Dr. Adam Updegraff, DO
3125 Transverse DR Ste D, Toledo, OH 43614 • +1-786-555-6167
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Toledo Percentiles
NPI #1255561767 • CBSA Regional • Allergy/ Immunology
Dr. Adam Updegraff, DO (NPI #1255561767) practices Allergy/ Immunology in Toledo, OH (43614) with sub-specialty concentration in 22 Active CMS HCPCS Codes, recording 6,539 annual CMS services across 104 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (20th Toledo percentile) (-0.27σ vs OH state mean, 50.68th statewide percentile).
Fee-schedule auditing of NPI 1255561767 highlights 2943 annual claims for 99214 (20th Toledo percentile; $45–$62 self-pay corridor) plus 1700 encounters under 99213 and 850 under 93000.
For out-of-network patients contacting +1-786-555-6167, Dr. Updegraff's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.57/5 composite reality score over 24 submissions).
Patients evaluating Dr. Adam Updegraff in ZIP 43614 note 34 years of post-doctoral tenure (null, 1992) alongside 62.9 annual CMS procedures per patient.
Compared against Toledo, OH Allergy/ Immunology peers
6,539 annual services across 104 beneficiaries
Standard deviations from OH Allergy/ Immunology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 2,943 | 20th | $45 – $62 |
| 99213 | Established Preventive & Chronic Care Visit | 1,700 | 25th | $35 – $50 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 850 | 16th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 654 | 19th | $53 – $73 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 392 | 16th | $63 – $86 |
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Dr. Adam Updegraff, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Updegraff National Provider Identifier | NPI #1255561767 (DO) | CMS NPPES Registry (43614) |
| Dr. Updegraff Toledo CMS Volume Rank | 20.00th Pct (6,539 CMS svcs; Z -0.273σ) | CMS Medicare Part B (OH Allergy/ Immunology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Toledo, OH) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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