Dr. John Setaro, MD
11 Harrison Ave, Branford, CT 06405 • +1-474-555-9043
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Branford Percentiles
NPI #1932199494 • CBSA Regional • Interventional Cardiology
Within the Branford, CT (CBSA local) Interventional Cardiology cohort, Dr. John Setaro, MD with sub-specialty concentration in 37 Active CMS HCPCS Codes ranks at the 0th municipal percentile and 28.13th CT percentile (-0.64σ Z-score) based on 1,193 billed procedures for 489 patients.
Granular CPT/HCPCS billing distribution at 11 Harrison Ave shows Dr. John Setaro's primary concentration in Moderate-to-High Complexity Internal Medicine Follow-Up (code 99214: 537x/yr, 12th local percentile) alongside Established Preventive & Chronic Care Visit (99213: 310x/yr, $105–$143).
For out-of-network patients contacting +1-474-555-9043, Dr. Setaro's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.86/5 composite reality score over 9 submissions).
NPI registry verification (#1932199494) confirms Dr. John Setaro's MD standing serving CBSA 06405 with a 4.86/5 patient scorecard.
Compared against Branford, CT Interventional Cardiology peers
1,193 annual services across 489 beneficiaries
Standard deviations from CT Interventional Cardiology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Moderate-to-High Complexity Internal Medicine Follow-Up | 537 | 12th | $137 – $187 |
| 99213 | Established Preventive & Chronic Care Visit | 310 | 12th | $105 – $143 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 155 | 12th | $50 – $68 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 119 | 12th | $160 – $220 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 72 | 12th | $190 – $260 |
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Dr. John Setaro, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Setaro National Provider Identifier | NPI #1932199494 (MD) | CMS NPPES Registry (06405) |
| Dr. Setaro Branford CMS Volume Rank | 0.00th Pct (1,193 CMS svcs; Z -0.641σ) | CMS Medicare Part B (CT Interventional Cardiology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Branford, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 17 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.85/5 Listening • 4.75/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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