Dr. William Downes, MD
22945 State Road 54, Lutz, FL 33549 • +1-586-555-6114
Medical Education: Accredited U.S. Medical School (Class of 1994)
What This Doctor Actually Performs: CMS Medicare Utilization & Lutz Percentiles
NPI #1396932364 • CBSA Regional • Emergency Medicine
Operating out of Lutz, FL (22945 State Road 54), Emergency Medicine clinician Dr. William Downes, MD (accredited MD/DO training, 1994) maintains a focused low-volume boutique caseload (0th Lutz percentile) (30.95th FL percentile; Z-score -0.11σ across 756 documented services) with sub-specialty concentration in 24 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1396932364 highlights 340 annual claims for 99214 (12th Lutz percentile; $188–$257 self-pay corridor) plus 197 encounters under 99213 and 98 under 93000.
Self-pay new patient consultations with Dr. Downes (CPT 99204 GPCI-adjusted benchmark) estimate around $216.00 (community reported average: $216.00) with hybrid in-clinic and telehealth video consults, 13-minute average reception wait, and a 4.64/5 modern protocol openness score across 17 patient logs.
From 22945 State Road 54 in Lutz (+1-586-555-6114), Dr. Downes, MD (32-year clinical track record) delivers 24 Active CMS HCPCS Codes care.
Compared against Lutz, FL Emergency Medicine peers
756 annual services across 478 beneficiaries
Standard deviations from FL Emergency 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 | 340 | 12th | $188 – $257 |
| 99213 | Established Preventive & Chronic Care Visit | 197 | 12th | $143 – $197 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 98 | 12th | $68 – $94 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 76 | 12th | $220 – $302 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 45 | 12th | $261 – $358 |
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Dr. William Downes, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Downes National Provider Identifier | NPI #1396932364 (MD) | CMS NPPES Registry (33549) |
| Dr. Downes Lutz CMS Volume Rank | 0.00th Pct (756 CMS svcs; Z -0.113σ) | CMS Medicare Part B (FL Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lutz, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 13 min lobby wait | 17 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.64/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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