Dr. John Fontanilla, MD
4453 Castor Ave, Suite B, Philadelphia, PA 19124 • +1-718-555-8006
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Philadelphia Percentiles
NPI #1669688412 • CBSA Regional • Nephrology
Dr. John Fontanilla, MD (NPI #1669688412) practices Nephrology in Philadelphia, PA (19124) with sub-specialty concentration in 17 Active CMS HCPCS Codes, recording 765 annual CMS services across 255 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (25.49th Philadelphia percentile) (-0.86σ vs PA state mean, 10.88th statewide percentile).
Among 4 tracked CMS fee-schedule codes for Dr. Fontanilla (averaging 3.0 services per beneficiary), 99214 (Chronic Kidney Disease eGFR, uACR & Electrolyte Management) represents 48% of tracked volume (367 encounters), paired with 90960 (168x).
Uninsured and high-deductible cash patients visiting Dr. John Fontanilla in Philadelphia (19124) face an estimated $209.00 initial evaluation fee at 4453 Castor Ave, Suite B (hybrid in-clinic and telehealth video consults; 11-minute average reception wait; bedside manner 4.86/5 from 17 verified reports).
Patients evaluating Dr. John Fontanilla in ZIP 19124 note 29 years of post-doctoral tenure (null, 1997) alongside 3.0 annual CMS procedures per patient.
Compared against Philadelphia, PA Nephrology peers
765 annual services across 255 beneficiaries
Standard deviations from PA Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 367 | 25.49th | $233 – $320 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 168 | 28.49th | $467 – $640 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 138 | 26.49th | $340 – $466 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 92 | 25.49th | $321 – $440 |
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Dr. John Fontanilla, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fontanilla National Provider Identifier | NPI #1669688412 (MD) | CMS NPPES Registry (19124) |
| Dr. Fontanilla Philadelphia CMS Volume Rank | 25.49th Pct (765 CMS svcs; Z -0.856σ) | CMS Medicare Part B (PA Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Philadelphia, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.86/5 Listening • 4.61/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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