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Dr. James Dekay , M.D.

Moderate Markup
Practice Location: Burlington,Vermont 05401
National Provider Identifier (NPI): 1346531266
Procedural
Surgical Specialist
3.25x
Markup Level
1,805
Annual Services
The Rushed Visit Index

Balanced Practice

Standard Pacing

Maintains a steady clinical rhythm balancing focused physical examination with patient discussion.

How is appointment length calculated?

Visit durations reflect official documentation standards for Evaluation and Management (E/M) office billing codes (CPT 99202 through 99215).

Physicians who bill higher-level comprehensive visits (such as 99214 and 99215) consistently spend 30 to 45 minutes reviewing complex records and discussing care plans, whereas routine refill clinics predominantly bill briefer level 2 and 3 codes.

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Appointment Length & Visit Style

Clinical appointment coding analysis across standard patient evaluations

Consultation Classification
Specialist (Procedures only)

Dr. Dekay primarily performs clinical procedures, imaging, or laboratory services rather than routine timed office consultations.

What visit duration tells you:
•Thorough evaluations: Longer appointments mean more opportunity to ask questions, review medical histories, and explain treatment options.
•Complex medical care: Patients managing multiple chronic conditions or seeking second opinions often benefit from physicians with extended visit styles.
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Pricing Transparency & Fee Comparison

How this provider bills compared to standard insurance benchmarks

Pricing Markup Ratio
3.25x
National Specialty Average: 2.56x
Total Annual Charges Billed
$193,308
Gross billed amount on claims
Standard Benchmark Value
$59,420
Customary fee baseline
Practical Guide for Patients and Families:

Dr. Dekay bills moderately higher than baseline insurance benchmarks. If you are in-network, your co-pay or coinsurance will be determined by your plan's contracted rate. If paying out of pocket, request an upfront written fee estimate.

Verified Clinical Procedures & Surgical Focus

Official annual procedure volumes, customary fee comparisons, and clinical focus areas.

Clinical Procedure & CodeAnnual ServicesDoctor ChargePeer NormStandard Baselinevs. Peer Norm
CPT 88305
1,326$114.00$174.29$34.810.65x
CPT 88342
111$106.00$160.00$32.640.66x
CPT 84165
57$55.00$60.00$16.580.92x
CPT 88307
57$250.00$333.63$76.850.75x
CPT 88341
57$68.47$119.00$26.440.58x
CPT 88304
56$34.00$103.18$10.570.33x
CPT 88313
45$36.00$70.00$11.240.51x
CPT 85060
32$72.00$77.33$22.530.93x
๐Ÿ‘จโ€โš•๏ธ Physician & Medical Billing Intelligence (Click to view professional coding data)Expand ↓

This section provides clinical practice analytics for healthcare administrators, billing coders, and peer physicians evaluating practice benchmarks:

Evaluation & Management Mix

Estimated appointment time calculation: N/A. Indicates the proportion of high-complexity (99205/99215) vs. moderate-complexity (99204/99214) documentation relative to national specialty peers.

Charge-to-Payment Ratio

Gross charge multiplier: 3.25x. Useful for fee schedule alignment, out-of-network charge master analysis, and payer contract negotiations.

Patient Guidance: What to Ask Before Your Appointment

  • In-Network Confirmation: Confirm directly with your insurance plan that Dr. Dekay participates in your specific network tier.
  • Surgical Facility Fees: If having surgery, verify whether it will be in a hospital or an outpatient surgery center. Facility charges are billed separately from physician fees.
  • Written Estimates: If you are paying out of pocket or have a high deductible, request a written good-faith estimate before major treatments.