General Surgery • Ada, OK 74820 • NPI #1518996958

Dr. Justin Plaxico, DO

435 N Monte Vista St, Ada, OK 74820 • +1-620-555-3035

Medical Education: Accredited U.S. Medical School (Class of 2008)

80 Active CMS HCPCS Codes
4.72/5
Waiting-Room Score
19 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Ada Percentiles

NPI #1518996958 • CBSA Regional • General Surgery

Dr. Justin Plaxico DotMD Verification Badge

CMS Medicare Part B utilization records credit Dr. Justin Plaxico (DO, NPI 1518996958) at 435 N Monte Vista St in Ada with 669 annual clinical services (315 beneficiaries), corresponding to a -0.37σ regional deviation and focused low-volume boutique caseload (0th Ada percentile) with sub-specialty concentration in 80 Active CMS HCPCS Codes.

Among 5 tracked CMS fee-schedule codes for Dr. Plaxico (averaging 2.1 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 45% of tracked volume (301 encounters), paired with 99213 (174x).

Uninsured and high-deductible cash patients visiting Dr. Justin Plaxico in Ada (74820) face an estimated $209.00 initial evaluation fee at 435 N Monte Vista St (hybrid in-clinic and telehealth video consults; 13-minute average reception wait; bedside manner 4.66/5 from 19 verified reports).

Spanning 18 years of clinical practice following 2008 graduation from medical training, Dr. Justin Plaxico integrates 80 Active CMS HCPCS Codes diagnostics for Ada metro patients.

Ada Percentile 0.00th

Compared against Ada, OK General Surgery peers

OK State Percentile 11.54th

669 annual services across 315 beneficiaries

Regional Volume Z-Score -0.372σ

Standard deviations from OK General Surgery 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 301 12th $234 – $321
99213 Established Preventive & Chronic Care Visit 174 12th $179 – $246
93000 In-Office 12-Lead Resting Electrocardiogram 87 12th $86 – $117
G0439 Annual Preventive Wellness & Cardiometabolic Risk Assessment 67 12th $275 – $377
99204 Comprehensive New Patient Internal Medicine Diagnostic Visit 40 12th $326 – $447
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Dr. Justin Plaxico, DO Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Plaxico National Provider Identifier NPI #1518996958 (DO) CMS NPPES Registry (74820)
Dr. Plaxico Ada CMS Volume Rank 0.00th Pct (669 CMS svcs; Z -0.372σ) CMS Medicare Part B (OK General Surgery)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Ada, OK)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 13 min lobby wait 19 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.66/5 Listening • 4.69/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
13 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.66/5
Patient communication rating
Modern Protocol Openness
4.69/5
Preventive labs, GLP-1s & HRT
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