Dr. James Pridgen, MD
614 N Jk Powell Blvd, Whiteville, NC 28472 • +1-756-555-5653
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Whiteville Percentiles
NPI #1215083563 • CBSA Regional • Family Practice
Statistical peer benchmarking across NC Family Practice providers positions Dr. James Pridgen, MD in Whiteville at +0.31σ (80th city percentile / 92.21th state percentile, 632 Medicare beneficiaries), with clinical focus spanning 101 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1215083563 highlights 1709 annual claims for 99214 (80th Whiteville percentile; $54–$74 self-pay corridor) plus 1261 encounters under 99213 and 488 under G0439.
Uninsured and high-deductible cash patients visiting Dr. James Pridgen in Whiteville (28472) face an estimated $209.00 initial evaluation fee at 614 N Jk Powell Blvd (in-person clinic visits only; 21-minute average reception wait; bedside manner 4.88/5 from 3 verified reports).
Spanning 10 years of clinical practice following 2016 graduation from medical training, Dr. James Pridgen integrates 101 Active CMS HCPCS Codes diagnostics for Whiteville metro patients.
Compared against Whiteville, NC Family Practice peers
6,651 annual services across 632 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 | 1,709 | 80th | $54 – $74 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 1,261 | 80th | $41 – $57 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 488 | 83th | $62 – $85 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 366 | 79th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 244 | 85th | $74 – $102 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (101 HCPCS billing breadth) | 2,583 | 80th | $49 – $71 |
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Dr. James Pridgen, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pridgen National Provider Identifier | NPI #1215083563 (MD) | CMS NPPES Registry (28472) |
| Dr. Pridgen Whiteville CMS Volume Rank | 80.00th Pct (6,651 CMS svcs; Z +0.312σ) | CMS Medicare Part B (NC Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Whiteville, NC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.88/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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