Dr. Adam Coughlin, MD
752 N High Point Rd, Madison, WI 53717 • +1-318-555-6960
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Madison Percentiles
NPI #1164865382 • CBSA Regional • Otolaryngology
Dr. Adam Coughlin, MD (NPI #1164865382) practices Otolaryngology in Madison, WI (53717) with sub-specialty concentration in 78 Active CMS HCPCS Codes, recording 1,432 annual CMS services across 273 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (37.5th Madison percentile) (-0.09σ vs WI state mean, 64.86th statewide percentile).
Fee-schedule auditing of NPI 1164865382 highlights 487 annual claims for 99213 (37.5th Madison percentile; $85–$117 self-pay corridor) plus 358 encounters under 31231 and 272 under 31575.
Uninsured and high-deductible cash patients visiting Dr. Adam Coughlin in Madison (53717) face an estimated $209.00 initial evaluation fee at 752 N High Point Rd (hybrid in-clinic and telehealth video consults; 20-minute average reception wait; bedside manner 4.89/5 from 16 verified reports).
Clinical background for Dr. Coughlin (MD, NPI #1164865382) includes accredited doctoral training (2017, 9 yrs in practice) and virtual + in-office availability across WI.
Compared against Madison, WI Otolaryngology peers
1,432 annual services across 273 beneficiaries
Standard deviations from WI Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 487 | 37.5th | $85 – $117 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 358 | 34.5th | $172 – $235 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 272 | 37.5th | $125 – $172 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 186 | 37.5th | $60 – $83 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 129 | 40.5th | $54 – $74 |
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Dr. Adam Coughlin, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Coughlin National Provider Identifier | NPI #1164865382 (MD) | CMS NPPES Registry (53717) |
| Dr. Coughlin Madison CMS Volume Rank | 37.50th Pct (1,432 CMS svcs; Z -0.092σ) | CMS Medicare Part B (WI Otolaryngology) |
| 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 • 20 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.58/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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