Dr. James Guille, MD
1561 Medical DR., Pottstown, PA 19464 • +1-479-555-1363
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Pottstown Percentiles
NPI #1346218237 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across PA Orthopedic Surgery providers positions Dr. James Guille, MD in Pottstown at -0.54σ (33.33th city percentile / 28.16th state percentile, 292 Medicare beneficiaries), with clinical focus spanning 80 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1346218237 highlights 297 annual claims for 99213 (33.33th Pottstown percentile; $86–$118 self-pay corridor) plus 223 encounters under 20610 and 157 under 73562.
Uninsured and high-deductible cash patients visiting Dr. James Guille in Pottstown (19464) face an estimated $209.00 initial evaluation fee at 1561 Medical DR. (in-person clinic visits only; 21-minute average reception wait; bedside manner 4.93/5 from 21 verified reports).
Clinical background for Dr. Guille (MD, NPI #1346218237) includes accredited doctoral training (2001, 25 yrs in practice) and dedicated on-site consultations at 1561 Medical DR..
Compared against Pottstown, PA Orthopedic Surgery peers
1,570 annual services across 292 beneficiaries
Standard deviations from PA Orthopedic Surgery 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 Orthopedic Joint & Spine Mobility Evaluation | 297 | 33.33th | $86 – $118 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 223 | 38.33th | $92 – $126 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 157 | 32.33th | $52 – $71 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 91 | 28.33th | $124 – $170 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 58 | 31.33th | $798 – $1093 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (80 HCPCS billing breadth) | 745 | 33.33th | $97 – $141 |
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Dr. James Guille, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Guille National Provider Identifier | NPI #1346218237 (MD) | CMS NPPES Registry (19464) |
| Dr. Guille Pottstown CMS Volume Rank | 33.33th Pct (1,570 CMS svcs; Z -0.536σ) | CMS Medicare Part B (PA Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pottstown, PA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 21 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.51/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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