Dr. Daniel Helburn, MD
2200 Whitney Ave Ste 360, Hamden, CT 06518 • +1-940-555-4499
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Hamden Percentiles
NPI #1558307025 • CBSA Regional • Gastroenterology
Statistical peer benchmarking across CT Gastroenterology providers positions Dr. Daniel Helburn, MD in Hamden at -0.49σ (54.55th city percentile / 45.54th state percentile, 303 Medicare beneficiaries), with clinical focus spanning 34 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Helburn (averaging 6.4 services per beneficiary), 99214 (Established Gastroenterology, GERD & IBD Evaluation) represents 37% of tracked volume (720 encounters), paired with 45380 (486x).
Self-pay new patient consultations with Dr. Helburn (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 11-minute average reception wait, and a 4.87/5 modern protocol openness score across 17 patient logs.
Clinical background for Dr. Helburn (MD, NPI #1558307025) includes accredited doctoral training (1997, 29 yrs in practice) and virtual + in-office availability across CT.
Compared against Hamden, CT Gastroenterology peers
1,945 annual services across 303 beneficiaries
Standard deviations from CT Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 720 | 54.55th | $82 – $112 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 486 | 55.55th | $197 – $270 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 408 | 49.55th | $164 – $224 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 195 | 50.55th | $219 – $301 |
| 99204 | New Patient Digestive & Hepatology Consultation | 136 | 59.55th | $115 – $158 |
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Dr. Daniel Helburn, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Helburn National Provider Identifier | NPI #1558307025 (MD) | CMS NPPES Registry (06518) |
| Dr. Helburn Hamden CMS Volume Rank | 54.55th Pct (1,945 CMS svcs; Z -0.486σ) | CMS Medicare Part B (CT Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hamden, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 11 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.87/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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