Dr. Donald Hilty, MD
4250 Auburn Blvd, Sacramento, CA 95841 • +1-438-555-1792
Medical Education: Accredited U.S. Medical School (Class of 2013)
What This Doctor Actually Performs: CMS Medicare Utilization & Sacramento Percentiles
NPI #1346222734 • CBSA Regional • Psychiatry
CMS Medicare Part B utilization records credit Dr. Donald Hilty (MD, NPI 1346222734) at 4250 Auburn Blvd in Sacramento with 1,219 annual clinical services (72 beneficiaries), corresponding to a -0.24σ regional deviation and focused low-volume boutique caseload (30th Sacramento percentile) with sub-specialty concentration in 4 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1346222734 highlights 536 annual claims for 99214 (30th Sacramento percentile; $171–$235 self-pay corridor) plus 341 encounters under 90833 and 195 under 99213.
Self-pay new patient consultations with Dr. Hilty (CPT 99204 GPCI-adjusted benchmark) estimate around $239.00 (community reported average: $239.00) with in-person clinic visits only, 17-minute average reception wait, and a 4.78/5 modern protocol openness score across 15 patient logs.
Patients evaluating Dr. Donald Hilty in ZIP 95841 note 13 years of post-doctoral tenure (null, 2013) alongside 16.9 annual CMS procedures per patient.
Compared against Sacramento, CA Psychiatry peers
1,219 annual services across 72 beneficiaries
Standard deviations from CA Psychiatry mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Psychopharmacology Medication & Symptom Titration Visit | 536 | 30th | $171 – $235 |
| 90833 | Add-On Focused Psychotherapy w/ Medical Evaluation (30 min) | 341 | 25th | $124 – $169 |
| 99213 | Established Behavioral Health Maintenance Follow-Up | 195 | 32th | $131 – $179 |
| 90792 | Comprehensive Psychiatric Diagnostic & Medical Evaluation | 146 | 28th | $269 – $368 |
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Dr. Donald Hilty, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Hilty National Provider Identifier | NPI #1346222734 (MD) | CMS NPPES Registry (95841) |
| Dr. Hilty Sacramento CMS Volume Rank | 30.00th Pct (1,219 CMS svcs; Z -0.238σ) | CMS Medicare Part B (CA Psychiatry) |
| Fair Cash-Pay New-Patient Benchmark | $239.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Sacramento, CA) |
| Waiting-Room Wait Time & Cash Friendliness | $239.00 avg paid • 17 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.80/5 Listening • 4.78/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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