Dr. Abel Donka, MD
22 W Main St, Niantic, CT 06357 • +1-670-555-4275
Medical Education: Accredited U.S. Medical School (Class of 2001)
What This Doctor Actually Performs: CMS Medicare Utilization & Niantic Percentiles
NPI #1649322686 • CBSA Regional • Internal Medicine
Within the Niantic, CT (CBSA local) Internal Medicine cohort, Dr. Abel Donka, MD with sub-specialty concentration in 39 Active CMS HCPCS Codes ranks at the 66.67th municipal percentile and 97.08th CT percentile (+0.75σ Z-score) based on 4,988 billed procedures for 824 patients.
Medicare Part B line-item claims for Dr. Abel Donka (06357) place 99214 at the top of the practice ledger (2214 yearly units, 66.67th metro rank), rounded out by 99213 and 93000.
Direct cash-pay transparency modeling sets Dr. Donka's baseline new-consult rate near $209.00 in Niantic, CT (cash-pay accepted, in-person clinic visits only, 14-minute average reception wait).
Clinical background for Dr. Donka (MD, NPI #1649322686) includes accredited doctoral training (2001, 25 yrs in practice) and dedicated on-site consultations at 22 W Main St.
Compared against Niantic, CT Internal Medicine peers
4,988 annual services across 824 beneficiaries
Standard deviations from CT Internal Medicine 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 | 2,214 | 66.67th | $132 – $181 |
| 99213 | Established Preventive & Chronic Care Visit | 1,279 | 70.67th | $101 – $138 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 639 | 66.67th | $48 – $66 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 492 | 70.67th | $155 – $212 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 295 | 71.67th | $184 – $252 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (39 HCPCS billing breadth) | 69 | 66.67th | $119 – $173 |
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Dr. Abel Donka, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Donka National Provider Identifier | NPI #1649322686 (MD) | CMS NPPES Registry (06357) |
| Dr. Donka Niantic CMS Volume Rank | 66.67th Pct (4,988 CMS svcs; Z +0.749σ) | CMS Medicare Part B (CT Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Niantic, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 14 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.53/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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