Dr. John Ippolito, DO
100 S Jersey Ave, Unit 19, Setauket, NY 11733 • +1-357-555-2671
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Setauket Percentiles
NPI #1043275605 • CBSA Regional • Rheumatology
Anchored in Setauket, NY 11733, Dr. John Ippolito, DO (NPI 1043275605) logged 731 annual procedures (top-decile high-throughput specialist (99th percentile in Setauket), 1.75th NY percentile, -0.62σ) with sub-specialty concentration in 6 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1043275605 highlights 336 annual claims for 99214 (99th Setauket percentile; $166–$227 self-pay corridor) plus 154 encounters under 20610 and 110 under 96413.
Uninsured and high-deductible cash patients visiting Dr. John Ippolito in Setauket (11733) face an estimated $232.00 initial evaluation fee at 100 S Jersey Ave, Unit 19 (in-person clinic visits only; 17-minute average reception wait; bedside manner 4.75/5 from 21 verified reports).
NPI registry verification (#1043275605) confirms Dr. John Ippolito's DO standing serving CBSA 11733 with a 4.66/5 patient scorecard.
Top 10% Rheumatology volume leader in Setauket, NY
731 annual services across 354 beneficiaries
Standard deviations from NY Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 336 | 99th | $166 – $227 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 154 | 99.5th | $131 – $180 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 110 | 95th | $228 – $312 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 73 | 99.5th | $173 – $237 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 58 | 96th | $228 – $312 |
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Dr. John Ippolito, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Ippolito National Provider Identifier | NPI #1043275605 (DO) | CMS NPPES Registry (11733) |
| Dr. Ippolito Setauket CMS Volume Rank | 99.00th Pct (731 CMS svcs; Z -0.624σ) | CMS Medicare Part B (NY Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Setauket, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 17 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.50/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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