Dr. Germano Guadagnoli, MD
5520 Park Ave, Trumbull, CT 06611 • +1-966-555-4702
Medical Education: Accredited U.S. Medical School (Class of 2008)
What This Doctor Actually Performs: CMS Medicare Utilization & Trumbull Percentiles
NPI #1962415562 • CBSA Regional • Rheumatology
Within the Trumbull, CT (CBSA local) Rheumatology cohort, Dr. Germano Guadagnoli, MD with sub-specialty concentration in 35 Active CMS HCPCS Codes ranks at the 50th municipal percentile and 67.35th CT percentile (+0.11σ Z-score) based on 26,356 billed procedures for 224 patients.
Procedural volume for Dr. Guadagnoli is led by HCPCS 99214 (Autoimmune Arthritis & Biologic/DMARD Safety Evaluation — 331 annual services, $45–$62 GPCI cash estimate), followed by CPT 20610 (Large Joint Synovial Arthrocentesis or Corticosteroid Injection, 151/yr) and CPT 96413 (Intravenous Biologic Infusion Therapy (First Hour), 108/yr).
Cash-pay intake data for NPI 1962415562 (5520 Park Ave, Trumbull) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 22-minute average reception wait and 4.63/5 biomarker openness.
Spanning 18 years of clinical practice following 2008 graduation from medical training, Dr. Germano Guadagnoli integrates 35 Active CMS HCPCS Codes diagnostics for Trumbull metro patients.
Compared against Trumbull, CT Rheumatology peers
26,356 annual services across 224 beneficiaries
Standard deviations from CT Rheumatology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Autoimmune Arthritis & Biologic/DMARD Safety Evaluation | 331 | 50th | $45 – $62 |
| 20610 | Large Joint Synovial Arthrocentesis or Corticosteroid Injection | 151 | 45th | $36 – $51 |
| 96413 | Intravenous Biologic Infusion Therapy (First Hour) | 108 | 51th | $62 – $85 |
| 76881 | Complete Joint Synovitis High-Resolution Ultrasound | 72 | 51th | $47 – $65 |
| 99204 | New Patient Autoimmune & Rheumatology Diagnostic Workup | 58 | 55th | $62 – $85 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (35 HCPCS billing breadth) | 25,637 | 50th | $45 – $65 |
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Dr. Germano Guadagnoli, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Guadagnoli National Provider Identifier | NPI #1962415562 (MD) | CMS NPPES Registry (06611) |
| Dr. Guadagnoli Trumbull CMS Volume Rank | 50.00th Pct (26,356 CMS svcs; Z +0.110σ) | CMS Medicare Part B (CT Rheumatology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Trumbull, CT) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 22 min lobby wait | 22 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.63/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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