Dr. James Maher, MD
345 Valley Rd, Middletown, RI 02842 • +1-201-555-5287
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Middletown Percentiles
NPI #1881650323 • CBSA Regional • Orthopedic Surgery
Statistical peer benchmarking across RI Orthopedic Surgery providers positions Dr. James Maher, MD in Middletown at +0.11σ (75th city percentile / 77.14th state percentile, 270 Medicare beneficiaries), with clinical focus spanning 51 Active CMS HCPCS Codes.
Granular CPT/HCPCS billing distribution at 345 Valley Rd shows Dr. James Maher's primary concentration in Focused Orthopedic Joint & Spine Mobility Evaluation (code 99213: 312x/yr, 75th local percentile) alongside Major Joint (Knee/Shoulder/Hip) Aspiration or Injection (20610: 234x/yr, $37–$52).
Direct cash-pay transparency modeling sets Dr. Maher's baseline new-consult rate near $209.00 in Middletown, RI (cash-pay accepted, in-person clinic visits only, 15-minute average reception wait).
Clinical background for Dr. Maher (MD, NPI #1881650323) includes accredited doctoral training (2007, 19 yrs in practice) and dedicated on-site consultations at 345 Valley Rd.
Compared against Middletown, RI Orthopedic Surgery peers
3,473 annual services across 270 beneficiaries
Standard deviations from RI 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 | 312 | 75th | $35 – $50 |
| 20610 | Major Joint (Knee/Shoulder/Hip) Aspiration or Injection | 234 | 75th | $37 – $52 |
| 73562 | Radiologic Weight-Bearing 3-View Knee Examination | 165 | 71th | $25 – $40 |
| 99203 | New Patient Musculoskeletal Injury & Surgical Triage | 95 | 78th | $50 – $68 |
| 27447 | Total Knee Arthroplasty Joint Reconstruction | 61 | 73th | $321 – $440 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (51 HCPCS billing breadth) | 2,607 | 75th | $45 – $65 |
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Dr. James Maher, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Maher National Provider Identifier | NPI #1881650323 (MD) | CMS NPPES Registry (02842) |
| Dr. Maher Middletown CMS Volume Rank | 75.00th Pct (3,473 CMS svcs; Z +0.110σ) | CMS Medicare Part B (RI Orthopedic Surgery) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Middletown, RI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.71/5 Listening • 4.54/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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