Dr. John Gaines, MD
41 Sanderson Rd, Suite 201, Smithfield, RI 02917 • +1-241-555-9930
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Smithfield Percentiles
NPI #1568457224 • CBSA Regional • Internal Medicine
Anchored in Smithfield, RI 02917, Dr. John Gaines, MD (NPI 1568457224) logged 655 annual procedures (focused low-volume boutique caseload (0th Smithfield percentile), 6.08th RI percentile, -0.29σ) with sub-specialty concentration in 22 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Gaines (averaging 2.6 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 43% of tracked volume (283 encounters), paired with 99213 (163x).
For out-of-network patients contacting +1-241-555-9930, Dr. Gaines's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.74/5 composite reality score over 17 submissions).
From 41 Sanderson Rd, Suite 201 in Smithfield (+1-241-555-9930), Dr. Gaines, MD (8-year clinical track record) delivers 22 Active CMS HCPCS Codes care.
Compared against Smithfield, RI Internal Medicine peers
655 annual services across 249 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 | 283 | 12th | $117 – $160 |
| 99213 | Established Preventive & Chronic Care Visit | 163 | 12th | $89 – $122 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 82 | 12th | $43 – $58 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 63 | 12th | $137 – $188 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 38 | 12th | $162 – $223 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (22 HCPCS billing breadth) | 27 | 0th | $105 – $152 |
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Dr. John Gaines, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Gaines National Provider Identifier | NPI #1568457224 (MD) | CMS NPPES Registry (02917) |
| Dr. Gaines Smithfield CMS Volume Rank | 0.00th Pct (655 CMS svcs; Z -0.289σ) | CMS Medicare Part B (RI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Smithfield, RI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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