Dr. Lynn Puana, MD
32 Ululani St, Hilo, HI 96720 • +1-376-555-4445
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Hilo Percentiles
NPI #1427222660 • CBSA Regional • Internal Medicine
Dr. Lynn Puana, MD (NPI #1427222660) practices Internal Medicine in Hilo, HI (96720) with sub-specialty concentration in 21 Active CMS HCPCS Codes, recording 1,458 annual CMS services across 123 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (75th Hilo percentile) (+0.09σ vs HI state mean, 73.94th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Puana (averaging 11.9 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 32% of tracked volume (466 encounters), paired with 99213 (269x).
At 32 Ululani St (96720), Dr. Lynn Puana, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$209.00 per new consult (4.89/5 bedside rating).
Clinical background for Dr. Puana (MD, NPI #1427222660) includes accredited doctoral training (2010, 16 yrs in practice) and dedicated on-site consultations at 32 Ululani St.
Compared against Hilo, HI Internal Medicine peers
1,458 annual services across 123 beneficiaries
Standard deviations from HI Internal 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 | 466 | 75th | $85 – $117 |
| 99213 | Established Preventive & Chronic Care Visit | 269 | 78th | $65 – $90 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 135 | 70th | $31 – $46 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 104 | 75th | $100 – $137 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 62 | 75th | $119 – $163 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (21 HCPCS billing breadth) | 422 | 75th | $77 – $112 |
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Dr. Lynn Puana, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Puana National Provider Identifier | NPI #1427222660 (MD) | CMS NPPES Registry (96720) |
| Dr. Puana Hilo CMS Volume Rank | 75.00th Pct (1,458 CMS svcs; Z +0.088σ) | CMS Medicare Part B (HI Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Hilo, HI) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 12 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.79/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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