Dr. Stephen Paul, MD
2206 Roosevelt Rd Ste A, Valparaiso, IN 46383 • +1-272-555-8817
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Valparaiso Percentiles
NPI #1821060286 • CBSA Regional • Gastroenterology
Anchored in Valparaiso, IN 46383, Dr. Stephen Paul, MD (NPI 1821060286) logged 1,818 annual procedures (upper-quartile active clinical volume (66.67th Valparaiso percentile), 65.81th IN percentile, -0.31σ) with sub-specialty concentration in 34 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1821060286 highlights 673 annual claims for 99214 (66.67th Valparaiso percentile; $173–$237 self-pay corridor) plus 455 encounters under 45380 and 382 under 43239.
Direct cash-pay transparency modeling sets Dr. Paul's baseline new-consult rate near $209.00 in Valparaiso, IN (cash-pay accepted, hybrid in-clinic and telehealth video consults, 9-minute average reception wait).
From 2206 Roosevelt Rd Ste A in Valparaiso (+1-272-555-8817), Dr. Paul, MD (12-year clinical track record) delivers 34 Active CMS HCPCS Codes care.
Compared against Valparaiso, IN Gastroenterology peers
1,818 annual services across 969 beneficiaries
Standard deviations from IN 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 | 673 | 66.67th | $173 – $237 |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 455 | 71.67th | $417 – $572 |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 382 | 66.67th | $346 – $475 |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 182 | 62.67th | $464 – $637 |
| 99204 | New Patient Digestive & Hepatology Consultation | 127 | 63.67th | $244 – $334 |
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Dr. Stephen Paul, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Paul National Provider Identifier | NPI #1821060286 (MD) | CMS NPPES Registry (46383) |
| Dr. Paul Valparaiso CMS Volume Rank | 66.67th Pct (1,818 CMS svcs; Z -0.314σ) | CMS Medicare Part B (IN Gastroenterology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Valparaiso, IN) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 9 min lobby wait | 19 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.90/5 Listening • 4.60/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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