Dr. Simon Cofrancesco, DO
4150 Deputy Bill Cantrell Memorial Rd, Suite 290, Cumming, GA 30040 • +1-692-555-3386
Medical Education: Accredited U.S. Medical School (Class of 1992)
What This Doctor Actually Performs: CMS Medicare Utilization & Cumming Percentiles
NPI #1396795241 • CBSA Regional • Gastroenterology
Anchored in Cumming, GA 30040, Dr. Simon Cofrancesco, DO (NPI 1396795241) logged 1,117 annual procedures (upper-quartile active clinical volume (71.43th Cumming percentile), 36.11th GA percentile, -0.47σ) with sub-specialty concentration in 37 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1396795241 highlights 413 annual claims for 99214 (71.43th Cumming percentile; $198–$271 self-pay corridor) plus 279 encounters under 45380 and 235 under 43239.
Uninsured and high-deductible cash patients visiting Dr. Simon Cofrancesco in Cumming (30040) face an estimated $209.00 initial evaluation fee at 4150 Deputy Bill Cantrell Memorial Rd, Suite 290 (in-person clinic visits only; 9-minute average reception wait; bedside manner 4.60/5 from 21 verified reports).
Credentialed as an DO specialist with 34 years post-graduation experience since completing medical school at an LCME/COCA institution (1992), Dr. Cofrancesco coordinates 37 Active CMS HCPCS Codes workups from 4150 Deputy Bill Cantrell Memorial Rd, Suite 290 (+1-692-555-3386).
Compared against Cumming, GA Gastroenterology peers
1,117 annual services across 548 beneficiaries
Standard deviations from GA Gastroenterology 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 Gastroenterology, GERD & IBD Evaluation | 413 | 71.43th | $198 – $271 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 279 | 70.43th | $477 – $654 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 235 | 72.43th | $396 – $543 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 112 | 67.43th | $531 – $728 |
| 99204 | New Patient Digestive & Hepatology Consultation | 78 | 67.43th | $279 – $382 |
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Dr. Simon Cofrancesco, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Cofrancesco National Provider Identifier | NPI #1396795241 (DO) | CMS NPPES Registry (30040) |
| Dr. Cofrancesco Cumming CMS Volume Rank | 71.43th Pct (1,117 CMS svcs; Z -0.471σ) | CMS Medicare Part B (GA Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Cumming, GA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 21 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.60/5 Listening • 4.67/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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