Dr. Kenneth Carbone, DO
1480 Center Rd, Suite A, Avon, OH 44011 • +1-788-555-6831
Medical Education: Accredited U.S. Medical School (Class of 2005)
What This Doctor Actually Performs: CMS Medicare Utilization & Avon Percentiles
NPI #1649482936 • CBSA Regional • Family Practice
Operating out of Avon, OH (1480 Center Rd, Suite A), Family Practice clinician Dr. Kenneth Carbone, DO (accredited MD/DO training, 2005) maintains a mid-cohort balanced caseload (50th Avon percentile) (94.54th OH percentile; Z-score +0.73σ across 4,907 documented services) with sub-specialty concentration in 62 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1649482936 highlights 1068 annual claims for 99214 (50th Avon percentile; $46–$63 self-pay corridor) plus 789 encounters under 99213 and 305 under G0439.
Self-pay new patient consultations with Dr. Carbone (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 21-minute average reception wait, and a 4.81/5 modern protocol openness score across 25 patient logs.
Credentialed as an DO specialist with 21 years post-graduation experience since completing medical school at an LCME/COCA institution (2005), Dr. Carbone coordinates 62 Active CMS HCPCS Codes workups from 1480 Center Rd, Suite A (+1-788-555-6831).
Compared against Avon, OH Family Practice peers
4,907 annual services across 350 beneficiaries
Standard deviations from OH 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 | 1,068 | 50th | $46 – $63 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 789 | 53th | $35 – $50 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 305 | 50th | $53 – $72 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 229 | 48th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 153 | 47th | $63 – $86 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (62 HCPCS billing breadth) | 2,363 | 50th | $45 – $65 |
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Dr. Kenneth Carbone, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Carbone National Provider Identifier | NPI #1649482936 (DO) | CMS NPPES Registry (44011) |
| Dr. Carbone Avon CMS Volume Rank | 50.00th Pct (4,907 CMS svcs; Z +0.731σ) | CMS Medicare Part B (OH Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Avon, OH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 25 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.81/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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