Dr. John Lamacchia, MD
1135 W University DR Ste 450, Rochester, MI 48307 • +1-256-555-2649
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Rochester Percentiles
NPI #1669465761 • CBSA Regional • Orthopedic Surgery
CMS Medicare Part B utilization records credit Dr. John Lamacchia (MD, NPI 1669465761) at 1135 W University DR Ste 450 in Rochester with 1,115 annual clinical services (312 beneficiaries), corresponding to a -0.54σ regional deviation and focused low-volume boutique caseload (0th Rochester percentile) with sub-specialty concentration in 51 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1669465761 highlights 401 annual claims for 99213 (12th Rochester percentile; $266–$365 self-pay corridor) plus 301 encounters under 20610 and 212 under 73562.
Self-pay new patient consultations with Dr. Lamacchia (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 12-minute average reception wait, and a 4.50/5 modern protocol openness score across 22 patient logs.
Spanning 27 years of clinical practice following 1999 graduation from medical training, Dr. John Lamacchia integrates 51 Active CMS HCPCS Codes diagnostics for Rochester metro patients.
Compared against Rochester, MI Orthopedic Surgery peers
1,115 annual services across 312 beneficiaries
Standard deviations from MI Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 401 | 12th | $266 – $365 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 301 | 12th | $283 – $388 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 212 | 12th | $159 – $218 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 123 | 12th | $382 – $523 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 78 | 12th | $2458 – $3368 |
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Dr. John Lamacchia, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Lamacchia National Provider Identifier | NPI #1669465761 (MD) | CMS NPPES Registry (48307) |
| Dr. Lamacchia Rochester CMS Volume Rank | 0.00th Pct (1,115 CMS svcs; Z -0.544σ) | CMS Medicare Part B (MI Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Rochester, MI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.69/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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