Dr. Pamela Grimaldi, DO
151 Worcester Rd, Barre, MA 01005 • +1-457-555-9437
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Barre Percentiles
NPI #1023010402 • CBSA Regional • Family Practice
Dr. Pamela Grimaldi, DO (NPI #1023010402) practices Family Practice in Barre, MA (01005) with sub-specialty concentration in 29 Active CMS HCPCS Codes, recording 1,409 annual CMS services across 84 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (33.33th Barre percentile) (-0.24σ vs MA state mean, 56.92th statewide percentile).
Fee-schedule auditing of NPI 1023010402 highlights 587 annual claims for 99214 (33.33th Barre percentile; $157–$215 self-pay corridor) plus 433 encounters under 99213 and 168 under G0439.
Direct cash-pay transparency modeling sets Dr. Grimaldi's baseline new-consult rate near $224.00 in Barre, MA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 12-minute average reception wait).
Clinical background for Dr. Grimaldi (DO, NPI #1023010402) includes accredited doctoral training (2017, 9 yrs in practice) and virtual + in-office availability across MA.
Compared against Barre, MA Family Practice peers
1,409 annual services across 84 beneficiaries
Standard deviations from MA Family Practice mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Comprehensive Primary Care & Chronic Protocol Management | 587 | 33.33th | $157 – $215 |
| 99213 | Focused Acute & Preventive Primary Care Evaluation | 433 | 30.33th | $120 – $164 |
| G0439 | Annual Wellness Biomarker & Preventive Screening Visit | 168 | 34.33th | $180 – $247 |
| 36415 | Routine Venipuncture Blood Biomarker Collection | 126 | 29.33th | $34 – $49 |
| 99204 | New Patient Primary Care Intake & Diagnostic Plan | 84 | 35.33th | $216 – $295 |
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Dr. Pamela Grimaldi, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Grimaldi National Provider Identifier | NPI #1023010402 (DO) | CMS NPPES Registry (01005) |
| Dr. Grimaldi Barre CMS Volume Rank | 33.33th Pct (1,409 CMS svcs; Z -0.237σ) | CMS Medicare Part B (MA Family Practice) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Barre, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 12 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.74/5 Listening • 4.92/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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