Dr. Nicholas Mancuso, MD
800 Rose St Rm M-53, Lexington, KY 40536 • +1-305-555-2223
Medical Education: Accredited U.S. Medical School (Class of 2018)
What This Doctor Actually Performs: CMS Medicare Utilization & Lexington Percentiles
NPI #1154703171 • CBSA Regional • Emergency Medicine
Dr. Nicholas Mancuso, MD (NPI #1154703171) practices Emergency Medicine in Lexington, KY (40536) with sub-specialty concentration in 27 Active CMS HCPCS Codes, recording 908 annual CMS services across 606 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (41.38th Lexington percentile) (-0.23σ vs KY state mean, 49.62th statewide percentile).
Procedural volume for Dr. Mancuso is led by HCPCS 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up — 409 annual services, $189–$259 GPCI cash estimate), followed by CPT 99213 (Established Preventive & Chronic Care Visit, 236/yr) and CPT 93000 (In-Office 12-Lead Resting Electrocardiogram, 118/yr).
Self-pay new patient consultations with Dr. Mancuso (CPT 99204 GPCI-adjusted benchmark) estimate around $209.00 (community reported average: $209.00) with hybrid in-clinic and telehealth video consults, 13-minute average reception wait, and a 4.76/5 modern protocol openness score across 11 patient logs.
Clinical background for Dr. Mancuso (MD, NPI #1154703171) includes accredited doctoral training (2018, 8 yrs in practice) and virtual + in-office availability across KY.
Compared against Lexington, KY Emergency Medicine peers
908 annual services across 606 beneficiaries
Standard deviations from KY Emergency 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 | 409 | 41.38th | $189 – $259 |
| 99213 | Established Preventive & Chronic Care Visit | 236 | 43.38th | $145 – $198 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 118 | 43.38th | $69 – $95 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 91 | 39.38th | $222 – $304 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 54 | 46.38th | $263 – $361 |
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Dr. Nicholas Mancuso, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Mancuso National Provider Identifier | NPI #1154703171 (MD) | CMS NPPES Registry (40536) |
| Dr. Mancuso Lexington CMS Volume Rank | 41.38th Pct (908 CMS svcs; Z -0.229σ) | CMS Medicare Part B (KY Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Lexington, KY) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 13 min lobby wait | 11 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.59/5 Listening • 4.76/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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