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Orthopedic Surgery • Wilmington, DE 19808 • NPI #1215977764

Dr. Douglas Palma, MD

1941 Limestone Rd Ste 101, Wilmington, DE 19808 • +1-807-555-2588

Medical Education: Accredited U.S. Medical School (Class of 2018)

57 Active CMS HCPCS Codes
4.80/5
Waiting-Room Score
23 patient logs
$209.00
Fair Cash-Pay Benchmark

What This Doctor Actually Performs: CMS Medicare Utilization & Wilmington Percentiles

NPI #1215977764 • CBSA Regional • Orthopedic Surgery

Dr. Douglas Palma DotMD Verification Badge

CMS Medicare Part B utilization records credit Dr. Douglas Palma (MD, NPI 1215977764) at 1941 Limestone Rd Ste 101 in Wilmington with 1,620 annual clinical services (333 beneficiaries), corresponding to a -0.78σ regional deviation and focused low-volume boutique caseload (20th Wilmington percentile) with sub-specialty concentration in 57 Active CMS HCPCS Codes.

Granular CPT/HCPCS billing distribution at 1941 Limestone Rd Ste 101 shows Dr. Douglas Palma's primary concentration in Focused Orthopedic Joint & Spine Mobility Evaluation (code 99213: 383x/yr, 20th local percentile) alongside Major Joint (Knee/Shoulder/Hip) Aspiration or Injection (20610: 287x/yr, $120–$165).

Self-pay new patient consultations with Dr. Palma (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 9-minute average reception wait, and a 4.56/5 modern protocol openness score across 23 patient logs.

NPI registry verification (#1215977764) confirms Dr. Douglas Palma's MD standing serving CBSA 19808 with a 4.80/5 patient scorecard.

Wilmington Percentile 20.00th

Compared against Wilmington, DE Orthopedic Surgery peers

DE State Percentile 14.55th

1,620 annual services across 333 beneficiaries

Regional Volume Z-Score -0.778σ

Standard deviations from DE Orthopedic Surgery mean utilization

Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks

HCPCS Clinical Procedure Description Annual Volume Local Pct Est. Cash Range
99213 Focused Orthopedic Joint & Spine Mobility Evaluation 383 20th $113 – $155
20610 Major Joint (Knee/Shoulder/Hip) Aspiration or Injection 287 25th $120 – $165
73562 Radiologic Weight-Bearing 3-View Knee Examination 202 24th $68 – $93
99203 New Patient Musculoskeletal Injury & Surgical Triage 117 21th $162 – $222
27447 Total Knee Arthroplasty Joint Reconstruction 74 24th $1044 – $1430
96372 Therapeutic Subcutaneous/Intramuscular Injection Administration (57 HCPCS billing breadth) 556 20th $127 – $184
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Dr. Douglas Palma, MD Fair Cash-Pay & Waiting-Room Scorecard

Metric Verified Benchmark Source
Dr. Palma National Provider Identifier NPI #1215977764 (MD) CMS NPPES Registry (19808)
Dr. Palma Wilmington CMS Volume Rank 20.00th Pct (1,620 CMS svcs; Z -0.778σ) CMS Medicare Part B (DE Orthopedic Surgery)
Fair Cash-Pay New-Patient Benchmark $209.00 (CPT 99204 GPCI Benchmark) CMS Geographic Practice Cost Index (Wilmington, DE)
Waiting-Room Wait Time & Cash Friendliness $209.00 avg paid • 9 min lobby wait 23 Anonymous Patient Reports
Listens Without Rushing & Modern Protocol Score 4.72/5 Listening • 4.56/5 Modern Labs CMS Provider Practice Cohort
Patient-Reported Clinic Experience

“Waiting Room” Patient Reality Scorecard

Real Wait Time
9 min
Lobby check-in to exam room
Cash-Pay Friendliness
Upfront Self-Pay
GPCI fair visit est. $209.00
Listens Without Rushing
4.72/5
Patient communication rating
Modern Protocol Openness
4.56/5
Preventive labs, GLP-1s & HRT
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