Dr. Daniela Prodanovic, MD
189 Quincy St, Brockton, MA 02302
What This Doctor Actually Performs: CMS Medicare Utilization & Brockton Percentiles
NPI #1104859628 • CBSA Regional • Gastroenterology
Dr. Daniela Prodanovic, MD (NPI #1104859628) practices Gastroenterology in Brockton, MA (02302) with sub-specialty concentration in 26 Active CMS HCPCS Codes, recording 665 annual CMS services across 349 distinct beneficiaries—placing this practice as a focused low-volume boutique caseload (0th Brockton percentile) (-0.43σ vs MA state mean, 6.33th statewide percentile).
Fee-schedule auditing of NPI 1104859628 highlights 246 annual claims for 99214 (12th Brockton percentile; $193–$265 self-pay corridor) plus 166 encounters under 45380 and 140 under 43239.
Compared against Brockton, MA Gastroenterology peers
665 annual services across 349 beneficiaries
Standard deviations from MA Gastroenterology mean utilization
Top Billed HCPCS/CPT Procedures (CMS Medicare Part B)
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct |
|---|---|---|---|
| 99214 | Established Gastroenterology, GERD & IBD Evaluation | 246 | 12th |
| 45380 | Diagnostic Colonoscopy w/ Mucosal Tissue Biopsy | 166 | 12th |
| 43239 | Upper GI Esophagogastroduodenoscopy (EGD) w/ Biopsy | 140 | 12th |
| 45385 | Colonoscopy w/ Snare Polypectomy Lesion Removal | 67 | 12th |
| 99204 | New Patient Digestive & Hepatology Consultation | 47 | 12th |
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Dr. Daniela Prodanovic, MD CMS Utilization Summary
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Prodanovic National Provider Identifier | NPI #1104859628 (MD) | CMS NPPES Registry (02302) |
| Dr. Prodanovic Brockton CMS Volume Rank | 0.00th Pct (665 CMS svcs; Z -0.431σ) | CMS Medicare Part B (MA Gastroenterology) |
| Annual Medicare Patients Treated | 349 unique Medicare beneficiaries/yr | CMS Medicare Physician & Other Practitioners (MA) |
| Statewide Specialty Volume Percentile | 6.33th Percentile in MA | CMS MA Gastroenterology Peer Distribution |
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