Dr. Richard Prager, MD
8950 Sw 57th Ave, Pinecrest, FL 33156 • +1-550-555-7818
Medical Education: Accredited U.S. Medical School (Class of 2016)
What This Doctor Actually Performs: CMS Medicare Utilization & Pinecrest Percentiles
NPI #1235127499 • CBSA Regional • Pulmonary Disease
Dr. Richard Prager, MD (NPI #1235127499) practices Pulmonary Disease in Pinecrest, FL (33156) with sub-specialty concentration in 36 Active CMS HCPCS Codes, recording 4,628 annual CMS services across 617 distinct beneficiaries—placing this practice as a top-decile high-throughput specialist (99th percentile in Pinecrest) (+0.27σ vs FL state mean, 86.37th statewide percentile).
Fee-schedule auditing of NPI 1235127499 highlights 1897 annual claims for 99214 (99th Pinecrest percentile; $212–$290 self-pay corridor) plus 1064 encounters under 94060 and 787 under 94729.
Direct cash-pay transparency modeling sets Dr. Prager's baseline new-consult rate near $216.00 in Pinecrest, FL (cash-pay accepted, in-person clinic visits only, 18-minute average reception wait).
Patients evaluating Dr. Richard Prager in ZIP 33156 note 10 years of post-doctoral tenure (null, 2016) alongside 7.5 annual CMS procedures per patient.
Top 10% Pulmonary Disease volume leader in Pinecrest, FL
4,628 annual services across 617 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 | 1,897 | 99th | $212 – $290 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 1,064 | 99.5th | $138 – $189 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 787 | 98th | $125 – $172 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 509 | 99.5th | $387 – $530 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 370 | 97th | $298 – $409 |
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Dr. Richard Prager, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Prager National Provider Identifier | NPI #1235127499 (MD) | CMS NPPES Registry (33156) |
| Dr. Prager Pinecrest CMS Volume Rank | 99.00th Pct (4,628 CMS svcs; Z +0.266σ) | CMS Medicare Part B (FL Pulmonary Disease) |
| Fair Cash-Pay New-Patient Benchmark | $216.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Pinecrest, FL) |
| Waiting-Room Wait Time & Cash Friendliness | $216.00 avg paid • 18 min lobby wait | 24 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.87/5 Listening • 4.68/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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