Dr. John Arce, MD
202 S Park St, Madison, WI 53715 • +1-287-555-5303
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Madison Percentiles
NPI #1962856013 • CBSA Regional • Family Practice
Dr. John Arce, MD (NPI #1962856013) practices Family Practice in Madison, WI (53715) with sub-specialty concentration in 11 Active CMS HCPCS Codes, recording 644 annual CMS services across 277 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (1.35th Madison percentile) (-0.46σ vs WI state mean, 1.78th statewide percentile).
Dr. Arce's longitudinal care intensity (2.3 billed units per patient across 277 individuals) centers on 99214 (270 annual units) and 99213 ($108–$148 cash range).
Self-pay new patient consultations with Dr. Arce (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 16-minute average reception wait, and a 4.64/5 modern protocol openness score across 14 patient logs.
Spanning 29 years of clinical practice following 1997 graduation from medical training, Dr. John Arce integrates 11 Active CMS HCPCS Codes diagnostics for Madison metro patients.
Compared against Madison, WI Family Practice peers
644 annual services across 277 beneficiaries
Standard deviations from WI 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 | 270 | 12th | $141 – $194 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 200 | 12th | $108 – $148 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 77 | 12th | $162 – $222 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 58 | 12th | $31 – $46 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 39 | 12th | $194 – $266 |
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Dr. John Arce, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Arce National Provider Identifier | NPI #1962856013 (MD) | CMS NPPES Registry (53715) |
| Dr. Arce Madison CMS Volume Rank | 1.35th Pct (644 CMS svcs; Z -0.458σ) | CMS Medicare Part B (WI Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Madison, WI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 14 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.64/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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