50th Pct (14,207 CMS svcs; Z +4.457σ) | CMS Medicare Part B (MA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Stoneham, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 22 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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