Dr. Richard Formica, MD
800 Howard Ave, Yale Physicians Building, New Haven, CT 06519 • +1-326-555-3768
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & New Haven Percentiles
NPI #1730163502 • CBSA Regional • Nephrology
Operating out of New Haven, CT (800 Howard Ave, Yale Physicians Building), Nephrology clinician Dr. Richard Formica, MD (accredited MD/DO training, 2000) maintains a focused low-volume boutique caseload (18.75th New Haven percentile) (6.58th CT percentile; Z-score -0.76σ across 773 documented services) with sub-specialty concentration in 12 Active CMS HCPCS Codes.
Among 4 tracked CMS fee-schedule codes for Dr. Formica (averaging 3.3 services per beneficiary), 99214 (Chronic Kidney Disease eGFR, uACR & Electrolyte Management) represents 48% of tracked volume (371 encounters), paired with 90960 (170x).
For out-of-network patients contacting +1-326-555-3768, Dr. Formica's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.86/5 composite reality score over 17 submissions).
From 800 Howard Ave, Yale Physicians Building in New Haven (+1-326-555-3768), Dr. Formica, MD (26-year clinical track record) delivers 12 Active CMS HCPCS Codes care.
Compared against New Haven, CT Nephrology peers
773 annual services across 235 beneficiaries
Standard deviations from CT Nephrology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Chronic Kidney Disease eGFR, uACR & Electrolyte Management | 371 | 18.75th | $125 – $171 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 170 | 13.75th | $250 – $343 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 139 | 17.75th | $182 – $250 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 93 | 20.75th | $172 – $236 |
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Dr. Richard Formica, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Formica National Provider Identifier | NPI #1730163502 (MD) | CMS NPPES Registry (06519) |
| Dr. Formica New Haven CMS Volume Rank | 18.75th Pct (773 CMS svcs; Z -0.762σ) | CMS Medicare Part B (CT Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (New Haven, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.72/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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