Dr. Grace Biggs, MD
300 Seymour Ave Ste 202, Derby, CT 06418 • +1-260-555-6733
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Derby Percentiles
NPI #1992901508 • CBSA Regional • Urology
Dr. Grace Biggs, MD (NPI #1992901508) practices Urology in Derby, CT (06418) with sub-specialty concentration in 63 Active CMS HCPCS Codes, recording 3,591 annual CMS services across 293 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (66.67th Derby percentile) (-0.20σ vs CT state mean, 58.33th statewide percentile).
Fee-schedule auditing of NPI 1992901508 highlights 391 annual claims for 99214 (66.67th Derby percentile; $74–$102 self-pay corridor) plus 293 encounters under 51798 and 185 under 52000.
Self-pay new patient consultations with Dr. Biggs (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 13-minute average reception wait, and a 4.73/5 modern protocol openness score across 15 patient logs.
Spanning 22 years of clinical practice following 2004 graduation from medical training, Dr. Grace Biggs integrates 63 Active CMS HCPCS Codes diagnostics for Derby metro patients.
Compared against Derby, CT Urology peers
3,591 annual services across 293 beneficiaries
Standard deviations from CT Urology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Urologic, BPH & Androgen Evaluation | 391 | 66.67th | $74 – $102 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 293 | 64.67th | $31 – $46 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 185 | 63.67th | $152 – $208 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 130 | 66.67th | $42 – $57 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 87 | 68.67th | $104 – $143 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (63 HCPCS billing breadth) | 2,505 | 66.67th | $67 – $97 |
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Dr. Grace Biggs, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Biggs National Provider Identifier | NPI #1992901508 (MD) | CMS NPPES Registry (06418) |
| Dr. Biggs Derby CMS Volume Rank | 66.67th Pct (3,591 CMS svcs; Z -0.198σ) | CMS Medicare Part B (CT Urology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Derby, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.83/5 Listening • 4.73/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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