Dr. John Clay, MD
930 South Ave, Colonial Heights, VA 23834 • +1-385-555-2532
Medical Education: Accredited U.S. Medical School (Class of 2011)
What This Doctor Actually Performs: CMS Medicare Utilization & Colonial Heights Percentiles
NPI #1093905994 • CBSA Regional • Family Practice
Dr. John Clay, MD (NPI #1093905994) practices Family Practice in Colonial Heights, VA (23834) with sub-specialty concentration in 52 Active CMS HCPCS Codes, recording 35,385 annual CMS services across 1,214 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (80th Colonial Heights percentile) (+2.37σ vs VA state mean, 99.76th statewide percentile).
Fee-schedule auditing of NPI 1093905994 highlights 1964 annual claims for 99214 (80th Colonial Heights percentile; $43–$60 self-pay corridor) plus 1450 encounters under 99213 and 561 under G0439.
Self-pay new patient consultations with Dr. Clay (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 19-minute average reception wait, and a 4.90/5 modern protocol openness score across 7 patient logs.
Patients evaluating Dr. John Clay in ZIP 23834 note 15 years of post-doctoral tenure (null, 2011) alongside 29.1 annual CMS procedures per patient.
Compared against Colonial Heights, VA Family Practice peers
35,385 annual services across 1,214 beneficiaries
Standard deviations from VA 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 | 1,964 | 80th | $43 – $60 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 1,450 | 75th | $33 – $48 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 561 | 79th | $50 – $68 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 421 | 84th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 281 | 80th | $60 – $82 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (52 HCPCS billing breadth) | 30,708 | 80th | $45 – $65 |
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Dr. John Clay, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Clay National Provider Identifier | NPI #1093905994 (MD) | CMS NPPES Registry (23834) |
| Dr. Clay Colonial Heights CMS Volume Rank | 80.00th Pct (35,385 CMS svcs; Z +2.370σ) | CMS Medicare Part B (VA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Colonial Heights, VA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 19 min lobby wait | 7 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.90/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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