Dr. John Smith, MD
755 Memorial Parkway Suite 102, Hillcrest Professional Plaza, Phillipsburg, NJ 08865 • +1-522-555-4808
Medical Education: Accredited U.S. Medical School (Class of 2012)
What This Doctor Actually Performs: CMS Medicare Utilization & Phillipsburg Percentiles
NPI #1275521361 • CBSA Regional • Hematology-Oncology
Statistical peer benchmarking across NJ Hematology-Oncology providers positions Dr. John Smith, MD in Phillipsburg at -0.71σ (99th city percentile / 5.38th state percentile, 489 Medicare beneficiaries), with clinical focus spanning 17 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Smith (averaging 1.6 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (342 encounters), paired with 99213 (198x).
Cash-pay intake data for NPI 1275521361 (755 Memorial Parkway Suite 102, Hillcrest Professional Plaza, Phillipsburg) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 21-minute average reception wait and 4.41/5 biomarker openness.
NPI registry verification (#1275521361) confirms Dr. John Smith's MD standing serving CBSA 08865 with a 4.70/5 patient scorecard.
Top 10% Hematology-Oncology volume leader in Phillipsburg, NJ
761 annual services across 489 beneficiaries
Standard deviations from NJ Hematology-Oncology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 342 | 99th | $242 – $331 |
| 99213 | Established Preventive & Chronic Care Visit | 198 | 95th | $185 – $254 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 99 | 95th | $88 – $121 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 76 | 99.5th | $284 – $389 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 46 | 99.5th | $336 – $461 |
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Dr. John Smith, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Smith National Provider Identifier | NPI #1275521361 (MD) | CMS NPPES Registry (08865) |
| Dr. Smith Phillipsburg CMS Volume Rank | 99.00th Pct (761 CMS svcs; Z -0.707σ) | CMS Medicare Part B (NJ Hematology-Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Phillipsburg, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 5 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.58/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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