Dr. John Guest, MD
4717 Saint Antoine St, Detroit, MI 48201 • +1-765-555-3633
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Detroit Percentiles
NPI #1235796780 • CBSA Regional • Ophthalmology
Within the Detroit, MI (CBSA local) Ophthalmology cohort, Dr. John Guest, MD with sub-specialty concentration in 37 Active CMS HCPCS Codes ranks at the 29.73th municipal percentile and 21.24th MI percentile (-0.44σ Z-score) based on 1,174 billed procedures for 306 patients.
Dr. Guest's longitudinal care intensity (3.8 billed units per patient across 306 individuals) centers on 92014 (434 annual units) and 92134 ($87–$119 cash range).
Cash-pay intake data for NPI 1235796780 (4717 Saint Antoine St, Detroit) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 16-minute average reception wait and 4.61/5 biomarker openness.
Clinical background for Dr. Guest (MD, NPI #1235796780) includes accredited doctoral training (2016, 10 yrs in practice) and dedicated on-site consultations at 4717 Saint Antoine St.
Compared against Detroit, MI Ophthalmology peers
1,174 annual services across 306 beneficiaries
Standard deviations from MI Ophthalmology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 92014 | Comprehensive Ophthalmologic Slit-Lamp & Dilated Retinal Exam | 434 | 29.73th | $157 – $215 |
| 92134 | Scanning Computerized Ophthalmic Retinal OCT Imaging | 305 | 33.73th | $87 – $119 |
| 92083 | Extended Threshold Visual Field Glaucoma Perimetry | 200 | 34.73th | $104 – $142 |
| 92004 | New Patient Complete Medical Eye & IOP Evaluation | 141 | 33.73th | $189 – $259 |
| 66984 | Extracapsular Cataract Removal w/ Intraocular Lens Implant | 94 | 26.73th | $693 – $949 |
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Dr. John Guest, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Guest National Provider Identifier | NPI #1235796780 (MD) | CMS NPPES Registry (48201) |
| Dr. Guest Detroit CMS Volume Rank | 29.73th Pct (1,174 CMS svcs; Z -0.437σ) | CMS Medicare Part B (MI Ophthalmology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Detroit, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.61/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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