Dr. Joseph Guarino, MD
147 Route 37 W, Toms River, NJ 08755 • +1-636-555-9635
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Toms River Percentiles
NPI #1558479436 • CBSA Regional • Cardiology
Operating out of Toms River, NJ (147 Route 37 W), Cardiology clinician Dr. Joseph Guarino, MD (accredited MD/DO training, 2000) maintains a focused low-volume boutique caseload (25th Toms River percentile) (37.55th NJ percentile; Z-score -0.45σ across 2,666 documented services) with sub-specialty concentration in 30 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Guarino (averaging 3.2 services per beneficiary), 99214 (Established Cardiology Consultation & Hemodynamic Review) represents 38% of tracked volume (1013 encounters), paired with 93000 (746x).
Uninsured and high-deductible cash patients visiting Dr. Joseph Guarino in Toms River (08755) face an estimated $209.00 initial evaluation fee at 147 Route 37 W (hybrid in-clinic and telehealth video consults; 21-minute average reception wait; bedside manner 4.84/5 from 23 verified reports).
From 147 Route 37 W in Toms River (+1-636-555-9635), Dr. Guarino, MD (26-year clinical track record) delivers 30 Active CMS HCPCS Codes care.
Compared against Toms River, NJ Cardiology peers
2,666 annual services across 834 beneficiaries
Standard deviations from NJ Cardiology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Cardiology Consultation & Hemodynamic Review | 1,013 | 25th | $193 – $265 |
| 93000 | 12-Lead Resting Electrocardiogram (ECG) w/ Interpretation | 746 | 28th | $76 – $104 |
| 93306 | Complete Transthoracic Echocardiography w/ Doppler & Color Flow | 480 | 27th | $361 – $495 |
| 93224 | 24-Hour Ambulatory ECG Rhythm Monitoring & Analysis | 267 | 25th | $227 – $311 |
| 99204 | Comprehensive New Patient Cardiovascular Risk Evaluation | 160 | 20th | $277 – $380 |
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Dr. Joseph Guarino, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Guarino National Provider Identifier | NPI #1558479436 (MD) | CMS NPPES Registry (08755) |
| Dr. Guarino Toms River CMS Volume Rank | 25.00th Pct (2,666 CMS svcs; Z -0.453σ) | CMS Medicare Part B (NJ Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Toms River, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.84/5 Listening • 4.56/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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