Dr. Michael Pellegrino, DO
Charlton Memorial Hosp, Fall River, MA 00000 • +1-459-555-5421
Medical Education: Accredited U.S. Medical School (Class of 2010)
What This Doctor Actually Performs: CMS Medicare Utilization & Fall River Percentiles
NPI #1114060506 • CBSA Regional • Emergency Medicine
Operating out of Fall River, MA (Charlton Memorial Hosp), Emergency Medicine clinician Dr. Michael Pellegrino, DO (accredited MD/DO training, 2010) maintains a mid-cohort balanced caseload (54.55th Fall River percentile) (48.51th MA percentile; Z-score -0.25σ across 895 documented services) with sub-specialty concentration in 30 Active CMS HCPCS Codes.
Fee-schedule auditing of NPI 1114060506 highlights 403 annual claims for 99214 (54.55th Fall River percentile; $176–$241 self-pay corridor) plus 233 encounters under 99213 and 116 under 93000.
Uninsured and high-deductible cash patients visiting Dr. Michael Pellegrino in Fall River (00000) face an estimated $224.00 initial evaluation fee at Charlton Memorial Hosp (in-person clinic visits only; 9-minute average reception wait; bedside manner 4.65/5 from 15 verified reports).
Clinical background for Dr. Pellegrino (DO, NPI #1114060506) includes accredited doctoral training (2010, 16 yrs in practice) and dedicated on-site consultations at Charlton Memorial Hosp.
Compared against Fall River, MA Emergency Medicine peers
895 annual services across 621 beneficiaries
Standard deviations from MA Emergency 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 | 403 | 54.55th | $176 – $241 |
| 99213 | Established Preventive & Chronic Care Visit | 233 | 56.55th | $134 – $184 |
| 93000 | In-Office 12-Lead Resting Electrocardiogram | 116 | 53.55th | $64 – $88 |
| G0439 | Annual Preventive Wellness & Cardiometabolic Risk Assessment | 90 | 57.55th | $206 – $283 |
| 99204 | Comprehensive New Patient Internal Medicine Diagnostic Visit | 54 | 50.55th | $244 – $335 |
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Dr. Michael Pellegrino, DO Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pellegrino National Provider Identifier | NPI #1114060506 (DO) | CMS NPPES Registry (00000) |
| Dr. Pellegrino Fall River CMS Volume Rank | 54.55th Pct (895 CMS svcs; Z -0.246σ) | CMS Medicare Part B (MA Emergency Medicine) |
| Fair Cash-Pay New-Patient Benchmark | $224.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Fall River, MA) |
| Waiting-Room Wait Time & Cash Friendliness | $224.00 avg paid • 9 min lobby wait | 15 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.65/5 Listening • 4.77/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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