Dr. Justin Malone, MD
54 Hospital Drive, Osage Beach, MO 65065 • +1-664-555-2539
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Osage Beach Percentiles
NPI #1689895534 • CBSA Regional • Neurology
Anchored in Osage Beach, MO 65065, Dr. Justin Malone, MD (NPI 1689895534) logged 1,395 annual procedures (mid-cohort balanced caseload (50th Osage Beach percentile), 46.92th MO percentile, -0.44σ) with sub-specialty concentration in 41 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1689895534 highlights 586 annual claims for 99214 (50th Osage Beach percentile; $111–$152 self-pay corridor) plus 279 encounters under 95910 and 223 under 95819.
Self-pay new patient consultations with Dr. Malone (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 14-minute average reception wait, and a 4.93/5 modern protocol openness score across 26 patient logs.
Clinical background for Dr. Malone (MD, NPI #1689895534) includes accredited doctoral training (2015, 11 yrs in practice) and virtual + in-office availability across MO.
Compared against Osage Beach, MO Neurology peers
1,395 annual services across 559 beneficiaries
Standard deviations from MO Neurology 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 Neurologic, Migraine & Movement Evaluation | 586 | 50th | $111 – $152 |
| 95910 | 7–8 Nerve Conduction Electrodiagnostic Neuropathy Study | 279 | 52th | $184 – $252 |
| 95819 | Awake & Drowsy Electroencephalogram (EEG) Recording | 223 | 53th | $165 – $226 |
| 64615 | Chemodenervation of Cranial/Cervical Muscles for Chronic Migraine | 167 | 46th | $174 – $239 |
| 99204 | Comprehensive New Patient Neurologic Examination | 140 | 45th | $155 – $213 |
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Dr. Justin Malone, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Malone National Provider Identifier | NPI #1689895534 (MD) | CMS NPPES Registry (65065) |
| Dr. Malone Osage Beach CMS Volume Rank | 50.00th Pct (1,395 CMS svcs; Z -0.440σ) | CMS Medicare Part B (MO Neurology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Osage Beach, MO) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.81/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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