Dr. Madeline Agosto, MD
915 W Market St, Lima, OH 45805 • +1-673-555-9270
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Lima Percentiles
NPI #1053363580 • CBSA Regional • Family Practice
Anchored in Lima, OH 45805, Dr. Madeline Agosto, MD (NPI 1053363580) logged 1,136 annual procedures (focused low-volume boutique caseload (23.08th Lima percentile), 44.22th OH percentile, -0.22σ) with sub-specialty concentration in 26 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1053363580 highlights 454 annual claims for 99214 (23.08th Lima percentile; $105–$144 self-pay corridor) plus 335 encounters under 99213 and 130 under G0439.
At 915 W Market St (45805), Dr. Madeline Agosto, MD accommodates direct self-pay scheduling (hybrid in-clinic and telehealth video consults) at ~$209.00 per new consult (4.87/5 bedside rating).
Clinical background for Dr. Agosto (MD, NPI #1053363580) includes accredited doctoral training (1999, 27 yrs in practice) and virtual + in-office availability across OH.
Compared against Lima, OH Family Practice peers
1,136 annual services across 190 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 | 454 | 23.08th | $105 – $144 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 335 | 25.08th | $80 – $110 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 130 | 19.08th | $120 – $165 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 97 | 21.08th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 65 | 24.08th | $144 – $197 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (26 HCPCS billing breadth) | 54 | 23.08th | $95 – $138 |
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Dr. Madeline Agosto, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Agosto National Provider Identifier | NPI #1053363580 (MD) | CMS NPPES Registry (45805) |
| Dr. Agosto Lima CMS Volume Rank | 23.08th Pct (1,136 CMS svcs; Z -0.221σ) | CMS Medicare Part B (OH Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lima, OH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.86/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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