Dr. Anthony Distefano, MD
116 E Center St, Suite 19, Manchester, CT 06040 • +1-881-555-9173
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Manchester Percentiles
NPI #1568430361 • CBSA Regional • Urology
Dr. Anthony Distefano, MD (NPI #1568430361) practices Urology in Manchester, CT (06040) with sub-specialty concentration in 54 Active CMS HCPCS Codes, recording 2,696 annual CMS services across 450 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Manchester percentile) (-0.33σ vs CT state mean, 47.92th statewide percentile).
Medicare Part B line-item claims for Dr. Anthony Distefano (06040) place 99214 at the top of the practice ledger (427 yearly units, 12th metro rank), rounded out by 51798 and 52000.
Direct cash-pay transparency modeling sets Dr. Distefano's baseline new-consult rate near $209.00 in Manchester, CT (cash-pay accepted, hybrid in-clinic and telehealth video consults, 14-minute average reception wait).
NPI registry verification (#1568430361) confirms Dr. Anthony Distefano's MD standing serving CBSA 06040 with a 4.85/5 patient scorecard.
Compared against Manchester, CT Urology peers
2,696 annual services across 450 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 | 427 | 12th | $70 – $96 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 320 | 12th | $29 – $44 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 201 | 12th | $143 – $196 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 142 | 12th | $40 – $55 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 95 | 12th | $99 – $135 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (54 HCPCS billing breadth) | 1,511 | 0th | $63 – $91 |
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Dr. Anthony Distefano, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Distefano National Provider Identifier | NPI #1568430361 (MD) | CMS NPPES Registry (06040) |
| Dr. Distefano Manchester CMS Volume Rank | 0.00th Pct (2,696 CMS svcs; Z -0.328σ) | CMS Medicare Part B (CT Urology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Manchester, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 8 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.55/5 Listening • 4.61/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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