Dr. Michael Malone, MD
1 Lyons Street, Dedham Medical Associates, Dedham, MA 02026 • +1-737-555-9558
Medical Education: Accredited U.S. Medical School (Class of 1997)
What This Doctor Actually Performs: CMS Medicare Utilization & Dedham Percentiles
NPI #1285671479 • CBSA Regional • Urology
Operating out of Dedham, MA (1 Lyons Street, Dedham Medical Associates), Urology clinician Dr. Michael Malone, MD (accredited MD/DO training, 1997) maintains a focused low-volume boutique caseload (0th Dedham percentile) (30.48th MA percentile; Z-score -0.43σ across 1,700 documented services) with sub-specialty concentration in 32 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1285671479 highlights 612 annual claims for 99214 (12th Dedham percentile; $124–$170 self-pay corridor) plus 459 encounters under 51798 and 289 under 52000.
Direct cash-pay transparency modeling sets Dr. Malone's baseline new-consult rate near $224.00 in Dedham, MA (cash-pay accepted, hybrid in-clinic and telehealth video consults, 10-minute average reception wait).
Credentialed as an MD specialist with 29 years post-graduation experience since completing medical school at an LCME/COCA institution (1997), Dr. Malone coordinates 32 Active CMS HCPCS Codes workups from 1 Lyons Street, Dedham Medical Associates (+1-737-555-9558).
Compared against Dedham, MA Urology peers
1,700 annual services across 751 beneficiaries
Standard deviations from MA Urology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99214 | Established Urologic, BPH & Androgen Evaluation | 612 | 12th | $124 – $170 |
| 51798 | Ultrasound Measurement of Post-Void Residual Urine Capacity | 459 | 12th | $52 – $71 |
| 52000 | Diagnostic Cystourethroscopy Lower Urinary Tract Inspection | 289 | 12th | $254 – $348 |
| 51741 | Complex Electronic Uroflowmetry Stream Calibration | 204 | 12th | $70 – $96 |
| 99204 | New Patient Urologic & Prostate Diagnostic Consultation | 136 | 12th | $175 – $240 |
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Dr. Michael Malone, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Malone National Provider Identifier | NPI #1285671479 (MD) | CMS NPPES Registry (02026) |
| Dr. Malone Dedham CMS Volume Rank | 0.00th Pct (1,700 CMS svcs; Z -0.431σ) | CMS Medicare Part B (MA Urology) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Dedham, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 10 min lobby wait | 26 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.63/5 Listening • 4.62/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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