Dr. John Madigan, DO
225 Millburn Ave, Suite 209, Millburn, NJ 07041 • +1-654-555-1684
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Millburn Percentiles
NPI #1427239854 • CBSA Regional • Nephrology
CMS Medicare Part B utilization records credit Dr. John Madigan (DO, NPI 1427239854) at 225 Millburn Ave, Suite 209 in Millburn with 1,328 annual clinical services (219 beneficiaries), corresponding to a -0.56σ regional deviation and upper-quartile active clinical volume (66.67th Millburn percentile) with sub-specialty concentration in 11 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. John Madigan (07041) place 99214 at the top of the practice ledger (637 yearly units, 66.67th metro rank), rounded out by 90960 and 99215.
Self-pay new patient consultations with Dr. Madigan (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 16-minute average reception wait, and a 4.79/5 modern protocol openness score across 22 patient logs.
NPI registry verification (#1427239854) confirms Dr. John Madigan's DO standing serving CBSA 07041 with a 4.55/5 patient scorecard.
Compared against Millburn, NJ Nephrology peers
1,328 annual services across 219 beneficiaries
Standard deviations from NJ Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 637 | 66.67th | $265 – $364 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 292 | 66.67th | $531 – $728 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 239 | 61.67th | $387 – $530 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 159 | 70.67th | $365 – $500 |
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Dr. John Madigan, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Madigan National Provider Identifier | NPI #1427239854 (DO) | CMS NPPES Registry (07041) |
| Dr. Madigan Millburn CMS Volume Rank | 66.67th Pct (1,328 CMS svcs; Z -0.557σ) | CMS Medicare Part B (NJ Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Millburn, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.66/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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