Dr. Justin Fernicola, MD
300 2nd Ave, Long Branch, NJ 07740 • +1-449-555-6857
Medical Education: Accredited U.S. Medical School (Class of 2006)
What This Doctor Actually Performs: CMS Medicare Utilization & Long Branch Percentiles
NPI #1639667157 • CBSA Regional • Orthopedic Surgery
CMS Medicare Part B utilization records credit Dr. Justin Fernicola (MD, NPI 1639667157) at 300 2nd Ave in Long Branch with 2,125 annual clinical services (100 beneficiaries), corresponding to a -0.48σ regional deviation and top-decile high-throughput specialist (99th percentile in Long Branch) with sub-specialty concentration in 32 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. Justin Fernicola (07740) place 99213 at the top of the practice ledger (120 yearly units, 99th metro rank), rounded out by 20610 and 73562.
Cash-pay intake data for NPI 1639667157 (300 2nd Ave, Long Branch) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 17-minute average reception wait and 4.70/5 biomarker openness.
Patients evaluating Dr. Justin Fernicola in ZIP 07740 note 20 years of post-doctoral tenure (null, 2006) alongside 21.3 annual CMS procedures per patient.
Top 10% Orthopedic Surgery volume leader in Long Branch, NJ
2,125 annual services across 100 beneficiaries
Standard deviations from NJ Orthopedic Surgery mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Orthopedic Joint & Spine Mobility Evaluation | 120 | 99th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 90 | 97th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 63 | 99.5th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 37 | 98th | $50 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 23 | 99.5th | $321 – $440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (32 HCPCS billing breadth) | 1,792 | 99th | $45 – $65 |
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Dr. Justin Fernicola, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fernicola National Provider Identifier | NPI #1639667157 (MD) | CMS NPPES Registry (07740) |
| Dr. Fernicola Long Branch CMS Volume Rank | 99.00th Pct (2,125 CMS svcs; Z -0.483σ) | CMS Medicare Part B (NJ Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Long Branch, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.70/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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