Dr. Kevin Heaton, MD
55 Fruit St., Massachusetts General Hospital, Boston, MA 02114 • +1-711-555-7207
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Boston Percentiles
NPI #1255771804 • CBSA 14460 • Internal Medicine
Statistical peer benchmarking across MA Internal Medicine providers positions Dr. Kevin Heaton, MD in Boston at -0.17σ (75.98th city percentile / 54.64th state percentile, 415 Medicare beneficiaries), with clinical focus spanning 33 Active CMS HCPCS Codes.
Among 6 tracked CMS fee-schedule codes for Dr. Heaton (averaging 3.5 services per beneficiary), 99214 (Moderate-to-High Complexity Internal Medicine Follow-Up) represents 43% of tracked volume (628 encounters), paired with 99213 (363x).
At 55 Fruit St., Massachusetts General Hospital (02114), Dr. Kevin Heaton, MD accommodates direct self-pay scheduling (in-person clinic visits only) at ~$227.00 per new consult (4.85/5 bedside rating).
Clinical background for Dr. Heaton (MD, NPI #1255771804) includes accredited doctoral training (2010, 16 yrs in practice) and dedicated on-site consultations at 55 Fruit St., Massachusetts General Hospital.
Compared against Boston, MA Internal Medicine peers
1,463 annual services across 415 beneficiaries
Standard deviations from MA Internal 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 | 628 | 75.98th | $154 – $211 |
| 99213 | Established Preventive & Chronic Care Visit | 363 | 80.98th | $118 – $162 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 181 | 72.98th | $56 – $77 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 140 | 71.98th | $181 – $248 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 84 | 80.98th | $214 – $294 |
| 96372 | Therapeutic Subcutaneous/Intramuscular Injection Administration (33 HCPCS billing breadth) | 68 | 75.98th | $139 – $202 |
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Dr. Kevin Heaton, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Heaton National Provider Identifier | NPI #1255771804 (MD) | CMS NPPES Registry (02114) |
| Dr. Heaton Boston CMS Volume Rank | 75.98th Pct (1,463 CMS svcs; Z -0.166σ) | CMS Medicare Part B (MA Internal Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $227.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Boston, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $227.00 avg paid • 11 min lobby wait | 3 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.85/5 Listening • 4.58/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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