Dr. Carol Sgambelluri, MD
1005 North Washington Ave, Green Brook, NJ 08812 • +1-878-555-7574
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Green Brook Percentiles
NPI #1255363701 • CBSA Regional • Family Practice
Dr. Carol Sgambelluri, MD (NPI #1255363701) practices Family Practice in Green Brook, NJ (08812) with sub-specialty concentration in 107 Active CMS HCPCS Codes, recording 5,911 annual CMS services across 267 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (37.5th Green Brook percentile) (+1.46σ vs NJ state mean, 95.94th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Sgambelluri (averaging 22.1 services per beneficiary), 99214 (Comprehensive Primary Care & Chronic Protocol Management) represents 41% of tracked volume (2399 encounters), paired with 99213 (1771x).
Cash-pay intake data for NPI 1255363701 (1005 North Washington Ave, Green Brook) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 11-minute average reception wait and 4.78/5 biomarker openness.
Spanning 13 years of clinical practice following 2013 graduation from medical training, Dr. Carol Sgambelluri integrates 107 Active CMS HCPCS Codes diagnostics for Green Brook metro patients.
Compared against Green Brook, NJ Family Practice peers
5,911 annual services across 267 beneficiaries
Standard deviations from NJ 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 | 2,399 | 37.5th | $43 – $60 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 1,771 | 39.5th | $33 – $48 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 686 | 32.5th | $50 – $68 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 514 | 40.5th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 343 | 39.5th | $60 – $82 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (107 HCPCS billing breadth) | 198 | 37.5th | $45 – $65 |
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Dr. Carol Sgambelluri, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sgambelluri National Provider Identifier | NPI #1255363701 (MD) | CMS NPPES Registry (08812) |
| Dr. Sgambelluri Green Brook CMS Volume Rank | 37.50th Pct (5,911 CMS svcs; Z +1.458σ) | CMS Medicare Part B (NJ Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Green Brook, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.78/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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