Dr. Adam Mcgonigle, MD
593 Eddy Street, Providence, RI 02903 • +1-414-555-4008
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Providence Percentiles
NPI #1972033884 • CBSA Regional • Internal Medicine
Within the Providence, RI (CBSA local) Internal Medicine cohort, Dr. Adam Mcgonigle, MD with sub-specialty concentration in 39 Active CMS HCPCS Codes ranks at the 65th municipal percentile and 66.3th RI percentile (-0.08σ Z-score) based on 1,194 billed procedures for 354 patients.
Among 6 tracked CMS fee-schedule codes for Dr. Mcgonigle (averaging 3.4 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 37% of tracked volume (440 encounters), paired with 99213 (254x).
Cash-pay intake data for NPI 1972033884 (593 Eddy Street, Providence) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 13-minute average reception wait and 4.94/5 biomarker openness.
Spanning 30 years of clinical practice following 1996 graduation from medical training, Dr. Adam Mcgonigle integrates 39 Active CMS HCPCS Codes diagnostics for Providence metro patients.
Compared against Providence, RI Internal Medicine peers
1,194 annual services across 354 beneficiaries
Standard deviations from RI Internal Medicine 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 | 440 | 65th | $155 – $212 |
| 99213 | Established Preventive & Chronic Care Visit | 254 | 62th | $118 – $162 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 127 | 62th | $56 – $77 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 98 | 65th | $182 – $249 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 59 | 61th | $215 – $295 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (39 HCPCS billing breadth) | 216 | 65th | $139 – $202 |
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Dr. Adam Mcgonigle, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mcgonigle National Provider Identifier | NPI #1972033884 (MD) | CMS NPPES Registry (02903) |
| Dr. Mcgonigle Providence CMS Volume Rank | 65.00th Pct (1,194 CMS svcs; Z -0.081σ) | CMS Medicare Part B (RI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Providence, RI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.92/5 Listening • 4.94/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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