Dr. Simmy Pinto, MD
402 N Babcock St, Suite 402, Melbourne, FL 32935 • +1-816-555-3211
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Melbourne Percentiles
NPI #1235197781 • CBSA Regional • Pulmonary Disease
Within the Melbourne, FL (CBSA local) Pulmonary Disease cohort, Dr. Simmy Pinto, MD with sub-specialty concentration in 26 Active CMS HCPCS Codes ranks at the 80th municipal percentile and 87.98th FL percentile (+0.33σ Z-score) based on 4,946 billed procedures for 1,513 patients.
Fee-schedule auditing of NPI 1235197781 highlights 2028 annual claims for 99214 (80th Melbourne percentile; $134–$183 self-pay corridor) plus 1138 encounters under 94060 and 841 under 94729.
Self-pay new patient consultations with Dr. Pinto (CPT 99204 GPCI-adjusted benchmark) estimate around $216.00 (community reported average: $216.00) with in-person clinic visits only, 15-minute average reception wait, and a 4.60/5 modern protocol openness score across 9 patient logs.
Credentialed as an MD specialist with 34 years post-graduation experience since completing medical school at an LCME/COCA institution (1992), Dr. Pinto coordinates 26 Active CMS HCPCS Codes workups from 402 N Babcock St, Suite 402 (+1-816-555-3211).
Compared against Melbourne, FL Pulmonary Disease peers
4,946 annual services across 1,513 beneficiaries
Standard deviations from FL Pulmonary Disease mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Pulmonary, Asthma & COPD Management | 2,028 | 80th | $134 – $183 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 1,138 | 77th | $87 – $120 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 841 | 77th | $79 – $108 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 544 | 78th | $244 – $335 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 396 | 81th | $188 – $258 |
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Dr. Simmy Pinto, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pinto National Provider Identifier | NPI #1235197781 (MD) | CMS NPPES Registry (32935) |
| Dr. Pinto Melbourne CMS Volume Rank | 80.00th Pct (4,946 CMS svcs; Z +0.326σ) | CMS Medicare Part B (FL Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Melbourne, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 15 min lobby wait | 9 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.60/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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