Dr. Joseph Gillham, MD
921 S Long DR Ste 101, Rockingham, NC 28379 • +1-428-555-3061
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Rockingham Percentiles
NPI #1053624296 • CBSA Regional • Family Practice
CMS Medicare Part B utilization records credit Dr. Joseph Gillham (MD, NPI 1053624296) at 921 S Long DR Ste 101 in Rockingham with 826 annual clinical services (379 beneficiaries), corresponding to a -0.21σ regional deviation and top-decile high-throughput specialist (99th percentile in Rockingham) with sub-specialty concentration in 49 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1053624296 highlights 303 annual claims for 99214 (99th Rockingham percentile; $139–$191 self-pay corridor) plus 224 encounters under 99213 and 87 under G0439.
Self-pay new patient consultations with Dr. Gillham (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 17-minute average reception wait, and a 4.45/5 modern protocol openness score across 25 patient logs.
Clinical background for Dr. Gillham (MD, NPI #1053624296) includes accredited doctoral training (2017, 9 yrs in practice) and virtual + in-office availability across NC.
Top 10% Family Practice volume leader in Rockingham, NC
826 annual services across 379 beneficiaries
Standard deviations from NC Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 303 | 99th | $139 – $191 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 224 | 98th | $107 – $146 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 87 | 98th | $160 – $219 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 65 | 99.5th | $30 – $45 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 43 | 99.5th | $191 – $262 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (49 HCPCS billing breadth) | 104 | 99th | $126 – $183 |
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Dr. Joseph Gillham, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gillham National Provider Identifier | NPI #1053624296 (MD) | CMS NPPES Registry (28379) |
| Dr. Gillham Rockingham CMS Volume Rank | 99.00th Pct (826 CMS svcs; Z -0.207σ) | CMS Medicare Part B (NC Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Rockingham, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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