Dr. Anne Sebastian, MD
292 Long Ridge Rd Ste 203, Stamford, CT 06902 • +1-305-555-6173
Medical Education: Accredited U.S. Medical School (Class of 2007)
What This Doctor Actually Performs: CMS Medicare Utilization & Stamford Percentiles
NPI #1699180042 • CBSA Regional • Nephrology
Statistical peer benchmarking across CT Nephrology providers positions Dr. Anne Sebastian, MD in Stamford at +0.32σ (0th city percentile / 75th state percentile, 223 Medicare beneficiaries), with clinical focus spanning 29 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1699180042 highlights 1252 annual claims for 99214 (12th Stamford percentile; $74–$101 self-pay corridor) plus 574 encounters under 90960 and 469 under 99215.
Self-pay new patient consultations with Dr. Sebastian (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with in-person clinic visits only, 20-minute average reception wait, and a 4.68/5 modern protocol openness score across 24 patient logs.
Patients evaluating Dr. Anne Sebastian in ZIP 06902 note 19 years of post-doctoral tenure (null, 2007) alongside 11.7 annual CMS procedures per patient.
Compared against Stamford, CT Nephrology peers
2,608 annual services across 223 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 | 1,252 | 12th | $74 – $101 |
| 90960 | Monthly Adult ESRD Renal Replacement Oversight | 574 | 12th | $148 – $203 |
| 99215 | High-Complexity Cardiorenal & Resistant Hypertension Visit | 469 | 12th | $108 – $148 |
| 99204 | New Patient Nephrology & Proteinuria Consultation | 313 | 12th | $102 – $139 |
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Dr. Anne Sebastian, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sebastian National Provider Identifier | NPI #1699180042 (MD) | CMS NPPES Registry (06902) |
| Dr. Sebastian Stamford CMS Volume Rank | 0.00th Pct (2,608 CMS svcs; Z +0.320σ) | CMS Medicare Part B (CT Nephrology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Stamford, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 20 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.75/5 Listening • 4.68/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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