Dr. Robert Carlson, MD
47 E Main St, Stafford Springs, CT 06076 • +1-414-555-7512
Medical Education: Accredited U.S. Medical School (Class of 2004)
What This Doctor Actually Performs: CMS Medicare Utilization & Stafford Springs Percentiles
NPI #1013900174 • CBSA Regional • Family Practice
Statistical peer benchmarking across CT Family Practice providers positions Dr. Robert Carlson, MD in Stafford Springs at -0.26σ (99th city percentile / 46.51th state percentile, 209 Medicare beneficiaries), with clinical focus spanning 17 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1013900174 highlights 412 annual claims for 99214 (99th Stafford Springs percentile; $111–$152 self-pay corridor) plus 304 encounters under 99213 and 118 under G0439.
Self-pay new patient consultations with Dr. Carlson (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 18-minute average reception wait, and a 4.66/5 modern protocol openness score across 12 patient logs.
Spanning 22 years of clinical practice following 2004 graduation from medical training, Dr. Robert Carlson integrates 17 Active CMS HCPCS Codes diagnostics for Stafford Springs metro patients.
Top 10% Family Practice volume leader in Stafford Springs, CT
982 annual services across 209 beneficiaries
Standard deviations from CT Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 412 | 99th | $111 – $152 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 304 | 99.5th | $85 – $117 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 118 | 96th | $128 – $175 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 88 | 99.5th | $25 – $40 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 59 | 98th | $153 – $209 |
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Dr. Robert Carlson, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Carlson National Provider Identifier | NPI #1013900174 (MD) | CMS NPPES Registry (06076) |
| Dr. Carlson Stafford Springs CMS Volume Rank | 99.00th Pct (982 CMS svcs; Z -0.256σ) | CMS Medicare Part B (CT Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Stafford Springs, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 18 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.77/5 Listening • 4.66/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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