Dr. Daniel Sousa, MD
1030 President Ave, Suite 210, Fall River, MA 02720 • +1-602-555-8854
Medical Education: Accredited U.S. Medical School (Class of 1993)
What This Doctor Actually Performs: CMS Medicare Utilization & Fall River Percentiles
NPI #1285744698 • CBSA Regional • Pulmonary Disease
Within the Fall River, MA (CBSA local) Pulmonary Disease cohort, Dr. Daniel Sousa, MD with sub-specialty concentration in 41 Active CMS HCPCS Codes ranks at the 80th municipal percentile and 79.78th MA percentile (+0.52σ Z-score) based on 1,791 billed procedures for 689 patients.
Among 5 tracked CMS fee-schedule codes for Dr. Sousa (averaging 2.6 services per beneficiary), 99214 (Established Pulmonary, Asthma & COPD Management) represents 40% of tracked volume (724 encounters), paired with 94060 (406x).
For out-of-network patients contacting +1-602-555-8854, Dr. Sousa's practice posts a $224.00 GPCI self-pay consult estimate ($224.00 patient-logged median, 4.73/5 composite reality score over 16 submissions).
Credentialed as an MD specialist with 33 years post-graduation experience since completing medical school at an LCME/COCA institution (1993), Dr. Sousa coordinates 41 Active CMS HCPCS Codes workups from 1030 President Ave, Suite 210 (+1-602-555-8854).
Compared against Fall River, MA Pulmonary Disease peers
1,791 annual services across 689 beneficiaries
Standard deviations from MA Pulmonary Disease 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 Pulmonary, Asthma & COPD Management | 724 | 80th | $182 – $249 |
| 94060 | Pre- & Post-Bronchodilator Spirometry Airflow Evaluation | 406 | 77th | $119 – $162 |
| 94729 | Alveolar Carbon Monoxide Diffusing Capacity (DLCO) | 300 | 82th | $107 – $147 |
| 95810 | Attended Sleep Apnea Polysomnography Interpretation | 194 | 82th | $332 – $455 |
| 99204 | Comprehensive New Patient Respiratory & Sleep Workup | 141 | 76th | $256 – $351 |
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Dr. Daniel Sousa, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Sousa National Provider Identifier | NPI #1285744698 (MD) | CMS NPPES Registry (02720) |
| Dr. Sousa Fall River CMS Volume Rank | 80.00th Pct (1,791 CMS svcs; Z +0.519σ) | CMS Medicare Part B (MA Pulmonary Disease) |
| 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 • 20 min lobby wait | 16 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.89/5 Listening • 4.76/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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