Dr. Paul Fallon, MD
780 Albany St, Boston, MA 02118 • +1-425-555-1028
Medical Education: Accredited U.S. Medical School (Class of 2017)
What This Doctor Actually Performs: CMS Medicare Utilization & Boston Percentiles
NPI #1437145927 • CBSA 14460 • Internal Medicine
Dr. Paul Fallon, MD (NPI #1437145927) practices Internal Medicine in Boston, MA (02118) with sub-specialty concentration in 22 Active CMS HCPCS Codes, recording 846 annual CMS services across 229 distinct beneficiaries—placing this practice as a mid-cohort balanced caseload (35.37th Boston percentile) (-0.28σ vs MA state mean, 20.93th statewide percentile).
Fee-schedule auditing of NPI 1437145927 highlights 374 annual claims for 99214 (35.37th Boston percentile; $189–$259 self-pay corridor) plus 216 encounters under 99213 and 108 under 93000.
For out-of-network patients contacting +1-425-555-1028, Dr. Fallon's practice posts a $227.00 GPCI self-pay consult estimate ($227.00 patient-logged median, 4.58/5 composite reality score over 13 submissions).
Credentialed as an MD specialist with 9 years post-graduation experience since completing medical school at an LCME/COCA institution (2017), Dr. Fallon coordinates 22 Active CMS HCPCS Codes workups from 780 Albany St (+1-425-555-1028).
Compared against Boston, MA Internal Medicine peers
846 annual services across 229 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 | 374 | 35.37th | $189 – $259 |
| 99213 | Established Preventive & Chronic Care Visit | 216 | 39.37th | $144 – $198 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 108 | 37.37th | $69 – $94 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 83 | 30.37th | $221 – $304 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 50 | 34.37th | $263 – $360 |
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Dr. Paul Fallon, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Fallon National Provider Identifier | NPI #1437145927 (MD) | CMS NPPES Registry (02118) |
| Dr. Fallon Boston CMS Volume Rank | 35.37th Pct (846 CMS svcs; Z -0.284σ) | 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 • 19 min lobby wait | 13 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.56/5 Listening • 4.55/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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