Dr. Pauline Mungai, MD
5409 Avenue O, Fort Madison, IA 52627 • +1-426-555-5087
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Fort Madison Percentiles
NPI #1407260953 • CBSA Regional • Internal Medicine
Within the Fort Madison, IA (CBSA local) Internal Medicine cohort, Dr. Pauline Mungai, MD with sub-specialty concentration in 11 Active CMS HCPCS Codes ranks at the 66.67th municipal percentile and 44.8th IA percentile (-0.17σ Z-score) based on 1,473 billed procedures for 428 patients.
Dr. Mungai's longitudinal care intensity (3.4 billed units per patient across 428 individuals) centers on 99214 (663 annual units) and 99213 ($100–$136 cash range).
Self-pay new patient consultations with Dr. Mungai (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 15-minute average reception wait, and a 4.41/5 modern protocol openness score across 23 patient logs.
Credentialed as an MD specialist with 26 years post-graduation experience since completing medical school at an LCME/COCA institution (2000), Dr. Mungai coordinates 11 Active CMS HCPCS Codes workups from 5409 Avenue O (+1-426-555-5087).
Compared against Fort Madison, IA Internal Medicine peers
1,473 annual services across 428 beneficiaries
Standard deviations from IA 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 | 663 | 66.67th | $130 – $178 |
| 99213 | Established Preventive & Chronic Care Visit | 383 | 69.67th | $100 – $136 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 191 | 68.67th | $48 – $65 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 147 | 68.67th | $153 – $209 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 88 | 61.67th | $181 – $248 |
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Dr. Pauline Mungai, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mungai National Provider Identifier | NPI #1407260953 (MD) | CMS NPPES Registry (52627) |
| Dr. Mungai Fort Madison CMS Volume Rank | 66.67th Pct (1,473 CMS svcs; Z -0.170σ) | CMS Medicare Part B (IA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fort Madison, IA) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 15 min lobby wait | 23 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.78/5 Listening • 4.41/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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