Dr. John Durham, MD
3031 Saint Matthews Rd, Orangeburg, SC 29118 • +1-755-555-3949
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Orangeburg Percentiles
NPI #1558396309 • CBSA Regional • Nephrology
Anchored in Orangeburg, SC 29118, Dr. John Durham, MD (NPI 1558396309) logged 1,422 annual procedures (focused low-volume boutique caseload (16.67th Orangeburg percentile), 20.91th SC percentile, -0.53σ) with sub-specialty concentration in 32 Active CMS HCPCS Codes.
Medicare Part B line-item claims for Dr. John Durham (29118) place 99214 at the top of the practice ledger (683 yearly units, 16.67th metro rank), rounded out by 90960 and 99215.
Cash-pay intake data for NPI 1558396309 (3031 Saint Matthews Rd, Orangeburg) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 16-minute average reception wait and 4.45/5 biomarker openness.
Patients evaluating Dr. John Durham in ZIP 29118 note 9 years of post-doctoral tenure (null, 2017) alongside 3.2 annual CMS procedures per patient.
Compared against Orangeburg, SC Nephrology peers
1,422 annual services across 445 beneficiaries
Standard deviations from SC 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 | 683 | 16.67th | $198 – $271 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 313 | 21.67th | $396 – $543 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 256 | 19.67th | $289 – $396 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 171 | 12th | $272 – $373 |
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Dr. John Durham, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Durham National Provider Identifier | NPI #1558396309 (MD) | CMS NPPES Registry (29118) |
| Dr. Durham Orangeburg CMS Volume Rank | 16.67th Pct (1,422 CMS svcs; Z -0.533σ) | CMS Medicare Part B (SC Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Orangeburg, SC) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.45/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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