Dr. Theodore Paradowski, MD
1025 S 6th St, Springfield, IL 62703 • +1-493-555-5160
Medical Education: Accredited U.S. Medical School (Class of 1996)
What This Doctor Actually Performs: CMS Medicare Utilization & Springfield Percentiles
NPI #1720171804 • CBSA Regional • Gastroenterology
Dr. Theodore Paradowski, MD (NPI #1720171804) practices Gastroenterology in Springfield, IL (62703) with sub-specialty concentration in 44 Active CMS HCPCS Codes, recording 1,365 annual CMS services across 250 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (40th Springfield percentile) (-0.20σ vs IL state mean, 57.89th statewide percentile).
Fee-schedule auditing of NPI 1720171804 highlights 505 annual claims for 99214 (40th Springfield percentile; $88–$121 self-pay corridor) plus 341 encounters under 45380 and 287 under 43239.
Self-pay new patient consultations with Dr. Paradowski (CPT 99204 GPCI-adjusted benchmark) estimate around $218.00 (community reported average: $218.00) with hybrid in-clinic and telehealth video consults, 22-minute average reception wait, and a 4.93/5 modern protocol openness score across 16 patient logs.
From 1025 S 6th St in Springfield (+1-493-555-5160), Dr. Paradowski, MD (30-year clinical track record) delivers 44 Active CMS HCPCS Codes care.
Compared against Springfield, IL Gastroenterology peers
1,365 annual services across 250 beneficiaries
Standard deviations from IL 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 | 505 | 40th | $88 – $121 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 341 | 39th | $213 – $292 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 287 | 35th | $177 – $242 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 137 | 36th | $237 – $325 |
| 99204 | New Patient Digestive & Hepatology Consultation | 96 | 39th | $124 – $171 |
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Dr. Theodore Paradowski, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Paradowski National Provider Identifier | NPI #1720171804 (MD) | CMS NPPES Registry (62703) |
| Dr. Paradowski Springfield CMS Volume Rank | 40.00th Pct (1,365 CMS svcs; Z -0.198σ) | CMS Medicare Part B (IL Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $218.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Springfield, IL) |
| Waiting-Room Wait Time & Cash Friendliness | $218.00 avg paid • 22 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.56/5 Listening • 4.93/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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