Dr. Marc Capitano, MD
1305 W 18th St, Sioux Falls, SD 57105 • +1-580-555-2390
Medical Education: Accredited U.S. Medical School (Class of 1999)
What This Doctor Actually Performs: CMS Medicare Utilization & Sioux Falls Percentiles
NPI #1285612978 • CBSA Regional • Hospitalist
Anchored in Sioux Falls, SD 57105, Dr. Marc Capitano, MD (NPI 1285612978) logged 963 annual procedures (upper-quartile active clinical volume (69.23th Sioux Falls percentile), 70.27th SD percentile, +0.01σ) with sub-specialty concentration in 10 Active CMS HCPCS Codes.
Procedural volume for Dr. Capitano is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 433 annual services, $141–$193 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 250/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 125/yr).
Cash-pay intake data for NPI 1285612978 (1305 W 18th St, Sioux Falls) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 15-minute average reception wait and 4.89/5 biomarker openness.
Patients evaluating Dr. Marc Capitano in ZIP 57105 note 27 years of post-doctoral tenure (null, 1999) alongside 4.5 annual CMS procedures per patient.
Compared against Sioux Falls, SD Hospitalist peers
963 annual services across 215 beneficiaries
Standard deviations from SD Hospitalist 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 | 433 | 69.23th | $141 – $193 |
| 99213 | Established Preventive & Chronic Care Visit | 250 | 72.23th | $108 – $148 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 125 | 68.23th | $52 – $71 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 96 | 72.23th | $166 – $227 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 58 | 74.23th | $196 – $269 |
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Dr. Marc Capitano, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Capitano National Provider Identifier | NPI #1285612978 (MD) | CMS NPPES Registry (57105) |
| Dr. Capitano Sioux Falls CMS Volume Rank | 69.23th Pct (963 CMS svcs; Z +0.010σ) | CMS Medicare Part B (SD Hospitalist) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sioux Falls, SD) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.85/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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