Dr. Douglas Wignarajah, MD
155 Crystal Run Rd, Middletown, NY 10941 • +1-826-555-5016
Medical Education: Accredited U.S. Medical School (Class of 1998)
What This Doctor Actually Performs: CMS Medicare Utilization & Middletown Percentiles
NPI #1841639127 • CBSA Regional • Family Practice
Statistical peer benchmarking across NY Family Practice providers positions Dr. Douglas Wignarajah, MD in Middletown at -0.39σ (20.69th city percentile / 26.81th state percentile, 287 Medicare beneficiaries), with clinical focus spanning 39 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1841639127 highlights 392 annual claims for 99214 (20.69th Middletown percentile; $150–$205 self-pay corridor) plus 290 encounters under 99213 and 112 under G0439.
Self-pay new patient consultations with Dr. Wignarajah (CPT 99204 GPCI-adjusted benchmark) estimate around $232.00 (community reported average: $232.00) with in-person clinic visits only, 16-minute average reception wait, and a 4.73/5 modern protocol openness score across 12 patient logs.
Credentialed as an MD specialist with 28 years post-graduation experience since completing medical school at an LCME/COCA institution (1998), Dr. Wignarajah coordinates 39 Active CMS HCPCS Codes workups from 155 Crystal Run Rd (+1-826-555-5016).
Compared against Middletown, NY Family Practice peers
963 annual services across 287 beneficiaries
Standard deviations from NY 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 | 392 | 20.69th | $150 – $205 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 290 | 16.69th | $115 – $157 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 112 | 22.69th | $172 – $236 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 84 | 25.69th | $33 – $48 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 56 | 17.69th | $206 – $282 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (39 HCPCS billing breadth) | 29 | 20.69th | $135 – $196 |
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Dr. Douglas Wignarajah, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Wignarajah National Provider Identifier | NPI #1841639127 (MD) | CMS NPPES Registry (10941) |
| Dr. Wignarajah Middletown CMS Volume Rank | 20.69th Pct (963 CMS svcs; Z -0.385σ) | CMS Medicare Part B (NY Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Middletown, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 16 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.73/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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