Dr. James Clevenger, MD
1 Hospital DR, Columbia, MO 65212 • +1-885-555-9545
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Columbia Percentiles
NPI #1164916649 • CBSA Regional • Emergency Medicine
Statistical peer benchmarking across MO Emergency Medicine providers positions Dr. James Clevenger, MD in Columbia at -0.45σ (14.29th city percentile / 15.7th state percentile, 537 Medicare beneficiaries), with clinical focus spanning 28 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1164916649 highlights 308 annual claims for 99214 (14.29th Columbia percentile; $207–$284 self-pay corridor) plus 178 encounters under 99213 and 89 under 93000.
Self-pay new patient consultations with Dr. Clevenger (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 11-minute average reception wait, and a 4.86/5 modern protocol openness score across 15 patient logs.
From 1 Hospital DR in Columbia (+1-885-555-9545), Dr. Clevenger, MD (19-year clinical track record) delivers 28 Active CMS HCPCS Codes care.
Compared against Columbia, MO Emergency Medicine peers
684 annual services across 537 beneficiaries
Standard deviations from MO Emergency 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 | 308 | 14.29th | $207 – $284 |
| 99213 | Established Preventive & Chronic Care Visit | 178 | 15.29th | $159 – $218 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 89 | 17.29th | $76 – $104 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 68 | 12.29th | $244 – $334 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 41 | 12th | $289 – $396 |
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Dr. James Clevenger, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Clevenger National Provider Identifier | NPI #1164916649 (MD) | CMS NPPES Registry (65212) |
| Dr. Clevenger Columbia CMS Volume Rank | 14.29th Pct (684 CMS svcs; Z -0.447σ) | CMS Medicare Part B (MO Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Columbia, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.95/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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