Dr. Justin Coles, DO
4403 Harrison Blvd Ste 700a, Ogden, UT 84403 • +1-703-555-8000
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Ogden Percentiles
NPI #1003479213 • CBSA Regional • Family Practice
Statistical peer benchmarking across UT Family Practice providers positions Dr. Justin Coles, DO in Ogden at +0.59σ (80.77th city percentile / 85.64th state percentile, 171 Medicare beneficiaries), with clinical focus spanning 113 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1003479213 highlights 453 annual claims for 99214 (80.77th Ogden percentile; $43–$60 self-pay corridor) plus 334 encounters under 99213 and 129 under G0439.
Direct cash-pay transparency modeling sets Dr. Coles's baseline new-consult rate near $209.00 in Ogden, UT (cash-pay accepted, hybrid in-clinic and telehealth video consults, 20-minute average reception wait).
Credentialed as an DO specialist with 12 years post-graduation experience since completing medical school at an LCME/COCA institution (2014), Dr. Coles coordinates 113 Active CMS HCPCS Codes workups from 4403 Harrison Blvd Ste 700a (+1-703-555-8000).
Compared against Ogden, UT Family Practice peers
4,334 annual services across 171 beneficiaries
Standard deviations from UT Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 453 | 80.77th | $43 – $60 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 334 | 77.77th | $33 – $48 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 129 | 80.77th | $50 – $68 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 97 | 75.77th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 65 | 78.77th | $60 – $82 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (113 HCPCS billing breadth) | 3,256 | 80.77th | $45 – $65 |
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Dr. Justin Coles, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Coles National Provider Identifier | NPI #1003479213 (DO) | CMS NPPES Registry (84403) |
| Dr. Coles Ogden CMS Volume Rank | 80.77th Pct (4,334 CMS svcs; Z +0.593σ) | CMS Medicare Part B (UT Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Ogden, UT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.79/5 Listening • 4.47/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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