Dr. Joseph Shanahan, MD
2222 E Nc Highway 54 Ste 200, Durham, NC 27713 • +1-241-555-2590
Medical Education: Accredited U.S. Medical School (Class of 2015)
What This Doctor Actually Performs: CMS Medicare Utilization & Durham Percentiles
NPI #1043394901 • CBSA Regional • Rheumatology
Dr. Joseph Shanahan, MD (NPI #1043394901) practices Rheumatology in Durham, NC (27713) with sub-specialty concentration in 44 Active CMS HCPCS Codes, recording 309,185 annual CMS services across 581 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (85.71th Durham percentile) (+2.93σ vs NC state mean, 98.31th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Shanahan (averaging 532.2 services per beneficiary), 99214 (Autoimmune Arthritis & Biologic/DMARD Safety Evaluation) represents 1% of tracked volume (1738 encounters), paired with 20610 (793x).
Direct cash-pay transparency modeling sets Dr. Shanahan's baseline new-consult rate near $209.00 in Durham, NC (cash-pay accepted, hybrid in-clinic and telehealth video consults, 14-minute average reception wait).
Credentialed as an MD specialist with 11 years post-graduation experience since completing medical school at an LCME/COCA institution (2015), Dr. Shanahan coordinates 44 Active CMS HCPCS Codes workups from 2222 E Nc Highway 54 Ste 200 (+1-241-555-2590).
Compared against Durham, NC Rheumatology peers
309,185 annual services across 581 beneficiaries
Standard deviations from NC Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 1,738 | 85.71th | $45 – $62 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 793 | 87.71th | $36 – $51 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 567 | 83.71th | $62 – $85 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 378 | 88.71th | $47 – $65 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 302 | 85.71th | $62 – $85 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (44 HCPCS billing breadth) | 305,407 | 85.71th | $45 – $65 |
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Dr. Joseph Shanahan, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Shanahan National Provider Identifier | NPI #1043394901 (MD) | CMS NPPES Registry (27713) |
| Dr. Shanahan Durham CMS Volume Rank | 85.71th Pct (309,185 CMS svcs; Z +2.927σ) | CMS Medicare Part B (NC Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Durham, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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