Dr. Daniel Flora, MD
1 Medical Village DR, Edgewood, KY 41017 • +1-778-555-6044
Medical Education: Accredited U.S. Medical School (Class of 2000)
What This Doctor Actually Performs: CMS Medicare Utilization & Edgewood Percentiles
NPI #1952563355 • CBSA Regional • Hematology-Oncology
CMS Medicare Part B utilization records credit Dr. Daniel Flora (MD, NPI 1952563355) at 1 Medical Village DR in Edgewood with 840 annual clinical services (212 beneficiaries), corresponding to a -0.27σ regional deviation and focused low-volume boutique caseload (14.29th Edgewood percentile) with sub-specialty concentration in 10 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1952563355 highlights 378 annual claims for 99214 (14.29th Edgewood percentile; $127–$174 self-pay corridor) plus 218 encounters under 99213 and 109 under 93000.
Cash-pay intake data for NPI 1952563355 (1 Medical Village DR, Edgewood) indicates $209.00 typical out-of-pocket visit spend against a $209.00 locality benchmark, paired with 12-minute average reception wait and 4.75/5 biomarker openness.
Credentialed as an MD specialist with 26 years post-graduation experience since completing medical school at an LCME/COCA institution (2000), Dr. Flora coordinates 10 Active CMS HCPCS Codes workups from 1 Medical Village DR (+1-778-555-6044).
Compared against Edgewood, KY Hematology-Oncology peers
840 annual services across 212 beneficiaries
Standard deviations from KY 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 | 378 | 14.29th | $127 – $174 |
| 99213 | Established Preventive & Chronic Care Visit | 218 | 12th | $97 – $133 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 109 | 18.29th | $46 – $63 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 84 | 15.29th | $149 – $204 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 50 | 12.29th | $176 – $242 |
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Dr. Daniel Flora, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Flora National Provider Identifier | NPI #1952563355 (MD) | CMS NPPES Registry (41017) |
| Dr. Flora Edgewood CMS Volume Rank | 14.29th Pct (840 CMS svcs; Z -0.267σ) | CMS Medicare Part B (KY Hematology-Oncology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Edgewood, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 12 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.93/5 Listening • 4.75/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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