Dr. Durga Maddineni, MD
4543 43rd St, Sunnyside, NY 11104 • +1-786-555-3453
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Sunnyside Percentiles
NPI #1548209943 • CBSA Regional • Family Practice
Statistical peer benchmarking across NY Family Practice providers positions Dr. Durga Maddineni, MD in Sunnyside at -0.26σ (99th city percentile / 53.07th state percentile, 191 Medicare beneficiaries), with clinical focus spanning 28 Active CMS HCPCS Codes.
Dr. Maddineni's longitudinal care intensity (7.8 billed units per patient across 191 individuals) centers on 99214 (594 annual units) and 99213 ($85–$117 cash range).
Self-pay new patient consultations with Dr. Maddineni (CPT 99204 GPCI-adjusted benchmark) estimate around $232.00 (community reported average: $232.00) with hybrid in-clinic and telehealth video consults, 20-minute average reception wait, and a 4.79/5 modern protocol openness score across 16 patient logs.
Patients evaluating Dr. Durga Maddineni in ZIP 11104 note 21 years of post-doctoral tenure (null, 2005) alongside 7.8 annual CMS procedures per patient.
Top 10% Family Practice volume leader in Sunnyside, NY
1,484 annual services across 191 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 | 594 | 99th | $111 – $152 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 438 | 98th | $85 – $117 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 170 | 99.5th | $128 – $175 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 127 | 94th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 85 | 99th | $153 – $209 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (28 HCPCS billing breadth) | 70 | 99th | $100 – $145 |
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Dr. Durga Maddineni, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Maddineni National Provider Identifier | NPI #1548209943 (MD) | CMS NPPES Registry (11104) |
| Dr. Maddineni Sunnyside CMS Volume Rank | 99.00th Pct (1,484 CMS svcs; Z -0.260σ) | CMS Medicare Part B (NY Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $232.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sunnyside, NY) |
| Waiting-Room Wait Time & Cash Friendliness | $232.00 avg paid • 20 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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