Dr. James Malone, MD
875 Poplar Church Rd, Ste 320, Camp Hill, PA 17011 • +1-214-555-4804
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Camp Hill Percentiles
NPI #1659367258 • CBSA Regional • Otolaryngology
Operating out of Camp Hill, PA (875 Poplar Church Rd, Ste 320), Otolaryngology clinician Dr. James Malone, MD (accredited MD/DO training, 2000) maintains a focused low-volume boutique caseload (0th Camp Hill percentile) (4.08th PA percentile; Z-score -0.77σ across 715 documented services) with sub-specialty concentration in 78 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1659367258 highlights 243 annual claims for 99213 (12th Camp Hill percentile; $184–$252 self-pay corridor) plus 179 encounters under 31231 and 136 under 31575.
Direct cash-pay transparency modeling sets Dr. Malone's baseline new-consult rate near $209.00 in Camp Hill, PA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 18-minute average reception wait).
NPI registry verification (#1659367258) confirms Dr. James Malone's MD standing serving CBSA 17011 with a 4.89/5 patient scorecard.
Compared against Camp Hill, PA Otolaryngology peers
715 annual services across 252 beneficiaries
Standard deviations from PA Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 243 | 12th | $184 – $252 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 179 | 12th | $370 – $508 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 136 | 12th | $270 – $370 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 93 | 12th | $130 – $178 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 64 | 12th | $116 – $159 |
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Dr. James Malone, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Malone National Provider Identifier | NPI #1659367258 (MD) | CMS NPPES Registry (17011) |
| Dr. Malone Camp Hill CMS Volume Rank | 0.00th Pct (715 CMS svcs; Z -0.769σ) | CMS Medicare Part B (PA Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Camp Hill, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 20 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.63/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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