Dr. Peter Tothy, MD
342 E 109th Ave, Crown Point, IN 46307 • +1-791-555-3815
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Crown Point Percentiles
NPI #1023157278 • CBSA Regional • Hematology-Oncology
Dr. Peter Tothy, MD (NPI #1023157278) practices Hematology-Oncology in Crown Point, IN (46307) with sub-specialty concentration in 161 Active CMS HCPCS Codes, recording 282,250 annual CMS services across 798 distinct beneficiaries—placing this practice as a upper-quartile active clinical volume (66.67th Crown Point percentile) (+1.50σ vs IN state mean, 93.58th statewide percentile).
Among 6 tracked CMS fee-schedule codes for Dr. Tothy (averaging 353.7 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 7% of tracked volume (19741 encounters), paired with 99213 (11406x).
Direct cash-pay transparency modeling sets Dr. Tothy's baseline new-consult rate near $209.00 in Crown Point, IN (cash-pay accepted, hybrid in-clinic and telehealth video consults, 10-minute average reception wait).
NPI registry verification (#1023157278) confirms Dr. Peter Tothy's MD standing serving CBSA 46307 with a 4.65/5 patient scorecard.
Compared against Crown Point, IN Hematology-Oncology peers
282,250 annual services across 798 beneficiaries
Standard deviations from IN Hematology-Oncology 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 | 19,741 | 66.67th | $43 – $60 |
| 99213 | Established Preventive & Chronic Care Visit | 11,406 | 70.67th | $33 – $48 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 5,703 | 67.67th | $25 – $40 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 4,387 | 68.67th | $51 – $70 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 2,632 | 69.67th | $60 – $83 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (161 HCPCS billing breadth) | 238,382 | 66.67th | $45 – $65 |
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Dr. Peter Tothy, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Tothy National Provider Identifier | NPI #1023157278 (MD) | CMS NPPES Registry (46307) |
| Dr. Tothy Crown Point CMS Volume Rank | 66.67th Pct (282,250 CMS svcs; Z +1.503σ) | CMS Medicare Part B (IN Hematology-Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Crown Point, IN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 10 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.76/5 Listening • 4.54/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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